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Nursing home report

North Royalton Post Acute

PARMA, OH · Medicare-certified · 130 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

North Royalton Post Acute in Parma, OH has a 1-star overall rating, with 1-star staffing and 2-star health inspection results, though quality measures are 4 stars. It has the lowest overall rating flag, no fines in the last 24 months, and reported nurse staffing of 2.94 hours per resident per day, below the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

2.9392 hrs/resident/day

Quality measures

Last inspection: May 21, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9392.

Staffing detail

Registered nurses
0.46
Licensed practical nurses
0.92
Nurse aides
1.56
Weekend nursing
2.91

Hours per resident per day.

Total staff turnover: 31%
Registered nurse turnover: 43%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

23.2%9.8%Improving

Residents with a fall causing major injury

4.6%1.2%Improving

Residents with pressure ulcers (bedsores)

1.1%0.9%No change

Residents with a urinary tract infection

0%1.2%Worsening

Residents who lost too much weight

10.8%7.2%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

4.2%3%Improving

Residents whose ability to walk got worse

6.2%3%Improving

Long-stay residents on antianxiety or sleep medication

11.8%15.7%Worsening

Short-stay residents newly given an antipsychotic

3.8%1.2%Improving

Residents with a long-term catheter

2.6%0%Improving

Residents with new or worsening incontinence

23.3%17.7%Improving

Residents with depressive symptoms

6.6%82.3%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

95.9%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

51.9%

Short-stay residents given the pneumonia vaccine

90.7%98.9%Improving

What the inspectors found

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2023 — widespread issue, immediate jeopardy to residents.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: L

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2019 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2019 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to provide activities that met all residents’ needs. Cited May 2019 — limited pattern, potential for harm.

View the original federal record

F-Tag 679 — 42 CFR §483.24 — S/S: E

The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited May 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 585 — 42 CFR §483.10 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $24,007 in total fines.

  • Federal fine

    Dec 6, 2023

    $24,007

Operator & ownership

Recent ownership change · Dec 1, 2024

Now operated by North Royalton Post Acute, previously Legacy North Royalton.

Ownership
For profit - Corporation
Chain
Part of PACS GROUP · 281 homes · 2.8 stars avg
Occupancy
108.9 residents on an average day (84% of 130 beds)
Resident voice
Resident council
Medicare history
Certified for 19 years

The most recent standard health inspection was more than two years ago.

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.