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Nursing homeFAID #9745

Royal Oak Nursing & Rehab Ctr

6973 PEARL RD, MIDDLEBURG HEIGHTS, OH, 44130
(440) 884-9191
99 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections2/5 staffing4/5 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
365753
Care type
Nursing home
County
Cuyahoga
Facility name
Royal Oak Nursing & Rehab Ctr
Street address
6973 PEARL RD
City / state / ZIP
Middleburg Heights, OH 44130
Phone
(440) 884-9191

About this facility — Royal Oak Nursing & Rehab Ctr

Royal Oak Nursing & Rehab Ctr is a Medicare/Medicaid-certified skilled nursing facility in Middleburg Heights, Ohio. It is licensed for 99 beds — above the median for skilled nursing facilities in Ohio (86 beds).

It is one of 8 senior care facilities in Middleburg Heights 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 Oak Nursing & Rehab Ctr 51 times across 9 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $8,970 in fines. 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

Parent company
Embassy Healthcare
Ownership type
For profit - Corporation

Registered owners & officers

2020 Gsr Dynasty Llc
Indirect owner — since 2020
Aaron Handler Family Dynasty Trust
Indirect owner — since 2020
Ah Dynasty Llc
Indirect owner — since 2020
Embassy Healthcare Holdings Inc
Direct owner — since 2020
Embassy Healthcare Management Inc
Operational control · Additional disclosable party — since 2020
Gebhard, Richard
Operational control · Additional disclosable party — since 2025
George S. Repchick 2020 Family Dynasty Trust
Indirect owner — since 2020
Handler, Aaron
Indirect owner · Governing body · Operational control · Additional disclosable party — since 2020
Heritage Employment Services, Llc
Operational control · Additional disclosable party — since 2020
Mandat, Thomas
Operational control · Additional disclosable party — since 2025
Repchick, George
Indirect owner · Governing body · Operational control · Additional disclosable party — since 2020

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
1989-10-11
CMS overall rating
3 of 5 stars
Health deficiencies
4 at the last standard inspection
Federal fines
$8,970 total
Last standard inspection
2024-03-28
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$395 per day (≈ $12,010/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
21% Medicaid · 3% Medicare · 76% private/other
Occupancy
73% (fiscal year 2023)
Vs. state median
9% 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 4 food-safety citations on its three-year record — flagged below among the inspections.
2025-08-07Health inspectionComplaint-triggered2 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-08
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-08-08
2024-10-23Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-10-24
7 earlier / fire-safety inspections (48 citations)
2024-09-16Health inspectionComplaint-triggered1 citation
F-0760
G · Actual harmFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-07-30
2024-03-28Health inspection2 citations
F-0561
D · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-04-17
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-17
2022-02-10Health inspection8 citations
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-03-04
F-0801
F · No harm foundFood safety
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.
Corrected 2022-03-04
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 2022-03-04
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 2022-03-04
F-0814
F · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2022-03-04
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-03-04
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2022-03-04
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-03-04
2019-07-11Health inspection7 citations
F-0569
E · No harm found
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2019-08-19
F-0570
E · No harm found
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2019-08-19
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2019-08-19
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2019-08-19
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-08-19
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 2019-08-19
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-08-19
2024-03-28Fire-safety inspection12 citations
K-0161
F · No harm found
Use approved construction type or materials.
Corrected 2024-04-17
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-04-17
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-17
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-04-17
K-0711
F · No harm found
Provide a written emergency evacuation plan.
Corrected 2024-04-17
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-04-17
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-04-17
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-04-17
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-04-17
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-17
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-17
K-0923
F · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-04-17
2022-02-10Fire-safety inspection11 citations
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-03-04
K-0222
F · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-03-04
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-03-04
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2022-03-04
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-03-04
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2022-03-04
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-03-04
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-03-04
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-03-04
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2022-03-04
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2022-03-04
2019-07-11Fire-safety inspection7 citations
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2019-08-19
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2019-08-19
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2019-08-19
K-0711
E · No harm found
Provide a written emergency evacuation plan.
Corrected 2019-08-19
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-08-19
K-0781
E · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2019-08-19
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2019-08-19

Federal penalties

2024-09-16Fine$8,970
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 365753.

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 51 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
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