The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
DIPLOMAT HEALTHCARE
NORTH ROYALTON, OH · Medicare-certified · 130 beds
Needs attention
For-profitChain member
2 of 5 overall
Diplomat Healthcare in North Royalton has a 2-star overall rating, with a 1-star health inspection rating and 2-star staffing rating, despite 5 stars for quality measures. Reported staffing is 3.24 hours per resident per day, below the federal benchmark of 4.1, and the facility had $11,213 in fines in the last 24 months plus a recent federal penalty; recent inspection concerns included pressure ulcer care, treatment and care orders, and accident hazards/supervision.
Facility ratings
Health inspections
Staffing
3.239 hrs/resident/day
Quality measures
Last inspection: November 25, 2025Penalties, last 24 months: $11,213recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.239.
Staffing detail
- Registered nurses
- 0.27
- Licensed practical nurses
- 0.99
- Nurse aides
- 1.98
- Weekend nursing
- 2.99
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 38%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16.3%Improving
Residents with a fall causing major injury
2.3%Improving
Residents with pressure ulcers (bedsores)
2.9%Improving
Residents with a urinary tract infection
0.5%Improving
Residents who lost too much weight
5.9%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.1%Improving
Residents whose ability to walk got worse
5.9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
28.6%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.2%Steady
Residents with new or worsening incontinence
22.1%Steady
Residents with depressive symptoms
26.6%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
89.8%Worsening
Short-stay residents given the seasonal flu vaccine
36.2%Steady
Short-stay residents given the pneumonia vaccine
29.1%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 740 — 42 CFR §483.40 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $11,213 was recorded.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $11,213 in total fines.
- $11,213
Federal fine
Oct 10, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of SABER HEALTHCARE GROUP · 126 homes · 3 stars avg
- Occupancy
- 110.7 residents on an average day (85% of 130 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 46 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.