6973 Pearl Rd, Middleburg Heights, OH 44130 (opens Google Maps) · Cuyahoga County · (440) 884-9191· 99 certified beds · avg 59 residents/day · certified since Oct 11, 1989 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: EMBASSY HEALTHCARE (33 facilities, chain avg rating 2.4★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
⚠ 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 quality measures from resident assessments and claims.
▲ Actual harm, isolated · Sep 16, 2024 · F-0760 · triggered by a complaint
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.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 30, 2024 (Past Non-Compliance)
▲ Actual harm, isolated · Feb 10, 2022 · 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 (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Mar 4, 2022 (Deficient, Provider has date of correction)
Showing the latest 3 of 21 inspection findings. Open the full record below to read every finding.
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 F-0684
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 F-0880
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint F-0580
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 7, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Aug 7, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Oct 23, 2024 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Sep 16, 2024 | ▲ G · Actual harm, isolated | 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 · F-0760 |
| Mar 28, 2024 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561 |
| Mar 28, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Feb 10, 2022 | ▲ G · Actual harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Feb 10, 2022 | F · Potential for more than minimal harm, widespread | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Feb 10, 2022 | F · Potential for more than minimal harm, widespread | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803 |
| Feb 10, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Feb 10, 2022 | F · Potential for more than minimal harm, widespread | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Feb 10, 2022 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Feb 10, 2022 | D · Potential for more than minimal harm, isolated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · F-0919 |
| Feb 10, 2022 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Jul 11, 2019 | E · Potential for more than minimal harm, pattern | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. · F-0569 |
| Jul 11, 2019 | E · Potential for more than minimal harm, pattern | The facility did not properly protect the personal money residents deposited with it for safekeeping. · F-0570 |
| Jul 11, 2019 | D · Potential for more than minimal harm, isolated | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637 |
| Jul 11, 2019 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Jul 11, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Jul 11, 2019 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jul 11, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
Citations from standard inspections decreased between the last two inspection cycles (8 → 2).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 7 | 0 | E |
| 2022 | 8 | 1 | G ▲ |
| 2024 | 4 | 1 | G ▲ |
| 2025 | 2 | 0 | D |
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.
How to file a complaint about care →
1 fine totaling $8,970.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Sep 16, 2024 | Fine | $8,970 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.15 | 3.45 | 3.95 | bottom 37% in Ohio; bottom 19% in the U.S. |
| Registered Nurse hours | 0.47 | 0.60 | 0.69 | bottom 33% in Ohio; bottom 33% in the U.S. |
| Weekend total nurse staffing | 2.98 | 3.07 | 3.50 | top 46% in Ohio; bottom 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.42 | 0.48 | top 30% in Ohio; top 36% in the U.S. |
| Total nursing staff turnover (%) | 52.1 | 48.7 | 45.8 | bottom 40% in Ohio; bottom 32% in the U.S. |
| RN turnover (%) | 62.5 | 43.9 | 42.9 | bottom 21% in Ohio; bottom 19% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.31, RN 0.49, weekend 3.13.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.31 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Royal Oak Nursing & Rehab Ctr. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 2020 GSR Dynasty LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2020 |
| Aaron Handler Family Dynasty Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2020 |
| Ah Dynasty LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2020 |
| Embassy Healthcare Holdings INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/01/2020 |
| George S. Repchick 2020 Family Dynasty Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2020 |
| Handler, Aaron | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2020 |
| Repchick, George | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2020 |
| Embassy Healthcare Management INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Embassy Healthcare Management INC | Organization | ADP of the SNF | NOT APPLICABLE | 06/12/2025 |
| Gebhard, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Gebhard, Richard | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Handler, Aaron | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2020 |
| Handler, Aaron | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Handler, Aaron | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Heritage Employment Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Heritage Employment Services, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/12/2025 |
| Mandat, Thomas | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Mandat, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Repchick, George | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2020 |
| Repchick, George | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
Showing 20 of 21 parties CMS has on file for this facility; 1 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Embassy Healthcare — 33 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 32 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| East Park Care Center | 0.9 mi | Brook Park, OH | ★★☆☆☆ | 1/5 | |
| North Park Care Center | 1.4 mi | Brook Park, OH | ★★★★★ | 5/5 | |
| Greenbrier Health Center | 1.4 mi | Parma Heights, OH | ★★☆☆☆ | 1/5 | |
| Parkside Villa | 2.0 mi | Middleburg Heights, OH | ★★★★☆ | 3/5 | |
| O'Neill Healthcare Middleburg Heights | 2.1 mi | Middleburg Heights, OH | ★★★★★ | 4/5 | |
| Diplomat Healthcare | 2.4 mi | North Royalton, OH | ★★☆☆☆ | 1/5 | |
| Hopkins Rehabilitation and Care Center | 2.4 mi | Middleburg Heights, OH | ★★☆☆☆ | 2/5 | |
| North Royalton Post Acute | 2.9 mi | Parma, OH | ★☆☆☆☆ | 2/5 | |
| Aristocrat Berea Healthcare and Rehabilitation | 3.1 mi | Berea, OH | ★★☆☆☆ | 2/5 | |
| Pleasant Lake Villa | 3.1 mi | Parma, OH | ★★★☆☆ | 3/5 | |
| Pleasantview Care Center | 3.1 mi | Parma, OH | ★★★★★ | 4/5 | |
| Northwestern Healthcare Center | 3.3 mi | Berea, OH | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Cuyahoga, OH — 92 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 365753.
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