Ohio › Cuyahoga County › Parma
North Royalton Post Acute
9055 West Sprague Road, Parma, OH 44133
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 130 beds, North Royalton Post Acute serves Parma in Cuyahoga County, Ohio and has taken Medicare and Medicaid residents since 2007.
CMS gives it 1 of 5 stars overall, below the Ohio median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 24 health deficiencies across the three most recent survey cycles (13, 5, 6 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 18.5 per 100 beds, fewer than the state median of 33.3.
CMS lists 1 penalty in the period covered: fines totalling $24K.
Reported nurse staffing is 2.9 hours per resident per day (0.5 RN), close to the Ohio median of 3.6; nursing staff turnover is 31.2%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Cuyahoga Co. median | Ohio median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 24 | 28 | 27 | 28.7 |
| Citations per 100 beds | 18.5 | 30.2 | 33.3 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.5 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 31.2% | 53.8% | 48.5% | 45.8% |
| Fines listed | $24,007 | $0 | $0 | — |
County and state figures are medians across facilities (92 in the county, 922 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Ohio average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Jan 2024, 16 Sep 2021.
Severity mix: J ×1 L ×1 G ×1 D ×17 E ×1 F ×1 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 24 Jun 2026 |
| 21 May 2026 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 24 Jun 2026 |
| 21 May 2026 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint investigation | 24 Jun 2026 |
| 21 May 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 24 Jun 2026 |
| 21 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 30 Jun 2026 |
| 25 Nov 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 23 Dec 2025 |
| 25 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 23 Dec 2025 |
| 25 Nov 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 23 Dec 2025 |
| 25 Nov 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 23 Dec 2025 |
| 25 Nov 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 23 Dec 2025 |
| 25 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 23 Dec 2025 |
| 28 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 10 Sep 2024 |
| 28 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Sep 2024 |
| 31 Jan 2024 | F0584 | Honor 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. | D | Standard survey | 13 Feb 2024 |
| 31 Jan 2024 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | Standard survey | 13 Feb 2024 |
| 6 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | L | Complaint investigation | 26 Dec 2023 |
| 16 Sep 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 21 Oct 2021 |
| 16 Sep 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Oct 2021 |
| 16 Sep 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 Oct 2021 |
| 14 May 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 26 Jun 2019 |
| 14 May 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Jun 2019 |
| 14 May 2019 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 26 Jun 2019 |
| 14 May 2019 | F0578 | Honor 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. | D | Standard survey | 26 Jun 2019 |
| 14 May 2019 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | B | Standard survey | 26 Jun 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 6 Dec 2023 | Fine | $24,007 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 31.2%, RNs 42.9%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Ohio median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 2.2% | 4.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.8% | 4.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.2% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.0% | 7.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Parma Snf Healthcare Llc. Chain: Pacs Group (274 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Providence Group Nh, LLC | Operational/managerial control | NOT APPLICABLE | 12/01/2024 |
| 9055 West Sprague Road Oh Owner LLC | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
| Providence Administrative Consulting Services Inc | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
| SNF Oh Holdco LLC | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
| Well Integra Master Jv LLC | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
| Well Pm Holdco Jv LLC | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
| Welltower, Inc | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cuyahoga County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Algart Health Care | Cleveland | 78 | 5 | 5 | 4 | 5 | 6.4 | — | 18 Oct 2019 |
| Berea Center | Berea | 50 | 5 | 4 | 2 | 6 | 12.0 | — | 7 Aug 2025 |
| Brookdale Westlake Village | Westlake | 60 | 5 | 4 | 4 | 9 | 15.0 | — | 22 Apr 2026 |
| Gardens of Mcgregor and Amasa Stone | East Cleveland | 148 | 5 | 4 | 2 | 10 | 6.8 | — | 14 Aug 2025 |
| Huntington Woods Care & Rehab Center | Westlake | 82 | 5 | 5 | 1 | 11 | 13.4 | — | 8 Jun 2026 |
| Larchwood Care | Cleveland | 74 | 5 | 4 | 3 | 19 | 25.7 | — | 12 May 2026 |
| North Park Care Center | Brook Park | 34 | 5 | 5 | 3 | 6 | 17.6 | — | 7 Jul 2022 |
| O'Neill Healthcare Fairview Park | Fairview Park | 118 | 5 | 5 | 2 | 11 | 9.3 | — | 26 Jun 2025 |
All 92 facilities in Cuyahoga County
Questions and answers
How many deficiencies has North Royalton Post Acute been cited for?
24 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Ohio median is 27 per facility.
Has North Royalton Post Acute been fined?
Yes. CMS lists fines totalling $24K in the period covered.
How does staffing at North Royalton Post Acute compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.
Who operates North Royalton Post Acute?
It is part of the Pacs Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Providence Group Nh, LLC. Individual owners and managers are not listed on this site.
When was North Royalton Post Acute last inspected?
The most recent survey or investigation in the CMS record is dated 21 May 2026; the most recent standard health survey was 31 Jan 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.