ElderGrade
F

38.9/100

Poor

Rocky River Gardens Rehab And Nursing Ctr

4102 Rocky River Dr, Cleveland, OH 44135

CMS 2/5 stars #79 of 91 in Cuyahoga County (216) 251-3300
Certified beds
120
Occupancy
78%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 5 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $68,068 in federal fines

    CMS has fined this facility across 3 penalty action(s).

  • Last inspection was more than 2 years ago

    Ratings here are based on older survey data than at most facilities.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

7.9/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 3 immediate-jeopardy citation(s) in the last 3 years
  • -2.1 for 23 total citations against a national median of 17

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.03 total nurse hours per resident per day (national median 3.77)
  • 0.39 RN hours per resident per day
  • Weekend staffing drops 14% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 59% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

3/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $68,068 in federal fines across 3 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.21 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.39 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.77 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 58.70%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 44 citations

Last standard health inspection: April 12, 2024 (2 years ago).

D May 20, 2026 F0565 From a complaint

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

No actual harm, potential for more than minimal harm

F Jan 14, 2026 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Jan 14, 2026 F0677 From a complaint

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

E Jan 14, 2026 F0761 From a complaint

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

E Jan 14, 2026 F0921 From a complaint

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

No actual harm, potential for more than minimal harm

D Jan 14, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Jan 14, 2026 F0842 From a complaint

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

J Dec 4, 2024 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy to resident health or safety

Who owns this home

Full record

Part of GARDEN HEALTHCARE GROUP, which operates 6 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CHICKIESTRONG ROCKY RIVER LLC Organization DIRECT OWNERSHIP INTEREST
GARDEN CARE EL-DG HOLDINGS, LLC Organization DIRECT OWNERSHIP INTEREST
BRAUNSTEIN BEARS 2016 TRUST Organization INDIRECT OWNERSHIP INTEREST
CHICKIESTRONG REAL ESTATE LLC Organization INDIRECT OWNERSHIP INTEREST
EATERY CAPITAL LLC Organization INDIRECT OWNERSHIP INTEREST
EATERY MANAGER LLC Organization INDIRECT OWNERSHIP INTEREST
EATERY TRUST Organization INDIRECT OWNERSHIP INTEREST
GARDEN OHIO OPERATING HOLDINGS LLC Organization INDIRECT OWNERSHIP INTEREST
GARDEN OHIO OPERATING MANAGING MEMBER LLC Organization INDIRECT OWNERSHIP INTEREST
FEUER, SAMUEL Individual INDIRECT OWNERSHIP INTEREST
LESHKOWITZ, ELI Individual INDIRECT OWNERSHIP INTEREST
BHIMANI, JAYANTILAL Individual MANAGING CONTROL - GOVERNING BODY

What families say

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Common questions about Rocky River Gardens Rehab And Nursing Ctr

What is the ElderGrade for Rocky River Gardens Rehab And Nursing Ctr? +

Rocky River Gardens Rehab And Nursing Ctr holds an ElderGrade of F (38.9 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Rocky River Gardens Rehab And Nursing Ctr? +

Residents receive an average of 3.21 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Rocky River Gardens Rehab And Nursing Ctr been cited for harming residents? +

Yes. 5 of the 44 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Rocky River Gardens Rehab And Nursing Ctr accept Medicaid? +

Yes, Rocky River Gardens Rehab And Nursing Ctr is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.