Nursing homeActive
North Royalton Post Acute
9055 West Sprague Road, Parma, OH 441334408424967130 certified beds · 109 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2019
Deficiencies
24
● 2● 19● 3
Penalties · 3 yrs
$24,007
1 fine
Last survey
2026-05-21
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 1
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 |
|---|---|---|---|---|
| 2026-05-21 | Complaint | 041 | CMS-2567 (Care Compare) | — |
| 2025-11-25 | Complaint | 060 | CMS-2567 (Care Compare) | — |
| 2024-08-28 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-01-31 | Standard | 110 | CMS-2567 (Care Compare) | — |
| 2023-12-06 | Infection control | 001 | CMS-2567 (Care Compare) | — |
| 2021-09-16 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2019-05-14 | Standard | 131 | 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.
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 2026-06-24Record 366343-20260521-F689
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-24Record 366343-20260521-F585
F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-24Record 366343-20260521-F691
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-24Record 366343-20260521-F760
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 2026-06-30Record 366343-20260521-F880
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-23Record 366343-20251125-F558
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 2025-12-23Record 366343-20251125-F684
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-23Record 366343-20251125-F690
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-23Record 366343-20251125-F693
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-23Record 366343-20251125-F759
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 2025-12-23Record 366343-20251125-F880
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-10Record 366343-20240828-F656
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 2024-09-10Record 366343-20240828-F684
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-13Record 366343-20240131-F584
F838Conduct 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.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2024-02-13Record 366343-20240131-F838
F880Provide and implement an infection prevention and control program.Scope/severity LHarm
Infection control
Widespread; immediate jeopardy to resident health or safety.Corrected 2023-12-26Record 366343-20231206-F880
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-10-21Record 366343-20210916-F677
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 2021-10-21Record 366343-20210916-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 2021-10-21Record 366343-20210916-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2019-06-26Record 366343-20190514-F689
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-06-26Record 366343-20190514-F578
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-06-26Record 366343-20190514-F679
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 2019-06-26Record 366343-20190514-F812
F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.Scope/severity BPaperwork
Staffing
Pattern; potential for minimal harm.Corrected 2019-06-26Record 366343-20190514-F711
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2023-12-06 | Civil money penalty | $24,007 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.46
Facility
Ohio
National
Ohio 0.64 · National 0.69
Total nurse hours per resident day2.94
Facility
Ohio
National
Ohio 3.69 · National 3.86
Weekend total nurse hours2.91
Facility
Ohio
National
Ohio 3.28 · National 3.42
Total nursing staff turnover31%
Facility
Ohio
National
Ohio 49% · National 46%
Registered nurse turnover43%
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 | 1.2% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.6% | 3.2% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 16.0% | 8.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.6% | 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 | 2.2% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.1% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.3% | 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 |
|---|---|---|---|---|
| Groppi, Rachel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Providence Group Nh, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 9055 West Sprague Road Oh Owner LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Apt, Frederick Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Frantz, Matthew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Groppi, Rachel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jergensen, Joshua Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mitchell, John Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Providence Administrative Consulting Services Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| SNF Oh Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Well Integra Master Jv LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Well Pm Holdco Jv LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Welltower Op, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Welltower, Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Pacs Group — 274 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 |
|---|---|---|---|
| Pleasantview Care Center Parma | 1.3 mi | 2025-08-21 | 061 |
| Pleasant Lake Villa Parma | 1.4 mi | 2026-06-02 | 0160 |
| Diplomat Healthcare North Royalton | 1.9 mi | 2025-11-25 | 1273 |
| Greenbrier Health Center Parma Heights | 2.5 mi | 2025-10-08 | 1492 |
| Mt Alverna Home Inc Parma | 2.8 mi | 2026-05-07 | 0170 |
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 |