Country Club Ret Center I I I

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

68.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 136 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 53.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 67 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 73 beds and averages 70.7 residents a day — about 97% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.21 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.88 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.91 hrs/resident/day on weekends vs 3.33 on weekdays — 13% thinner on weekends. RN hours go from 0.59 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · F2026-02-13 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interviews, the facility failed to maintain a clean and sanitary kitchen. This had the potential to affect 70 of the 72 residents who received food from the facility kitchen. The facility identified two residents, Residents #14 and #70, who received no food from the kitchen. The facility census was 72.Findings include:Observations during the initial kitchen tour conducted on 02/10/26 between 8:31 A.M. and 8:53 A.M. with Assistant Dietary Manager (ADM) #223 revealed one opened and undated bag tortilla chips and three loaves of outdated bread. The ice machine had pink growth on the rims that came off when wiped with a paper towel. The oven knobs had accumulated grease and dirt. The shelf above the oven had a layer of grease and dust. The sanitizer buckets when tested did not meet the required chemical level for sanitizing surfaces. The wall next to the reach-in freezer had food splatters. Interview at the time of the observation with ADM #223 verified the above findings and stated the kitchen cleaned the ice machine monthly.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-02-13 · tag F0882 — widespread
  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, facility assessment review, and review of infection-Antibiotic (ATB) Surveillance logs and facility policy, the facility failed to have a designated infection preventionist (IP) who effectively monitored and implemented the facility's Infection Prevention and Control Program (IPCP). This had the potential to affect all 72 residents residing in the facility.Findings include: 1. Review of the medical record for Resident #69 revealed an admission date of 07/15/24 and a diagnosis of COVID-19 (Coronavirus, an infectious respiratory disease) dated 02/09/26. Review of physician orders for February 2026 identified an order for isolation airborne/droplet precautions (infection control measures to prevent the spread of germs using a mask, eye protection and proper hand hygiene) due to a positive test result for COVID-19 dated 02/09/26.Observation on 02/10/26 at 9:43 A.M. of Resident #69 revealed signage on the door for transmission-based precautions for COVID-19. The sign…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-13 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and review of the Centers for Disease Control and Prevention (CDC) guidelines, the facility failed to follow transmission-based precautions for infection control. This affected one resident (#69) and had the potential to affect 12 residents on Certified Nursing Assistant (CNA) #289's assignment (#4, #13, #18, #22, #33, #37, #40, #41, #47, #53, #69 and #73). The facility census was 72.Findings include:Review of the medical record for Resident #69 revealed an admission date of 07/15/24 and a diagnosis of COVID-19 (Coronavirus, an infectious respiratory disease) dated 02/09/26. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #69 had intact cognition. Review of physician orders for February 2026 identified an order for isolation airborne/droplet precautions (infection control measures to prevent the spread of germs using a mask, eye protection and proper hand hygiene) due to a positive test result for COVID-19 dated 02/09/26.Observation on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-13 · tag F0881 — failed to use antibiotics responsibly — pattern
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interview, and review of facility policy and the antibiotic surveillance infection logs, the facility failed to maintain an effective antibiotic stewardship program that monitored antibiotic use including reducing the risk of adverse effects of the development of antibiotic-resistant organisms from unnecessary or inappropriate antibiotic use. This affected 25 residents (#1, #2, #3, #5, #10, #14, #15, #19, #28, #29, #32, #33, #34, #36, #37, #45, #46, #47, #48, #49, #50, #55, #56, #65 and #72) who were ordered antibiotics but did not meet McGeer's criteria (infection surveillance definitions for long term facilities for antibiotic use) during the months of December 2025, January 2026 and February 2026. The facility census was 72.Findings include: 1. Review of Infection Log-ATB (antibiotic) Surveillance log dated December 2025 revealed the form tracked residents that received ATBs and the form included unit, date, resident name, room number, sign and symptoms, site, if urinary tract infection (UTI) with or without catheter, culture/organism, ATB, isolation…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-13 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and review of facility policy, the facility failed to maintain accurate and thorough documentation for Resident #2's wound assessments in the medical record. This affected one resident (#2) out of two residents reviewed for medical record accuracy with wounds documentation. The facility census was 72.Findings include: Review of the medical record for Resident #2 revealed an admission date of 09/30/20 and his diagnoses included quadriplegia, muscle weakness, contractures, and abnormal posture. Review of care plan dated 04/11/25 revealed Resident #2 had pressure ulcers to his left ischium (region of hip bone) and right buttock. Interventions included scheduling wound clinic appointments, and treatment as ordered. There was nothing in the care plan regarding assessing or documenting his wounds at least weekly. Review of Weekly Wound Assessments in the medical record for Resident #2 revealed an assessment was completed 12/03/25, 12/10/25, 12/18/25, 12/26/25 and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-13 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review and review of facility policy, the facility failed to ensure Resident #32 was current with her pneumococcal vaccination and had no documentation she was offered the vaccine. This affected one resident (#32) out of six residents reviewed for immunizations. The facility census was 72.Findings include:Review of the medical record for Resident #32 revealed she was admitted on [DATE] with diagnoses of diabetes, cognitive communication deficit, dysphagia, congestive heart failure, chronic kidney disease stage four and obesity. Review of Annual MDS dated [DATE] revealed resident was cognitively intact. Resident #32 was not up to date regarding her pneumococcal vaccination and indicated she was not offered the vaccine. Interview on 02/12/2026 at 10:30 A.M. with DON confirmed the facility had no record that Resident #32 had received or had been offered the pneumococcal vaccine.Review of facility policy labeled, Influenza and Pneumococcal Vaccine last revised 01/20/20 revealed residents…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-11-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and facility policy review, the facility failed to ensure the environment remained free of accident hazards for residents who used the designated outdoor smoking area. The facility did not provide a safe environment for the disposal of smoking materials, resulting in potential fire hazard. This had the potential to affect all residents, employees, and visitors who use the facility smoking areas. The facility census was 72.Findings include:Observation of facility smoking areas on 11/05/25 at 10:45 A.M. revealed two large steel cigarette butt receptacles with the label butt cans that were overfilled and overflowing onto the pavement smoking area by the kitchen exit door. A large amount of cigarette butts were also present and scattered on the ground directly on top of a large amount dry leaves and debris. Interview with Director of Maintenance (DM) #539 on 11/05/25 at 10:45 A.M. confirmed overfilled cigarette butt receptacles as well as the cigarette butts on top of a large amount of dry leaves and debris. DM #539 agreed that it was a fire hazard and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-05-09 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, facility policy review, review of the memorandum from the Department of Health & Human Services, and review of guidelines from the Centers for Disease Control and Prevention, the facility failed to implement and utilize required enhanced barrier precautions (EBP) for Residents #35, #36, #163, #170 and #172, and use appropriate standards of practice with use of gloves during catheter care and tracheostomy care for Residents #36 and #170. This affected five residents (#35, #36, #163, #170 and #172) and had the potential to affect all 68 residents residing in the facility. Findings include: 1. Review of the medical record for Resident #35 revealed an admission date of 08/17/20. Diagnoses included dysphagia (difficulty swallowing), dementia and gastrostomy status. Physician orders effective May 2024 included enteral feeding 16 hours daily via gastrostomy tube. Observation and interview on 05/06/24 at 9:40 A.M. with Resident #35 indicated an enteral tube feeding was used. There was no EBP posted and no PPE (personal protective equipment)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-09 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review and policy review, the facility failed to implement the abuse policy and procedure after receipt of an allegation of abuse for Resident #52. This affected one resident (Resident #52) of one reviewed for abuse and had the potential to affect all 68 residents residing in the facility. Findings include: Review of the medical record for Resident #52 revealed an admission date of 09/21/23. Diagnoses included chronic obstructive pulmonary disease, diabetes mellitus type 2, need for assistance with personal care and neuromuscular dysfunction of bladder. The quarterly Minimum Data Set (MDS) assessment completed 04/08/24 indicated Resident #52 had moderate cognitive impairment. Review of Resident #52's nursing progress note by Licensed Practical Nurse (LPN) #211 dated 03/01/24 at 5:13 P.M. revealed staff reported Resident #52's spouse smacked her in the face, so the two were separated for the night. Interview on 05/07/24 at 9:38 A.M. with Resident #52 and Resident #52's spouse revealed the spouse lived in the adjoining assisted living facility and visited…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-09 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and facility policy review, the facility failed to provide individualized and sufficient care to manage edema for Resident #24. This affected one resident (#24) of one resident reviewed for edema. The facility census was 68. Findings include: Review of the medical record for Resident #24 revealed an admission date of 01/03/24. Diagnoses included diabetes mellitus type 2, congestive heart failure, chronic severe kidney disease and essential primary hypertension. Review of the progress note for admission dated 01/03/24 revealed Resident #24 had edema at a grade of plus two pitting in both ankles and feet. Review of the admission and Medicare 5-day MDS (Minimum Data Set) assessment completed 01/10/24 indicated no cognitive impairment. The plan of care initiated on 01/18/24 revealed cardiac impairment and potential for fluid volume excess. Interventions included observing edema and reporting to physician as needed. Review of the physician orders, medication administration record (MAR), treatment administration record (TAR) and nursing…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to COUNTRY CLUB REHABILITATION CAMPUS — 7 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 12 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.8M paid to related parties — landlords or management companies under common ownership — equal to about 19% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OH