Royal Oak Nursing & Rehab Ctr
6973 Pearl Rd · Middleburg Heights, OH · 44130 · 4408849191
99 certified beds For profit - Corporation Chain: Embassy Healthcare
- 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
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: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.34 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 1 · $8,970 |
Inspection citations (21 in the current record)
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Potential for harm · D August 7, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 8, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 8, 2025 · Infection Control
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Potential for harm · D October 23, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 24, 2024 · Resident Rights
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Actual harm · G September 16, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 30, 2024 · Pharmacy Service
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Potential for harm · D March 28, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 17, 2024 · Resident Rights
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Potential for harm · D March 28, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 17, 2024 · Resident Assessment and Care Planning
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Actual harm · G February 10, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 4, 2022 · Quality of Life and Care
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Potential for harm · F February 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.
Corrected March 4, 2022 · Nutrition and Dietary
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Potential for harm · F February 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.
Corrected March 4, 2022 · Nutrition and Dietary
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Potential for harm · F February 10, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 4, 2022 · Nutrition and Dietary
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Potential for harm · F February 10, 2022
Dispose of garbage and refuse properly.
Corrected March 4, 2022 · Nutrition and Dietary
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Potential for harm · D February 10, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 4, 2022 · Resident Assessment and Care Planning
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Potential for harm · D February 10, 2022
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected March 4, 2022 · Environmental
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Potential for harm · D February 10, 2022
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 4, 2022 · Environmental
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Potential for harm · E July 11, 2019
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected August 19, 2019 · Resident Rights
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Potential for harm · E July 11, 2019
Assure the security of all personal funds of residents deposited with the facility.
Corrected August 19, 2019 · Resident Rights
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Potential for harm · D July 11, 2019
Assess the resident when there is a significant change in condition
Corrected August 19, 2019 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2019
Ensure each resident receives an accurate assessment.
Corrected August 19, 2019 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2019
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 19, 2019 · Quality of Life and Care
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Potential for harm · D July 11, 2019
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.
Corrected August 19, 2019 · Pharmacy Service
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Potential for harm · D July 11, 2019
Provide and implement an infection prevention and control program.
Corrected August 19, 2019 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 16, 2024 | Fine | $8,970 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365753 · certified since October 11, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.