Country Club Retirement Ctr IV: Staffing Failures - OH
At Country Club Retirement Ctr IV, a nursing home on Conno-Mara Drive in this small Ohio city along the West Virginia border, inspectors found shower assessment forms for multiple residents that were almost entirely blank. Of all the shower forms reviewed, only two dates, November 9 and November 12, contained any information about skin assessments. Every other form was empty.
The inspection was a complaint investigation, meaning someone had already raised a concern before the surveyor walked through the door.
The facility had a shower schedule. It was detailed enough to specify not just which days residents bathed, but which shift handled it. Resident 37 was supposed to shower every single day, rotating between day shift, which runs 6 a.m. to 6 p.m., and evening shift, which covers the overnight hours. Resident 30 was scheduled for four days a week on day shift, Sundays, Mondays, Wednesdays, and Fridays, plus Saturday evenings.
But the schedule on paper and the records left behind told different stories. Resident 37, according to a separate entry in the schedule document, was listed for Sunday and Thursday on day shift only. That conflicts with the daily shower rotation described elsewhere. The Director of Nursing confirmed the schedules to an inspector on the morning of November 25, at 10:25 a.m., but the blank assessment forms remained what they were.
Skin assessments during bathing are not a formality. For nursing home residents, many of whom spend long hours in bed or in wheelchairs and cannot easily examine their own bodies, a shower is often the primary opportunity for a trained staff member to look closely at the skin, to check for redness, breakdown, pressure injuries beginning to form, or infections developing in folds and creases. When those assessments go undocumented, or undone, the window closes.
The violation was tagged under F0725, which covers staffing sufficiency, and rated at a level of minimal harm or potential for actual harm, with some residents affected. That rating reflects what inspectors could confirm, not necessarily the full scope of what residents experienced during the gaps in documentation.
The complaint number attached to this investigation is 2649219.
What the record does not show is who filed that complaint, what they saw, or how long the blank forms had been accumulating before anyone outside the building took notice. Inspection reports document what surveyors find on the day they arrive. The shower forms with their empty fields had been sitting in the facility's files before that.
Country Club Retirement Ctr IV is one of four facilities operating under the Country Club Retirement Center name in the Bellaire area. The inspection covered a single complaint, a single tag, and ten pages of a sixteen-page deficiency statement. What the remaining pages contain was not part of the narrative provided.
For Resident 37, scheduled to bathe every day, the blank forms represent days when no one wrote down what they saw, or days when no one looked.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Country Club Retirement Ctr IV from 2025-11-25 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 22, 2026 · Our methodology
COUNTRY CLUB RETIREMENT CTR IV in BELLAIRE, OH was cited for violations during a health inspection on November 25, 2025.
Of all the shower forms reviewed, only two dates, November 9 and November 12, contained any information about skin assessments.
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.