Nursing home
North Royalton Post Acute
9055 West Sprague Road, Parma, OH 44133 · Map
For profit - Corporation · Part of Pacs Group (264 facilities) · 130 certified beds
North Royalton Post Acute is a Medicare-certified nursing home in Parma, Ohio. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 3/5 for health inspections). Nurse staffing is 2.96 hours per resident per day, below the Ohio average of 3.72. Its most recent inspection on Jan 31, 2024 cited 8 deficiencies.
- 1 fine totaling $24,007In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How North Royalton Post Acute compares
This facility vs. the Ohio and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Ohio avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.96 | 3.72 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.43 | 0.63 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.61 | 2.14 | 2.34 | below avg |
| Nursing staff turnover | 34.1% | 49.8% | 46.4% | below avg |
| Deficiencies cited, last inspection | 8.0 | 10.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $24,007, 1 total penalty.
What inspectors found at North Royalton Post Acute
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 25, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Aug 28, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Aug 28, 2024 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jan 31, 2024 · Full report (PDF) - Minimal
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.
Administration Deficiencies · Jan 31, 2024 · Full report (PDF) - Immediate jeopardy
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 6, 2023 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jul 31, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 9055 West Sprague Road
Parma, OH 44133 - CMS certification #
- 366343
- Ownership
- For profit - Corporation
- Certified beds
- 130
- Avg residents/day
- 102.8
- Provider type
- Medicare and Medicaid
- First certified
- 2007-06-07
- Chain
- Pacs Group (264 facilities)
- Setting
- Urban
Part of Pacs Group
Pacs Group operates 264 nursing facilities across the United States. View all Pacs Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around North Royalton Post Acute using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice, diabetes care, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What North Royalton Post Acute says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
Our licensed team of registered nurses are available 24 hours a day to provide you the skilled nursing and rehabilitation services and support that you need as you recover.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Hospice Care
(page, checked Oct 12, 2026) - Offers diabetes care.
Diabetes Care
(page, checked Oct 12, 2026) - Provides transportation.
During your stay at North Royalton Post Acute, we provide transportation to any off-site medical appointments you may have.
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
North Royalton Post Acute offers both private and semi-private rooms.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Southwest General Health Center, Middleburg Heights. 4.5 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Pleasantview Care Center, Parma. 1.3 miles away, straight line.
- Nearest home health agency office
- Bridgeview Home Healthcare LLC, Parma Heights. 2.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Discount Drug Mart. 1.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 44133 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Parma Heights Dialysis, Parma Heights, 2.0 miles away, straight line (CMS rating 3 of 5 stars)
Davita Middleburg Heights Dialysis, Middleburg Heights, 4.0 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Fmc - Cleveland Clinic West, Brook Park, 4.4 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 36 Medicare hospices tell CMS they serve ZIP code 44133.
Holy Family Hospice, office in Parma, 2.9 miles away, straight line (CMS family survey rating 5 of 5 stars)
Continuum Care Hospice, office in Parma, 3.6 miles away, straight line (CMS family survey rating 2 of 5 stars)
Cypress Hospice LLC, office in Berea, 5.4 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- The Metrohealth System, Parma. 3.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is North Royalton Post Acute a good nursing home?
CMS gives North Royalton Post Acute an overall rating of 2 out of 5 stars, including 1/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is North Royalton Post Acute staffed?
North Royalton Post Acute reports 2.96 total nurse hours per resident per day, compared with the Ohio average of 3.72.
Has North Royalton Post Acute had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does North Royalton Post Acute have?
North Royalton Post Acute is certified for 130 beds.