North Royalton Post Acute
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 18 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
Bottom 25% in OH · Below recommended RN staffing · Below chain average · $24,007 in fines
What this means for your family
The facility's therapy department is widely praised, making it a potential option for short-term rehab. However, given the recurring reports of ignored call buttons and hygiene issues, families should conduct unannounced visits and closely monitor the care of loved ones during off-hours.
Google Reviews
Google Reviews
18 reviews on Google“North Royalton Post Acute receives highly polarized feedback, with families and professional visitors praising the therapy department and staff friendliness while others report severe neglect and communication failures. While some visitors highlight a clean environment and strong leadership, multiple reviewers describe instances of residents being left in soiled conditions and call buttons going unanswered for extended periods.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective therapy team
- Friendly and attentive nursing staff
- Clean and well-maintained facility
- Consistent leadership in nursing department
Concerns
- Slow or non-existent response to call buttons (mentioned by 3 reviewers)
- Poor hygiene and neglect of personal care needs (mentioned by 3 reviewers)
- Inadequate communication from administration (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 23 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given that the therapy team is frequently highlighted as a strength, how do they coordinate with the nursing staff to ensure a resident's progress is maintained throughout the day?
- 2I noticed the facility has a 1-star staffing rating; what specific protocols are in place to ensure call buttons are answered promptly and that residents receive timely assistance with personal hygiene?
- 3How does the nursing leadership team communicate updates or concerns to families, and what is the best way for us to stay informed about our loved one's daily care?
- 4With medication management being a critical priority for us, could you walk us through your process for ensuring accuracy and preventing errors in daily administration?
- 5What is the current process for handling medical emergencies, and how quickly can we expect to be notified if a change in our loved one's health status occurs?
- 6I see that you engage with feedback online; how do you use that input to improve the dining experience and overall quality of life for residents?
Personalized based on this facility's data
Key Review Excerpts
“The therapy team is fantastic! In my experience, the staff from front desk to nursing to administration has always been friendly and willing to help.”
“This building communicates so much more than any other nursing home about my client. For me, communication is so valuable because I can't be there all the time.”
“Call buttons often went unanswered for one to two hours—something I personally witnessed multipl”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
6
measures
5
measures
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints triggering 10 deficiencies, with recurring issues in infection control, patient care quality, and medication management. Recent complaints in late 2025 and 2024 involved serious care concerns including feeding tube protocols, bladder/bowel care, and medication error rates exceeding 5 percent. While all deficiencies show correction dates, the pattern of ongoing complaints suggests persistent care quality challenges families should investigate thoroughly.
Nov 25, 2025Complaint6
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
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
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 28, 2024Complaint2
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jan 31, 2024Routine5
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
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.
Administration Deficiencies
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.
Dec 6, 2023Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 31, 2023Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Sep 16, 2021Routine8
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Dec 6, 2023
$24,007
Ownership & Operations
Who Operates This Facility
North Royalton Post Acute
for profit
Chain Affiliation
Pacs Group
279 facilities nationwide
Chain avg rating: 2.9/5 · Rank 204 of 260
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
18 reviews from families & visitors
Official Website
Visit pleasantlakepa.com
Medicare data downloads
Original nursing home datasets
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