COUNTRY CLUB CENTER I - DOVER, OH
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Address 860 IRON AVENUEPhone (make sure to verify first before calling): (330) 343-5568 Number of Certified Beds: 72 Total Number of Residents: 45 Percent of Occupied Beds: 63% Sprinkler Status: Fully Sprinklered Program Participation: Medicare and Medicaid Type of Ownership: For profit - Individual Located Within a Hospital?: No Multi Nursing Home Ownership?: No Resident and Family Councils: Both Continuing Care Retirement Community?: No Quality Indicator Survey?: Yes Special Focus Facility?: No Type: Skilled Nursing Facilities Overall Star Rating: 2 Stars Health Inspections Star Rating: 1 Star Nurse Staffing Star Rating: 4 Stars Quality Measures Star Rating: 5 Stars RN Only Star Rating: 3 Stars Employment Full-Time EquivalentAdministrative Staff - Full Time: 7.03Administrative Staff - Part Time: 1.34 Certified Nurse Aides - Full Time: 17.80 Certified Nurse Aides - Part Time: 13.00 Dietitians - Under Contract: 0.46 Food Service Personnel - Full Time: 9.80 Food Service Personnel - Part Time: 6.00 Housekeeping Personnel - Full Time: 5.83 Licensed Practical/ Vocational Nurses - Full Time: 10.29 Licensed Practical/ Vocational Nurses - Part Time: 0.91 Medical Directors - Under Contract: 0.46 Nurses With Administrative Duties - Full Time: 1.14 Physical Therapists - Under Contract: 2.29 Registered Nurses - Full Time: 2.29 Rn Director Of Nursing - Full Time: 1.14 Social Workers - Full Time: 1.14 Activities Professionals - Full Time: 1.14 Nurses With Administrative Duties - Part Time: 0.57 Occupational Therapists - Under Contract: 1.14 Pharmacists - Under Contract: 0.29 Speech Pathologists - Under Contract: 0.34 Other Physicians - Under Contract: 0.06 Persons Not Included In Any Other Categories - Part Time: 0.49 Registered Nurses - Part Time: 0.57 Occupational Therapy Assistants - Under Contract: 1.14 Housekeeping Personnel - Part Time: 3.03 Occupational Therapy Aides - Under Contract: 1.14 Provided Services
Staff InformationNumber of Registered Nurses Hours Per Resident Per Day
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Total Number of Licensed Staff Hours Per Resident Per Day
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Number Therapy Hours Per Resident Per Day
Quality MeasuresPercent of long-stay residents whose need for help with daily activities has increased
Percent of long-stay high-risk residents with pressure ulcers
Percent of long-stay residents who have depressive symptoms
Percent of long-stay residents experiencing one or more falls with major injury
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who self-report moderate to severe pain
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who newly received an antipsychotic medication
Percent of long-stay residents who received an antipsychotic medication
Complaint DeficiencySigns that state that exit doors are to be kept closed: Few (Minimal harm or potential for actual harm)Make sure that each resident has the right to join in social, religious, and community activities: Few (Minimal harm or potential for actual harm) Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm) Signs that state that exit doors are to be kept closed: Few (Minimal harm or potential for actual harm) Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Few (Minimal harm or potential for actual harm) Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm) Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Immediate jeopardy to resident health or safety) Proper backup exit lighting: Few (Immediate jeopardy to resident health or safety) Exits that are free from obstructions and can be used at all times: Few (Minimal harm or potential for actual harm) Signs that state that exit doors are to be kept closed: Few (Minimal harm or potential for actual harm) Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm) Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm) Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Few (Minimal harm or potential for actual harm) Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm) Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm) Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm) Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm) Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm) Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm) Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Immediate jeopardy to resident health or safety) Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (Minimal harm or potential for actual harm) Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Few (Minimal harm or potential for actual harm) Use a registered nurse at least 8 hours a day, 7 days a week: Many (Potential for minimal harm) Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Many (Minimal harm or potential for actual harm) Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Few (Minimal harm or potential for actual harm) Dispose of garbage and refuse properly: Few (Minimal harm or potential for actual harm) Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Few (Minimal harm or potential for actual harm) Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm) Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm) An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm) Keep each resident's personal and medical records private and confidential: Some (Potential for minimal harm) Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (Minimal harm or potential for actual harm) Make sure that residents receive proper treatment and assistive devices to maintain their vision and hearing: Few (Minimal harm or potential for actual harm) Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm) Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm) Develop policies and procedures for influenza and pneumococcal immunizations: Few (Minimal harm or potential for actual harm) Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm) Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm) Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Some (Potential for minimal harm) Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm) Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm) Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm) Provide necessary care and services to maintain the highest well being of each resident : Few (Immediate jeopardy to resident health or safety) Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm) Develop policies and procedures for influenza and pneumococcal immunizations: Few (Minimal harm or potential for actual harm) Have enough nurses to care for every resident in a way that maximizes the resident's well being: Some (Minimal harm or potential for actual harm) Provide routine and 24-hour emergency dental care for each resident: Few (Minimal harm or potential for actual harm) Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Some (Minimal harm or potential for actual harm) Have a program that investigates, controls and keeps infection from spreading: Many (Minimal harm or potential for actual harm) Other nearby hospitals and nursing homes
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