D

ROYAL OAK NURSING & REHAB CTR

6973 PEARL RD, MIDDLEBURG HEIGHTS, OH 44130
Score: 53 / 100

CMS data shows Royal Oak Nursing & Rehab Ctr earning a D grade with a score of 53/100, placing it below most facilities in Ohio. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing levels are a potential concern at Royal Oak Nursing & Rehab Ctr, with 3.30 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 21 deficiencies at Royal Oak Nursing & Rehab Ctr. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.30 3.8 Below Average
Registered Nurses (RN) 0.36 0.7 Below Average
Licensed Practical Nurses (LPN) 0.93 0.7 Above Average
Certified Nursing Assistants (CNA) 2.01 2.4 Below Average
Weekend Total Nursing 2.91 3.8 Below Average
Weekend RN Hours 0.19 0.7 Below Average

🔍 Inspection & Deficiency History

21
Total Deficiencies
Aug 6, 2025
Most Recent Inspection
🟠 21 Moderate
View recent deficiencies (5 shown)
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Aug 6, 2025 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Aug 6, 2025 · Infection Control Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Oct 22, 2024 · Resident Rights Deficiencies
  • Tag 0760 Severity G
    Ensure that residents are free from significant medication errors.
    Sep 15, 2024 · Pharmacy Service Deficiencies
  • Tag 0561 Severity D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    Mar 27, 2024 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.0% 4.5% Better
Falls with major injury 2.6% 3.0% Better
On antipsychotic medication 15.8% 14.5% Average
Urinary tract infections 0.4% 2.5% Better
ADL decline (daily activities) 6.0% 14.0% Better
Excessive weight loss 6.2% 7.5% Better
New/worsened incontinence 29.3% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $8,970

How This Grade Was Calculated

This facility's grade of D is based on a score of 53 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
99
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 27, 2024
Deficiencies (Cycle 1)
4