Country Club Center V, INC

Certification

Medicare-certified.

Ratings

Inspection history (18)

Records from August 2019 to April 2026.

• April 21, 2026

  Tag F0761

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 8, 2026.

• April 21, 2026

  Tag F0692

  Provide enough food/fluids to maintain a resident's health.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 8, 2026.

• April 21, 2026

  Tag F0609

  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 8, 2026.

• April 21, 2026

  Tag F0740

  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 8, 2026.

• August 28, 2025

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 30, 2025.

• August 28, 2025

  Tag F0558

  Reasonably accommodate the needs and preferences of each resident.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 30, 2025.

• August 28, 2025

  Tag F0805

  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 30, 2025.

• August 28, 2025

  Tag F0800

  Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 30, 2025.

• August 28, 2025

  Tag F0757

  Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 30, 2025.

• August 28, 2025

  Tag F0561

  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 30, 2025.

• February 28, 2025

  Tag F0600

  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 31, 2025.

• January 16, 2025

  Tag F0580

  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 29, 2025.

• May 12, 2022

  Tag F0759

  Ensure medication error rates are not 5 percent or greater.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 27, 2022.

• May 12, 2022

  Tag F0550

  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 27, 2022.

• August 15, 2019

  Tag F0814

  Dispose of garbage and refuse properly.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected September 6, 2019.

• August 15, 2019

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2019.

• August 15, 2019

  Tag F0623

  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2019.

• August 15, 2019

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2019.

Penalties

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing

3.30 nurse hours per resident per day in Q2 2026, down from 4.18 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit