Country Club Center V: 45-Minute Call Light Delays - OH
The incident unfolded on August 28 when inspectors watched Resident #45's call light flash for 26 minutes before anyone responded. The woman, who suffers from respiratory failure, muscle weakness and malnutrition, had activated her call light at 11:09 AM seeking help from a respiratory therapist.
Staff finally turned off the call light at 11:41 AM, but the respiratory therapist didn't arrive until 11:54 AM.
"It took a while for the nurse to come in," the resident told inspectors. She said she wasn't sure when care would arrive and had requested the respiratory therapy for trach care.
When the respiratory therapist finally reached her room, she asked for ice chips.
The facility's leadership acknowledged the breakdown during interviews with federal inspectors. The Director of Nursing and Administrator admitted they had "no rule of thumb for staff to respond to call lights" and agreed that 45 minutes was too long to wait for ice chips.
Their own policy offered little guidance. The facility's call light policy, last updated in 2016, simply stated that "staff shall strive to answer call lights and meet resident needs as promptly as possible."
A nursing assistant told inspectors the expectation was to answer call lights within seven minutes. But facility records revealed a pattern of delays stretching back months.
Call light audits from June through August showed 14 of 36 documented responses took over 10 minutes. The longest recorded delay was 20 minutes.
The resident at the center of the August incident requires total assistance with eating and has intact mental capacity, according to her care assessment. Her medical conditions include anxiety in addition to her respiratory and nutritional problems.
Respiratory Therapy #205 confirmed to inspectors that he met with the resident and that she had requested ice chips during their encounter.
The inspection was prompted by multiple complaints filed against Country Club Center V. Federal records show the call light delays were investigated as part of complaint numbers 1331479, 2564567 and 2569231.
The facility operates at 478 S Sandusky Street in Delaware, a city about 30 miles north of Columbus. The August 28 inspection found the call light response failures posed minimal harm to residents but affected few people.
For a resident dependent on a ventilator and requiring assistance with basic needs like eating, the 45-minute wait represented more than an inconvenience. The woman's respiratory condition and trach care needs made timely response particularly critical.
The contradiction between the facility's seven-minute expectation and the reality of 20-to-45-minute delays highlighted a gap between policy and practice that federal inspectors documented across multiple complaints.
Staff had no clear protocol for prioritizing calls or ensuring response times, leaving vulnerable residents like the ventilator-dependent woman uncertain about when help would arrive.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Country Club Center V, Inc from 2025-08-28 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
COUNTRY CLUB CENTER V, INC in DELAWARE, OH was cited for violations during a health inspection on August 28, 2025.
The incident unfolded on August 28 when inspectors watched Resident #45's call light flash for 26 minutes before anyone responded.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.