Royal Oak Nursing & Rehab Center

    6973 Pearl Road, Middleburg Heights, OH, 44130
    3.4 · 16 reviews
    • Skilled nursing
    AnonymousCurrent/former resident
    3.0

    Excellent therapists, poor nursing care

    I had a mixed experience. The building is clean and comfortable with private rooms, new furniture, pet therapy and outstanding therapists who helped me regain mobility and go home. However nursing and administrative care was inconsistent-rude or neglectful staff at times, poor communication, delayed wound/medication care (I saw a new bedsore and dehydration issues), and occasional cleanliness/safety lapses. Good for focused rehab; I would be cautious about long-term nursing care.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.44 · 16 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.4
    • Staff

      3.4
    • Meals

      3.3
    • Amenities

      3.6
    • Value

      3.4

    Pros

    • Effective and fast therapy/rehabilitation
    • Knowledgeable, skilled therapy staff
    • Responsive and caring aides and nurses (reported by several reviewers)
    • Clean, comfortable private rooms with new furnishings
    • Mounted TVs and comfortable recliners in rooms
    • Pet therapy available
    • Good/palatable meals with alternatives (reported by some)
    • COVID-free facility (reported)
    • Timely communication and attentive administration/nurse director (reported)
    • Safe transfers and measurable mobility improvement
    • Family-like atmosphere and kindness from some staff

    Cons

    • Inconsistent nursing quality and frequent nursing problems
    • Poor medication administration
    • Poor wound care and reports of new bedsores/deep tissue injury
    • Dehydration leading to significant decline in condition
    • Allegations of abuse, neglect, and improper removal before rehab completion
    • Rude staff and poor interpersonal behavior in some shifts
    • Poor nurse call response and nurses often at the desk/ignoring residents
    • Aides observed sleeping on duty
    • Dirty or inconsistently cleaned areas (filthy shower area, rooms not cleaned)
    • No heat reported in rooms during part of stay
    • Lazy or inadequate maintenance
    • Shady or problematic record handling
    • Falls safety concerns
    • Small therapy room and limited activities for some residents
    • Inconsistent food quality (some find food terrible)
    • Highly variable experiences depending on staff on duty

    Summary review

    Overall sentiment: The review set for Royal Oak Nursing & Rehab Center is highly mixed, with strong, repeated praise for the therapy team and certain frontline caregivers alongside serious and recurring complaints about nursing care, safety, cleanliness, and management practices. Many reviewers describe excellent short-term rehabilitation outcomes — rapid therapy progress, measurable mobility gains, and discharge home — while others report alarming lapses that led to medical decline, injury, or distress. The prevalence of both glowing and strongly negative reports indicates substantial variability in resident experience depending on the shift, individual staff members, or department.

    Care quality and rehabilitation: Therapy and rehabilitation are the most consistently praised aspects. Multiple reviews cite “amazing,” “top-notch,” and “quick” therapy that focuses on getting residents home, with effective therapists who produce visible mobility improvement and safe transfers. Several residents and families credit therapy staff with enabling discharge and recovery that was ultimately completed successfully. Where therapy is strong, reviewers note knowledgeable staff, progress in strength and walking, and a clear, goal-oriented approach. However, some reviewers mention a small therapy room and limited activities, which could constrain therapy options or patient engagement in group programs.

    Nursing, medical care, and safety concerns: Nursing care is the most frequent source of negative feedback and is cited as inconsistent or problematic by many reviewers. Complaints include poor medication administration, slow or poor nurse call response, nurses who remain at the desk instead of attending residents, and aides seen sleeping on duty. Serious medical concerns are described: dehydration leading to dramatic behavioral change that resolved after rehydration, a deep tissue injury attributed to prolonged wheelchair restriction, and the appearance of new bedsores not present on admission. There are also allegations of neglect and abuse, and at least one report of a resident being removed from the facility before rehab objectives were met. Falls safety is raised as a concern in some reviews. These issues point to lapses in nursing oversight, wound care, hydration monitoring, and safety practices for vulnerable residents.

    Staff behavior, communication, and management: Reviews show a sharp contrast in staff behavior and management responsiveness. Several families praise attentive administrators, a communicative nurse director, and staff who provide helpful updates and demonstrate kindness. Conversely, other reviewers report rude, unprofessional staff (naming at least one nurse), lack of communication with families, ignored questions, and allegations of record mishandling. Specific management and administrative problems include alleged shady record handling and removal of a resident before therapy was completed. The disparate reports suggest uneven training, supervision, or staffing consistency, where positive management interactions may coexist with periods or teams exhibiting poor professionalism.

    Facilities and cleanliness: Facility impressions also vary widely. Positive comments describe very clean rooms, comfortable private rooms with mounted TVs, new furniture, and recliners; some reviewers explicitly state the facility was COVID-free. Pet therapy and pleasant furnishings are cited as benefits. In contrast, other reviewers describe filthy shower areas, rooms not cleaned for the first two weeks, no heat in rooms for a portion of the stay, and generally dirty environments. Maintenance is sometimes described as lazy. This split suggests facility upkeep can be excellent at times and deficient at others, potentially tied to staffing or shift patterns.

    Dining and activities: Dining impressions are mixed. Several reviewers praise the food as good or palatable, with alternative meal options available, while others call the food terrible. Activities are noted as available but limited; some residents must actively seek them out to participate. Pet therapy and some social programming exist, but the level and consistency of activity offerings appear variable and dependent on resident initiative or staffing.

    Patterns and takeaways: The dominant pattern is variability: many reviewers report excellent therapy, kind aides, and clean, comfortable rooms, often resulting in successful rehab and discharge. At the same time, there are multiple, serious complaints about nursing care, wound management, hydration, staff responsiveness, and cleanliness that cannot be dismissed as isolated. Because several negative reports describe objective harms (dehydration, bedsores, deep tissue injury) and procedural problems (shady records, premature removal), these issues merit attention from prospective residents and families.

    Recommendations for prospective residents/families (based on themes in reviews): If considering Royal Oak, weigh the strong rehabilitation capability and skilled therapy staff as a major plus, especially for short-term rehab goals. At the same time, be vigilant about nursing care: monitor hydration, wound status, medication administration, and response to nurse calls. Ask for clear communication protocols, named points of contact, and written care plans; inspect room cleanliness and hygiene practices on arrival; and document any concerning incidents. Because experiences appear to depend heavily on which staff are on duty, families who can visit regularly or maintain close communication may be better positioned to ensure consistent, safe care.

    Conclusion: Royal Oak Nursing & Rehab Center delivers excellent rehabilitation for many patients and has clearly compassionate and skilled therapy staff and some highly regarded caregivers and administrators. However, inconsistent nursing practices, the potential for serious lapses in wound care and hydration, variable cleanliness, and reports of unprofessional behavior represent meaningful risks. The facility may be a strong choice for patients who need intensive therapy and whose families can actively monitor care, but the mixed reviews suggest caution and close oversight are advisable.

    Location

    Map showing location of Royal Oak Nursing & Rehab Center

    About Royal Oak Nursing & Rehab Center

    Royal Oak Nursing & Rehab Center in Beachwood, Ohio, is a skilled nursing facility with 99 certified beds, though as of now it serves about 66 residents a day, and they say by June 2025, all 99 beds will be available, and it sits under the ownership of Aaron Handler, operating for-profit and sitting under Embassy Healthcare, and a lot of folks who come here need care after getting out of the hospital or for longer-term conditions like chronic illness, physical disabilities, or Alzheimer's disease, plus they accept both Medicare and Medicaid for health insurance, so that helps many families with costs, and you'll find nurse coverage here 12 to 16 hours daily, with about 3.45 nursing hours per resident per day, which is lower than Ohio's average of 3.7, and they've had some nurse turnover, around 46.4%, but that's actually lower than the state average which is 51%. Folks get 24-hour oversight and a responsive call system to help make sure everyone's safe, especially since they've got an emergency alert system, and you can see they're trying to keep the place clean and comfortable, with English spoken for all their services.

    Royal Oak has been cited for 19 deficiencies, including one about infection and another relating to Resident Rights-there was an issue with not always telling residents, doctors, or family if something happened affecting the resident, and they got an $8,970 fine for that; they've also had a deficiency with pharmacy services and medication errors. The building is not a Continuing Care Retirement Community (CCRC), but it offers a broad range of services including skilled nursing, rehabilitation, long-term care, adult daycare, assisted living, and independent living, and there are programs for memory care and pulmonary care, plus care types such as subacute, cardiac, diabetes, hospice, IV therapy, nutrition, orthopedic, outpatient therapy, renal, respite, and wound care. They provide help with activities of daily living like bathing, dressing, transfers, and grooming, and they also offer non-ambulatory care for residents who can't get around so well. Their amenities are set up to make things pleasant-there are furnished private rooms with bathrooms, kitchenette, cable TV, Wi-Fi, and air conditioning, plus common spaces for activities, movies, a library, arts and crafts, games, music programs, walking paths, and garden areas, and residents get to join community and resident-run activities.

    There's a spa/wellness room, fitness room, and even transportation and parking, and when you think about meals, they provide restaurant-style dining with options for dietary needs like allergies or diabetes. For everyday living, you get housekeeping, laundry, dry cleaning, maintenance, concierge, move-in help, and family support services. If someone needs rehabilitation, there are physical, occupational, and social therapies, and staff give medication management, personal support, social services, and access to home health aides. Royal Oak is affiliated with organizations like the Ohio Health Care Association and the American Health Care Association, and they aim for high standards even though some inspection and deficiency reports show areas for improvement. This facility is best for seniors needing skilled nursing, rehabilitation, and memory care, and while you shouldn't expect everything to be perfect, it covers most things folks needing extra support after surgery or with long-term illnesses may want.

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