All citations for Country Club Ret Center I I I

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Country Club Ret Center I I I

Last standard health inspection on record

February 13, 2026

Showing 1 to 25 of 26 citations

  1. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2026).

  2. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of February 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2026).

  3. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of February 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2026).

  4. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2026).

  5. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  6. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  7. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  8. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2026).

  9. No harm, with potential for more than minimal harm

    Implement a program that monitors antibiotic use.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0881, Infection Control Deficiencies. Inspection of February 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2026).

  10. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

  11. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  12. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  13. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  14. No harm, with potential for more than minimal harm

    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0361, Smoke Deficiencies. Inspection of April 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2023).

  15. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of April 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2023).

  16. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of April 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2023).

  17. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of February 13, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 16, 2026).

  18. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0883, Infection Control Deficiencies. Inspection of February 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2026).

  19. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  20. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  21. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  22. No harm, with potential for more than minimal harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  23. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  24. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of April 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2023).

  25. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.