Rocky River Gardens Rehab and Nursing CtrCMS ratings, inspections and fines
- Address
- 4102 Rocky River Dr, Cleveland, OH 44135
- CCN
- 365392
- Ownership type
- For-profit, limited liability company
- Certified beds
- 120
- Residents per day
- 94
- CMS flags
- No standard survey in more than 2 years
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Rocky River Gardens Rehab and Nursing Ctr an overall rating of 2 of 5 stars. The last standard survey was on 12 Apr 2024. The latest survey cycle has 17 health citations. The median for nursing homes in Ohio is 8. CMS lists 3 fines with a total of $68,068 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Cuyahoga County median | Ohio median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 92 homes in the county, 922 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Ohio median |
|---|---|---|---|
| Cycle 1 (latest) | 12 Apr 2024 | 17 | 8 |
| Cycle 2 | 14 Jun 2023 | 15 | 8 |
| Cycle 3 | No date | 12 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 May 2026 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Complaint investigation | 3 Jun 2026 |
| 14 Jan 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 16 Jan 2026 |
| 14 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 16 Jan 2026 |
| 14 Jan 2026 | F0761 | 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 locked compartments, separately locked, compartments for controlled drugs. | E | Complaint investigation | 16 Jan 2026 |
| 14 Jan 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 16 Jan 2026 |
| 14 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 16 Jan 2026 |
| 14 Jan 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 16 Jan 2026 |
| 12 Apr 2024 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 10 May 2024 |
| 12 Apr 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 10 May 2024 |
| 12 Apr 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 May 2024 |
| 12 Apr 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 10 May 2024 |
| 12 Apr 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 10 May 2024 |
| 12 Apr 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 10 May 2024 |
| 12 Apr 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 10 May 2024 |
| 12 Apr 2024 | F0761 | 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 locked compartments, separately locked, compartments for controlled drugs. | F | Standard survey | 10 May 2024 |
| 12 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 May 2024 |
| 12 Apr 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 10 May 2024 |
Survey cycle 2: 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 18 Nov 2024 |
| 4 Dec 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 11 Dec 2024 |
| 23 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 4 Dec 2024 |
| 14 Jun 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 11 Jul 2023 |
| 14 Jun 2023 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G | Standard survey | 11 Jul 2023 |
| 14 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 11 Jul 2023 |
| 14 Jun 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 11 Jul 2023 |
| 14 Jun 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 11 Jul 2023 |
| 14 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 11 Jul 2023 |
| 14 Jun 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 11 Jul 2023 |
| 14 Jun 2023 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 11 Jul 2023 |
| 14 Jun 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 11 Jul 2023 |
| 14 Jun 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 11 Jul 2023 |
| 14 Jun 2023 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 11 Jul 2023 |
| 14 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Jul 2023 |
Survey cycle 3: 12 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 23 Jul 2024 |
| 22 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 23 Jul 2024 |
| 15 Dec 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint investigation | 18 Dec 2023 |
| 5 Dec 2019 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 20 Dec 2019 |
| 5 Dec 2019 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 20 Dec 2019 |
| 5 Dec 2019 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 20 Dec 2019 |
| 5 Dec 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 20 Dec 2019 |
| 5 Dec 2019 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 20 Dec 2019 |
| 5 Dec 2019 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 20 Dec 2019 |
| 5 Dec 2019 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 20 Dec 2019 |
| 5 Dec 2019 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Standard survey | 20 Dec 2019 |
| 5 Dec 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Dec 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 23 Oct 2024 | Fine | $17,414 | |
| 23 Oct 2024 | Fine | $17,068 | |
| 23 Oct 2024 | Payment denial | 25 | |
| 22 Jul 2024 | Fine | $33,586 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Ohio median | Ohio average (CMS) |
|---|---|---|---|
| All nurse staff | 3.21 | 3.60 | 3.69 |
| Registered nurses (RN) | 0.39 | 0.60 | 0.64 |
| Licensed practical nurses (LPN) | 1.03 | 0.95 | |
| Nurse aides | 1.78 | 2.09 | |
| All nurse staff, weekends | 2.77 | 3.20 | 3.28 |
- Nurse staff turnover in a year
- 58.7%
- Nurse staff turnover, Ohio median
- 48.5%
- RN turnover in a year
- 92.9%
- Administrators who left in a year
- No data
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Ohio median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 0.3% | 4.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 2.8% | 4.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.6% | 7.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Garden Healthcare of Rocky River LLC
- Chain
- Garden Healthcare Group (6 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Chickiestrong Rocky River LLC | Direct ownership interest | 1 Sep 2017 | |
| Garden Care El-DG Holdings, LLC | Direct ownership interest | 1 Sep 2017 | |
| Chickiestrong Real Estate LLC | Indirect ownership interest | 1 Sep 2017 | |
| Eatery Capital LLC | Indirect ownership interest | 1 Sep 2017 | |
| Eatery Manager LLC | Indirect ownership interest | 1 Sep 2017 | |
| Garden Ohio Operating Holdings LLC | Indirect ownership interest | 1 Sep 2017 | |
| Garden Ohio Operating Managing Member LLC | Indirect ownership interest | 1 Sep 2017 | |
| Chickiestrong Rocky River LLC | Operational/managerial control | 1 Sep 2017 | |
| Chickiestrong Real Estate LLC | Adp of the snf | 1 Sep 2017 | |
| Eatery Capital LLC | Adp of the snf | 1 Sep 2017 | |
| Eatery Manager LLC | Adp of the snf | 1 Sep 2017 | |
| Garden Care El-DG Holdings, LLC | Adp of the snf | 1 Sep 2017 |
The site shows organisations only. It does not show the names of persons.
Other homes in Cuyahoga County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Larchwood Care | Cleveland | 5 of 5 | 8 | $0 | 8 Sep 2025 | |
| Aristos Nursing and Rehabilitation | Cleveland | 2 of 5 | 24 | $0 | 29 Sep 2025 | |
| Westpark Healthcare Campus | Cleveland | 5 of 5 | 8 | $0 | 29 Jan 2026 | |
| O'Neill Healthcare Fairview Park | Fairview Park | 5 of 5 | 0 | $0 | 12 Apr 2024 | |
| Welsh Home The | Rocky River | 5 of 5 | 1 | $0 | 4 Jan 2024 | |
| Gardens of North Olmsted | North Olmsted | 2 of 5 | 37 | $0 | 14 Dec 2022 | |
| O'Neill Healthcare Lakewood | Lakewood | 4 of 5 | 8 | $0 | 31 Aug 2023 | |
| North Park Care Center | Brook Park | 5 of 5 | 0 | $0 | 27 Mar 2025 | |
| O'Neill Healthcare North Olmsted | North Olmsted | 4 of 5 | 9 | $0 | 9 Apr 2025 | |
| Crestmont North Nursing Home | Lakewood | 4 of 5 | 13 | $0 | 29 May 2025 | |
| Enniscourt Nursing Care | Lakewood | 2 of 5 | 9 | $40,803 | 7 Sep 2023 | |
| Normandy Manor of Rocky River | Rocky River | 2 of 5 | 3 | $0 | 11 Jul 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Rocky River Gardens Rehab and Nursing Ctr (CCN 365392). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/rocky-river-gardens-rehab-and-nursing-ctr-cleveland-oh-365392/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Rocky River Gardens Rehab and Nursing Ctr last inspected?
- The latest inspection with a citation in the CMS record was on 20 May 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 14 Jun 2023. CMS marks the last health inspection of this home as more than 2 years old.
- Who operates Rocky River Gardens Rehab and Nursing Ctr?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Garden Healthcare Group. The CMS ownership file names Chickiestrong Rocky River LLC for operational or managerial control. This site does not show the names of persons.
- Is Rocky River Gardens Rehab and Nursing Ctr a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in Ohio as Special Focus Facilities and 25 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.