F

North Royalton Post Acute

9055 WEST SPRAGUE ROAD, PARMA, OH 44133
Score: 37 / 100

With a score of 37/100, North Royalton Post Acute ranks in the bottom tier of Ohio nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels are a potential concern at North Royalton Post Acute, with 2.96 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 CMS inspections identified 20 deficiencies at North Royalton Post Acute, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: reasonably accommodate the needs and preferences of each resident..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.96 3.8 Below Average
Registered Nurses (RN) 0.43 0.7 Below Average
Licensed Practical Nurses (LPN) 0.92 0.7 Above Average
Certified Nursing Assistants (CNA) 1.61 2.4 Below Average
Weekend Total Nursing 2.67 3.8 Below Average
Weekend RN Hours 0.30 0.7 Below Average

🔍 Inspection & Deficiency History

20
Total Deficiencies
Nov 24, 2025
Most Recent Inspection
⚪ 2 Minor 🟠 16 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0558 Severity D
    Reasonably accommodate the needs and preferences of each resident.
    Nov 24, 2025 · Resident Rights Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Nov 24, 2025 · Quality of Life and Care Deficiencies
  • Tag 0690 Severity D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent
    Nov 24, 2025 · Quality of Life and Care Deficiencies
  • Tag 0693 Severity D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a f
    Nov 24, 2025 · Quality of Life and Care Deficiencies
  • Tag 0759 Severity D
    Ensure medication error rates are not 5 percent or greater.
    Nov 24, 2025 · Pharmacy Service 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 2.4% 4.5% Better
Falls with major injury 4.0% 3.0% Worse
On antipsychotic medication 21.8% 14.5% Worse
Urinary tract infections 2.6% 2.5% Average
ADL decline (daily activities) 14.7% 14.0% Average
Excessive weight loss 9.2% 7.5% Worse
New/worsened incontinence 24.1% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $24,007

How This Grade Was Calculated

This facility's grade of F is based on a score of 37 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -2 pts

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

Facility Details

Ownership
For profit - Corporation
Certified Beds
130
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 30, 2024
Deficiencies (Cycle 1)
8