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Nursing homeFAID #9960

Royal Meadows

2026 STATE ROUTE 45, AUSTINBURG, OH, 44010
(440) 275-3019
99 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
99
CMS facility ID
366088
Care type
Nursing home
County
Ashtabula
Facility name
Royal Meadows
Legal entity
Austinburg Nsg and Rehab Ctr
Street address
2026 STATE ROUTE 45
City / state / ZIP
Austinburg, OH 44010
Phone
(440) 275-3019

About this facility — Royal Meadows

Royal Meadows is a Medicare/Medicaid-certified skilled nursing facility in Austinburg, Ohio. It is licensed for 99 beds — above the median for skilled nursing facilities in Ohio (86 beds).

It is one of 2 senior care facilities in Austinburg and 922 skilled nursing facilities across Ohio. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Royal Meadows 32 times across 7 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner
Adam White
Parent company
Atrium Centers
Ownership type
For profit - Limited Liability company

Registered owners & officers

Orion Operating Services Llc
Direct owner · Operational control — 100% stake — since 2007
Al-shahed, Abdallah
Operational control · Additional disclosable party — since 2025
Albright Ross, Susan
Operational control · Owner of a disclosable party · Additional disclosable party — since 2022
Amicus Capital Holdings Inc
Indirect owner · Additional disclosable party — since 2021
Amicus Capital Holdings, Inc. Employee Stock Ownership Trust
Indirect owner · Additional disclosable party — since 2021
Amicus Properties Llc
Additional disclosable party — since 2021
Anderson, Curt
Operational control · Additional disclosable party — since 2025
Atrium Centers Management Llc
Indirect owner · Operational control — since 2007
Bailey, Essel
Indirect owner · Director — since 2012
Broad River Rehabilitation
Additional disclosable party — since 2021
Cherry, Jill
Operational control · Additional disclosable party — since 2025
Evergreen Two Llc
Additional disclosable party — since 2026
Fifth Third Bank
Mortgage holder · Operational control — since 2017
Finney, Donald
Indirect owner · Director — since 2006
Forvis Mazars Llp
Additional disclosable party — since 2023
Gaylord, Celestine
Operational control · Additional disclosable party — since 2017
Heller, David
Governing body · Operational control · Additional disclosable party — since 2024
Johnson, Cindy
Governing body · Operational control · Additional disclosable party — since 2024
Knight, Melissa
Operational control · Additional disclosable party — since 2024
Leaderstat Ltd
Additional disclosable party — since 2025
Lument Real Estate Capital, Llc
Mortgage holder — since 2022
Maurice, Sharon
Operational control · Additional disclosable party — since 2025
Ocs Real Estate Holdings Llc
Additional disclosable party — since 2021
Omnicare Llc
Additional disclosable party — since 2025
Orion Properties Fifteen Llc
Additional disclosable party — since 2022
Paredes, Miguel
Indirect owner — since 2021
Plante & Moran Pllc
Additional disclosable party — since 2025
Sharp, Lillian
Operational control · Additional disclosable party — since 2016
Sutton, Tracy
Operational control · Additional disclosable party — since 2022
Vagi, Jennifer
Operational control · Additional disclosable party — since 2025
Zetter, David
Operational control · Additional disclosable party — since 2025

Regulatory standing

Federal court records
10 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1996-10-08
CMS overall rating
3 of 5 stars
Health deficiencies
7 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-01-30
Nurse staffing
3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$414 per day (≈ $12,590/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
57% Medicaid · 12% Medicare · 31% private/other
Occupancy
60% (fiscal year 2023)
Vs. state median
14% above the OH median of $364/day — full state cost breakdown

Services & coverage

Licensed beds
99
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2025-01-30Health inspection7 citations
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-26
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-02-26
F-0692
E · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-02-26
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-02-26
F-0803
F · No harm foundFood safety
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.
Corrected 2025-02-26
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-02-26
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-26
2023-01-12Health inspection4 citations
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-01-24
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-01-24
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-01-24
F-0761
D · No harm found
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.
Corrected 2023-01-24
4 earlier / fire-safety inspections (21 citations)
2020-01-30Health inspection6 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2020-02-13
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2020-02-13
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2020-02-13
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-02-13
F-0761
D · No harm found
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.
Corrected 2020-02-13
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2020-02-13
2025-01-30Fire-safety inspection4 citations
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-02-26
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-02-26
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-02-26
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-26
2023-01-12Fire-safety inspection4 citations
K-0341
E · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-01-24
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-24
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-01-24
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-01-24
2020-01-30Fire-safety inspection7 citations
E-0024
C · No harm found
Establish policies and procedures for volunteers.
Corrected 2020-02-13
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2020-02-13
K-0347
D · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2020-02-13
K-0351
F · No harm found
Install an approved automatic sprinkler system.
Corrected 2020-02-13
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-02-13
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-02-13
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2020-02-13
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 366088.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 32 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Federal NPI Registry (NPPES)
NPI 1881730059
Monthly federal file
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered