Home / Ohio / Middleburg Heights
6973 Pearl Rd, Middleburg Heights, OH 44130 · Cuyahoga County · (440) 884-9191
99 certified beds, about 59 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365753 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 28, 2024, inspectors cited 2 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 21 health citations since July 2019, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,970 in the last three years; the largest was $8,970, and the latest is dated September 16, 2024.
Nurses and nurse aides worked 3.31 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
52.1% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Embassy Healthcare, an affiliated group of 33 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 21 health citations on file.
Inspectors wroteBased on observation, interview, record review and facility policy review, the facility failed to ensure Resident #43's wound treatment was performed as ordered by the physician. This affected one resident (#43) out of three residents reviewed for wound care. The facility census was 77.
Inspectors wroteBased on observation, record review, interview, and facility policy review, the facility failed to ensure enhanced barrier precautions (EBP) were implemented during Resident #22's incontinence and wound care care and Resident #43's wound care. This affected two residents (#22 and #43) of three residents reviewed for EBP. The facility identified 16 residents who required EBP. The facility census was 77.
Inspectors wroteBased on interview, medical record review, and policy review, the facility failed to notify the resident's emergency contact regarding a change in condition. This affected one resident (Resident #100) of three residents reviewed for a change in condition. The facility census was 69. Findings Include: Medical record review revealed Resident #100 was admitted to the facility on [DATE] for skilled therapy after having a hip replacement. Resident #100 was discharged home on [DATE]. Admitting diagnoses include diabetes, high blood pressure, heart disease, congestive heart failure, and osteoporosis. Review of the physician's orders for Resident #100 revealed the resident was taking Eliquis (an anticoagulant) 5 milligrams (mg) twice a day for blood clot prevention. [...]
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, manufacturer medication information, and interview the facility failed to ensure Resident #69 was free from significant medication error. Actual harm occurred on 07/29/24 when Resident #69 required evaluation and treatment in the emergency room due to a significant medication error of the resident's Topiramate (anti-epileptic/seizure medication). The resident had been administered, per the nurse practitioner, greater than three times the recommended dose of the medication (ordered 100 mg twice a day and received 625 mg twice a day) from 07/24/24 until 07/29/24 when the error was discovered. This affected one resident (#69) of five residents reviewed for medication administration.
Inspectors wroteBased on interview, record review, and facility policy review the facility failed to honor Resident #72's preferences for showers. This affected one resident (#72) of two residents reviewed for showers. The facility census was 67.
Inspectors wroteBased on interview, medical record review, and facility policy review, the facility failed to document weekly weights in the medical record for Resident #9. This affected one resident (#9) of four residents reviewed for nutrition services. The facility census was 67.
Inspectors wroteBased on observation, record review, interview, and policy review the facility failed to ensure equipment was maintained and in good working condition to prevent a fall with injury for Resident #13. This affected one resident, Resident #13, of two residents reviewed for falls. The facility census was 78. Actual harm occurred on 01/28/21 when Resident #13 sustained a fall resulting in a neck fracture while being assisted by one State Tested Nurse Assistant (STNA) during a shower in a shower bed.
Inspectors wroteBased on record review and interview, the facility failed to ensure the dietary manager completed qualifications in a timely manner. This had the potential to affect all residents. The facility census was 78.
Inspectors wroteBased on review of the meal sheets, staff interview, resident interview, and review of the facility policy, the facility failed to ensure there were alternative menu choices with variety to meet resident preferences. This affected three residents (#16, #49, and #83) of four residents (#16, #49, #71, and #83) reviewed for food and had the potential to affect all residents. The facility census was 78.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff wore hair nets while in the kitchen and the 100 hall nursing unit refrigerator was maintained in a clean and sanitary manner. This had the potential to affect all residents. The facility census was 78.
Inspectors wroteBased on observation and interview, the facility failed to maintain a clean and uncluttered area surrounding the outside dumpster. This had the potential to affect all residents. The facility census was 78.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure the resident record contained current and accurate information for Residents #67 and #82. This affected two residents (#67 and #82) of two reviewed for accurate medical records. The facility census was 78.
Inspectors wroteBased on observation and staff interview the facility failed to ensure it had a functional and accessible call light in place. This affected two (Resident #42 and #67) of two residents reviewed for call light function. The facility census was 78. Findings Include: 1. Review of the medical record revealed Resident #67 was admitted to the facility on [DATE] with diagnoses that included type 2 diabetes mellitus with chronic kidney disease, chronic obstructive pulmonary disease, and dysphagia. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #67 was alert with cognitive impairment and required assistance of at least two persons for activities of daily living. Observation on 02/07/22 at 9:06 A.M. revealed no operational call light designated for Resident #67. Interview on 02/07/22 at 9:06 A.M. with Resident #67 revealed she had no call light. [...]
Inspectors wroteBased on observation, staff interview, and policy review the facility failed to ensure Resident #67's and #75's walls were maintained in good repair. This affected two of three residents (#67, #75 and #82) reviewed for environment. The facility census was 78.
Inspectors wroteBased on interview and review of personal needs accounts, the facility failed to ensure the resident/responsible party was notified within $200.00 of the Medicaid resource limit in order to spend down funds in order to maintain Medicaid status. This affected three Residents (#8, #16 and #67) of 48 Residents with accounts (#3, #4, #6, #7, #10, #11, #12, #14, #15, #17, #19, #20, #21 (x2), #22, #23, #24, #26, #27, #28, #31, #32, #34, #35 (x2), #36, #38, #40, #41, #45, #46, #47, #48, #50, #54, #55, #56, #57 (x2), #61, #63, #64, #65, #71 and #371). The facility census was 66.
Inspectors wroteBased on review of interview, review of personal needs accounts and surety bond, the facility failed to ensure the surety bond was enough to cover the amount of money in the resident accounts. This affected all 48 residents with personal needs accounts (#3, #4, #6, #7, #8, #10, #11, #12, #14, #15, #16, #17, #19, #20, #21 (x2), #22, #23, #24, #26, #27, #28, #31, #32, #34, #35 (x2), #36, #38, #40, #41, #45, #46, #47, #48, #50, #54, #55, #56, #57 (x2), #61, #63, #64, #65, #67, #71 and #371) with a total of $30,705.20 as of 07/08/19.
Inspectors wroteBased upon interview and record review the facility failed to initiate and complete a significant change assessment as required. This affected one (Resident #32) of two resident reviewed with significant changes.
Inspectors wroteBased on interview and record review, the facility failed to accurately record the medical status of three residents (Resident #70, Resident #72 and Resident #32). This affected three of 28 records reviewed for accurate assessments. The facility census was 66.
Inspectors wroteBased on observation, interview, record review and policy review, the facility failed to implement pressure relieving measures and communicate, follow-up and implement podiatry recommendations of Resident #72's pressure ulcers. This affected one Resident (#67) of two residents reviewed for pressure ulcers.
Inspectors wroteBased upon observation, interview and record review, the facility failed to ensure solution used for tuberculin testing was stored according to manufacturer's recommendations. This affected three residents (Residents #70, #71 and #72) admitted to the facility between 06/11/19 and 07/11/19.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain proper infection control for two residents (Resident #70 and Resident #72). This affected one of one resident on isolation precautions and one of one resident observed for wound dressing changes. The facility census was 66.
30 fire safety citations on file: 12 on March 28, 2024, 11 on February 10, 2022, 7 on July 11, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| September 16, 2024 | Fine | $8,970 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.31 | 3.69 | 3.86 |
| Registered nurses | 0.49 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.13 | 3.28 | 3.42 |
| Nurse aides | 2.07 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 52.1% | 48.7% | 45.8% |
| Registered nurse turnover | 62.5% | 43.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.03 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.39 on weekdays and 3.13 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.48 in April to June 2025 to 3.31 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.31 | 0.49 | 3.39 | 3.13 | 0.0% | 0 of 90 | 59 |
| Oct to Dec 2025 | 3.34 | 0.47 | 3.45 | 3.08 | 0.0% | 0 of 92 | 73 |
| Jul to Sep 2025 | 3.30 | 0.36 | 3.46 | 2.91 | 0.0% | 2 of 92 | 74 |
| Apr to Jun 2025 | 3.48 | 0.34 | 3.63 | 3.09 | 0.0% | 0 of 91 | 72 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Ohio, all employers | |||
| CNAs (nursing assistants) | $18.76 | $17.93 to $21.44 | 63,280 |
| LPNs and LVNs | $29.78 | $27.34 to $31.68 | 39,900 |
| Registered nurses | $39.67 | $38.08 to $47.61 | 143,730 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 5.3 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.1 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.9 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.8 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.6 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.1 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.2 | 12.9 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Royal Oak Nursing & Rehab Ctr's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
49.7% this home
No different from the national rate
US median of homes 51.5% · Ohio: 147 better, 20 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 32 eligible stays.
12.5% this home
No different from the national rate
US median of homes 10.7% · Ohio: 3 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 28 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Ohio: 1 better, 4 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 23 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Ohio55.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 19 residents counted.
0.0% this home
Median of homes: Ohio0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 34 residents counted.
5.0% this home
Median of homes: Ohio1.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 34 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Ohio100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 14 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: EMBASSY ROYAL OAK LLC. CMS links this home to Embassy Healthcare, a group of 33 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Embassy Healthcare Holdings Inc | Direct ownership interest | Organization | 01/01/2020 | |
| 2020 Gsr Dynasty LLC | Indirect ownership interest | Organization | 01/01/2020 | |
| Aaron Handler Family Dynasty Trust | Indirect ownership interest | Organization | 01/01/2020 | |
| Ah Dynasty LLC | Indirect ownership interest | Organization | 01/01/2020 | |
| George S. Repchick 2020 Family Dynasty Trust | Indirect ownership interest | Organization | 01/01/2020 | |
| Handler, Aaron | Indirect ownership interest | Individual | 01/01/2020 | |
| Repchick, George | Indirect ownership interest | Individual | 01/01/2020 | |
| Handler, Aaron | Managing control - governing body | Individual | 01/01/2020 | |
| Repchick, George | Managing control - governing body | Individual | 01/01/2020 | |
| Embassy Healthcare Management Inc | Operational/managerial control | Organization | 01/01/2020 | |
| Heritage Employment Services, LLC | Operational/managerial control | Organization | 01/01/2020 | |
| Gebhard, Richard | Operational/managerial control | Individual | 01/01/2025 | |
| Handler, Aaron | Operational/managerial control | Individual | 01/01/2020 | |
| Mandat, Thomas | Operational/managerial control | Individual | 01/01/2025 | |
| Repchick, George | Operational/managerial control | Individual | 01/01/2020 | |
| Embassy Healthcare Management Inc | Adp of the SNF | Organization | 06/12/2025 | |
| Heritage Employment Services, LLC | Adp of the SNF | Organization | 06/12/2025 | |
| Gebhard, Richard | Adp of the SNF | Individual | 01/01/2025 | |
| Handler, Aaron | Adp of the SNF | Individual | 01/01/2020 | |
| Mandat, Thomas | Adp of the SNF | Individual | 01/01/2025 | |
| Repchick, George | Adp of the SNF | Individual | 01/01/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.