COUNTRY CLUB RETIREMENT CENTER IV

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Country Club Retirement Center Iv. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Ohio are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 08/06/2010.

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 08/07/2008 Correction Date: 09/23/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/07/2008 Correction Date: 09/23/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 08/07/2008 Correction Date: 09/23/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/19/2009 Correction Date: 08/11/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 06/19/2009 Correction Date: 08/11/2009
Keep All Essential Equipment Working Safely. Inspection Date: 06/19/2009 Correction Date: 08/11/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/06/2010 Correction Date: 10/05/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 08/06/2010 Correction Date: 10/05/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/07/2008 Correction Date: 09/23/2008
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 06/19/2009 Correction Date: 08/11/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/19/2009 Correction Date: 09/08/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 08/07/2008 Correction Date: 09/23/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 08/06/2010 Correction Date: 10/05/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/07/2008 Correction Date: 09/23/2008
Make Sure That Each Resident Gets Help to Keep Vision and Hearing. Inspection Date: 08/07/2008 Correction Date: 09/05/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/07/2008 Correction Date: 09/23/2008
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 08/07/2008 Correction Date: 09/23/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 08/07/2008 Correction Date: 09/23/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 08/07/2008 Correction Date: 09/23/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 06/19/2009 Correction Date: 08/11/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/06/2010 Correction Date: 10/05/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/06/2010 Correction Date: 10/05/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 08/06/2010 Correction Date: 10/05/2010
Give or Get Dental Care for Each Resident. Inspection Date: 08/06/2010 Correction Date: 10/05/2010

Resident Assessment

Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 06/19/2009 Correction Date: 08/11/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 06/19/2009 Correction Date: 08/11/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 08/06/2010 Correction Date: 09/25/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/06/2010 Correction Date: 10/05/2010

Resident Rights

Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death. Inspection Date: 08/07/2008 Correction Date: 08/25/2008
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 08/07/2008 Correction Date: 08/25/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 08/07/2008 Correction Date: 09/23/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 08/07/2008 Correction Date: 09/23/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 06/19/2009 Correction Date: 09/08/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/06/2010 Correction Date: 10/05/2010

The table below lists incident reports by the nursing staff or administration for Country Club Retirement Center Iv, as well as complaints by residents or their family in the previous three years.

Administration

Keep Accurate and Appropriate Medical Records. Complaint Filed: 03/18/2011 Correction Date: 05/07/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 03/18/2011 Correction Date: 05/07/2011

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Complaint Filed: 03/18/2011 Correction Date: 05/07/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 03/18/2011 Correction Date: 05/07/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 06/19/2009 Correction Date: 08/11/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Complaint Filed: 03/18/2011 Correction Date: 05/07/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 07/02/2008 Correction Date: 07/18/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Complaint Filed: 06/19/2009 Correction Date: 08/11/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 03/18/2011 Correction Date: 05/07/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Complaint Filed: 03/18/2011 Correction Date: 05/07/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Complaint Filed: 03/18/2011 Correction Date: 05/07/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 03/18/2011 Correction Date: 05/07/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 07/02/2008 Correction Date: 07/18/2008
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Complaint Filed: 06/19/2009 Correction Date: 08/11/2009

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Country Club Retirement Center Iv had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 08/09/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/09/2010 Correction Date: 10/05/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 06/22/2009 Correction Date: 08/11/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/05/2008 Correction Date: 09/23/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/22/2009 Correction Date: 08/11/2009

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 06/22/2009 Correction Date: 08/11/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/09/2010 Correction Date: 10/05/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 06/22/2009 Correction Date: 08/11/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 08/09/2010 Correction Date: 10/05/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/05/2008 Correction Date: 09/23/2008

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 06/22/2009 Correction Date: 08/11/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 06/22/2009 Correction Date: 08/11/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/09/2010 Correction Date: 10/19/2010
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 08/09/2010 Correction Date: 10/05/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 08/09/2010 Correction Date: 10/19/2010