Country Club Center V, INC
478 S Sandusky St, Delaware, OH 43015
Country Club Center V, INC is a nursing home in Delaware, Ohio. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionApril 21, 2026 (6 months ago)
- Health citations since May 12, 202214 (Ohio average 31)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.2 to 3.6 hours per resident per day.
Health inspection on April 21, 2026
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on May 8, 2026.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on May 8, 2026.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on May 8, 2026.
Citation F0740. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
CMS lists it as corrected on May 8, 2026.
Fire safety inspection on April 21, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on May 8, 2026.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on May 8, 2026.
CMS has cited this home for K0712 2 times since 2022.
Health inspection on August 28, 2025
6 citationsCMS lists this as a complaint inspection.
Show the 6 citations
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on September 30, 2025.
Citation F0561. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on September 30, 2025.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on September 30, 2025.
Citation F0800. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
CMS lists it as corrected on September 30, 2025.
Citation F0805. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS lists it as corrected on September 30, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 30, 2025.
CMS update of April 30, 2025
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Health inspection on February 28, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0600. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on January 31, 2025.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 3 of 5.
Health inspection on January 16, 2025
1 citationCMS lists this as a standard inspection and a complaint inspection.
Show the 1 citation
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on January 29, 2025.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Health inspection on May 12, 2022
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on May 27, 2022.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on May 27, 2022.
Fire safety inspection on May 12, 2022
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on May 27, 2022.
Citation K0281. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install proper backup exit lighting.
CMS lists it as corrected on May 27, 2022.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on May 27, 2022.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on May 27, 2022.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (740) 369-8741
- Last standard health inspection
- April 21, 2026 (6 months ago)
- Certified beds
- 50
- Residents per day, on average
- 44.6
- Ownership type
- For profit - Corporation
- Legal business name
- Country Club Retirement Center V LLC
- Chain
- Country Club Rehabilitation Campus
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Ohio average (14 vs 31).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- HOLLAND GROUP II, LTD5% or greater direct ownership interest · 70% · since 10/01/2013
- HARRIS, JANET5% or greater direct ownership interest · 30% · since 10/01/2013
- GRESOCK, JOSHUA5% or greater indirect ownership interest · 10% · since 08/01/2013
- HOLLAND, BENJAMIN5% or greater indirect ownership interest · 10% · since 08/01/2013
- HOLLAND, NICHOLAS5% or greater indirect ownership interest · 10% · since 08/01/2013
Show 7 more
- HOLLAND, NOAH5% or greater indirect ownership interest · 10% · since 08/01/2013
- HOLLAND-GRESOCK, ADAM5% or greater indirect ownership interest · 10% · since 08/01/2013
- HOLLAND-GRESOCK, PATRICIA5% or greater indirect ownership interest · 10% · since 08/01/2013
- MUIRDEN-HOLLAND, JOHN5% or greater indirect ownership interest · 10% · since 08/01/2013
- HARRIS, JANETOperational/managerial control · not applicable · since 11/07/2024
- OLSON, LYLEOperational/managerial control · not applicable · since 01/01/2024
- ORTMAN, DIANNAOperational/managerial control · not applicable · since 01/01/2018
Questions
When was Country Club Center V, INC last inspected?
CMS lists April 21, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Country Club Center V, INC have?
CMS lists 14 health citations since May 12, 2022. CMS also calls these deficiencies.
Has Country Club Center V, INC been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Country Club Center V, INC?
Its CMS overall star rating is 5 of 5.
Is Country Club Center V, INC a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.