🏠About Country Club Ret Center I I I, Ashtabula, OH
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Country Club Ret Center I I I is located on 925 E 26Th St in Ashtabula, OH 44004. The Number of Certified Beds is 73 and the Average Number of Residents per Day is . The provider type of is Medicare and Medicaid and its legal business name is Country Club Retirement Center Llc.
📌Country Club Ret Center I I I Map
📍Country Club Ret Center I I I Information
- Name - Country Club Ret Center I I I
- CMS Certification Number (CCN) -
- Facility Address - 925 E 26Th St
- City - Ashtabula
- State Short - OH
- State Full - Ohio
- ZIP Code - 44004
- County - Ashtabula County
- Provider SSA County Code - 030
- Telephone Number - (440) 992-0022
🏢 Country Club Ret Center I I I Ownership and Affiliation
- Ownership Type - For profit - Individual
- Legal Business Name Full - Country Club Retirement Center Llc
- Affiliated Entity Name - 164
- Affiliated Entity ID - Country Club Rehabilitation Campus
- Provider Type - Medicare and Medicaid
- Continuing Care Retirement Community - Y
- Provider Resides in Hospital - N
- Provider Changed Ownership in Last 12 Months - N
🛏️ Country Club Ret Center I I I Capacity and Resident Info
- Number of Certified Beds - 73
- Average Number of Residents per Day - 69.9
- Average Number of Residents per Day Footnote -
- With a Resident and Family Council - None
📆 Country Club Ret Center I I I Certification and History
- Date First Approved to Provide Medicare and Medicaid Services - 12/13/1984
- Special Focus Status - No Data
- Abuse Icon - N
- Most Recent Health Inspection More Than 2 Years Ago - N
🚨 Country Club Ret Center I I I Safety and Features
- Automatic Sprinkler Systems in All Required Areas - Yes
🌟 Country Club Ret Center I I I Ratings
- Overall Rating - 5
- Overall Rating Footnote - No Data
- Health Inspection Rating - 4
- Health Inspection Rating Footnote - No Data
- QM Rating - 5
- QM Rating Footnote - No Data
- Long-Stay QM Rating -5
- Long-Stay QM Rating Footnote - No Data
- Short-Stay QM Rating - 5
- Short-Stay QM Rating Footnote - No Data
👩⚕️ Country Club Ret Center I I I Staffing and Hours
- Reported Staffing Footnote - No Data
- Physical Therapist Staffing Footnote - No Data
- Reported Nurse Aide Staffing Hours per Resident per Day - 0
- Reported LPN Staffing Hours per Resident per Day - 0.48862
- Reported RN Staffing Hours per Resident per Day - 0.82558
- Reported Total Nurse Staffing Hours per Resident per Day -3.28664
- Total number of nurse staff hours per resident per day on the weekend - 2.98127
- Registered Nurse hours per resident per day on the weekend - 0.7003
- Reported Physical Therapist Staffing Hours per Resident Per Day - 0
🔁 Country Club Ret Center I I I Staff Turnover
- Total nursing staff turnover - 64
- Total nursing staff turnover footnote - No Data
- Registered Nurse turnover - 35.7
- Registered Nurse turnover footnote - No Data
- Number of administrators who have left the nursing home - 0
- Administrator turnover footnote - No Data
📊 Country Club Ret Center I I I Case-Mix Index and Adjusted Staffing
- Nursing Case-Mix Index - 1.39958
- Nursing Case-Mix Index Ratio - 1.02338
- Case-Mix Nurse Aide Staffing Hours per Resident per Day -2.89609
- Case-Mix LPN Staffing Hours per Resident per Day - 2.37834
- Case-Mix RN Staffing Hours per Resident per Day - 0.68634
- Case-Mix Total Nurse Staffing Hours per Resident per Day - 3.5025
- Adjusted Nurse Aide Staffing Hours per Resident per Day - 1.91608
- Adjusted LPN Staffing Hours per Resident per Day - 0.47465
- Adjusted RN Staffing Hours per Resident per Day - 0.80199
- Adjusted Total Nurse Staffing Hours per Resident per Day - 3.19272
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day -2.89609
📋 Country Club Ret Center I I I Inspection Cycles
- Standard Survey Health Date - 5/9/2024
- Total Number of Health Deficiencies - 28
- Number of Standard Health Deficiencies - 6
- Number of Complaint Health Deficiencies - 0
- Health Deficiency Score - 28
- Number of Health Revisits - 1
- Health Revisit Score - 0
- Total Health Score - 28
⚠️ Country Club Ret Center I I I Incidents, Complaints & Penalties
- Number of Facility Reported Incidents - 0
- Number of Substantiated Complaints - 2
- Number of Citations from Infection Control Inspections - No Data
- Number of Fines - 0
- Total Amount of Fines in Dollars - 0
- Number of Payment Denials - 0
- Total Number of Penalties - 0
🕒 Country Club Ret Center I I I Metadata
- Processing Date - 4/1/2025