Country Club Retirement Center
Country Club Retirement Center Information
| Facility Name | Country Club Retirement Center |
| Location | 1350 Yauger Road, Mount Vernon, OH 43050 |
| County (SSA Code) | Knox (430) |
| Phone Number | 740-397-2350 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 76 |
| Average Number of Residents | 56.9 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | MOUNT VERNON ELDERLY SERVICES LLC |
| Ownership Type | For profit - Individual |
| Date First Approved | 1990-12-20 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.33305 |
| Reported LPN Staffing Hours per Resident per Day | 1.1828 |
| Reported RN Staffing - Hours per Resident per Day | 0.50642 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.68922 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.02227 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.02829 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.08301 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.82462 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.41415 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.32177 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.86051 |
| Total Weighted Health Survey Score for three cycles | 14.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-02-13 |
| Rating cycle 1 - Health Deficiency Score | 2 |
| Rating cycle 1 - Total Health Inspection Score | 24 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-01-05 |
| Rating cycle 2 - Health Deficiency Score | 24 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-10-27 |
| Rating cycle 3 - Health Deficiency Score | 16 |
| Rating cycle 3 - Total Health Inspection Score | 16 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 3 |
| Number of Substantiated Complaints | 3 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |