nursing home in Middleburg Heights, OH
Royal Oak Nursing & Rehab Ctr
6973 Pearl Rd, Middleburg Heights, OH 44130 · (440) 884-9191
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Royal Oak Nursing & Rehab Ctr at a glance
Royal Oak Nursing & Rehab Ctr is a 99-bed for-profit nursing home in Middleburg Heights, Ohio (Cuyahoga County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Ohio average of 3.2.
Residents receive about 3.3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (March 28, 2024) found 2 health citations. The Ohio average is 10.3.
Federal regulators fined it 1 time in the past three years, totaling $8,970.
Nursing staff turnover is 52.1% per year (state average 48.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 99
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Embassy Healthcare
- Medicare-certified since
- October 11, 1989
- Resident/family council
- Resident
- County
- Cuyahoga County
- CMS Certification Number
- 365753
Ratings
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.4 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.4 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.8 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.31 hrs | 3.69 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.49 hrs | 0.64 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.07 hrs | 2.09 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.13 hrs | 3.28 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 52.1% | 48.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 62.5% | 43.9% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 38 | 80.7 | 80.6 | Better |
Penalties
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,970 | $26,381 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 99 | 88 | 107 | |
| Average residents per day | 59 | 74 | 86 | |
| Occupancy | 60% | 84.3% | 80.9% |
Long-stay residents
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.1% | 3.2% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 6.8% | 3.4% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 13.6% | 8.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.4% | 0.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.2% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 5.3% | 5.3% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 2.9% | 6.1% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7.2% | 6.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 15.2% | 30.1% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 22.9% | 25.5% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 37.2% | 21.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96.9% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.8% | 92.7% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 79.5% | 75.6% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 90.8% | 78.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 21 health deficiencies and 30 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| August 7, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 8, 2025 |
| August 7, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 8, 2025 |
| October 23, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected October 24, 2024 |
| September 16, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected July 30, 2024 |
| March 28, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected April 17, 2024 |
| March 28, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected April 17, 2024 |
| March 28, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected April 17, 2024 |
| March 28, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected April 17, 2024 |
| March 28, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 17, 2024 |
| March 28, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected April 17, 2024 |
| March 28, 2024 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected April 17, 2024 |
| March 28, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected April 17, 2024 |
| March 28, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected April 17, 2024 |
| March 28, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected April 17, 2024 |
| March 28, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected April 17, 2024 |
| March 28, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected April 17, 2024 |
| March 28, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected April 17, 2024 |
| March 28, 2024 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected April 17, 2024 |
| February 10, 2022 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 4, 2022 |
| February 10, 2022 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected March 4, 2022 |
| February 10, 2022 Fire safety | 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. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected March 4, 2022 |
| February 10, 2022 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected March 4, 2022 |
| February 10, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 4, 2022 |
| February 10, 2022 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 4, 2022 |
| February 10, 2022 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected March 4, 2022 |
| February 10, 2022 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected March 4, 2022 |
| February 10, 2022 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected March 4, 2022 |
| February 10, 2022 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected March 4, 2022 |
| February 10, 2022 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected March 4, 2022 |
| February 10, 2022 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected March 4, 2022 |
| February 10, 2022 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0801 | F Potential harm, widespread | Corrected March 4, 2022 |
| February 10, 2022 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | F Potential harm, widespread | Corrected March 4, 2022 |
| February 10, 2022 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 4, 2022 |
| February 10, 2022 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | F Potential harm, widespread | Corrected March 4, 2022 |
| February 10, 2022 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected March 4, 2022 |
| February 10, 2022 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected March 4, 2022 |
| February 10, 2022 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected March 4, 2022 |
| July 11, 2019 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected August 19, 2019 |
| July 11, 2019 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected August 19, 2019 |
| July 11, 2019 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected August 19, 2019 |
| July 11, 2019 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | E Potential harm, pattern | Corrected August 19, 2019 |
| July 11, 2019 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected August 19, 2019 |
| July 11, 2019 Fire safety | 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. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected August 19, 2019 |
| July 11, 2019 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | E Potential harm, pattern | Corrected August 19, 2019 |
| July 11, 2019 Standard | Assure the security of all personal funds of residents deposited with the facility. Resident Rights Deficiencies · Tag F0570 | E Potential harm, pattern | Corrected August 19, 2019 |
| July 11, 2019 Standard | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | E Potential harm, pattern | Corrected August 19, 2019 |
| July 11, 2019 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 19, 2019 |
| July 11, 2019 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected August 19, 2019 |
| July 11, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 19, 2019 |
| July 11, 2019 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected August 19, 2019 |
| July 11, 2019 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected August 19, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,970 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 16, 2024 | Fine | $8,970 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| EMBASSY HEALTHCARE MANAGEMENT INC Organization | adp of the snf | NOT APPLICABLE | 06/12/2025 |
| GEBHARD, RICHARD Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| HANDLER, AARON Individual | adp of the snf | NOT APPLICABLE | 01/01/2020 |
| HERITAGE EMPLOYMENT SERVICES, LLC Organization | adp of the snf | NOT APPLICABLE | 06/12/2025 |
| MANDAT, THOMAS Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| REPCHICK, GEORGE Individual | adp of the snf | NOT APPLICABLE | 01/01/2020 |
| EMBASSY HEALTHCARE HOLDINGS INC Organization | direct ownership interest | NOT APPLICABLE | 01/01/2020 |
| 2020 GSR DYNASTY LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2020 |
| AARON HANDLER FAMILY DYNASTY TRUST Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2020 |
| AH DYNASTY LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2020 |
| GEORGE S. REPCHICK 2020 FAMILY DYNASTY TRUST Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2020 |
| HANDLER, AARON Individual | indirect ownership interest | NOT APPLICABLE | 01/01/2020 |
| REPCHICK, GEORGE Individual | indirect ownership interest | NOT APPLICABLE | 01/01/2020 |
| HANDLER, AARON Individual | managing control - governing body | NOT APPLICABLE | 01/01/2020 |
| REPCHICK, GEORGE Individual | managing control - governing body | NOT APPLICABLE | 01/01/2020 |
| EMBASSY HEALTHCARE MANAGEMENT INC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| GEBHARD, RICHARD Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| HANDLER, AARON Individual | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| HERITAGE EMPLOYMENT SERVICES, LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| MANDAT, THOMAS Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| REPCHICK, GEORGE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
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★★★★★2Below averageNorth Park Care Center
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★★★★★5Much above averageGreenbrier Health Center
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★★★★★2Below averageParkside Villa
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★★★★★4Above averageO'Neill Healthcare Middleburg Heights
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★★★★★5Much above averageDiplomat Healthcare
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Frequently asked questions
What is Royal Oak Nursing & Rehab Ctr's rating?
Royal Oak Nursing & Rehab Ctr has 4 out of 5 stars on the CMS overall star rating. The average for Ohio nursing homes is 3.2 stars.
How many inspection citations did Royal Oak Nursing & Rehab Ctr receive?
Its most recent standard health inspection found 2 citations, compared with a Ohio average of 10.3. Every citation is listed on this page with its severity.
Does Royal Oak Nursing & Rehab Ctr accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Royal Oak Nursing & Rehab Ctr?
It is for profit - corporation and part of Embassy Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Royal Oak Nursing & Rehab Ctr and how do I contact it?
Royal Oak Nursing & Rehab Ctr is at 6973 Pearl Rd, Middleburg Heights, OH 44130. Phone: (440) 884-9191.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.