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NATIONAL NURSING HOME WATCH LIST |
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COUNTRY CLUB CENTER I: Actual Harm and/or Immediate Jeopardy |
860 IRON AVENUE |
DOVER OH |
TELEPHONE: 3303435568 |
TYPE OF OWNERSHIP: For profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 69 / 97 |
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| Based on the annual and complaint survey data reported by CMS as of 06/25/08 , this home is listed because in at least one area they caused actual harm to a patient and/or subjected the patients to immediate jeopardy. More recent reports/corrections may be available. Check with the nursing home administrator. Actual harm is indicated by a score of G, H, I, while J, K, L indicate immediate jeopardy. The color coding scheme is below: |
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| RATING | DEFINITION |
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 | actual harm and/or immediate jeopardy: score= G,H,I,J,K,L |
 | potential for more than minimal harm: score= D, E, F |
 | potential for minimal harm: score= A, B, C |
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| RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 10/25/2007 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
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Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. | F |
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Provide care in a way that keeps or builds each resident's dignity and self respect. | D |
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Keep all essential equipment working safely. | F |
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Protect each resident from all abuse, physical punishment, and being separated from others. | G |
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Have a program to keep infection from spreading. | D |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
|---|---|---|---|
| 12/24/2007 |
| Provide services to meet the needs and preferences of each resident. | D |
| 12/24/2007 |
| Properly mark drugs and other similar products. | D |
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