55pl.us

Retirement Living Made Easy

Country Club Retirement Ctr Iv


Country Club Retirement Ctr Iv Information

     
Facility Name Country Club Retirement Ctr Iv
Location 55801 Conno-mara Drive, Bellaire, OH 43906
County (SSA Code) Belmont (60)
Phone Number 740-676-2300
Certification(s)Medicare and Medicaid
Number of Beds62
Average Number of Residents52.3
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameCOUNTRY CLUB RETIREMENT CENTER IV, INC
Ownership TypeFor profit - Partnership
Date First Approved1987-06-23

Reported Nurse Aide Staffing Hours per Resident per Day1.92969
Reported LPN Staffing Hours per Resident per Day0.63038
Reported RN Staffing - Hours per Resident per Day0.96802
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.5984
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.52809
Reported Physical Therapy Staffing - Hours per Resident Per Day0.07484
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.21605
Case-Mix LPN Staffing - Hours per Resident per Day0.8551
Case-Mix RN Staffing - Hours per Resident per Day0.47342
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.54458
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.17336

Total Weighted Health Survey Score for three cycles112.167
Rating cycle 1 Standard Survey Health Date2019-12-18
Rating cycle 1 - Health Deficiency Score10
Rating cycle 1 - Total Health Inspection Score72
Date of Rating cycle 2 Standard Health Survey Date2018-10-19
Rating cycle 2 - Health Deficiency Score72
Date of Rating cycle 3 Standard Health Survey Date2017-08-18
Rating cycle 3 - Health Deficiency Score160
Rating cycle 3 - Total Health Inspection Score160

Number of Facility-Reported Incidents0
Number of Substantiated Complaints4
Number of Substantiated Complaints4
Total Number of Penalties0

Data Filing Date2020-10-01
Page Last Updated2020-11-28