Royal Oak Nursing & Rehab Ctr
Nursing home in Middleburg Heights, OH
Medicare & Medicaid certified3★ overall (CMS)
Public-record details
- Address
- 6973 Pearl Rd, Middleburg Heights, OH 44130
- Phone
- (440) 884-9191
- Listed under
- For-profit
- Medicare CCN
- 365753
- Overall star rating
- 3 of 5 ★★★☆☆
- Health inspection rating
- 3 of 5
- Staffing rating
- 2 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 99
- Average residents per day
- 59
- Ownership
- For-profit, corporation
- Legal business name
- Embassy Royal Oak LLC
- Chain
- Embassy Healthcare (33 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Oct 11, 1989
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Mar 28, 2024. CMS lists 21 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 11, 2019 to Aug 7, 2025): 4 from complaint inspections, 2 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Aug 7, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Aug 7, 2025 | Provide and implement an infection prevention and control program. | D |
| Oct 23, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| Sep 16, 2024 | Ensure that residents are free from significant medication errors. | G |
| Mar 28, 2024 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D |
| Mar 28, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| Feb 10, 2022 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| Feb 10, 2022 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| Feb 10, 2022 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| Feb 10, 2022 | 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 |
| Feb 10, 2022 | 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 |
| Feb 10, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
Fines and payment denials
CMS records 1 fine totalling $8,970 in the last three years.
| Sep 16, 2024 | Fine: $8,970 |
Staffing
- Total nurse staffing per resident per day
- 3.31 hours
- Registered nurse (RN) time per resident per day
- 0.49 hours
- Nurse aide time per resident per day
- 2.07 hours
- Total nurse staffing on weekends
- 3.13 hours
- Nursing staff turnover (yearly)
- 52%
- RN turnover (yearly)
- 63%
- Administrators who left in the past year
- 1
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.