478 S Sandusky St., Delaware, OH 43015 · Delaware County · (740) 369-8741
50 certified beds, about 47 residents a day · For profit - Corporation · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366026 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 21, 2026, inspectors cited 4 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 14 health citations since May 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.64 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.93 of those hours.
39.0% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Country Club Rehabilitation Campus, an affiliated group of 7 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications, the medication cart, and the treatment cart were secured properly. This had the potential to affect 10 residents (Residents #11, #15, #20, #22, #25, #27, #36, #37, #41, and #34) who were identified as cognitively impaired and independently mobile. The facility census was 46.
Inspectors wroteBased on record review and interview the facility failed to report alleged abuse concerns to the state agency timely. This affected one (Resident #8) out of one residents review for abuse. The facility census was 46.
Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to monitor weights for a resident that experienced a significant weight loss. This affected one (Resident #3) of one resident reviewed for nutrition. The census was 46. Findings Include:Resident #3 was admitted to the facility on [DATE]. His diagnoses were chronic respiratory failure with hypoxia, acute respiratory failure, dependence on respirator, neuromuscular dysfunction of bladder, hypertension, Type II Diabetes, hyperlipidemia, chronic kidney disease, colostomy status, cerebral infarction, tracheostomy status, morbid obesity, anoxic brain damage, obstructive and reflux uropathy, and muscle weakness. Review of his minimum data set (MDS) assessment, dated 03/13/26, revealed he had a severe cognitive impairment. [...]
Inspectors wroteBased on medical record review and staff interview, the facility failed to properly address and plan for resident's diagnosis of post traumatic stress disorder (PTSD) by identifying specific triggers and addressing underlying causes. This affected one (Resident #17) of one resident reviewed for PTSD. The census was 46. Findings Include:Resident #17 was admitted to the facility on [DATE]. Her diagnoses were acute and chronic respiratory failure, congestive heart failure, muscle weakness, dependence on respirator, mild cognitive impairment, venous insufficiency, chronic obstructive pulmonary disease, peritoneal abscess, borderline personality disorder, mood disorder, hypokalemia, mild protein calorie malnutrition, morbid obesity, tracheostomy status, anxiety disorder, depression, insomnia, Type II Diabetes, and hypertension. [...]
Inspectors wroteBased on observations, staff interview, resident interview, record review, review of facility call light audits, and policy review, the facility failed to ensure call lights were answered timely for two residents (#14 and #45) out of three residents reviewed for timely call light response time. The facility census was 44.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure Resident #51 was provided choice and self-determination regarding discharge planning. This affected one Resident (#51) of three reviewed for resident rights. The facility census was 44.
Inspectors wroteBased on record review and interview, the facility failed to ensure staff implemented physician orders and monitored vital signs as required. This affected one resident (Resident #24) out of three records reviewed for following physician orders. The facility census was 44.
Inspectors wroteBased on record review, observations, staff interviews, review of the menu/meal spreadsheets, and review of facility policy, the facility failed to ensure residents received a nourishing meal per the facility menu and spreadsheets and failed to follow meal tickets for resident's choice. This affected two residents (#5 and #12) of three reviewed for nutrition. The facility identified two residents (#12 and #45) as receiving puree diets and seven residents (#4, #8, #9, #14, #19, #25, and #35) as receiving mechanical soft diets. The facility census was 44.
Inspectors wroteBased on observation, staff interview, review of the facility menu and spreadsheet, and review of facility policy, the facility failed to ensure food was in a form to meet individual needs of the residents. This affected one resident (#12) of three reviewed for nutrition. The facility identified two residents (#12 and #45) who received a puree diet. The facility census was 44.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure proper infection control policies and procedures were maintained during resident personal care. This affected one (Resident #31) out of three residents reviewed for incontinence care. The facility census was 44.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, review of self-reported incident, interviews, review of facility policies, and employee handbook, the facility failed to ensure Resident #50 was free from verbal abuse on social media. This affected one (Resident #50) out of three residents reviewed for abuse. Facility census was 49.
Inspectors wroteBased on resident record review, resident interview, staff interviews, and review of facility policy, the facility failed to notify Resident #23's representative of incidents and falls. This affected one (Resident #23) of three residents reviewed for notifications. The facility census was 48 residents.
Inspectors wroteBased on observation, medical record, and staff interview, the facility failed to treat residents with dignity in the dining room. This affected two (Residents #13 and #23) of two residents identified as needing assistance with eating in the dining room. The facility census was 42.
Inspectors wroteBased on record review, observation, review of the facility's policy, and staff interview, the facility failed to ensure residents received medications as physician ordered, resulting in a medication error rate above five percent (%). There were four medications errors out of 27 opportunities, resulting in a medication error rate of 18.5%. This affected two ( Resident #35 and #39) of three residents observed during medication pass. The facility census was 42.
6 fire safety citations on file: 2 on April 21, 2026, 4 on May 12, 2022.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.64 | 3.69 | 3.86 |
| Registered nurses | 0.93 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.37 | 3.28 | 3.42 |
| Nurse aides | 1.96 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 39.0% | 48.7% | 45.8% |
| Registered nurse turnover | 8.3% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 5.45 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.75 on weekdays and 3.37 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.33 in April to June 2025 to 3.64 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.64 | 0.93 | 3.75 | 3.37 | 0.0% | 0 of 90 | 47 |
| Oct to Dec 2025 | 4.18 | 1.07 | 4.31 | 3.85 | 0.0% | 0 of 92 | 47 |
| Jul to Sep 2025 | 4.32 | 1.06 | 4.47 | 3.94 | 0.0% | 0 of 92 | 47 |
| Apr to Jun 2025 | 4.33 | 1.17 | 4.53 | 3.85 | 0.0% | 0 of 91 | 48 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Ohio, all employers | |||
| CNAs (nursing assistants) | $18.76 | $17.93 to $21.44 | 63,280 |
| LPNs and LVNs | $29.78 | $27.34 to $31.68 | 39,900 |
| Registered nurses | $39.67 | $38.08 to $47.61 | 143,730 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 0.8 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.5 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.7 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.8 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.2 | 8.8 | 15.4 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Country Club Center V, Inc's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
57.8% this home
No different from the national rate
US median of homes 51.5% · Ohio: 147 better, 20 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 65 eligible stays.
11.0% this home
No different from the national rate
US median of homes 10.7% · Ohio: 3 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 63 eligible stays.
8.8% this home
No different from the national rate
US median of homes 7.1% · Ohio: 1 better, 4 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 34 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Ohio55.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 14 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Ohio0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 19 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Ohio1.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 19 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Ohio100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 6 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: COUNTRY CLUB RETIREMENT CENTER V LLC. CMS links this home to Country Club Rehabilitation Campus, a group of 7 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Holland Group II, Ltd | 5% or greater direct ownership interest | Organization | 70% | 10/01/2013 |
| Harris, Janet | 5% or greater direct ownership interest | Individual | 30% | 10/01/2013 |
| Gresock, Joshua | 5% or greater indirect ownership interest | Individual | 10% | 08/01/2013 |
| Holland, Benjamin | 5% or greater indirect ownership interest | Individual | 10% | 08/01/2013 |
| Holland, Nicholas | 5% or greater indirect ownership interest | Individual | 10% | 08/01/2013 |
| Holland, Noah | 5% or greater indirect ownership interest | Individual | 10% | 08/01/2013 |
| Holland-Gresock, Adam | 5% or greater indirect ownership interest | Individual | 10% | 08/01/2013 |
| Holland-Gresock, Patricia | 5% or greater indirect ownership interest | Individual | 10% | 08/01/2013 |
| Muirden-Holland, John | 5% or greater indirect ownership interest | Individual | 10% | 08/01/2013 |
| Harris, Janet | Corporate director | Individual | 12/31/2013 | |
| Harris, Janet | Corporate officer | Individual | 12/31/2013 | |
| Harris, Janet | Operational/managerial control | Individual | 11/07/2024 | |
| Olson, Lyle | Operational/managerial control | Individual | 01/01/2024 | |
| Ortman, Dianna | Operational/managerial control | Individual | 01/01/2018 | |
| Holland Group II, Ltd | Adp of the SNF | Organization | 12/31/2023 | |
| Gresock, Joshua | Adp of the SNF | Individual | 08/01/2013 | |
| Harris, Janet | Adp of the SNF | Individual | 11/18/2024 | |
| Holland, Benjamin | Adp of the SNF | Individual | 08/01/2013 | |
| Holland, John | Adp of the SNF | Individual | 08/01/2013 | |
| Holland, Nicholas | Adp of the SNF | Individual | 08/01/2013 | |
| Holland, Noah | Adp of the SNF | Individual | 08/01/2013 | |
| Holland-Grescock, Teresa | Adp of the SNF | Individual | 08/01/2013 | |
| Holland-Gresock, Adam | Adp of the SNF | Individual | 08/01/2013 | |
| Holland-Gresock, Patricia | Adp of the SNF | Individual | 08/01/2013 | |
| Muirden-Holland, John | Adp of the SNF | Individual | 08/01/2013 | |
| Olson, Lyle | Adp of the SNF | Individual | 01/01/2024 | |
| Ortman, Dianna | Adp of the SNF | Individual | 01/01/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.