Country Club Retirement Ctr Iv
COUNTRY CLUB RETIREMENT CTR IV in BELLAIRE, OH — inspection on August 27, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
ounces of med pass BID for supplementation.The dietary progress noted dated 08/06/25 at 4:12 P.M. revealed current weight was 166.2 lbs. and was a 16.6% severe weight change since 07/05/25.
Weight was down an additional 4.4 lbs. since 07/30/25.
Meal intakes vary.
Remeron started on 08/05/25 and Torsemide discontinued. Resident #1 more lethargic with labs ordered.
Four ounce med pass daily started on 07/30/25 with good acceptance.
Recommendation to increase med pass four ounces to three times per day.
The nursing progress noted dated 08/07/25 revealed Resident #1 was taken to emergency room (ER) due to lethargy, refusing to eat, drink, or take medications.
Physician notified and order given to transfer to ER.
Family notified.Interview on 08/26/25 at 3:26 P.M. with Registered Dietician (RD) #320 revealed she had noted Resident #1's med pass had been discontinued on 07/17/25 following a return from the ER and not restarted until 07/30/25. RD #320 stated she didn't know why the med pass had been discontinued but this was during the time of the transition of the previous Director of Nursing (DON) and current DON and she did notify nursing of the discrepancy. Resident #1 stated the resident's weight loss was initially attributed to fluctuations due to CHF and diuretic therapy, but the last couple of weeks the resident stated he didn't feel like eating and an appetite stimulant (Remeron) was added, and the med pass was increased to three times daily.Interview on 08/26/25 at 3:48 P.M. with the DON revealed Resident #1's med pass was discontinued on 07/17/25 and she isn't sure why.
The DON confirmed the med pass should not have been discontinued and verified it was re-started on 07/30/25.Interview on 08/27/25 at 8:21 A.M. with the DON confirmed there was no documentation which indicated the physician was notified of the weight loss on 07/16/25 or 07/28/25.
Review of the facility policy titled Resident Condition Changes dated 04/01/23 revealed the nurse will contact the resident's physician immediately when any resident has a perceived change in condition. A change in condition includes but is not limited to, a change in physical or mental status, refusal of medications or treatment, a need to alter treatment, an accident, need to transfer or discharge, development of wounds or other new condition, inability to provide an ordered medication or treatment, lab or radiology results.
The nurse will notify the resident's responsible party of condition change.This deficiency represents non-compliance investigated under Master Complaint Number 2600641 and Complaint Number 2595112.
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