2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Nestled in Cleveland, Rocky River Gardens is a short-term rehabilitation and skilled nursing facility with extensive medical services that ensures comprehensive on-site support. With the goal of rehabilitating patients to independence, their expert care partners endeavor to build personalized plans to promote the fullest extent of well-being. They nurture patients holistically as they also offer a range of services to help residents and families navigate the complex healthcare system and access resources vital for recovery.
In addition to the professional care given by staff, the activities and amenities available at Rocky River Garden include social functions, beauty shops, live entertainment, community support, and life-enrichment programs. This community is committed to serving seniors to reach the maximum quality of life possible.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 100th out of 182 homes in Ohio for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 20m per day | ▼ 48% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 3m per day | ▲ 9% State avg: 58m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 53m per day | ▼ 11% State avg: 2h 8m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 52m per day | ▼ 13% State avg: 3h 17m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▲ 13% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 10m per day | ▼ 61% State avg: 25m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
In Ohio, the Department of Health, Bureau of Survey and Certification conducts unannounced onsite inspections to evaluate the quality of care and environment in all licensed facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Ohio state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | OH Average | vs. OH Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 41 | 2 | This facility has 1950% more total citations than a typical Ohio nursing home (41 vs. OH avg 2).↑ 1950% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Ohio average 6.7
Last Health inspection on Dec 2024
Ohio average 30.9
Ohio average 4.59
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
29 of 39 citations resulted from standard inspections; 8 of 39 resulted from complaint investigations; and 2 of 39 came from combined inspections (standard and complaint).
900% worse than Ohio averageOhio average: 0.3
122% worse than Ohio averageOhio average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
47% fewer staff per resident than Ohio average
0% compared with Ohio average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
13 total: 7 full-time employees and 6 contractors.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursAssists with medical care and medications.
All 32 LPN Staff are full-time employees. No contractors work on this role.
32
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursHelps with daily care and mobility.
All 48 CNA Staff are full-time employees. No contractors work on this role.
48
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,145 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 48 | 0 | 48 | 14,908 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 32 | 0 | 32 | 8,565 | 92 | 100% | 8.7 |
| Registered Nurse | 7 | 6 | 13 | 1,984 | 89 | 97% | 9.1 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,298 | 89 | 97% | 7.2 |
| Speech Language Pathologist | 0 | 2 | 2 | 748 | 78 | 85% | 6 |
| Medication Aide/Technician | 0 | 2 | 2 | 516 | 37 | 40% | 13.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 460 | 54 | 59% | 8.5 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 459 | 60 | 65% | 7.7 |
| Physical Therapy Aide | 0 | 2 | 2 | 457 | 67 | 73% | 6.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 438 | 61 | 66% | 7.2 |
| Administrator | 1 | 0 | 1 | 435 | 58 | 63% | 7.5 |
| Dietitian | 1 | 0 | 1 | 399 | 63 | 68% | 6.3 |
| Nurse Practitioner | 2 | 0 | 2 | 253 | 35 | 38% | 7.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 188 | 33 | 36% | 5.7 |
| Qualified Social Worker | 0 | 2 | 2 | 47 | 35 | 38% | 1.3 |
| Medical Director | 0 | 1 | 1 | 12 | 6 | 7% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 10 | 3 | 3% | 3.2 |
| Physical Therapy Assistant | 0 | 2 | 2 | 8 | 9 | 10% | 0.8 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
52% higher than Ohio averageOhio average: $69K
170% more fines than Ohio averageOhio average: 1.9
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
86% more payment denials than Ohio averageOhio average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 23, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 23, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 23, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 22, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.6
In line with Ohio averageOhio average: 5.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.8
30% better than Ohio averageOhio average: 12.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
1.2%
82% better than Ohio averageOhio average: 6.8%
Percent of long-stay residents whose ability to move independently worsened
2.6%
70% better than Ohio averageOhio average: 8.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.6%
In line with Ohio averageOhio average: 22.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
17% worse than Ohio averageOhio average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
3.8%
In line with Ohio averageOhio average: 3.9%
Percent of long-stay residents with a urinary tract infection
0.3%
50% better than Ohio averageOhio average: 0.5%
Percent of long-stay residents who lose too much weight
16.5%
166% worse than Ohio averageOhio average: 6.2%
Percent of long-stay residents who have depressive symptoms
21.3%
11% better than Ohio averageOhio average: 24.0%
Percent of long-stay residents who received an antipsychotic medication
14.0%
65% worse than Ohio averageOhio average: 8.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.0%
9% worse than Ohio averageOhio average: 92.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.2%
6% worse than Ohio averageOhio average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
2.58
46% worse than Ohio averageOhio average: 1.77
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.36
26% better than Ohio averageOhio average: 1.83
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.7%
In line with Ohio averageOhio average: 78.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Ohio averageOhio average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
52.7%
30% worse than Ohio averageOhio average: 75.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Ohio averageOhio average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
7% of new residents, usually for short-term rehab.
68% of new residents, often for short stays.
24% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
110Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Rocky River Gardens Rehabilitation & Nursing Center from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #53 / 183Payroll — State benchmarkedThis home is ranked 53rd out of 183 homes in Ohio for payroll. Shows total annual staff payroll benchmarked to the Ohio average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Ohio that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #42 / 183Payroll % — State benchmarkedThis home is ranked 42nd out of 183 homes in Ohio for payroll %. Shows payroll as a percentage of revenue versus the Ohio average. Well-run Ohio facilities typically land around 53–63% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Ohio that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
Most new residents arrive under private pay (68% of admissions), and a typical private pay stay runs around 5 - 6 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
7.6 miles from city center
Estimated distance in miles from Cleveland's city center to Rocky River Gardens Rehabilitation & Nursing Center's address, calculated via Google Maps.
— 0.47 miles to nearest hospital (Cleveland Clinic Fairview Hospital)
Add your location
Info below is compiled from CMS reports & the OH Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| O‘Neill Healthcare Fairview Park | NH HOS SNF | Fairview Park | 118
Facility
118
OH AVG
75
Rank
#47 / 309 |
77.1%
Facility
77.1%
OH AVG
81.7
Rank
#103 / 138 | -6% | 3.20
Facility
3.20
OH AVG
3.54
Rank
#128 / 182 | -22% | -10% | $0
Facility
$0
OH AVG
$74.0k
Rank
#1 / 183 | 11
Facility
11
OH AVG
30.9
Rank
#26 / 183 | 1.8
Facility
1.8
OH AVG
4.6
Rank
#8 / 183 | - | 91 | A+ |
66
Facility
66
OH AVG
40
Rank
#94 / 704 | Jenna Elliott | $11.7MFiscal year ending 12/2023
Facility
$11.7MFiscal year ending 12/2023
OH AVG
$10.1M
Rank
#50 / 183 | $5.3MFiscal year ending 12/2023
Facility
$5.3MFiscal year ending 12/2023
OH AVG
$3.9M
Rank
#95 / 183 | 45%Fiscal year ending 12/2023
Facility
45%Fiscal year ending 12/2023
OH AVG
40.2%
Rank
#175 / 183 | 366428 | ||||
| Algart Health Care | NH AL HOS MC RC SNF | Cleveland (Edgewater) | 36
Facility
36
OH AVG
75
Rank
#258 / 309 | - | - | 4.17
Facility
4.17
OH AVG
3.54
Rank
#29 / 182 | -44% | +18% | $0
Facility
$0
OH AVG
$74.0k
Rank
#1 / 183 | 11
Facility
11
OH AVG
30.9
Rank
#26 / 183 | 5.5
Facility
5.5
OH AVG
4.6
Rank
#143 / 183 | - | 71 | - |
62
Facility
62
OH AVG
40
Rank
#136 / 704 | Garth Ireland | $7.0MFiscal year ending 12/2023
Facility
$7.0MFiscal year ending 12/2023
OH AVG
$10.1M
Rank
#94 / 183 | $3.1MFiscal year ending 12/2023
Facility
$3.1MFiscal year ending 12/2023
OH AVG
$3.9M
Rank
#150 / 183 | 44.1%Fiscal year ending 12/2023
Facility
44.1%Fiscal year ending 12/2023
OH AVG
40.2%
Rank
#180 / 183 | 366308 | ||||
| Judson Park | NH AL HOS IL MC SNF | Cleveland (University Circle) | 36
Facility
36
OH AVG
75
Rank
#258 / 309 |
79.7%
Facility
79.7%
OH AVG
81.7
Rank
#97 / 138 | -2% | 6.53
Facility
6.53
OH AVG
3.54
Rank
#2 / 182 | -64% | +84% | $25.8k
Facility
$25.8k
OH AVG
$74.0k
Rank
#150 / 183 | 10
Facility
10
OH AVG
30.9
Rank
#23 / 183 | 2.5
Facility
2.5
OH AVG
4.6
Rank
#23 / 183 | 2 | 29 | - |
65
Facility
65
OH AVG
40
Rank
#107 / 704 | Judson | $22.8MFiscal year ending 12/2023
Facility
$22.8MFiscal year ending 12/2023
OH AVG
$10.1M
Rank
#5 / 183 | $13.9MFiscal year ending 12/2023
Facility
$13.9MFiscal year ending 12/2023
OH AVG
$3.9M
Rank
#4 / 183 | 60.7%Fiscal year ending 12/2023
Facility
60.7%Fiscal year ending 12/2023
OH AVG
40.2%
Rank
#135 / 183 | 365870 | ||||
| Mount Alverna Village | NH AL IL MC RC SNF | Parma | 153
Facility
153
OH AVG
75
Rank
#11 / 309 |
92.1%
Facility
92.1%
OH AVG
81.7
Rank
#32 / 138 | +13% | 4.22
Facility
4.22
OH AVG
3.54
Rank
#29 / 182 | -36% | +19% | $0
Facility
$0
OH AVG
$74.0k
Rank
#1 / 183 | 20
Facility
20
OH AVG
30.9
Rank
#56 / 183 | 2.5
Facility
2.5
OH AVG
4.6
Rank
#23 / 183 | - | 141 | - |
16
Facility
16
OH AVG
40
Rank
#574 / 704 | Annette Shoemaker | $25.0MFiscal year ending 06/2024
Facility
$25.0MFiscal year ending 06/2024
OH AVG
$10.1M
Rank
#1 / 183 | $14.7MFiscal year ending 06/2024
Facility
$14.7MFiscal year ending 06/2024
OH AVG
$3.9M
Rank
#2 / 183 | 58.7%Fiscal year ending 06/2024
Facility
58.7%Fiscal year ending 06/2024
OH AVG
40.2%
Rank
#182 / 183 | 366071 | ||||
| Rocky River Gardens Rehabilitation & Nursing Center | NH HOS MC PC SNF | Cleveland (Kamm's Corners) | 120
Facility
120
OH AVG
75
Rank
#42 / 309 |
80.8%
Facility
80.8%
OH AVG
81.7
Rank
#91 / 138 | -1% | 3.35
Facility
3.35
OH AVG
3.54
Rank
#100 / 182 | +19% | -5% | $104.7k
Facility
$104.7k
OH AVG
$74.0k
Rank
#169 / 183 | 39
Facility
39
OH AVG
30.9
Rank
#139 / 183 | 4.3
Facility
4.3
OH AVG
4.6
Rank
#99 / 183 | 5 | 97 | A+ |
48
Facility
48
OH AVG
40
Rank
#276 / 704 | Chickiestrong Rocky River LLC | $11.0MFiscal year ending 12/2023
Facility
$11.0MFiscal year ending 12/2023
OH AVG
$10.1M
Rank
#77 / 183 | $5.5MFiscal year ending 12/2023
Facility
$5.5MFiscal year ending 12/2023
OH AVG
$3.9M
Rank
#53 / 183 | 49.6%Fiscal year ending 12/2023
Facility
49.6%Fiscal year ending 12/2023
OH AVG
40.2%
Rank
#42 / 183 | 365392 |
Rocky River Gardens Rehabilitation & Nursing Center is located in Cleveland, Ohio.
Here are the financial assistance programs available to residents in Ohio.
Rocky River Gardens Rehabilitation & Nursing Center is in the Kamm's Corners neighborhood of Cleveland.
Rocky River Gardens Rehabilitation & Nursing Center has a walk score of 48. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Rocky River Gardens Rehabilitation & Nursing Center's occupancy is 84.9%.
Rocky River Gardens Rehabilitation & Nursing Center has been operating for approximately 9 years, based on available licensing and registration records.
No, Rocky River Gardens Rehabilitation & Nursing Center has a no-pet policy.
Rocky River Gardens Rehabilitation & Nursing Center is registered as a for-profit in OH.
Yes — there are 8 photos of Rocky River Gardens Rehabilitation & Nursing Center in the photo gallery on this page.
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