Nursing homes › Ohio › Country Club Center I
860 Iron Avenue, Dover, OH 44622 · 3303435568 · 72 certified beds
Per CMS filings, this facility is affiliated with Country Club Rehabilitation Campus, a group operating 7 facilities in 1 states. Group record: average rating 2.9/5, 2 abuse citation icons, 1 facilities on the Special Focus list, $99,377 in federal fines. This facility rates below its group average (2.9/5).
Total nurse staffing: 3.78 (Ohio median: 3.57). RN hours: 0.52. Weekend total: 3.25. Nursing staff turnover: 84%.
All-time on record: 90 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2026-06-02 |
| 2026-04-17 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2026-06-02 |
| 2026-04-17 | Provide safe, appropriate pain management for a resident who requires such services. | G | Health | corrected 2026-06-02 |
| 2026-04-17 | Honor the resident's right to organize and participate in resident/family groups in the facility. | F | Health | corrected 2026-06-02 |
| 2026-04-17 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | complaint | corrected 2026-06-02 |
| 2026-04-17 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Health | corrected 2026-06-02 |
| 2026-04-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-06-02 |
| 2026-04-17 | Keep residents' personal and medical records private and confidential. | E | Health | corrected 2026-06-02 |
| 2026-04-17 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | complaint | corrected 2026-06-02 |
| 2026-04-17 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2026-06-02 |
| 2026-04-17 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Health | corrected 2026-06-02 |
| 2026-04-17 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | complaint | corrected 2026-06-02 |
| 2026-04-17 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2026-06-02 |
| 2026-04-17 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Health | corrected 2026-06-02 |
| 2026-04-17 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-06-02 |
| 2026-04-17 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2026-06-02 |
| 2026-04-17 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Health | corrected 2026-06-02 |
| 2026-04-17 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Health | corrected 2026-06-02 |
| 2026-04-17 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2026-06-02 |
| 2026-04-17 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-06-02 |
| 2026-04-17 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-06-02 |
| 2026-04-17 | Respond appropriately to all alleged violations. | D | complaint | corrected 2026-06-02 |
| 2026-04-17 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2026-06-02 |
| 2026-04-17 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2026-06-02 |
| 2026-04-17 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2026-06-02 |
| 2026-04-17 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2026-06-02 |
| 2026-04-17 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2026-06-02 |
| 2026-04-17 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2026-06-02 |
| 2026-04-17 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | complaint | corrected 2026-06-02 |
| 2026-04-17 | Provide activities to meet all resident's needs. | D | complaint | corrected 2026-06-02 |
| 2026-04-17 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2026-06-02 |
| 2026-04-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-06-02 |
| 2026-04-17 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-06-02 |
| 2026-04-17 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2026-06-02 |
| 2026-04-17 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-06-02 |
| 2026-04-17 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-06-09 |
| 2026-04-17 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Health | corrected 2026-06-02 |
| 2026-02-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2026-02-11 |
| 2026-02-02 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | complaint | corrected 2026-02-11 |
| 2026-02-02 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2026-02-11 |
| Date | Type | Amount |
|---|---|---|
| 2023-12-28 | Fine | $26,462 |
| 2023-08-07 | Fine | $1,764 |
| 2023-07-17 | Fine | $3,145 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| HOLLAND, JOHN | 5% Or Greater Direct Ownership Interest | Individual | 50% | since 02/17/1976 |
| HOLLAND-GRESCOCK, TERESA | Direct Ownership Interest | Individual | NOT APPLICABLE | since 05/01/2002 |
| HARRIS, JANET | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2008 |
| HARRIS, JANET | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2008 |
| HOLLAND, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2002 |
| HOLLAND-GRESCOCK, TERESA | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2002 |
| HARRIS, JANET | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/06/2024 |
| LIEBER, PAUL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/18/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 365417. Corrections: data@carerecords.org.