Country Club Retirement Ctr IV

Inspection history (45)

• December 18, 2019 · D

  Citation F0791

  Federal surveyors cited this nursing home on 2019-12-18 under CMS tag F0791 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide or obtain dental services for each resident. The deficiency was recorded as corrected on 2020-02-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-12-18.GOV

• December 18, 2019 · D

  Citation F0688

  Federal surveyors cited this nursing home on 2019-12-18 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. The deficiency was recorded as corrected on 2020-02-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-12-18.GOV

• December 18, 2019 · F

  Citation F0881

  Federal surveyors cited this nursing home on 2019-12-18 under CMS tag F0881 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2020-02-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-12-18.GOV

• December 18, 2019 · D

  Citation F0676

  Federal surveyors cited this nursing home on 2019-12-18 under CMS tag F0676 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. The deficiency was recorded as corrected on 2020-02-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-12-18.GOV

• December 18, 2019 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2019-12-18 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2020-02-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-12-18.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 3.60 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: Holland Group II, Ltd

   parent · PAC 9739250614