Royal Oak Nursing & Rehab Ctr
Middleburg Heights, Cuyahoga County, Ohio · CCN 365753 · For-profit (Corporation) · part of Embassy Healthcare (33 facilities, chain average 2.4 stars)
CMS rates Royal Oak Nursing & Rehab Ctr 3 of 5 overall as of August 2026. 99 certified beds, 59 residents a day on average. 21 citations on record from the current inspection cycles, 2 involving actual harm; 1 fine totalling $8,970.
On record
- No health inspection in more than two years, by CMS’s own flag.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 4 of 5 |
Staffing
| Total nurse staffing | 3.31425 hours per resident per day |
|---|---|
| Registered nurses | 0.4934 hours per resident per day |
| Weekend total | 3.13239 hours per resident per day |
| Nursing staff turnover | 52.1% (registered nurses 62.5%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-08-07 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-08 |
| 2025-08-07 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-08 |
| 2024-10-23 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-24 |
| 2024-09-16 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2024-07-30 |
| 2024-03-28 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-17 |
| 2024-03-28 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-17 |
| 2022-02-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2022-03-04 |
| 2022-02-10 | 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. Nutrition and Dietary Deficiencies · tag F0801 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-03-04 |
| 2022-02-10 | 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. Nutrition and Dietary Deficiencies · tag F0803 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-03-04 |
| 2022-02-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-03-04 |
| 2022-02-10 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-03-04 |
| 2022-02-10 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-03-04 |
| 2022-02-10 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-03-04 |
| 2022-02-10 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-03-04 |
| 2019-07-11 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · tag F0569 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-08-19 |
| 2019-07-11 | Assure the security of all personal funds of residents deposited with the facility. Resident Rights Deficiencies · tag F0570 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-08-19 |
| 2019-07-11 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-08-19 |
| 2019-07-11 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-08-19 |
| 2019-07-11 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-08-19 |
| 2019-07-11 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-08-19 |
| 2019-07-11 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-08-19 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-16 | Fine | $8,970 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Embassy Healthcare Management Inc. Organization | adp of the snf | — | 2025-06-12 |
| Heritage Employment Services, LLC Organization | adp of the snf | — | 2025-06-12 |
| Embassy Healthcare Holdings Inc. Organization | direct ownership interest | — | 2020-01-01 |
| 2020 Gsr Dynasty LLC Organization | indirect ownership interest | — | 2020-01-01 |
| Aaron Handler Family Dynasty Trust Organization | indirect ownership interest | — | 2020-01-01 |
| Ah Dynasty LLC Organization | indirect ownership interest | — | 2020-01-01 |
| George S. Repchick 2020 Family Dynasty Trust Organization | indirect ownership interest | — | 2020-01-01 |
| Embassy Healthcare Management Inc. Organization | operational/managerial control | — | 2020-01-01 |
| Heritage Employment Services, LLC Organization | operational/managerial control | — | 2020-01-01 |
| Gebhard, Richard Individual | adp of the snf | — | 2025-01-01 |
| Handler, Aaron Individual | adp of the snf | — | 2020-01-01 |
| Mandat, Thomas Individual | adp of the snf | — | 2025-01-01 |
| Repchick, George Individual | adp of the snf | — | 2020-01-01 |
| Handler, Aaron Individual | indirect ownership interest | — | 2020-01-01 |
| Repchick, George Individual | indirect ownership interest | — | 2020-01-01 |
| Handler, Aaron Individual | managing control - governing body | — | 2020-01-01 |
| Repchick, George Individual | managing control - governing body | — | 2020-01-01 |
| Gebhard, Richard Individual | operational/managerial control | — | 2025-01-01 |
| Handler, Aaron Individual | operational/managerial control | — | 2020-01-01 |
| Mandat, Thomas Individual | operational/managerial control | — | 2025-01-01 |
| Repchick, George Individual | operational/managerial control | — | 2020-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Royal Oak Nursing & Rehab Ctr.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Cuyahoga County.