All states › Ohio › Middleburg Heights › Royal Oak Nursing & Rehab Center
6973 Pearl Rd Middleburg Heights, OH 44130 · Cuyahoga County
All 4 nursing homes in Middleburg Heights, OH (4 take Medicaid)
CMS certification number 365753 · See this home on Medicare Care Compare
Is Royal Oak Nursing & Rehab Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Royal Oak Nursing & Rehab Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Ohio average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.27 hours per resident per day at Royal Oak Nursing & Rehab Center, below the Ohio median of 3.58 (US median: 3.72). About 0.39 of those hours are from registered nurses. On weekends it falls to 3.02 hours, 8% below its all-week average. 58.8% of nursing staff left within a year (Ohio median 48.9%). 2 administrators left in the past year.
About this nursing home
Paying for care at Royal Oak Nursing & Rehab Center: Medicare and Medicaid
Royal Oak Nursing & Rehab Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Ohio's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 28, 2024 and found 2 deficiencies. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 21 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 21 citations at Royal Oak Nursing & Rehab Center across 6 inspection dates, 4 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on September 16, 2024. The most common areas cited were nutrition and dietary (4) and resident assessment and care planning (4). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level G, September 16, 2024).
August 7, 2025 · 2 citations · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide and implement an infection prevention and control program.
October 23, 2024 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
September 16, 2024 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that residents are free from significant medication errors.
March 28, 2024 · 2 citations
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
February 10, 2022 · 8 citations, includes actual harm
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FEnsure 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FDispose of garbage and refuse properly.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
July 11, 2019 · 7 citations
ENotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
EAssure the security of all personal funds of residents deposited with the facility.
DAssess the resident when there is a significant change in condition
DEnsure each resident receives an accurate assessment.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure 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.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Royal Oak Nursing & Rehab Center
- Inspectors cited the home at the actual-harm level on September 16, 2024 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Several administrators left in the past year. What has changed for residents since then?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $8,970 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 16, 2024 | Fine | $8,970 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 4/5 | 1/5 | 4/5 |
| August 2026 | 3/5 | 3/5 | 2/5 | 4/5 |
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Location
Hospitals near Royal Oak Nursing & Rehab Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.0 mi
Southwest General Health Center Middleburg HeightsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 19m for patients treated and sent home
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3.3 mi
Parma Community General Hospital ParmaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 28m for patients treated and sent home
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5.3 mi
Fairview Hospital ClevelandEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 4h 2m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Royal Oak Nursing & Rehab Center › All nursing homes in Middleburg Heights ›
Compare Royal Oak Nursing & Rehab Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- O'Neill Healthcare Middleburg Heights · Middleburg Heights · 5 stars · 2.1 mi
- Pleasantview Care Center · Parma · 5 stars · 3.1 mi
- Berea Center · Berea · 5 stars · 3.3 mi
- Westpark Healthcare Campus · Cleveland · 5 stars · 4.0 mi
Other Embassy Healthcare nursing homes in Ohio
- Embassy of Valley View · Frankfort · 5 stars
- Carlisle Manor Health Care · Carlisle · 4 stars
- Oak Hills Nursing Center · Lorain · 3 stars
- Embassy of Willard · Willard · 3 stars
- Embassy of Logan · Logan · 3 stars
- Seasons Nursing and Rehab · Stow · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 33 Embassy Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.