Country Club Ret Center I I I - ASHTABULA, OH - Nursing Home Abuse and Neglect Report  
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General Information
Category: Participating in Medicare and Medicaid
COUNTRY CLUB RET CENTER I I I
(440) 992-0022
925 E 26TH ST
ASHTABULA, OH 44004
Last inspected: 09/01/05
Certified Bed Count: 65
Total Residents: 58
Occupancy: 89%
Ownership: For profit - Corporation
Inside Hospital: NO
Resident Nurse: Not Available
LPN/LVN Care: Not Available
C.N.A. Care: Not Available
Total Staff: 0
Total Licensed Staff: 0
(All hours are per Resident per Day)
Resident Survey
Measure Score County Ave State Ave Updated
Percent of High-Risk Residents Who Have Pressure Sores 7 %     09/01/05
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder 3 %     09/01/05
Percent of Residents Who are More Depressed or Anxious 20 %     09/01/05
Percent of Residents Who Have Moderate to Severe Pain 3 %     09/01/05
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder 9 %     09/01/05
Percent of Residents Who Lose Too Much Weight 17 %     09/01/05
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair 0 %     09/01/05
Percent of Residents Who Were Physically Restrained 0 %     09/01/05
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse 7 %     09/01/05
Percent of Residents Whose Need for Help With Daily Activities Has Increased 8 %     09/01/05
Percent of Residents With a Urinary Tract Infection 13 %     09/01/05
Percent of Short-Stay Residents Who Had Moderate to Severe Pain 17 %     09/01/05
Percent of Short-Stay Residents With Delirium 2 %     09/01/05
Percent of Short-Stay Residents With Pressure Sores 21 %     09/01/05

Country Club Ret Center I I I - Nursing Home Treatment Deficiencies

Severity Scope Level of Nursing Home Neglect Updated
Category Deficiency
 
Isolated Minimal harm or potential for actual harm 01/28/05
Environmental Deficiencies Have a program to keep infection from spreading.
 
Isolated Minimal harm or potential for actual harm 03/31/03
Mistreatment Deficiencies 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.
 
Isolated Minimal harm or potential for actual harm 02/28/05
Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
 
Isolated Minimal harm or potential for actual harm 02/28/05
Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors.
 
Isolated Minimal harm or potential for actual harm 02/28/05
Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible.
 
Isolated Minimal harm or potential for actual harm 02/28/05
Resident Rights Deficiencies 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.
 
Widespread Potential for minimal harm 08/04/05
Environmental Deficiencies Provide needed housekeeping and maintenance.

Country Club Ret Center I I I - Nursing Home Inspections - Nursing Home Abuse Report

No inspection results have been reported.
Medicare Suppliers in ASHTABULA
Out of 29
PA ARTIFICIAL LIMB & BRACE CO INC
Orthotics
(440)969-1144
4859 N RIDGE RD W
ASHTABULA, OH 44004
REDI MED HEALTH CARE INC
Prosthetics
(440)997-2273
1819 E 51ST ST
ASHTABULA, OH 44004
DISCOUNT DRUG MART INC
Pharmacy/Drug Store
(440)998-0663
3032 N RIDGE ROAD 60
ASHTABULA, OH 44004
GEAUGA REHABILITATION ENGINEERING INC
Orthotics
(440)997-6521
2420 LAKE AVE
ASHTABULA, OH 44004
KMART CORP
Pharmacy/Drug Store
(216)992-7477
3315 N RIDGE RD E
ASHTABULA, OH 44004
COLE VISION CORPORATION
Durable Medical Equipment
(440)994-3541
3045 N RIDGE RD E
ASHTABULA, OH 44004
COLE VISION CORPORATION
Durable Medical Equipment
(440)994-3541
3045 N RIDGE RD E
ASHTABULA, OH 44004
TAMARKIN COMPANY
Pharmacy/Drug Store
(440)992-6165
2390 S PROSPECT AVE
ASHTABULA, OH 44004
HEALTH CARE SOLUTIONS AT HOME INC
Durable Medical Equipment
(440)964-5150
1130 LAKE AVE
ASHTABULA, OH 44004
PA ARTIFICIAL LIMB & BRACE CO INC
Orthotics
(440)969-1144
4859 N RIDGE RD W
ASHTABULA, OH 44004
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