Country Club Ret Center I I I
Survey history
Source: CMS · Ohio Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-02-13 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2025-11-06 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-05-09 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2023-04-03 | Standard | 120 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Ohio Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerQuality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Ohio | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.9% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 8.4% | 3.2% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 4.3% | 8.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 2.3% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.4% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 26.6% | 25.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Holland Group II, Ltd Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31% | — | — |
| Holland, John Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 35% | — | — |
| Al-Shahed, Abdallah Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Harris, Janet Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Koltsov, Arkadiy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Al-Shahed, Abdallah Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Harris, Janet Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Harris, Janet Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Holland Group II, Ltd Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Holland, John Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Holland-Grescock, Teresa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Koltsov, Arkadiy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Ohio.
No county cost figures on file for Ashtabula.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Carington Park Ashtabula | 0.6 mi | 2025-05-19 | 021 |
| Saybrook Landing Ashtabula | 3.5 mi | 2024-07-25 | 040 |
| Ashtabula County Nursing Home Kingsville | 4.7 mi | 2026-02-25 | 011 |
| Austinburg Nsg And Rehab Ctr Austinburg | 7.9 mi | 2025-01-30 | 070 |
| Jefferson Healthcare Center Jefferson | 9.6 mi | 2024-11-18 | 000 |
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |