North Royalton Post Acute

Name: North Royalton Post Acute
Address: 9055 WEST SPRAGUE ROAD, Parma, OH, 44133, US
Telephone: 4408424967

9055 West Sprague Road, Parma, OH 44133 · Cuyahoga County · 130 certified beds · avg 109 residents/day · certified since Jun 7, 2007

Part of chain: PACS GROUP (274 facilities, chain avg rating 2.9★)

2/5

Health inspection rating (on-site)

Serious findings on record

$24,007

Fines, last 3 years

2.26

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, facility-wide · Dec 6, 2023 · F-0880 · triggered by a complaint

The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.

Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.

Corrected: Dec 26, 2023 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · May 14, 2019 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Jun 26, 2019 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · May 21, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jun 24, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (24)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 21, 2026	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 21, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
May 21, 2026	D · Potential for harm, one-off	The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. · from a complaint
May 21, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
May 21, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Nov 25, 2025	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Nov 25, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Nov 25, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Nov 25, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint
Nov 25, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
Nov 25, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Aug 28, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Aug 28, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 31, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 31, 2024	C · Minimal risk, facility-wide	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Dec 6, 2023	▲ L · Immediate jeopardy, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Sep 16, 2021	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Sep 16, 2021	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Sep 16, 2021	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 14, 2019	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 14, 2019	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 14, 2019	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
May 14, 2019	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
May 14, 2019	B · Minimal risk, repeated	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (3 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2019	5	1	J ▲
2021	3	0	D
2023	1	1	L ▲
2024	4	0	D
2025	6	0	D
2026	5	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $24,007.

Date	Type	Amount / length
Dec 6, 2023	Fine	$24,007

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Ohio avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.26	3.45	3.95	bottom 1% in Ohio; bottom 2% in the U.S.
Registered Nurse hours	0.35	0.60	0.69	bottom 12% in Ohio; bottom 16% in the U.S.
Weekend total nurse staffing	2.24	3.07	3.50	bottom 4% in Ohio; bottom 4% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.44	0.42	0.48	top 35% in Ohio; top 41% in the U.S.
Total nursing staff turnover (%)	31.2	48.7	45.8	top 10% in Ohio; top 17% in the U.S.
RN turnover (%)	42.9	43.9	42.9	top 47% in Ohio; bottom 49% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.94, RN 0.46, weekend 2.91. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
9055 West Sprague Road Oh Owner LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2024
Apt, Frederick	Individual	Corporate Officer	NOT APPLICABLE	12/01/2024
Frantz, Matthew	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2024
Groppi, Rachel	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2024
Groppi, Rachel	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2024
Jergensen, Joshua	Individual	Corporate Officer	NOT APPLICABLE	12/01/2024
Mitchell, John	Individual	Corporate Officer	NOT APPLICABLE	12/01/2024
Providence Administrative Consulting Services INC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2024
Providence Group NH, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2024
SNF Oh Holdco LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2024
Well Integra Master JV LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2024
Well PM Holdco JV LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2024
Welltower Op, LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2024
Welltower, INC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"Which staff are trained in ostomy care, and how often is that care provided and checked?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Pleasantview Care Center	1.3 mi	Parma, OH	★★★★★	4/5
Pleasant Lake Villa	1.4 mi	Parma, OH	★★★☆☆	3/5
Diplomat Healthcare	1.9 mi	North Royalton, OH	★★☆☆☆	1/5
Greenbrier Health Center	2.5 mi	Parma Heights, OH	★★☆☆☆	1/5
Mt Alverna Home INC	2.8 mi	Parma, OH	★★☆☆☆	2/5
Royal Oak Nursing & Rehab Ctr	2.9 mi	Middleburg Heights, OH	★★★☆☆	3/5
East Park Care Center	3.5 mi	Brook Park, OH	★★☆☆☆	1/5
North Park Care Center	4.0 mi	Brook Park, OH	★★★★★	5/5
O'Neill Healthcare Middleburg Heights	4.5 mi	Middleburg Heights, OH	★★★★★	4/5
Parkside Villa	4.5 mi	Middleburg Heights, OH	★★★★☆	3/5
Avenue at Broadview Heights	4.5 mi	Broadview Heights, OH	★★★☆☆	2/5
Falling Water Healthcare Center	4.9 mi	Strongsville, OH	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Parma →

Facility data as of CMS processing date 2026-08-01. CCN 366343.

The Care File

Visit checklist — North Royalton Post Acute

9055 West Sprague Road, Parma, OH 44133 · 4408424967

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $24,007

Most serious findings on record:

▲ Dec 6, 2023 (F-0880, Immediate jeopardy, facility-wide): The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
▲ May 14, 2019 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ May 21, 2026 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "Which staff are trained in ostomy care, and how often is that care provided and checked?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 366343 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)