COUNTRY CLUB CENTER I has 72 certified beds in DOVER, Ohio. The CMS overall rating is 2 of 5, compared with the Ohio average of 3.2. The CMS health inspection rating is 1 of 5, compared with the Ohio average of 2.8. The CMS staffing rating is 1 of 5. The latest standard health survey on Apr 17, 2026 lists 22 deficiencies, compared with the Ohio average of 6.6. CMS records a fine of $26,685 dated Apr 17, 2026. CMS records a fine of $26,685 dated Apr 17, 2026. CMS records a fine of $113,955 dated Apr 17, 2026. Total nurse staffing is 3.78 hours per resident day in 2026Q1, compared with the Ohio average of 3.69.

Nearby facilities

HENNIS CARE CENTRE OF DOVER DOVER
NEW DAWN REHABILITATION AND HEALTHCARE CENTER DOVER
PARK VILLAGE HEALTH CARE CENTER INC DOVER
AMBERWOOD MANOR NEW PHILADELPHIA
CLAYMONT HEALTH AND REHABILITATION UHRICHSVILLE
HENNIS CARE CENTRE OF BOLIVAR BOLIVAR
PARK VILLAGE HC NP LLC NEW PHILADELPHIA
RIVERSIDE MANOR NRSG & REHAB CTR NEWCOMERSTOWN
SCHOENBRUNN HEALTHCARE NEW PHILADELPHIA

CMS nursing homes in Ohio

CMS nursing home

COUNTRY CLUB CENTER I

DOVER, OH

CMS CCN 3654173303435568Listed in the current CMS nursing-home directoryCMS source updated August 1, 2026

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Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.

Research this nursing home using CMS and federal public records. CMS Certification Number 365417.

At a glance

CMS research snapshot

CMS overall rating

2 of 5

CMS health inspection rating

1 of 5

CMS staffing rating

1 of 5

CMS quality-measure rating

5 of 5

CMS ownership-change history

No attached CMS ownership-change event.

CMS Special Focus Facility

CMS currently identifies Special Focus Facility or candidate status in the loaded Provider Information extract. That is a CMS designation, not a Trust Hub watchlist.

These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.

Quality & care evidence

What CMS reports about quality

MDS quality observations are in the CMS extract.
PBJ staffing records are in the CMS extract.
Inspection evidence is in the CMS extract.
Fire-safety evidence is in the CMS extract.

Staffing, inspections, and fire safety are separate CMS evidence families below.

Ownership & management

Who CMS/PECOS connects to this nursing home

Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.

Current owners

HOLLAND-GRESCOCK, TERESAIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST50% ownership interest
HOLLAND-GRESCOCK, TERESAIndividual ownerDIRECT OWNERSHIP INTEREST
HOLLAND-GRESCOCK, TERESAIndividual ownerDIRECT OWNERSHIP INTEREST50% ownership interest
HOLLAND, JOHNIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST50% ownership interest
HOLLAND, JOHNIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST50% ownership interest

Operators

HARRIS, JANETIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
HARRIS, JANETIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
LIEBER, PAULIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
LIEBER, PAULIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
HARRIS, JANETIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
HARRIS, JANETIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
LIEBER, PAULIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
LIEBER, PAULIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL

Managers

LIEBER, PAULIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
LIEBER, PAULIndividual owner · CURRENTW-2 MANAGING EMPLOYEE75% ownership interest
LIEBER, PAULIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE
LIEBER, PAULIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE75% ownership interest

Enrollment organizations

COUNTRY CLUB CENTER HOMES, INCOrganization · CURRENTMedicare-enrolled legal organization
COUNTRY CLUB CENTER HOMES, INCOrganization · UNKNOWNMedicare-enrolled legal organization

Ownership observations with UNKNOWN status

These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.

UNKNOWN

HOLLAND-GRESCOCK, TERESAIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST50% ownership interest
HOLLAND-GRESCOCK, TERESAIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST
HOLLAND-GRESCOCK, TERESAIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST50% ownership interest
HOLLAND, JOHNIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST50% ownership interest
HOLLAND, JOHNIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST50% ownership interest

Ownership change history

CMS ownership-change records

No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.

Source freshness

How current each evidence family is

nursing-home-mds-quality-measures: STALE · source as of 2026-08-01
nursing-home-provider-information: STALE · source as of 2026-08-01
skilled-nursing-facility-all-owners: AGING · source as of 2026-08-17
skilled-nursing-facility-change-of-ownership: CURRENT · source as of 2026-08-24

Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.

Methodology

How Trust Hub researches this provider

CMS is the source for national nursing-home evidence.
Trust Hub does not create the CMS star ratings.
Ownership evidence does not measure care quality.
CMS CHOW records document reported ownership-change events.
Missing evidence is not interpreted as zero.
UNKNOWN ownership history is not interpreted as divestiture.

Ownership evidence is not a quality measure.
Missing evidence is not a zero score.
CMS ratings are CMS ratings, not Trust Hub ratings.
UNKNOWN ownership does not prove an owner left.
CHOW records are CMS transaction records, not Trust Hub judgments or sales.

CMS overview

CMS overall

2 of 5

Health inspection

1 of 5

Staffing

1 of 5

Quality measures

5 of 5

No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read

CMS certified beds: 72
Ownership descriptor: For profit - Limited Liability company
Medicare participation: Yes
Medicaid participation: Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone: 3303435568Verified public information · checked Aug 2026

CMS designations

Special Focus and abuse-icon status

This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.

Special Focus Facility candidate

CMS currently identifies this nursing home as a Special Focus Facility candidate. Candidate status is not the same as being designated a Special Focus Facility.

CMS field value: SFF Candidate. Observed Aug 1, 2026.

CMS abuse-icon designation

CMS currently applies its abuse-icon designation to this facility. That is CMS's published designation, not a Trust Hub verdict.

CMS field value: Y. Observed Aug 1, 2026.

Enrollment identity

Medicare enrollment organization NPI associated with this CMS Certification Number

These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.

NPI 1821178427 · enrollment O20040226000133
NPI 1821178427 · enrollment O20040226000133

MDS quality measures

Individual CMS quality measures

These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.

MDS source release 2026-08-01.

View individual MDS measures

Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 98.421053
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 100.000000
Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 8.947368 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents who have depressive symptoms (Long Stay): 2.439024
Percentage of long-stay residents who lose too much weight (Long Stay): 10.191083
Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 30.000000
Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 0.757576 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 3.310525 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 1.973684 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents with a urinary tract infection (Long Stay): 0.534759 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 25.925159
Percentage of long-stay residents with pressure ulcers (Long Stay): 3.092968 · CMS uses this measure in the quality-measure star rating
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 87.727273
Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.813008 · CMS uses this measure in the quality-measure star rating
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 93.750000

Fire-safety citations

CMS fire-safety citations

These are fire-safety citations, not health deficiencies and not a count of fires.

2026-04-17 · tag 0223 · scope/severity E — Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
2024-12-02 · tag 0222 · scope/severity F — Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
2024-12-02 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
2024-12-02 · tag 0361 · scope/severity F — Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
2024-12-02 · tag 0511 · scope/severity E — Have properly installed electrical wiring and gas equipment.
2022-09-21 · tag 0345 · scope/severity F — Have approved installation, maintenance and testing program for fire alarm systems.
2022-09-21 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
2022-09-21 · tag 0372 · scope/severity F — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
2022-09-21 · tag 0341 · scope/severity E — Install a fire alarm system that can be heard throughout the facility.
2022-09-21 · tag 0915 · scope/severity E — Have proper power supply for life support equipment.
2022-09-21 · tag 0918 · scope/severity E — Have generator or other power source capable of supplying service within 10 seconds.

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 1-star staffing rating for this facility.

RN staffing was 0.52 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Inspections

The latest standard inspection on Apr 17, 2026 cited 22 deficiencies.

View inspection evidence

Ownership

CMS-published records list 30 ownership or control parties.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 7 facilities across 1 states or territories.

View chain evidence

Enforcement record

CMS records show a $26,685 fine in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type: For profit - Limited Liability companyCMS
Chain: COUNTRY CLUB REHABILITATION CAMPUSCMS identifies this facility as part of the COUNTRY CLUB REHABILITATION CAMPUS chain.

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

CMS reports 29 individual ownership interests
a CMS chain / common-control group

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records: 30
Organizations shown: 1
Individuals shown: 29
Latest ownership source update: Aug 17, 2026

CMS-published ownership and control parties

HOLLAND, JOHN
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Feb 17, 1976
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HARRIS, JANET
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 10, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HOLLAND-GRESCOCK, TERESA
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 10, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HOLLAND, JOHN
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 10, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
LIEBER, PAUL
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 10, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HARRIS, JANET
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2008
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HARRIS, JANET
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2008
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HOLLAND-GRESCOCK, TERESA
Individual · CORPORATE OFFICER
Association date reported to CMS: May 1, 2002
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HOLLAND, JOHN
Individual · CORPORATE OFFICER
Association date reported to CMS: May 1, 2002
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HOLLAND-GRESCOCK, TERESA
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: May 1, 2002
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HARRIS, JANET
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 6, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
LIEBER, PAUL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 18, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
LIEBER, PAUL
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Jul 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HOLLAND-GRESCOCK, TERESA
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: May 1, 2002
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
HOLLAND, JOHN
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Feb 17, 1976
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
HARRIS, JANET
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 10, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
HOLLAND-GRESCOCK, TERESA
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 10, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
HOLLAND, JOHN
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 10, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
Individual name not published by CMS
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 10, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
Individual name not published by CMS
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 10, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
LIEBER, PAUL
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 10, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
HARRIS, JANET
Individual · CORPORATE DIRECTOR
Published ownership percentage: 100%
Association date reported to CMS: Jan 1, 2008
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
HARRIS, JANET
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2008
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
HOLLAND-GRESCOCK, TERESA
Individual · CORPORATE OFFICER
Published ownership percentage: 50%
Association date reported to CMS: May 1, 2002
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
HOLLAND, JOHN
Individual · CORPORATE OFFICER
Published ownership percentage: 50%
Association date reported to CMS: May 1, 2002
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
HOLLAND-GRESCOCK, TERESA
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: May 1, 2002
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
HARRIS, JANET
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 6, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
LIEBER, PAUL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 18, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
LIEBER, PAUL
Individual · W-2 MANAGING EMPLOYEE
Published ownership percentage: 75%
Association date reported to CMS: Jul 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
COUNTRY CLUB CENTER HOMES, INC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across OH.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Enrollments
CMS dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Chain context

CMS groups this facility with COUNTRY CLUB REHABILITATION CAMPUS

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 164 is a grouping identifier, not a legal organization.

Facilities: 7
States and territories: 1
Average overall rating: 2.9
Average staffing rating: 2
Average total nurse HPRD: 3.5
Total fines: 4

Review CMS chain evidence

CMS-published history

Monthly chain measures
Month	Facilities	Overall rating	Staffing rating
Wed Jul	7	2.9	2
Mon Jun	7	2.9	2.3
Fri May	7	2.9	2.3
Wed Apr	7	3.1	2.3
Sun Mar	7	3.1	2.7
Sun Feb	7	3.1	2.7

Questions to ask

CMS groups facilities in 1 states or territories under this chain. Which operational policies are set at the chain level?
CMS reports 4 fines across the chain in this dataset. What compliance functions are managed centrally?

CMS chain source and methodology

Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.

View official CMS source

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date: Apr 17, 2026
Survey type: Fire Safety Standard
Linked findings: 0
Highest linked CMS classification: No linked health-deficiency finding in the loaded record

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Aug 1, 2026
CMS provider ID: 365417
Source record locator: csv-row:93066:ccn:365417

View official CMS source

Apr 17, 2026 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Apr 17, 2026 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Apr 17, 2026 — Health Standard — 22 linked findings

F0550 — Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258722:ccn:365417
View official CMS source
F0552 — Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258723:ccn:365417
View official CMS source
F0559 — Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258724:ccn:365417
View official CMS source
F0565 — Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258711:ccn:365417
View official CMS source
F0577 — Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258744:ccn:365417
View official CMS source
F0578 — Resident Rights Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258725:ccn:365417
View official CMS source
F0582 — Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258726:ccn:365417
View official CMS source
F0583 — Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258715:ccn:365417
View official CMS source
F0605 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258727:ccn:365417
View official CMS source
F0636 — Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258731:ccn:365417
View official CMS source
F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258732:ccn:365417
View official CMS source
F0644 — Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258733:ccn:365417
View official CMS source
F0655 — Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258734:ccn:365417
View official CMS source
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258738:ccn:365417
View official CMS source
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258740:ccn:365417
View official CMS source
F0697 — Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258710:ccn:365417
View official CMS source
F0757 — Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258718:ccn:365417
View official CMS source
F0804 — Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258713:ccn:365417
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258714:ccn:365417
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 9, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258743:ccn:365417
View official CMS source
F0883 — Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258720:ccn:365417
View official CMS source
F0887 — Infection Control Deficiencies
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258721:ccn:365417
View official CMS source

Feb 2, 2026 — Health Complaint — 3 linked findings

F0583 — Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 11, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258747:ccn:365417
View official CMS source
F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 11, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258746:ccn:365417
View official CMS source
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 11, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258745:ccn:365417
View official CMS source

Dec 10, 2025 — Health Complaint — 2 linked findings

F0585 — Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 31, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258748:ccn:365417
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 31, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258749:ccn:365417
View official CMS source

Jun 30, 2025 — Health Complaint — 2 linked findings

F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 22, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258751:ccn:365417
View official CMS source
F0804 — Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 22, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258750:ccn:365417
View official CMS source

May 1, 2025 — Health Complaint — 2 linked findings

F0584 — Resident Rights Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 6, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258752:ccn:365417
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 6, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258753:ccn:365417
View official CMS source

Dec 2, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Dec 2, 2024 — Health Standard — 21 linked findings

F0558 — Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258760:ccn:365417
View official CMS source
F0578 — Resident Rights Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258761:ccn:365417
View official CMS source
F0657 — Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258762:ccn:365417
View official CMS source
F0661 — Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258763:ccn:365417
View official CMS source
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258764:ccn:365417
View official CMS source
F0692 — Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258765:ccn:365417
View official CMS source
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258766:ccn:365417
View official CMS source
F0698 — Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258767:ccn:365417
View official CMS source
F0756 — Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258768:ccn:365417
View official CMS source
F0757 — Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258769:ccn:365417
View official CMS source
F0758 — Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258770:ccn:365417
View official CMS source
F0759 — Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258771:ccn:365417
View official CMS source
F0761 — Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258772:ccn:365417
View official CMS source
F0804 — Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258754:ccn:365417
View official CMS source
F0805 — Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258757:ccn:365417
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258755:ccn:365417
View official CMS source
F0814 — Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258756:ccn:365417
View official CMS source
F0848 — Administration Deficiencies
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258773:ccn:365417
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258758:ccn:365417
View official CMS source
F0883 — Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258774:ccn:365417
View official CMS source
F0921 — Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258759:ccn:365417
View official CMS source

Oct 24, 2024 — Health Complaint — 2 linked findings

F0851 — Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 2, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258775:ccn:365417
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 24, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258776:ccn:365417
View official CMS source

Sep 11, 2024 — Health Complaint — 1 linked finding

F0550 — Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 25, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258777:ccn:365417
View official CMS source

Aug 9, 2024 — Health Complaint — 1 linked finding

F0602 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Jun 27, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258778:ccn:365417
View official CMS source

Jun 5, 2024 — Health Complaint — 1 linked finding

F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 21, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258779:ccn:365417
View official CMS source

Dec 28, 2023 — Health Complaint — 6 linked findings

F0558 — Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 13, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258782:ccn:365417
View official CMS source
F0580 — Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 13, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258783:ccn:365417
View official CMS source
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 13, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258780:ccn:365417
View official CMS source
F0761 — Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 13, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258784:ccn:365417
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 13, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258781:ccn:365417
View official CMS source
F0842 — Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 13, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258785:ccn:365417
View official CMS source

Aug 16, 2023 — Health Complaint — 4 linked findings

F0568 — Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 1, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258786:ccn:365417
View official CMS source
F0585 — Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 1, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258787:ccn:365417
View official CMS source
F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 1, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258788:ccn:365417
View official CMS source
F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 1, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258789:ccn:365417
View official CMS source

Sep 21, 2022 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Sep 21, 2022 — Health Standard — 8 linked findings

F0636 — Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 18, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258791:ccn:365417
View official CMS source
F0677 — Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 18, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258792:ccn:365417
View official CMS source
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity H: Pattern; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 18, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258790:ccn:365417
View official CMS source
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 18, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258793:ccn:365417
View official CMS source
F0690 — Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 18, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258794:ccn:365417
View official CMS source
F0692 — Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 18, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258795:ccn:365417
View official CMS source
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 18, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258796:ccn:365417
View official CMS source
F0810 — Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 18, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:258797:ccn:365417
View official CMS source

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

Fine — Apr 17, 2026
Published fine amount: $26,685.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:9793:ccn:365417
View official CMS source
Fine — Apr 17, 2026
Published fine amount: $26,685.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:9792:ccn:365417
View official CMS source
Payment Denial — Apr 17, 2026
Payment denial length: 26 days
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:9795:ccn:365417
View official CMS source
Fine — Apr 17, 2026
Published fine amount: $113,955.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:9794:ccn:365417
View official CMS source
Fine — Dec 28, 2023
Published fine amount: $26,462.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Aug 1, 2026
CMS provider ID
365417
Source record locator
csv-row:9791:ccn:365417
View official CMS source

Questions to ask

Questions generated from the evidence above

CMS records show F0880 in 5 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0695 in 4 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0686 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0689 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0804 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0812 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0550 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0558 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0578 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0583 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0585 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0636 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0692 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0757 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0761 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0883 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show a monetary penalty dated Apr 17, 2026. What changes were made after that enforcement action?

Facility history

Facility History

21 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

Health inspection completed22 deficiencies were recorded. That includes 1 higher-severity deficiency.
RN staffing increasedRN staffing increased from 0.37 to 0.52 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.

2026

Apr 17
Health inspection completed
22 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
Apr 17
Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
Mar 2026
RN staffing increased
RN staffing increased from 0.37 to 0.52 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.37 → 0.52
CMS · Reported in a source release · View related evidence
Feb 2
Complaint inspection recorded
3 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence

2025

Dec 2025
RN staffing decreased
RN staffing decreased from 0.62 to 0.37 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
0.62 → 0.37
CMS · Reported in a source release · View related evidence
Dec 2025
Total nurse staffing increased
Total nurse staffing increased from 3.62 to 3.88 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
3.62 → 3.88
CMS · Reported in a source release · View related evidence
Dec 10
Complaint inspection recorded
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Sep 2025
Total nurse staffing increased
Total nurse staffing increased from 3.19 to 3.62 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
3.19 → 3.62
CMS · Reported in a source release · View related evidence
Jun 30
Complaint inspection recorded
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
May 1
Complaint inspection recorded
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence

2024

Dec 2
Health inspection completed
21 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Oct 24
Complaint inspection recorded
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter

Total nursing: 3.781
RN categories: 0.519
LPN/LVN categories: 1.096
CNA: 2.166

Weekday and weekend calculations

2026Q1 reported hours per resident day
Measure	Monday–Friday	Saturday–Sunday
Total nursing	3.995	3.252
RN categories	0.589	0.347

Contract staff accounted for 0.5% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.152 higher than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
Quarter	Total nursing	RN categories	LPN/LVN	CNA	Contract share	Days
2025Q2	3.187	0.705	0.68	1.802	0.4%	91
2025Q3	3.622	0.617	1.005	2	1.3%	92
2025Q4	3.882	0.368	1.3	2.214	0.7%	92
2026Q1	3.781	0.519	1.096	2.166	0.5%	90

Questions to ask

PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?

Staffing source and calculation details

Source: Centers for Medicare & Medicaid Services (CMS)
Dataset: Payroll Based Journal Daily Nurse Staffing
CMS dataset ID: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter: 2026Q1
Coverage: Jan 1, 2026–Mar 31, 2026
Days represented: 90 (90 with positive MDS census)
CMS source updated: Jul 29, 2026
Calculation version: pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

CMS reports a 2-star overall rating.
CMS reports a 1-star health inspection rating.
CMS reports a 1-star staffing rating.
CMS reports a 5-star quality-measure rating.

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

Suggest a correction Report a source-data concern Represent this facility? Submit a representation claim

Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.

How corrections work

Source register

See where this record came from

Provider Information

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 4pq5-n9py
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Overview, facility facts, and CMS ratings

View official CMS source

Inspection Dates

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: svdt-c123
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Inspections and facility history

View official CMS source

Health Deficiencies

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: r5ix-sfxw
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Health deficiencies and facility history

View official CMS source

Penalties

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: g6vv-u9sr
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Penalties, enforcement, and facility history

View official CMS source

Payroll Based Journal Daily Nurse Staffing

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage: Apr 1, 2025–Mar 31, 2026
Source updated: Jul 29, 2026
Retrieved: Aug 15, 2026
Supports: PBJ staffing cards, history, and transparent calculations

View official CMS source

Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: y2hd-n93e
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility All Owners

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated: Aug 17, 2026
Retrieved: Aug 26, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Enrollments

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated: Aug 17, 2026
Retrieved: Aug 26, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Nursing Home Chain Performance Measures

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 97ecfad1-d3f1-4d42-b774-d74661d830bc
Coverage: Wed Jul
Source updated: Aug 12, 2026
Retrieved: Aug 16, 2026
Supports: CMS chain context, performance, and monthly history

View official CMS source

Verified public facility information

Source organization: Public facility listing
Dataset identifier: commercial-corroboration:public-listing
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.

How sources work

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.

Facility record

Nearby facilities

CMS research snapshot

CMS overall rating

CMS health inspection rating

CMS staffing rating

CMS quality-measure rating

CMS ownership-change history

CMS Special Focus Facility

What CMS reports about quality

Who CMS/PECOS connects to this nursing home

Current owners

Operators

Managers

Enrollment organizations

UNKNOWN

CMS ownership-change records

How current each evidence family is

How Trust Hub researches this provider

CMS rating overview

CMS overall

Health inspection

Staffing

Quality measures

Contact

Special Focus and abuse-icon status

Special Focus Facility candidate

CMS abuse-icon designation

Medicare enrollment organization NPI associated with this CMS Certification Number

Individual CMS quality measures

CMS fire-safety citations

What to review

Staffing

Inspections

Ownership

Chain context

Ownership & Operation

Who is behind this facility?

Who CMS records show is connected to this facility

CMS-published ownership and control parties

HOLLAND, JOHN

HARRIS, JANET

HOLLAND-GRESCOCK, TERESA

HOLLAND, JOHN

LIEBER, PAUL

HARRIS, JANET

HARRIS, JANET

HOLLAND-GRESCOCK, TERESA

HOLLAND, JOHN

HOLLAND-GRESCOCK, TERESA

HARRIS, JANET

LIEBER, PAUL

LIEBER, PAUL

HOLLAND-GRESCOCK, TERESA

HOLLAND, JOHN

HARRIS, JANET

HOLLAND-GRESCOCK, TERESA

HOLLAND, JOHN

Individual name not published by CMS

Individual name not published by CMS

LIEBER, PAUL

HARRIS, JANET

HARRIS, JANET

HOLLAND-GRESCOCK, TERESA

HOLLAND, JOHN

HOLLAND-GRESCOCK, TERESA

HARRIS, JANET

LIEBER, PAUL

LIEBER, PAUL

COUNTRY CLUB CENTER HOMES, INC

What this means

CMS groups this facility with COUNTRY CLUB REHABILITATION CAMPUS

CMS-published history

Questions to ask

What CMS inspection records show

Latest recorded inspection

F0550 — Resident Rights Deficiencies

F0552 — Resident Rights Deficiencies

F0559 — Resident Rights Deficiencies

F0565 — Resident Rights Deficiencies