North Royalton Post Acute — nursing home in Parma, OH

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 130 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 94.8 CMS, MDS-derived
CMS Certification Number: 366343
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 7, 2007
Ownership type: For profit - Corporation
Operator (legal business name): Parma SNF Healthcare LLC
CMS chain: Pacs Group 277 facilities
Phone: (440) 842-4967
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

10

latest May 21, 2026

Citations

38

24 health · 14 fire

Harm or worse

3

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L1
Actual harm	G1	H·	I·
Potential harm	D20	E6	F7
Minimal	A·	B1	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$24,007

Payment denials

1

Latest

May 21, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 366343
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 130
First approved: Jun 7, 2007
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Ohio.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 21, 2026	Health	Health Complaint	5	Actual harm	—	Open →
Nov 25, 2025	Health	Health Complaint	6	Potential harm	—	Open →
Aug 28, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Jan 31, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jan 31, 2024	Health	Health Standard	2	Potential harm	—	Open →
Dec 6, 2023	Health	Health Complaint, Infection Control	1	Immediate jeopardy	—	Open →
Sep 16, 2021	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Sep 16, 2021	Health	Health Standard	3	Potential harm	—	Open →
May 14, 2019	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
May 14, 2019	Health	Health Standard	5	Immediate jeopardy	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
May 21, 2026	Denial of payment for new admissions	—	Jun 18, 2026 · 12 days	366343\|Payment Denial\|2026-06-18
Dec 6, 2023	Civil money penalty (fine)	$24,007	—	366343\|Fine\|77674

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L1
Actual harm	G1	H·	I·
Potential harm	D20	E6	F7
Minimal	A·	B1	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 21, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Jun 24, 2026	Complaint
May 21, 2026	F-0585	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 24, 2026	Complaint
May 21, 2026	F-0691	Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 24, 2026	Complaint
May 21, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 24, 2026	Complaint
May 21, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 30, 2026	Complaint
Nov 25, 2025	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 23, 2025	Complaint
Nov 25, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 23, 2025	Complaint
Nov 25, 2025	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 23, 2025	Complaint
Nov 25, 2025	F-0693	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 23, 2025	Complaint
Nov 25, 2025	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 23, 2025	Complaint
Nov 25, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 23, 2025	Complaint
Aug 28, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 10, 2024	Complaint
Aug 28, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 10, 2024	Complaint
Jan 31, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 13, 2024
Jan 31, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 13, 2024
Jan 31, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 13, 2024
Jan 31, 2024	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 13, 2024
Jan 31, 2024	F-0838	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. Administration Deficiencies · Administration & records	C · Minimal Widespread	Corrected Feb 13, 2024
Dec 6, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	L · Immediate jeopardy Widespread	Corrected Dec 26, 2023	ComplaintInfection control
Sep 16, 2021	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Oct 21, 2021
Sep 16, 2021	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 21, 2021
Sep 16, 2021	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 21, 2021
Sep 16, 2021	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 21, 2021
Sep 16, 2021	K-0753	Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 21, 2021
Sep 16, 2021	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 21, 2021
Sep 16, 2021	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 21, 2021
Sep 16, 2021	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Oct 21, 2021
May 14, 2019	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Jun 26, 2019
May 14, 2019	K-0222	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. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 26, 2019
May 14, 2019	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 2, 2019
May 14, 2019	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 26, 2019
May 14, 2019	K-0500	Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 26, 2019
May 14, 2019	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 26, 2019
May 14, 2019	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 26, 2019
May 14, 2019	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 26, 2019
May 14, 2019	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 26, 2019
May 14, 2019	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jun 26, 2019
May 14, 2019	F-0711	Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision	B · Minimal Pattern	Corrected Jun 26, 2019

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 2.4

Quality measuresstate 4.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.03

State avg 3.71US avg 3.90

Registered nurse (RN)0.50

State avg 0.64US avg 0.69

Licensed practical nurse0.96

State avg 0.95US avg 0.86

Nurse aide1.57

State avg 2.12US avg 2.35

Weekend total nurse2.65

State avg 3.29US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.28 (case-mix index 1.86).

Staff turnover

Total nursing staff turnover31.2%

State avg 49.0%US avg 45.3%

Registered nurse turnover9.1%

State avg 44.4%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 31, 2024
Cycle 1 health score: 64
Total weighted score: 90.5
Infection-control citations: 1

Operating entity

Parma SNF Healthcare LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Pacs Group

277 facilities in 16 states. CMS chain ID 690.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3

Ownership disclosures

Disclosures

14

Organizations

8

Individuals

6

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Providence Group Nh, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2024
Rachel Groppi	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2024
Frederick Apt	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 1, 2024
Joshua Jergensen	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 1, 2024
John Mitchell	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 1, 2024
9055 West Sprague Road Oh Owner LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2024
Providence Administrative Consulting Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2024
SNF Oh Holdco LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2024
Well Integra Master Jv LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2024
Well Pm Holdco Jv LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2024
Welltower Op LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2024
Welltower, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2024
Matthew Frantz	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2024
Rachel Groppi	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2024

Same chain in Ohio

All 276 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Buckeye Care and Rehabilitation 1900 East Main Street, Lancaster, OH 43130 CCN 365250	99	Apr 24, 2026	561 IJ	$21k
Willoughby Post Acute 37603 Euclid Ave, Willoughby, OH 44094 CCN 365305	157	Apr 23, 2026	362 harm	$26k
Barberton Post Acute 85 Third Street SE, Barberton, OH 44203 CCN 365340	99	Aug 27, 2026	431 IJ1 harm2 open	—
Beavercreek Post Acute 1974 North Fairfield Road, Dayton, OH 45432 CCN 365374	110	Mar 20, 2025	431 harm	$43k
Circleville Post-Acute 1155 Atwater Avenue, Circleville, OH 43113 CCN 365456	97	May 13, 2026	36	—
Delhi Post-Acute 5999 Bender Road, Cincinnati, OH 45233 CCN 365530	116	Aug 27, 2026	812 open	—
Three Meadows Post Acute 10540 Fremont Pike Rd, Perrysburg, OH 43551 CCN 365535	120	Mar 12, 2026	851 IJ1 harm1 open	—
Chillicothe Post Acute 1058 Columbus St, Chillicothe, OH 45601 CCN 365576	99	Mar 10, 2026	491 open	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 9055 West Sprague Road, Parma, OH 44133
ZIP: 44133
County: Cuyahoga County FIPS 39035
State: Ohio
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Pleasantview Care Center 7377 Ridge Rd, Parma, OH 44129 CCN 365084	2 km	162	Aug 21, 2025	321 harm	—
Pleasant Lake Villa 7260 Ridge Rd, Parma, OH 44129 CCN 365706	2.3 km	209	Jun 2, 2026	48	—
Diplomat Healthcare 9001 W 130th St, North Royalton, OH 44133 CCN 365432	3.1 km	130	Nov 25, 2025	723 harm7 open	$85k
Greenbrier Health Center 6455 Pearl Rd, Parma Heights, OH 44130 CCN 365192	4.1 km	162	Oct 8, 2025	741 IJ1 harm	$17k
Mt Alverna Home Inc 6765 State Road, Parma, OH 44134 CCN 366071	4.5 km	153	Jul 30, 2026	7015 open	—
Royal Oak Nursing & Rehab Ctr 6973 Pearl Rd, Middleburg Heights, OH 44130 CCN 365753	4.6 km	99	Aug 7, 2025	512 harm	$8,970
East Park Care Center 8 East Park Circle, Brook Park, OH 44142 CCN 365731	5.7 km	57	Oct 28, 2025	873 harm	$72k
North Park Care Center 14801 Holland Road, Brook Park, OH 44142 CCN 366390	6.4 km	34	Mar 27, 2025	215 open	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	366343	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	366343	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 366343

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction