Nursing homeActive
Royal Oak Nursing & Rehab Ctr
6973 Pearl Rd, Middleburg Heights, OH 44130440884919199 certified beds · 59 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2019
Deficiencies
21
● 0● 19● 2
Penalties · 3 yrs
$8,970
1 fine
Last survey
2025-08-07
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Ohio Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-08-07 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-10-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-09-16 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-03-28 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2022-02-10 | Standard | 071 | CMS-2567 (Care Compare) | — |
| 2019-07-11 | Standard | 070 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Ohio Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-08Record 365753-20250807-F684
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-08Record 365753-20250807-F880
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-24Record 365753-20241023-F580
F760Ensure that residents are free from significant medication errors.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-07-30Record 365753-20240916-F760
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-17Record 365753-20240328-F561
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-17Record 365753-20240328-F842
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-03-04Record 365753-20220210-F689
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-03-04Record 365753-20220210-F801
F803Ensure 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.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-03-04Record 365753-20220210-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-03-04Record 365753-20220210-F812
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-03-04Record 365753-20220210-F814
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-03-04Record 365753-20220210-F842
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-03-04Record 365753-20220210-F919
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-03-04Record 365753-20220210-F921
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-08-19Record 365753-20190711-F569
F570Assure the security of all personal funds of residents deposited with the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-08-19Record 365753-20190711-F570
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-08-19Record 365753-20190711-F637
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-08-19Record 365753-20190711-F641
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-08-19Record 365753-20190711-F686
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-08-19Record 365753-20190711-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-08-19Record 365753-20190711-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-09-16 | Civil money penalty | $8,970 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.49
Facility
Ohio
National
Ohio 0.64 · National 0.69
Total nurse hours per resident day3.31
Facility
Ohio
National
Ohio 3.69 · National 3.86
Weekend total nurse hours3.13
Facility
Ohio
National
Ohio 3.28 · National 3.42
Total nursing staff turnover52%
Facility
Ohio
National
Ohio 49% · National 46%
Registered nurse turnover63%
Facility
Ohio
National
Ohio 44% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Ohio | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 6.8% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.1% | 3.2% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 13.6% | 8.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.4% | 0.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 5.3% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.2% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 22.9% | 25.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Embassy Healthcare Management Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gebhard, Richard Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Handler, Aaron Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Heritage Employment Services, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mandat, Thomas Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Repchick, George Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 2020 Gsr Dynasty LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Aaron Handler Family Dynasty Trust Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ah Dynasty LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Embassy Healthcare Holdings Inc Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Embassy Healthcare Management Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gebhard, Richard Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| George S. Repchick 2020 Family Dynasty Trust Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Handler, Aaron Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Handler, Aaron Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Handler, Aaron Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Heritage Employment Services, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mandat, Thomas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Repchick, George Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Repchick, George Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Repchick, George Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
Part of a chain
Embassy Healthcare — 33 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Ohio.
No county cost figures on file for Cuyahoga.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| East Park Care Center Brook Park | 0.9 mi | 2025-10-28 | 1293 |
| North Park Care Center Brook Park | 1.4 mi | 2025-03-27 | 000 |
| Greenbrier Health Center Parma Heights | 1.4 mi | 2025-10-08 | 1492 |
| Diplomat Healthcare North Royalton | 2.3 mi | 2025-11-25 | 1273 |
| Parkside Villa Middleburg Heights | 2.0 mi | 2025-04-30 | 0180 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |