CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3663432026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

North Royalton Post Acute

9055 West Sprague Road · Parma, OH 44133 · Cuyahoga County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds130CMS provider file
Recent citation rows38current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12024-01-31132024-01-313
Cycle 22021-09-1652021-09-165
Cycle 32019-05-1462019-05-146
02 / CITATION DETAIL

38 rows in the current release

3 rows carry G–L scope/severity codes; 2 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-05-21 · HEALTHF0585Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2026-06-24 · complaint
2026-05-21 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-06-24 · complaint
2026-05-21 · HEALTHF0691Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-06-24 · complaint
2026-05-21 · HEALTHF0760Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has date of correction · 2026-06-24 · complaint
2026-05-21 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-06-30 · complaint
2025-11-25 · HEALTHF0558Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Correction field: Deficient, Provider has date of correction · 2025-12-23 · complaint
2025-11-25 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-12-23 · complaint
2025-11-25 · HEALTHF0690Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-12-23 · complaint
2025-11-25 · HEALTHF0693Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-12-23 · complaint
2025-11-25 · HEALTHF0759Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2025-12-23 · complaint
2025-11-25 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-12-23 · complaint
2024-08-28 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2024-09-10 · complaint
2024-08-28 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-09-10 · complaint
2024-01-31 · HEALTHF0584Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-02-13
2024-01-31 · HEALTHF0838Severity C · widespread; potential for minimal harm

Administration Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-02-13
2024-01-31 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2024-02-13
2024-01-31 · FIREK0372Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2024-02-13
2024-01-31 · FIREK0511Severity E · pattern; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2024-02-13
2023-12-06 · HEALTHF0880Severity L · widespread immediate jeopardy

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2023-12-26 · complaint · infection control
2021-09-16 · FIREE0015Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

Correction field: Deficient, Provider has date of correction · 2021-10-21
2021-09-16 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction field: Deficient, Provider has date of correction · 2021-10-21
2021-09-16 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2021-10-21
2021-09-16 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2021-10-21
2021-09-16 · FIREK0211Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has date of correction · 2021-10-21
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2023-12-06Fine$24,0070
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • APT, FREDERICKIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 12/01/2024
  • JERGENSEN, JOSHUAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 12/01/2024
  • MITCHELL, JOHNIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 12/01/2024
  • PROVIDENCE GROUP NH, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 12/01/2024
  • GROPPI, RACHELIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 12/01/2024
  • 9055 WEST SPRAGUE ROAD OH OWNER LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 12/01/2024
  • NOT APPLICABLE · since 12/01/2024
  • SNF OH HOLDCO LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 12/01/2024
  • WELL INTEGRA MASTER JV LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 12/01/2024
  • WELL PM HOLDCO JV LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 12/01/2024
  • WELLTOWER OP, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 12/01/2024
  • WELLTOWER, INCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 12/01/2024
  • FRANTZ, MATTHEWIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 12/01/2024
  • GROPPI, RACHELIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 12/01/2024

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours2.94per resident day
RN hours0.46per resident day
Weekend nurse hours2.91per resident day
Staff turnover31.2%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.