Nursing home
Royal Oak Nursing & Rehab Center
6973 Pearl Rd, Middleburg Heights, OH 44130 · Map
For profit - Corporation · Part of Embassy Healthcare (37 facilities) · 99 certified beds
Royal Oak Nursing & Rehab Center is a Medicare-certified nursing home in Middleburg Heights, Ohio. CMS rates it 3 out of 5 stars overall (1/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.30 hours per resident per day, below the Ohio average of 3.72. Its most recent inspection on Mar 28, 2024 cited 4 deficiencies.
- 1 fine totaling $8,970In 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 Royal Oak Nursing & Rehab Center 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) | 3.30 | 3.72 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.36 | 0.63 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.01 | 2.14 | 2.34 | below avg |
| Nursing staff turnover | 47.8% | 49.8% | 46.4% | below avg |
| Deficiencies cited, last inspection | 4.0 | 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.
- Every deficiency from the August 7, 2025 inspection was corrected by August 8, 2025
Penalties in CMS records: 1 fine totaling $8,970, 1 total penalty.
What inspectors found at Royal Oak Nursing & Rehab Center
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 · Aug 7, 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 7, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Oct 23, 2024 · Full report (PDF) - Actual harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Sep 16, 2024 · 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 · Mar 28, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Mar 28, 2024 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 10, 2022 - Potential for harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Feb 10, 2022 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 10, 2022 - Potential for harm
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.
Nutrition and Dietary Deficiencies · Feb 10, 2022 - Potential for harm
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.
Nutrition and Dietary Deficiencies · Feb 10, 2022 - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Feb 10, 2022
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
- 6973 Pearl Rd
Middleburg Heights, OH 44130 - CMS certification #
- 365753
- Ownership
- For profit - Corporation
- Certified beds
- 99
- Avg residents/day
- 74.3
- Provider type
- Medicare and Medicaid
- First certified
- 1989-10-11
- Chain
- Embassy Healthcare (37 facilities)
- Setting
- Urban
Part of Embassy Healthcare
Embassy Healthcare operates 37 nursing facilities across the United States. View all Embassy Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Royal Oak Nursing & Rehab Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Southwest General Health Center, Middleburg Heights. 2.0 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- East Park Care Center, Brook Park. 0.9 miles away, straight line.
- Nearest home health agency office
- Always Best Care Cleveland South, Middleburg Heights. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 44130 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Middleburg Heights Dialysis, Middleburg Heights, 1.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Fmc - Cleveland Clinic West, Brook Park, 1.9 miles away, straight line (CMS rating 3 of 5 stars)
Davita Parma Heights Dialysis, Parma Heights, 2.4 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 35 Medicare hospices tell CMS they serve ZIP code 44130.
Continuum Care Hospice, office in Parma, 1.8 miles away, straight line (CMS family survey rating 2 of 5 stars)
Cypress Hospice LLC, office in Berea, 3.1 miles away, straight line (CMS family survey rating 5 of 5 stars)
Holy Family Hospice, office in Parma, 4.3 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Remo Medical Group, P.A., Middleburg Heights. 1.6 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: very low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively low, 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 | Could not read the site |
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Frequently asked questions
Is Royal Oak Nursing & Rehab Center a good nursing home?
CMS gives Royal Oak Nursing & Rehab Center an overall rating of 3 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 Royal Oak Nursing & Rehab Center staffed?
Royal Oak Nursing & Rehab Center reports 3.30 total nurse hours per resident per day, compared with the Ohio average of 3.72.
Has Royal Oak Nursing & Rehab Center had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Royal Oak Nursing & Rehab Center have?
Royal Oak Nursing & Rehab Center is certified for 99 beds.