Facility profile · CCN 365417
Country Club Center I
72 federal citations on record , and 3 federal enforcement actions totaling $31,371.
Record summary
Federal record · Q1 202672
Total citations
48
Last 3 years
3
Actual harm+
3
Federal penalties
$31,371
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
72 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 10, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Dec 10, 2025 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Complaint |
| Jun 30, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Complaint |
| Jun 30, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| May 1, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| May 1, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint |
| Dec 2, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Dec 2, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Dec 2, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Dec 2, 2024 | F848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | D | Standard |
| Dec 2, 2024 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Dec 2, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 2, 2024 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard |
| Dec 2, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard |
| Dec 2, 2024 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Dec 2, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Dec 2, 2024 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Dec 2, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Dec 2, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Dec 2, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Dec 2, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 2, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Dec 2, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Dec 2, 2024 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard |
| Dec 2, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Dec 2, 2024 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Dec 2, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Oct 24, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Oct 24, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Complaint |
| Sep 11, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Aug 9, 2024 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| Jun 5, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Dec 28, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Dec 28, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Dec 28, 2023 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint |
| Dec 28, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Dec 28, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Dec 28, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Aug 16, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Aug 16, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Aug 16, 2023 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint |
| Aug 16, 2023 | F568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Complaint |
| Jun 28, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| May 17, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| May 17, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint |
| May 17, 2023 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Complaint |
| May 17, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| May 17, 2023 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint |
| Sep 21, 2022 | F810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard |
| Sep 21, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Sep 21, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Sep 21, 2022 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Sep 21, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Sep 21, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | H | Standard |
| Sep 21, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Sep 21, 2022 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
| Nov 26, 2019 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard |
| Nov 26, 2019 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Nov 26, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Nov 26, 2019 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Nov 26, 2019 | F772 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | D | Standard |
| Nov 26, 2019 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Nov 26, 2019 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Nov 26, 2019 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Nov 26, 2019 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard |
| Nov 26, 2019 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Nov 26, 2019 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Nov 26, 2019 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard |
| Nov 26, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Nov 26, 2019 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Nov 26, 2019 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Nov 26, 2019 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $31,371 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Dec 28, 2023 | Fine | $26,462 | — |
| Aug 7, 2023 | Fine | $1,764 | — |
| Jul 17, 2023 | Fine | $3,145 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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