North Royalton Post Acute in Parma, OH has a 2-star overall rating, with especially weak staffing at 1 star and nurse staffing below the federal benchmark (2.84 vs. 4.1 hours per resident per day). Health inspections and quality measures are both 3 stars, with no fines in the last 24 months, though recent citations included infection control, accident hazards/supervision, and food handling.
Last inspection: November 25, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8375.
Staffing detail
Registered nurses
0.39
Licensed practical nurses
0.92
Nurse aides
1.53
Weekend nursing
2.65
Hours per resident per day.
Total staff turnover: 36%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
19.8%Improving
Residents with a fall causing major injury
3.1%Improving
Residents with pressure ulcers (bedsores)
2.2%Improving
Residents with a urinary tract infection
2%Improving
Residents who lost too much weight
8.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.4%Improving
Residents whose ability to walk got worse
11.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
12.8%Improving
Short-stay residents newly given an antipsychotic
1.8%Improving
Residents with a long-term catheter
0.6%Steady
Residents with new or worsening incontinence
22.3%Worsening
Residents with depressive symptoms
19.2%Worsening
Long-stay residents given the seasonal flu vaccine
95.9%Steady
Long-stay residents given the pneumonia vaccine
99.7%Improving
Short-stay residents given the seasonal flu vaccine
51.9%Steady
Short-stay residents given the pneumonia vaccine
90.7%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 nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
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
Ownership
For profit - Corporation
Chain
Part of PACS GROUP · 279 homes · 3 stars avg
Occupancy
113.4 residents on an average day (87% 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.