Rocky River Gardens Rehab and Nursing Ctr

Nursing home in Cleveland, OH

Medicare & Medicaid certified2★ overall (CMS)

Call (216) 251-3300 Send a message Map ↗

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: 94
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 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 12, 2024. CMS lists 44 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 5, 2019 to May 20, 2026): 13 from complaint inspections, 5 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

Inspection	Citation	Severity
May 20, 2026	Honor 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, 2026	Ensure 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, 2026	Safeguard 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, 2026	Provide 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, 2026	Ensure 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, 2026	Make 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, 2026	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	F Potential for more than minimal harm, widespread
Dec 4, 2024	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Dec 4, 2024	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	J Immediate jeopardy, isolated
Oct 23, 2024	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	J Immediate jeopardy, isolated
Jul 22, 2024	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Jul 22, 2024	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	J Immediate jeopardy, isolated

Showing the 12 most recent of 44. 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 Aug 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, 2024	Fine: $17,068
Oct 23, 2024	Fine: $17,414
Oct 23, 2024	Payment denial for 25 days from Nov 16, 2024
Jul 22, 2024	Fine: $33,586

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

Staffing

Total nurse staffing per resident per day: 3.21 hours
Registered nurse (RN) time per resident per day: 0.39 hours
Nurse aide time per resident per day: 1.78 hours
Total nurse staffing on weekends: 2.77 hours
Nursing staff turnover (yearly): 59%
RN turnover (yearly): 93%

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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