Country Club Ret Center I I I
Nursing Home · Ashtabula, OH
CMS certification number365642
Contact & location
925 E 26Th STAshtabula, OH 44004
Ashtabula County
- Phone
- (440) 992-0022
- ZIP code
- 44004 – all care providers
Facility details
- Certified beds
- 73
- Residents per day
- 70.7 (97% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Country Club Retirement Center LLC
- Chain
- Country Club Rehabilitation Campus (7 facilities, avg 2.9★)
- Medicare certified since
- December 13, 1984
- Participates in
- Medicare and Medicaid
- Continuing care
- Part of a continuing care retirement community
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.21 (state 3.69 · U.S. 3.86)
- Registered nurses (RN)
- 0.56 (state 0.64 · U.S. 0.69)
- Licensed practical nurses
- 0.77 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.88 (state 2.09 · U.S. 2.32)
- Weekend total
- 2.91 (state 3.28 · U.S. 3.42)
- Nursing staff turnover
- 30.4 (state 48.7 · U.S. 45.8)%
- RN turnover
- 22.2 (state 43.9 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- February 13, 2026
- Health deficiencies (last cycle)
- 7.0 (state 10.7 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 16 health · 10 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-02-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-03-16 |
| 2026-02-13 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-03-16 |
| 2026-02-13 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-16 |
| 2026-02-13 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-16 |
| 2026-02-13 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-16 |
| 2026-02-13 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-16 |
| 2025-11-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-02 |
| 2024-05-09 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-05-09 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-05-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-05-09 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-05-09 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-05-09 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2023-04-03 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-04-21 |
| 2023-04-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-04-21 |
| 2023-04-03 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2023-04-21 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Holland Group II, LTD (organization) | 5%+ Direct Ownership Interest · 31% | |
| Holland, John (individual) | 5%+ Direct Ownership Interest · 35% | |
| Al-Shahed, Abdallah (individual) | Administrator · NOT APPLICABLE | |
| Harris, Janet (individual) | Administrator · NOT APPLICABLE | |
| Holland Group II, LTD (organization) | Administrator · NOT APPLICABLE | |
| Holland-Grescock, Teresa (individual) | Administrator · NOT APPLICABLE | |
| Holland, John (individual) | Administrator · NOT APPLICABLE | |
| Koltsov, Arkadiy (individual) | Administrator · NOT APPLICABLE | |
| Harris, Janet (individual) | Corporate Officer · NOT APPLICABLE | |
| 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 |
Frequently asked questions
What is the rating of Country Club Ret Center I I I?
Country Club Ret Center I I I has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Ohio.
How many beds does Country Club Ret Center I I I have?
It has 73 certified beds and cares for about 71 residents per day.
Has Country Club Ret Center I I I been fined?
CMS lists no federal fines or payment denials in the last three years.
Who owns Country Club Ret Center I I I?
It is part of Country Club Rehabilitation Campus and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Country Club Ret Center I I I?
(440) 992-0022. The facility is located at 925 E 26Th ST, Ashtabula, OH 44004.
Other nursing homes in Ashtabula
-
Carington Park
Nursing Home · Ashtabula, OH · 175 beds
★★★★★ -
Saybrook Landing
Nursing Home · Ashtabula, OH · 95 beds
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.