Independent Ohio nursing-home information · CMS data updated August 2026
CMS certification number 365642

Country Club Ret Center I I I in Ashtabula, Ohio

925 E 26Th St, Ashtabula, OH 44004 · Ashtabula County

4CMS overall rating
3Health inspection
2Staffing rating
5Quality measures

August 2026 facility data

This profile reports CMS ratings, staffing, inspection, enforcement, and ownership records from the stated snapshot. Review dates and source records before making a care decision.

Facility snapshot

Certified beds73
Average residents/day70.7
Ownership typeFor profit - Corporation
ChainCountry Club Rehabilitation Campus
Reported nurse hours/resident/day3.20628
Reported RN hours/resident/day0.56098
Nursing staff turnover30.4%

Official inspection findings

The supplied CMS files contain 16 health and 10 fire-safety citation rows for this provider. 0 health rows have a G–L scope/severity code. The table shows the 10 most recent health rows of all severity levels. These are official inspection findings; they are not civil or criminal judgments.

Survey dateSeverityFinding
2026-02-13FNutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2026-02-13FInfection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
2026-02-13EInfection Control Deficiencies
Provide and implement an infection prevention and control program.
2026-02-13EInfection Control Deficiencies
Implement a program that monitors antibiotic use.
2026-02-13DResident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2026-02-13DInfection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
2025-11-06EQuality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-05-09EInfection Control Deficiencies
Provide and implement an infection prevention and control program.
2024-05-09DFreedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2024-05-09DQuality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Penalties

Provider summary: 0 penalties and $0 in total fines. Individual rows supplied:

DateTypeAmount
No penalty rows were supplied for this provider in this CMS snapshot.

Reported ownership and management

NameTypeRoleAssociation
HOLLAND GROUP II, LTDOrganization5% OR GREATER DIRECT OWNERSHIP INTERESTsince 01/23/2012
HOLLAND, JOHNIndividual5% OR GREATER DIRECT OWNERSHIP INTERESTsince 01/23/2012
HARRIS, JANETIndividualCORPORATE OFFICERsince 01/01/2008
AL-SHAHED, ABDALLAHIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2018
HARRIS, JANETIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2008
KOLTSOV, ARKADIYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2010
HOLLAND GROUP II, LTDOrganizationADP OF THE SNFsince 01/01/2008
AL-SHAHED, ABDALLAHIndividualADP OF THE SNFsince 01/01/2018
HARRIS, JANETIndividualADP OF THE SNFsince 01/01/2008
HOLLAND, JOHNIndividualADP OF THE SNFsince 01/01/2012
HOLLAND-GRESCOCK, TERESAIndividualADP OF THE SNFsince 01/01/2012
KOLTSOV, ARKADIYIndividualADP OF THE SNFsince 01/01/2010