SNF
ROYAL OAK NURSING & REHAB CTR
CCN: 365753 · MIDDLEBURG HEIGHTS, OH 44130 · Cuyahoga County
Overview
- Address
- 6973 PEARL RD, MIDDLEBURG HEIGHTS, OH 44130
- Phone
- 4408849191
- Certified beds
- 99
- Avg daily residents
- 74 (75% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1989-10-11
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.30 | 3.82 | 3.34 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.36 | 0.67 | 0.37 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.93 | 0.85 | 0.94 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.01 | 2.30 | 2.03 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.30 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.08 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
2.91
hrs / resident / day
RN (weekend)
0.19
hrs / resident / day
Total nurse (adjusted, weekend)
2.94
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
47.8%
annual
RN turnover
66.7%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.35
higher acuity than avg
Case-Mix Index Ratio
0.98
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-03-28 | 4 | 2 | 2 | 16 | 1 | 16 |
| Cycle 2/3 (prior) | 2022-02-10 | 10 | 8 | 2 | 120 | 1 | 120 |
Total weighted health score
42.0
lower is better
Deficiencies (21)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
19 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-08-07 | 2025-08-08 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-08-07 | 2025-08-08 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-10-23 | 2024-10-24 |
| 0760 | Ensure that residents are free from significant medication errors. | G | 2024-09-16 | 2024-07-30 |
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-03-28 | 2024-04-17 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-03-28 | 2024-04-17 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2022-02-10 | 2022-03-04 |
| 0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2022-02-10 | 2022-03-04 |
| 0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | 2022-02-10 | 2022-03-04 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-02-10 | 2022-03-04 |
| 0814 | Dispose of garbage and refuse properly. | F | 2022-02-10 | 2022-03-04 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2022-02-10 | 2022-03-04 |
| 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2022-02-10 | 2022-03-04 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2022-02-10 | 2022-03-04 |
| 0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2019-07-11 | 2019-08-19 |
| 0570 | Assure the security of all personal funds of residents deposited with the facility. | E | 2019-07-11 | 2019-08-19 |
| 0637 | Assess the resident when there is a significant change in condition | D | 2019-07-11 | 2019-08-19 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2019-07-11 | 2019-08-19 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2019-07-11 | 2019-08-19 |
| 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2019-07-11 | 2019-08-19 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2019-07-11 | 2019-08-19 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$8,970
| Date | Type | Fine amount |
|---|---|---|
| 2024-09-16 | Fine | $8,970 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 2.5% Medicaid 21.1% Other 76.4%
Operating performance
Operating Margin
8.4%
Total Margin
14.9%
Occupancy Rate
73.3%
Cost per Resident Day
$32
Revenue & costs
Net Patient Revenue
$8.7M
Total Costs
$860K
Net Income
$1.4M
Balance sheet
Total Assets
$6.2M
Total Liabilities
$2.1M
Fund Balance
$4.1M
Current Ratio
1.16
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: EMBASSY HEALTHCARE
- Chain ID
199- Facilities in chain
- 37
- Legal business name
- EMBASSY ROYAL OAK LLC
Chain-average star ratings (for peer context)
Overall
2.5
Health
2.0
Staffing
2.3
QM
4.5
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| EMBASSY HEALTHCARE MANAGEMENT INC | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2020 |
| HERITAGE EMPLOYMENT SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2020 |
Owner / manager individuals (4)
| Name | Role | Association |
|---|---|---|
| GEBHARD, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| HANDLER, AARON | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2020 |
| MANDAT, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| REPCHICK, GEORGE | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2020 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $32 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.16 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 21.1% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 2.5% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $1,397,173 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $8,679,632 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 73.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 8.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $6,230,004 | metrics.total_assets |
| Cost Report | Total Costs ($) | $859,925 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $4,106,404 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $2,123,600 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 14.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.94440 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.03021 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.36640 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.34101 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.94314 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 74.3 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.84741 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.30308 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.66795 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.81845 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.36556 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.0 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.5 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.5 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.3 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 199 | Chain ID |
| Provider Information | Chain Name | EMBASSY HEALTHCARE | Chain Name |
| Provider Information | City/Town | MIDDLEBURG HEIGHTS | City/Town |
| Provider Information | CMS Certification Number (CCN) | 365753 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Cuyahoga | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1989-10-11 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 41.3766 | Latitude |
| Provider Information | Legal Business Name | EMBASSY ROYAL OAK LLC | Legal Business Name |
| Provider Information | Location | 6973 PEARL RD,MIDDLEBURG HEIGHTS,OH,44130 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -81.794 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 99 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 37 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.35270 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.98189 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 6973 PEARL RD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | ROYAL OAK NURSING & REHAB CTR | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 170 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 16 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 2 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 2 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-03-28 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 16 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 4 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 8 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2022-02-10 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 120 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 2 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 120 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 10 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.18923 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 66.7 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.29638 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.93401 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.00787 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.08144 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.36237 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.30425 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 1 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | OH | State |
| Provider Information | Telephone Number | 4408849191 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 8970.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.91076 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 47.8 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 42.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 44130 | ZIP Code |