North Royalton Post Acute

In the surveyor’s words

From the most serious findings on record at North Royalton Post Acute, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Dec 6, 2023

  Based on observations, review of facility policy and procedures, interviews with the Communicable Disease Investigator and facility staff and review of the Centers for Disease Control and Prevention guidelines, the facility failed to implement effective infection control practices including a system to ensure the availability and appropriate use of personal protective equipment (PPE) by staff, a system to ensure staff were donning and doffing PPE when required and to ensure the local health department was properly notified of a facility COVID-19 outbreak. […]

• Actual harm, isolatedF689May 21, 2026

  Based on closed record review, hospital record review, review of facility fall investigations, facility policy review and interview, the facility failed to develop and implement a comprehensive, individualized and effective fall/safety plan of care to prevent repeated falls including falls with injury for Resident #97. This affected one resident (#97) of three residents reviewed for falls. The facility census was 96.Actual Harm occurred on 12/23/25 when Resident #97, who was at high risk for falls (with four falls between 12/17/25 and 12/22/25) and who had behaviors (agitation/restlessness) sustained a fall from bed resulting in a hematoma and visible injury to her right temple without evidence of comprehensive, individualized and effective interventions being in place to prevent the fall. […]

• No harm, potential for more than minimal, patternF602Nov 16, 2022

  Based on record review and interviews the facility failed to prevent misappropriation of resident funds. This affected 11 residents (Resident #1, Resident #4, Resident #12, Resident #14, Resident #19, Resident #20, Resident #90, Resident #93, Resident #100, Resident #101 and Resident #102) out of 29 residents with resident accounts. The census was 98. Findings include: Review of a Self Reported Incident (SRI) dated 10/20/22 revealed an investigation of alleged misappropriation of three former Residents (#100, #101 and #102) and eight current residents ( #1,#4,#12, #14, #19,#20, #90 and #93) was substantiated by the facility. According to the SRI, the Manager Regional Business Office Support (MRBS) #332 completed an audit of resident trust accounts from 01/01/21 through 09/13/22. […]

• No harm, potential for more than minimal, patternF880Jun 22, 2022

  Based on observation, record review and interview, the facility failed to properly display appropriate signage outside 10 resident rooms (Residents #4, #24, #26, #32, #43, #60, #69, #73, #103 and #110) who were in airborne isolation precautions to include the type of precautions and personal protective equipment (PPE) required by staff and/or visitors and the facility failed to ensure all staff donned proper personal protective equipment (PPE) when entering rooms of residents on airborne isolation precautions. […]

• No harm, potential for more than minimal, isolatedF585May 21, 2026

  Based on resident record review, staff interviews, and facility policy review, the facility failed to provide a timely response to resident concerns. This affected one resident (#33) of three reviewed for resident's rights. The facility census was 96.Findings include: Review of the medical record for Resident #33 revealed she was admitted to the facility on [DATE] with diagnoses that included osteoarthritis of the left shoulder, type two diabetes mellitus, and dementia. Review of the care plan dated 03/21/25 revealed Resident #33 had a self-cere performance deficit with interventions to assist with ADLs.Review of the facility concern document dated 03/11/26 revealed Resident #33's representative reported Resident #33 was missing two pairs of pants, one black and whites stripped pair and… […]