HomeOhioCuyahoga CountyDIPLOMAT HEALTHCARE
D
Poor

DIPLOMAT HEALTHCARE

9001 W 130TH ST · NORTH ROYALTON, OH 44133

4402373104 · For profit - Corporation

130 beds110.6 residents132 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

DIPLOMAT HEALTHCARE receives an overall staffing grade of D (Poor). With 3.2144 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3041 HPRD, below the recommended 0.75. It is 0.68 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 9.88% compared to weekdays. The facility has low agency staff usage (1.34% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2144 HPRD — needs 0.27 more hours per resident per day.
⚠️RN staffing (0.3041 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (4)

No days with zero registered nurse hours this quarter
Low agency staff usage (1.34%) — mostly permanent, familiar staff
Consistent weekend staffing — only 9.88% drop-off
Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.2144hrs/resident/day 0.68
CMS benchmark: 3.48
RN HPRD
0.3041hrs/resident/day 0.38
Recommended: 0.75
Weekend Drop-off
9.88%
3.3068 weekday → 2.98 weekend
Agency Staff
1.34%
3.31% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9677hrs/resident/day
Direct care aides
LPN HPRD
0.9372hrs/resident/day
Licensed practical nurses
Consistency
0.2379std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Cuyahoga County Average-0.52 HPRD
3.74
03.21 HPRD
vs. Ohio State Average-0.52 HPRD
3.73
03.21 HPRD
vs. National Average-0.68 HPRD
3.90
03.21 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
DIPLOMAT HEALTHCARE
NORTH ROYALTON · This facility
D
3.21440.3041★★☆☆☆
GREENBRIER HEALTH CENTER
PARMA HEIGHTS
3 mi
D
3.28430.3806☆☆☆☆
PLEASANTVIEW CARE CENTER
PARMA
3 mi
B
4.36630.5719★★★★
ALTENHEIM
STRONGSVILLE
3.7 mi
C
4.2390.4189★★★☆☆
ROCKY RIVER GARDENS REHAB AND NURSING CTR
CLEVELAND
7.1 mi
F
3.22670.2387★★☆☆☆
PEARLVIEW REHAB & WELLNESS CTR
BRUNSWICK
7.3 mi
C
3.42450.7809★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

12
Inspections
42
Total Deficiencies
$11,213
Fines Assessed
Nov 25, 2025Health
8 deficiencies cited· Includes actual harm
Dec 12, 2024Health
9 deficiencies cited· Includes actual harm
Oct 10, 2024Health
7 deficiencies cited· Includes actual harm
Jul 30, 2024Health
1 deficiency cited
Mar 13, 2024Health
1 deficiency cited
Mar 7, 2024Health
1 deficiency cited
Nov 13, 2023Health
3 deficiencies cited
Sep 11, 2023Health
1 deficiency cited
Aug 12, 2023Health
1 deficiency cited· Includes actual harm
May 31, 2023Health
1 deficiency cited
Jun 15, 2022Health
4 deficiencies cited
Jun 27, 2019Health
5 deficiencies cited

Penalty History

Oct 10, 2024Fine
$11,213
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.