63/100
Average
6973 Pearl Rd, Middleburg Heights, OH 44130
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
2 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$8,970 in federal fines
CMS has fined this facility across 1 penalty action(s).
Last inspection was more than 2 years ago
Ratings here are based on older survey data than at most facilities.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: March 28, 2024 (2 years ago).
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Actual harm to a resident
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Actual harm to a resident
Nutrition and Dietary Deficiencies
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.
No actual harm, potential for more than minimal harm
Part of EMBASSY HEALTHCARE, which operates 35 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| EMBASSY HEALTHCARE HOLDINGS INC | Organization | DIRECT OWNERSHIP INTEREST | — |
| 2020 GSR DYNASTY LLC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| AARON HANDLER FAMILY DYNASTY TRUST | Organization | INDIRECT OWNERSHIP INTEREST | — |
| AH DYNASTY LLC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| GEORGE S. REPCHICK 2020 FAMILY DYNASTY TRUST | Organization | INDIRECT OWNERSHIP INTEREST | — |
| HANDLER, AARON | Individual | INDIRECT OWNERSHIP INTEREST | — |
| REPCHICK, GEORGE | Individual | INDIRECT OWNERSHIP INTEREST | — |
| HANDLER, AARON | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| REPCHICK, GEORGE | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| EMBASSY HEALTHCARE MANAGEMENT INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| HERITAGE EMPLOYMENT SERVICES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| GEBHARD, RICHARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Royal Oak Nursing & Rehab Ctr holds an ElderGrade of C (63 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.31 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 2 of the 21 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Royal Oak Nursing & Rehab Ctr is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.