Nursing HomeInspections

Rocky River Gardens Rehab and Nursing Ctr

Nursing home in Cleveland, OH

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
4102 Rocky River Dr, Cleveland, OH 44135
Phone
(216) 251-3300
Listed under
For-profit
Medicare CCN
365392
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
5 of 5
Certified beds
120
Average residents per day
87
Ownership
For-profit, limited Liability company
Legal business name
Garden Healthcare of Rocky River LLC
Chain
Garden Healthcare Group (6 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 1979
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 365392. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Apr 12, 2024. CMS lists 49 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 5, 2019 to Jul 24, 2026): 18 from complaint inspections, 5 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 24, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 24, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 8, 2026Honor 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 · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 8, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 8, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
E
Potential for more than minimal harm, pattern
May 20, 2026Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 14, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 14, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 14, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Jan 14, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service · complaint inspection
E
Potential for more than minimal harm, pattern
Jan 14, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · complaint inspection
E
Potential for more than minimal harm, pattern
Jan 14, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 49. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $68,068 and 1 denial of Medicare payment for new admissions in the last three years.

Oct 23, 2024Fine: $17,068
Oct 23, 2024Fine: $17,414
Oct 23, 2024Payment denial for 25 days from Nov 16, 2024
Jul 22, 2024Fine: $33,586

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.52 hours
Registered nurse (RN) time per resident per day
0.46 hours
Nurse aide time per resident per day
1.90 hours
Total nurse staffing on weekends
2.98 hours
Nursing staff turnover (yearly)
56%
RN turnover (yearly)
86%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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