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Nursing HomeMedicaid Investigative

North Royalton Post Acute

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

9055 West Sprague Road, Parma, OH 44133130 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 18 Google reviews

5
4
3
2
1
North Royalton Post Acute Nursing Home in Parma, OH — Street View
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3/ 10
moderate Risk

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

Source: Medicare data

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 details
Food4.0Staff6.0Clean7.0Activities8.0Meds2.0MemoryN/AComms4.0ValueN/A

Strengths

  • 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

2343.82025(18)3.02026(5)

Distribution · 23 analyzed

5
13
4
3
3
0
2
0
1
7

How They Respond to Reviews

44%response rate

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.

Visitor · 2025★★★★★

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.

Professional legal guardian · 2026★★★★★

Call buttons often went unanswered for one to two hours—something I personally witnessed multipl

Rehab patient's family · 2025☆☆☆☆
Source: 18 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.39hrs
53%
Registered nurses for medical care
Total Nursing
2.84hrs
69%
All nurses + aides combined
Staff Turnover
36%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both 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

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

6

measures

Mixed Results

5

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.8%
Better than Avg
Here
12.8%
US
19.5%
OH
25.4%
Cuyahoga
20.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
93.4%
OH
92.6%
Cuyahoga
87.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility19.8%
Worse than Avg
Here
19.8%
US
15.4%
OH
9.4%
Cuyahoga
8.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility19.2%
Mixed vs Avgs
Here
19.2%
US
12.1%
OH
28.2%
Cuyahoga
29.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.4%
Mixed vs Avgs
Here
7.4%
US
14.4%
OH
5.8%
Cuyahoga
5.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility11.4%
Mixed vs Avgs
Here
11.4%
US
15.3%
OH
6.9%
Cuyahoga
5.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility51.9%
Worse than Avg
Here
51.9%
US
79.7%
OH
75.6%
Cuyahoga
64.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.7%
Better than Avg
Here
90.7%
US
81.8%
OH
78.4%
Cuyahoga
69.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.8%
Worse than Avg
Here
1.8%
US
1.6%
OH
1.2%
Cuyahoga
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
1penalties
Near state avg (10.1)
10 complaint-triggered
$24,007 in fines

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, 2025Complaint
6
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0690Potential for harm · IsolatedCorrected

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.

0693Potential for harm · IsolatedCorrected

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 28, 2024Complaint
2
0656Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jan 31, 2024Routine
5
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0584Potential for harm · IsolatedCorrected

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.

0838Minimal · WidespreadCorrected

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, 2023Complaint
1
0880Immediate jeopardy · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 31, 2023Complaint
1
0842Potential for harm · IsolatedCorrected

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, 2021Routine
8
0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0753Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0880Potential for harm · IsolatedCorrected

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

Owner / Operator

North Royalton Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

279 facilities nationwide

Chain avg rating: 2.9/5 · Rank 204 of 260

Ownership & Management

Key personnel

Apt, FrederickOfficer / DirectorJergensen, JoshuaOfficer / DirectorMitchell, JohnOfficer / DirectorProvidence Group Nh, LLCManagerGroppi, RachelManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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