Quick answers
- Where is North Royalton Post Acute?
- 9055 West Sprague Road, Parma, OH 44133, in Cuyahoga County, Ohio.
- What is the phone number of North Royalton Post Acute?
- (440) 842-4967, as listed by Medicare (CMS).
- What is the Medicare star rating of North Royalton Post Acute?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has North Royalton Post Acute been fined?
- Medicare lists 1 fine totaling $24,007 and 1 payment denial.
- What did inspectors find at North Royalton Post Acute?
- In its last three inspection cycles (May 14, 2019 to May 21, 2026), Medicare lists 24 health citations; the most serious was level L. 3 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (May 14, 2019 to May 21, 2026), North Royalton Post Acute had 24 health citations; the most serious was level L (immediate jeopardy to resident health or safety). 3 of them were level G or higher (actual harm or immediate jeopardy). It was fined $24,007 in total (1 fine, the latest on December 6, 2023) and had 1 Medicare payment denial. Nurse staffing is 3.03 hours per resident per day; the Ohio average is 3.71 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: January 31, 2024 — 13 health citations
Inspections in this cycle: January 31, 2024 (standard health inspection); November 25, 2025 (complaint investigation); May 21, 2026 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 12 less serious citations (levels A to F)
F0585 Level D
“Honor 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.”
F0691 Level D
“Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0693 Level D
“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.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0584 Level D
“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.”
F0838 Level C
“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.”
Previous cycle: September 16, 2021 — 3 health citations
Inspections in this cycle: September 16, 2021 (standard health inspection).
Show 3 citations (levels A to F, no actual harm)
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: May 14, 2019 — 8 health citations
Inspections in this cycle: May 14, 2019 (standard health inspection); December 6, 2023 (complaint investigation); December 6, 2023 (infection control inspection); August 28, 2024 (complaint investigation).
F0880 Level L
“Provide and implement an infection prevention and control program.”
immediate jeopardy to resident health or safety; widespread (many residents) · Infection Control Deficiencies
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 6 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0578 Level D
“Honor 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.”
F0711 Level B
“Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (14)
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0511 Level E
“Have properly installed electrical wiring and gas equipment.”
E0015 Level F
“Address subsistence needs for staff and patients.”
K0511 Level F
“Have properly installed electrical wiring and gas equipment.”
K0741 Level F
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0211 Level E
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0753 Level E
“Have restrictions on the use of highly flammable decorations.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0222 Level D
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0374 Level D
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0500 Level D
“Meet other general requirements that are deficient.”
Fines and payment denials
Total fines over about the last three years: $24,007 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| May 21, 2026 | Payment denial | from June 18, 2026, 12 days |
| December 6, 2023 | Fine | $24,007 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Ohio | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.50 | 0.64 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.96 | 0.95 | 0.86 |
| Nurse aide hours per resident per day | 1.57 | 2.12 | 2.35 |
| Total nurse staff hours per resident per day | 3.03 | 3.71 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.65 | 3.29 | 3.43 |
| RN hours per resident per day on the weekend | 0.35 | 0.43 | 0.48 |
| Nursing staff turnover (per year) | 31.2% | 49.0% | 45.3% |
| RN turnover (per year) | 9.1% | 44.4% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 277 nursing homes: Pacs Group.
Legal business name: Parma SNF Healthcare LLC.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Providence Group NH, LLC | Management company (operational or managerial control) | NOT APPLICABLE | December 1, 2024 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 130 |
| Average residents per day | 94.8 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Pacs Group |
| Legal business name | Parma SNF Healthcare LLC |
| First approved by Medicare/Medicaid | 2007-06-07 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 9055 West Sprague Road, Parma, OH 44133 |
| County | Cuyahoga County |
| State | Ohio |
| Phone | (440) 842‑4967 |
| CMS Certification Number | 366343 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Pleasantview Care Center1.3 mi · Parma, OH · 5 of 5 stars
- Pleasant Lake Villa1.4 mi · Parma, OH · 2 of 5 stars
- Diplomat Healthcare1.9 mi · North Royalton, OH · 2 of 5 stars
- Greenbrier Health Center2.5 mi · Parma Heights, OH · 2 of 5 stars
- Mt Alverna Home Inc2.8 mi · Parma, OH · 2 of 5 stars
Nearest hospital emergency rooms
- Southwest General Health Center4.5 mi · Middleburg Heights, OH · Acute Care Hospital
- Fairview Hospital7.8 mi · Cleveland, OH · Acute Care Hospital
- MetroHealth System8.1 mi · Cleveland, OH · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13