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North Royalton Post Acute

Nursing Home Facility

9055 West Sprague Road, Parma, OH 44133

Nursing Home Care Senior Living

Located just 6 minutes from University Hospital Parma Medical Center on West Sprague Road in Cleveland, OH, ManorCare provides individualized post-hospital skilled nursing care in a comfortable environment. Our clinical and therapy teams are experienced in providing specialized care focused on your needs, interests and ability. This commitment results in a smoother and safer transition throughout your recuperation. You should look for a setting that specializes in providing vital medical care and rehabilitation in a warm and caring environment. We offer a range of services to meet your health care needs.

Operated by PACS Group, which runs 226 communities in our directory.

Employer rating 3.2 out of 5 52 reviews from their own employees on Indeed. See what they say.

With 130 beds, North Royalton Post Acute is one of the larger communities in the area, senior care communities in Parma average about 100 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 84% of its licensed beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Parma average about 2.8 stars. Its most recent standard health inspection was in January 2024 and recorded 13 deficiencies.

Residents receive about 2.9 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Communities in Parma average about 3.8 hours. Nursing staff turnover over the past year was about 31%.

The community is located in Cuyahoga County, OH.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 24 problems at North Royalton Post Acute. 3 findings involved harm to a resident, including 2 that put residents in immediate danger. 14 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $24,007.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected May 2026, after a complaint. Corrected by June 24, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Inspected May 2026, after a complaint. Corrected by June 24, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Inspected May 2026, after a complaint. Corrected by June 24, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected May 2026, after a complaint. Corrected by June 24, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected May 2026, after a complaint. Corrected by June 30, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected November 2025, after a complaint. Corrected by December 23, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected November 2025, after a complaint. Corrected by December 23, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected November 2025, after a complaint. Corrected by December 23, 2025.

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  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Inspected November 2025, after a complaint. Corrected by December 23, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure medication error rates are not 5 percent or greater.

    Inspected November 2025, after a complaint. Corrected by December 23, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected November 2025, after a complaint. Corrected by December 23, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Inspected January 2024. Corrected by February 13, 2024.

  • Minimal harm or the potential for it, widespread Administration

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Inspected January 2024. Corrected by February 13, 2024.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

North Royalton Post Acute offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 130
  • Occupancy 84%
  • Nursing hours per resident/day 2.9
  • Annual staff turnover 31%
  • Last health inspection January 2024

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