Federal inspection record · CMS data as of October 1, 2026
Royal Oak Nursing & Rehab Ctr
6973 Pearl Rd, Middleburg Heights, OH · (440) 884-9191
- Certified beds
- 99
- Residents per day
- 62
- Ownership
- For-Profit
- Chain
- Embassy Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 11, 1989
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Royal Oak Nursing & Rehab Ctr carries 38 inspection points. That is fewer than 69% of Ohio's 913 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–42 pts
- 3★ 42–69 pts
- 2★ 69–121.25 pts
- 1★ over 121.25 pts
Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
21 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that residents are free from significant medication errors.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights4E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- E
Assure the security of all personal funds of residents deposited with the facility.
Resident Assessment and Care Planning4D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
Nutrition and Dietary4F
- F
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
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
Quality of Life and Care2D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental2D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Pharmacy Service1D
- D
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.
Inspection history
2024-03-28
2 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2022-02-10
11 health deficiencies · 11 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2019-07-11
8 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 16 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
3 h 16 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 56% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,970 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-16 | Fine | $8,970 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.1 pts better | 98.8% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.8 pts better | 98.5% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts worse | 4.1% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.2 pts better | 22.4% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts worse | 7.2% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.6 pts better | 22.9% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.3 pts worse | 12.8% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.8 pts better | 3.5% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.6 pts better | 4.4% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.0% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.0% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence17 pts worse | 37.9% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.6 pts worse | 6.8% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.3 pts better | 91.7% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.7 pts worse | 15.3% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.2 pts better | 84.6% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.8 pts worse | 32.2% | 24.4% | 23.4% |
·
Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 2020 Gsr Dynasty LLC | Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Aaron Handler Family Dynasty Trust | Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Ah Dynasty LLC | Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Embassy Healthcare Holdings Inc | Direct Ownership Interest · Organization | 0% | 17 facilities |
| Embassy Healthcare Management Inc | Operational/Managerial Control · Organization | 0% | 26 facilities |
| Embassy Healthcare Management Inc | Adp Of The SNF · Organization | 0% | 26 facilities |
| Gebhard, Richard | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gebhard, Richard | Adp Of The SNF · Individual | 0% | 1 facilities |
| George S. Repchick 2020 Family Dynasty Trust | Indirect Ownership Interest · Organization | 0% | 11 facilities |
| Handler, Aaron | Indirect Ownership Interest · Individual | 0% | 34 facilities |
| Handler, Aaron | Managing Control - Governing Body · Individual | 0% | 34 facilities |
| Handler, Aaron | Operational/Managerial Control · Individual | 0% | 34 facilities |
| Handler, Aaron | Adp Of The SNF · Individual | 0% | 34 facilities |
| Heritage Employment Services, LLC | Operational/Managerial Control · Organization | 0% | 24 facilities |
| Heritage Employment Services, LLC | Adp Of The SNF · Organization | 0% | 24 facilities |
| Mandat, Thomas | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Mandat, Thomas | Adp Of The SNF · Individual | 0% | 4 facilities |
| Repchick, George | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Repchick, George | Managing Control - Governing Body · Individual | 0% | 31 facilities |
| Repchick, George | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Repchick, George | Adp Of The SNF · Individual | 0% | 31 facilities |
·
Fire safety
30 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous10F
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Provide a written emergency evacuation plan.
- E
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems8F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
Egress5F
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Construction1F
- F
Use approved construction type or materials.
Emergency Preparedness1F
- F
Establish staff and initial training requirements.
·
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North Park Care Center
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