All states › Ohio › Parma › North Royalton Post Acute
9055 West Sprague Road Parma, OH 44133 · Cuyahoga County
All 6 nursing homes in Parma, OH (6 take Medicaid)
CMS certification number 366343 · See this home on Medicare Care Compare
Is North Royalton Post Acute 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 North Royalton Post Acute as of October 2026.
CMS rates it 2 out of 5 stars overall, below 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 3.03 hours per resident per day at North Royalton Post Acute, below the Ohio median of 3.58 (US median: 3.72). About 0.50 of those hours are from registered nurses. On weekends it falls to 2.65 hours, 12% below its all-week average. 31.2% of nursing staff left within a year (Ohio median 48.9%). That is lower than most homes in Ohio, a sign of a steadier team.
About this nursing home
Paying for care at North Royalton Post Acute: Medicare and Medicaid
North Royalton Post Acute 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 January 31, 2024 and found 2 deficiencies, plus 11 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 24 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 24 citations at North Royalton Post Acute across 7 inspection dates, 14 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 6, 2023 (complaint inspection). The most common areas cited were quality of life and care (10) and infection control (4). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level L, December 6, 2023).
May 21, 2026 · 5 citations · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DHonor 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.
DProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
DEnsure that residents are free from significant medication errors.
DProvide and implement an infection prevention and control program.
November 25, 2025 · 6 citations · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure 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.
DEnsure medication error rates are not 5 percent or greater.
DProvide and implement an infection prevention and control program.
August 28, 2024 · 2 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
January 31, 2024 · 2 citations
DHonor 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.
CConduct 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.
December 6, 2023 · 1 citation, includes immediate jeopardy · includes complaint inspection
LProvide and implement an infection prevention and control program.
September 16, 2021 · 3 citations
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide and implement an infection prevention and control program.
May 14, 2019 · 5 citations, includes immediate jeopardy
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide activities to meet all resident's needs.
DHonor 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.
BEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Questions to ask on a tour of North Royalton Post Acute
- Inspectors cited the home at the immediate-jeopardy level on December 6, 2023 under the rule on infection control. What changed afterwards, and can I see the plan of correction?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- 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
2 penalties in the last three years, including $24,007 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 21, 2026 | Payment Denial | 12 days of payments denied |
| Dec 6, 2023 | Fine | $24,007 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
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Location
Hospitals near North Royalton Post Acute
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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2.3 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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4.4 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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7.8 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 North Royalton Post Acute › All nursing homes in Parma ›
Compare North Royalton Post Acute with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Pleasantview Care Center · Parma · 5 stars · 1.3 mi
- O'Neill Healthcare Middleburg Heights · Middleburg Heights · 5 stars · 4.5 mi
- Berea Center · Berea · 5 stars · 6.1 mi
- Westpark Healthcare Campus · Cleveland · 5 stars · 6.3 mi
Other PACS Group nursing homes in Ohio
- Sycamore Trails Post Acute · Miamisburg · 4 stars
- Barberton Post Acute · Barberton · 4 stars
- Hillsboro Post Acute · Hillsboro · 4 stars
- Kettering Heights Post Acute · Kettering · 3 stars
- Willow Knoll Post-Acute and Senior Living · Middletown · 3 stars
- Riverview Post Acute · South Point · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 277 PACS Group 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.