Country Club Center V, Inc
Inspection Findings
F-Tag F0558
Federal health inspectors cited COUNTRY CLUB CENTER V, INC in DELAWARE, OH for a deficiency under regulatory tag F-F0558 during a complaint investigation conducted on 2025-08-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Reasonably accommodate the needs and preferences of each resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of COUNTRY CLUB CENTER V, INC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
F-Tag F0561
Federal health inspectors cited COUNTRY CLUB CENTER V, INC in DELAWARE, OH for a deficiency under regulatory tag F-F0561 during a complaint investigation conducted on 2025-08-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of COUNTRY CLUB CENTER V, INC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
F-Tag F0757
Federal health inspectors cited COUNTRY CLUB CENTER V, INC in DELAWARE, OH for a deficiency under regulatory tag F-F0757 during a complaint investigation conducted on 2025-08-28.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure each residentβs drug regimen must be free from unnecessary drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of COUNTRY CLUB CENTER V, INC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
F-Tag F0800
Federal health inspectors cited COUNTRY CLUB CENTER V, INC in DELAWARE, OH for a deficiency under regulatory tag F-F0800 during a complaint investigation conducted on 2025-08-28.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of COUNTRY CLUB CENTER V, INC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
F-Tag F0805
Federal health inspectors cited COUNTRY CLUB CENTER V, INC in DELAWARE, OH for a deficiency under regulatory tag F-F0805 during a complaint investigation conducted on 2025-08-28.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of COUNTRY CLUB CENTER V, INC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
F-Tag F0880
Federal health inspectors cited COUNTRY CLUB CENTER V, INC in DELAWARE, OH for a deficiency under regulatory tag F-F0880 during a complaint investigation conducted on 2025-08-28.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of COUNTRY CLUB CENTER V, INC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
COUNTRY CLUB CENTER V, INC in DELAWARE, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.