Royal Oak Nursing & Rehab Ctr
6973 Pearl Rd, Middleburg Heights, OH 44130
Royal Oak Nursing & Rehab Ctr, a 99-bed for profit - corporation nursing facility in Middleburg Heights, OH, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #537 of 912 rated homes in OH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 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: 4408849191
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- 3 / 5
- Average · CMS overall · nat'l 3.0
- #537 of 912
- In-state rank among rated OH homes
- 3.31
- Below average · nurse hrs/day · nat'l 3.86
- 21
- Inspection findings · 2 serious
The verdict
Royal Oak Nursing & Rehab Ctr, a 99-bed for profit - corporation nursing facility in Middleburg Heights, OH, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #537 of 912 rated homes in OH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
- 3 / 5
- CMS overall · national 3.0
- #537 of 912
- In-state rank among rated OH homes
- 3.31
- Nurse hrs/resident-day · national 3.86
- 21
- Inspection findings · 2 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
- 365753
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 99
- Residents
- 59
- In Hospital
- No
- County
- Cuyahoga
- Last Inspection
- Mar 28, 2024
Staffing Data
How the 3.31 total nursing hours per resident-day are staffed:
- RN Hours
- 0.49 (nat'l avg: 0.69)
- LPN Hours
- 0.75
- CNA Hours
- 2.07
- Total Nursing Hours
- 3.31 (nat'l avg: 3.86)
- PT Hours
- 0.08
- Nursing Turnover
- 52.1%
- RN Turnover
- 62.5%
What the CMS Record Reveals About Royal Oak Nursing & Rehab Ctr
According to CMS Nursing Home Compare, Royal Oak Nursing & Rehab Ctr ranks #537 of 912 rated nursing homes in OH on overall stars (tie-broken by health+staffing+quality, then fewer fines). Royal Oak Nursing & Rehab Ctr operates 99 certified beds in Middleburg Heights, OH with approximately 59 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 3★ · staffing 2★ · quality 4★).
The inspection file contains 21 deficiency records from recent surveys, of which 2 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 $9K against this provider. Per resident day, this facility reports 3.31 total nursing hours (national average 3.86) and 0.49 RN hours.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Royal Oak Nursing & Rehab Ctr falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 52.1% (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 (21 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Aug 8, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 8, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Oct 24, 2024
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Jul 30, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 17, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Category: Resident Rights Deficiencies
Corrected: Apr 17, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category: Environmental Deficiencies
Corrected: Mar 4, 2022
Make sure that a working call system is available in each resident's bathroom and bathing area.
Category: Environmental Deficiencies
Corrected: Mar 4, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 4, 2022
Dispose of garbage and refuse properly.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 4, 2022
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: Mar 4, 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.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 4, 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.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 4, 2022
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: Mar 4, 2022
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Aug 19, 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.
Category: Pharmacy Service Deficiencies
Corrected: Aug 19, 2019
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 19, 2019
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 19, 2019
Assess the resident when there is a significant change in condition
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 19, 2019
Assure the security of all personal funds of residents deposited with the facility.
Category: Resident Rights Deficiencies
Corrected: Aug 19, 2019
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Category: Resident Rights Deficiencies
Corrected: Aug 19, 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 | 5.3% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 2.9% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.8% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.6% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 7.2% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 15.2% | 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 | 98.8% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 22.9% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 96.9% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 37.2% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 90.8% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 79.5% | No |
Penalty History 1 penalties totaling $9K
| Date | Type | Amount |
|---|---|---|
| Sep 16, 2024 | Fine | $9K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Royal Oak Nursing & Rehab Ctr, both outside OH so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside OH (99 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside OH (3.15 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 Royal Oak Nursing & Rehab Ctr
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 99 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 Royal Oak Nursing & Rehab Ctr?
Where does Royal Oak Nursing & Rehab Ctr rank among nursing homes in OH?
What are the staffing levels at Royal Oak Nursing & Rehab Ctr?
How many beds does Royal Oak Nursing & Rehab Ctr have?
Does Royal Oak Nursing & Rehab Ctr have any deficiencies on record?
Has Royal Oak Nursing & Rehab Ctr received any fines or penalties?
Who owns Royal Oak Nursing & Rehab Ctr?
When was Royal Oak Nursing & Rehab Ctr last inspected?
What quality measures are tracked for Royal Oak Nursing & Rehab Ctr?
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.
