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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 Beds76
Average Number of Residents56.9
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameMOUNT VERNON ELDERLY SERVICES LLC
Ownership TypeFor profit - Individual
Date First Approved1990-12-20

Reported Nurse Aide Staffing Hours per Resident per Day2.33305
Reported LPN Staffing Hours per Resident per Day1.1828
Reported RN Staffing - Hours per Resident per Day0.50642
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 Day0.02829
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.08301
Case-Mix LPN Staffing - Hours per Resident per Day0.82462
Case-Mix RN Staffing - Hours per Resident per Day0.41415
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 cycles14.667
Rating cycle 1 Standard Survey Health Date2019-02-13
Rating cycle 1 - Health Deficiency Score2
Rating cycle 1 - Total Health Inspection Score24
Date of Rating cycle 2 Standard Health Survey Date2018-01-05
Rating cycle 2 - Health Deficiency Score24
Date of Rating cycle 3 Standard Health Survey Date2016-10-27
Rating cycle 3 - Health Deficiency Score16
Rating cycle 3 - Total Health Inspection Score16

Number of Facility-Reported Incidents0
Number of Substantiated Complaints3
Number of Substantiated Complaints3
Total Number of Penalties0

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