NURSING HOME PUBLIC RECORD
CMS lists this provider in Dover, OH, with 72 certified beds, an overall rating of 2/5, and 101 citation rows in the current August 2026 release.
860 Iron Avenue · Dover, OH 44622 · Tuscarawas County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for Country Club Center I in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-17 | 42 | 2026-04-17 | 1 |
| Cycle 2 | 2024-12-02 | 29 | 2024-12-02 | 4 |
| Cycle 3 | 2022-09-21 | 19 | 2022-09-21 | 6 |
CMS reports 101 citation rows, including 6 with G–L codes and 1 with J–L codes.
6 rows carry G–L scope/severity codes; 1 carry J–L. 26 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-06-08Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2026-06-08Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Correction field: Deficient, Provider has date of correction · 2026-06-08Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction field: Deficient, Provider has date of correction · 2026-06-08Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Correction field: Deficient, Provider has date of correction · 2026-06-08Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2026-06-08Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2026-06-08Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2026-06-08Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2026-06-08 · complaintProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2026-06-08 · complaintPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-06-08Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-06-08 · complaintRespond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-06-08 · complaintProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-06-08 · complaintAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2026-06-08Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2026-06-08Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2026-06-08Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2026-06-08Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2026-06-08 · complaintEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2026-06-08 · complaintProvide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-06-08 · complaintProvide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2026-06-08 · complaintProvide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-06-08 · complaintProvide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-06-08The August 2026 file contains 5 penalty rows and $193,787 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-04-17 | Fine | $26,685 | 0 |
| 2026-04-17 | Fine | $26,685 | 0 |
| 2026-04-17 | Fine | $113,955 | 0 |
| 2026-04-17 | Payment Denial | $0 | 26 |
| 2023-12-28 | Fine | $26,462 | 0 |
CMS matched 13 ownership disclosure rows to Country Club Center I; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
CMS reports 3.78 total nurse hours and 0.52 RN hours per resident day for this provider.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
The local peer set contains 3 other published facility records near Dover, OH, with separate bed, rating, and citation-row fields.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
