Ohio › Cuyahoga County › Middleburg Heights
Royal Oak Nursing & Rehab Ctr
6973 Pearl Rd, Middleburg Heights, OH 44130
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.
Royal Oak Nursing & Rehab Ctr is a For-profit, corporation nursing home in Middleburg Heights, Ohio, certified for 99 beds and caring for about 59 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Ohio median; the health inspection rating is 3, staffing 2 and quality measures 4.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (4, 10, 7 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 21.2 per 100 beds, fewer than the state median of 33.3.
CMS lists 1 penalty in the period covered: fines totalling $9K.
Reported nurse staffing is 3.3 hours per resident per day (0.5 RN), close to the Ohio median of 3.6; nursing staff turnover is 52.1%.
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 | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 21 | 28 | 27 | 28.7 |
| Citations per 100 beds | 21.2 | 30.2 | 33.3 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.5 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 52.1% | 53.8% | 48.5% | 45.8% |
| Fines listed | $8,970 | $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: 28 Mar 2024, 10 Feb 2022.
Severity mix: G ×2 D ×13 E ×2 F ×4
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 |
|---|---|---|---|---|---|
| 7 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 8 Aug 2025 |
| 7 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 8 Aug 2025 |
| 23 Oct 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 24 Oct 2024 |
| 16 Sep 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 30 Jul 2024 |
| 28 Mar 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 17 Apr 2024 |
| 28 Mar 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 17 Apr 2024 |
| 10 Feb 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 4 Mar 2022 |
| 10 Feb 2022 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 4 Mar 2022 |
| 10 Feb 2022 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Standard survey | 4 Mar 2022 |
| 10 Feb 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 Mar 2022 |
| 10 Feb 2022 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 4 Mar 2022 |
| 10 Feb 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 4 Mar 2022 |
| 10 Feb 2022 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 4 Mar 2022 |
| 10 Feb 2022 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 4 Mar 2022 |
| 11 Jul 2019 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard survey | 19 Aug 2019 |
| 11 Jul 2019 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 19 Aug 2019 |
| 11 Jul 2019 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 19 Aug 2019 |
| 11 Jul 2019 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 19 Aug 2019 |
| 11 Jul 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 19 Aug 2019 |
| 11 Jul 2019 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 19 Aug 2019 |
| 11 Jul 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Aug 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 16 Sep 2024 | Fine | $8,970 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 52.1%, RNs 62.5%; 1 administrator 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 | 5.3% | 4.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 2.9% | 4.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.8% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.6% | 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: Embassy Royal Oak Llc. Chain: Embassy Healthcare (33 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Embassy Healthcare Holdings Inc | Direct ownership interest | NOT APPLICABLE | 01/01/2020 |
| Embassy Healthcare Management Inc | Operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| Heritage Employment Services, LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| Embassy Healthcare Management Inc | Adp of the snf | NOT APPLICABLE | 06/12/2025 |
| Heritage Employment Services, LLC | Adp of the snf | NOT APPLICABLE | 06/12/2025 |
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 Royal Oak Nursing & Rehab Ctr been cited for?
21 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Ohio median is 27 per facility.
Has Royal Oak Nursing & Rehab Ctr been fined?
Yes. CMS lists fines totalling $9K in the period covered.
How does staffing at Royal Oak Nursing & Rehab Ctr compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.
Who operates Royal Oak Nursing & Rehab Ctr?
It is part of the Embassy Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc and Heritage Employment Services, LLC. Individual owners and managers are not listed on this site.
When was Royal Oak Nursing & Rehab Ctr last inspected?
The most recent survey or investigation in the CMS record is dated 7 Aug 2025; the most recent standard health survey was 28 Mar 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.