North Royalton Post Acute
9055 West Sprague Road · Parma, OH · 44133 · 4408424967
130 certified beds For profit - Corporation Chain: Pacs Group
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Total nurse staffing below 3.0 hours per resident-day
2.84 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.84 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 2.65 | ≈ weekday level |
| Nursing turnover / year | 36% | median 45% |
| Fines (3-yr window) | 1 · $24,007 |
Inspection citations (20 in the current record)
-
Potential for harm · D November 25, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 23, 2025 · Resident Rights
-
Potential for harm · D November 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 23, 2025 · Quality of Life and Care
-
Potential for harm · D November 25, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 23, 2025 · Quality of Life and Care
-
Potential for harm · D November 25, 2025 · found via complaint
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.
Corrected December 23, 2025 · Quality of Life and Care
-
Potential for harm · D November 25, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected December 23, 2025 · Pharmacy Service
-
Potential for harm · D November 25, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 23, 2025 · Infection Control
-
Potential for harm · D August 28, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 10, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 28, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 10, 2024 · Quality of Life and Care
-
Potential for harm · D January 31, 2024
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.
Corrected February 13, 2024 · Resident Rights
-
No harm found · C January 31, 2024
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.
Corrected February 13, 2024 · Administration
-
Immediate jeopardy · L December 6, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 26, 2023 · Infection Control
-
Potential for harm · D July 31, 2023 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 1, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D September 16, 2021
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 21, 2021 · Quality of Life and Care
-
Potential for harm · D September 16, 2021
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 21, 2021 · Quality of Life and Care
-
Potential for harm · D September 16, 2021
Provide and implement an infection prevention and control program.
Corrected October 21, 2021 · Infection Control
-
Immediate jeopardy · J May 14, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 26, 2019 · Quality of Life and Care
-
Potential for harm · D May 14, 2019
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.
Corrected June 26, 2019 · Resident Rights
-
Potential for harm · E May 14, 2019
Provide activities to meet all resident's needs.
Corrected June 26, 2019 · Quality of Life and Care
-
Potential for harm · F May 14, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 26, 2019 · Nutrition and Dietary
-
No harm found · B May 14, 2019
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected June 26, 2019 · Nursing and Physician Services
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 6, 2023 | Fine | $24,007 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 366343 · certified since June 7, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.