North Royalton Post Acute
9055 West Sprague Road, Parma, OH 44133
North Royalton Post Acute, a 130-bed for profit - corporation nursing facility in Parma, OH, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #839 of 912 rated homes in OH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 4408424967
Build a private shortlist as you compare, saved on this device, no account needed.
Subscribe to CMS updates for this home (RSS) for inspection findings and Care Compare snapshot refreshes, no email.
- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #839 of 912
- In-state rank among rated OH homes
- 2.94
- Well below average · nurse hrs/day · nat'l 3.86
- 24
- Inspection findings · 3 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
North Royalton Post Acute, a 130-bed for profit - corporation nursing facility in Parma, OH, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #839 of 912 rated homes in OH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #839 of 912
- In-state rank among rated OH homes
- 2.94
- Nurse hrs/resident-day · national 3.86
- 24
- Inspection findings · 3 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 922 OH nursing homes split by ownership sector
This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 366343
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 130
- Residents
- 109
- In Hospital
- No
- County
- Cuyahoga
- Last Inspection
- Jan 31, 2024
Staffing Data
How the 2.94 total nursing hours per resident-day are staffed:
- RN Hours
- 0.46 (nat'l avg: 0.69)
- LPN Hours
- 0.92
- CNA Hours
- 1.56
- Total Nursing Hours
- 2.94 (nat'l avg: 3.86)
- PT Hours
- 0.02
- Nursing Turnover
- 31.2%
- RN Turnover
- 42.9%
What the CMS Record Reveals About North Royalton Post Acute
According to CMS Nursing Home Compare, North Royalton Post Acute ranks #839 of 912 rated nursing homes in OH on overall stars (tie-broken by health+staffing+quality, then fewer fines). North Royalton Post Acute operates 130 certified beds in Parma, OH with approximately 109 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 2★ · staffing 1★ · quality 4★).
The inspection file contains 24 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $24K against this provider. Staffing is reported at 2.94 total nursing hours per resident day (national average 3.86), with RN coverage at 0.46 per resident day.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, North Royalton Post Acute falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 31.2% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (24 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jun 30, 2026
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Jun 24, 2026
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 24, 2026
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Category: Resident Rights Deficiencies
Corrected: Jun 24, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 24, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Dec 23, 2025
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Dec 23, 2025
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.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 23, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 23, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 23, 2025
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Dec 23, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 10, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 10, 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.
Category: Administration Deficiencies
Corrected: Feb 13, 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.
Category: Resident Rights Deficiencies
Corrected: Feb 13, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Dec 26, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Oct 21, 2021
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 21, 2021
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 21, 2021
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Category: Nursing and Physician Services Deficiencies
Corrected: Jun 26, 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.
Category: Resident Rights Deficiencies
Corrected: Jun 26, 2019
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 26, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 26, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 26, 2019
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 2.2% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.8% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.2% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.0% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 7.1% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 38.6% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 13.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 95.9% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 21.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 97.3% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 51.9% | No |
Penalty History 1 penalties totaling $24K
| Date | Type | Amount |
|---|---|---|
| Dec 6, 2023 | Fine | $24K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for North Royalton Post Acute, both outside OH so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside OH (130 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside OH (2.26 here).
Nearby Nursing Homes in OH
921 other nursing homes are on record in OH; 6 are shown here.
Abbyshire Place Health and Rehabilitation Center L
Bidwell, OH
Accord Care Community Orrville LLC
Orrville, OH
Adams County Manor
West Union, OH
Adams Lane Healthcare and Rehabilitation Center
Zanesville, OH
Addison Healthcare Center
Masury, OH
Addison Heights Health and Rehabilitation Center
Maumee, OH
Understanding Nursing Home Data
What the CMS records show for North Royalton Post Acute
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The OH registry aggregates state averages and the highest-rated homes in this cohort. View OH registry
- Peer homes near 130 beds show how CMS stars vary at a similar scale in OH. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for North Royalton Post Acute?
Where does North Royalton Post Acute rank among nursing homes in OH?
What are the staffing levels at North Royalton Post Acute?
How many beds does North Royalton Post Acute have?
Does North Royalton Post Acute have any deficiencies on record?
Has North Royalton Post Acute received any fines or penalties?
Who owns North Royalton Post Acute?
When was North Royalton Post Acute last inspected?
What quality measures are tracked for North Royalton Post Acute?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
