The nursing home failed to ensure residents were free from significant medication errors. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
Royal Oak
Registered name: ROYAL OAK NURSING & REHAB CTR
MIDDLEBURG HEIGHTS, OH · Medicare-certified · 99 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Royal Oak in Middleburg Heights, OH has a 3 out of 5 star overall rating. Its staffing rating is low at 2 stars, with reported nurse staffing of 3.31 hours per resident per day versus the 4.1 federal benchmark, and it has had $8,970 in fines plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3143 hrs/resident/day
Quality measures
Last inspection: August 7, 2025Penalties, last 24 months: $8,970recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3143.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 0.75
- Nurse aides
- 2.07
- Weekend nursing
- 3.13
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 63%
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
12.1%16.7%Worsening
Residents with a fall causing major injury
1.8%3.3%Worsening
Residents with pressure ulcers (bedsores)
5.6%6.5%Worsening
Residents with a urinary tract infection
1.8%0%Improving
Residents who lost too much weight
9.8%3.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.2%4%Improving
Residents whose ability to walk got worse
3.9%3.9%No change
Long-stay residents on antianxiety or sleep medication
21.6%20%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.6%37.5%Worsening
Residents with depressive symptoms
5.9%32.7%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
—96.9%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—79.5%—
Short-stay residents given the pneumonia vaccine
85.2%94%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited February 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited February 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,970 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,970 in total fines.
- $8,970
Federal fine
Sep 16, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of EMBASSY HEALTHCARE · 35 homes · 2.4 stars avg
- Occupancy
- 59.4 residents on an average day (60% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 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.