Total health inspections
9
Ohio average 6.7
Last Health inspection on Dec 2024
Primarily long-term care, limited rehab
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
Rocky River Gardens Rehabilitation & Nursing Center
Nursing Home
Rocky River Gardens Rehabilitation & Nursing Center
Nursing Home
Overview of Rocky River Gardens Rehabilitation & Nursing Center
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
84.9%
Residents per day (avg)
95
Occupancy rate
84.9%
Residents per day (avg)
95
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term residence
Daily assistance
Occasional rehab needs
Breakdown by payment type
Medicare
7% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
68% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
24% of new residents, often for long-term daily care.
Typical stay
5 - 6 months
Finances and operations
Proprietary home
Corporation
Home revenue
$12.2M
Profit
$562.7K
Proprietary home
Corporation
Home revenue
$12,167,117.00
Profit
$562,704.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.6M
9 years in operation
An established community with some operational experience and growing routines.
Walk Score: 48 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Activities
Monthly calendars will be posted to keep you informed of upcoming events such as birthday parties, movies, musical programs, outings, and other special events.
Specific Programs
Nursing Services, Physical Therapy, Short Term Rehab, Long Term Care, Respiratory Care, Memory Care
Dining & Nutrition
Food Description
Home-style cooked meals and snacks are provided.
Meals Included
Yes
Compare Nursing Homes around Cleveland
The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.
Algart Health Care
-48%
+18%
+20%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SNF
Nursing Homes 24/7 care needed
Cleveland (Edgewater)
72
No
-
62
IRELAND, GARTH
94.3%
$8,327,688.00
$2,659,751.00
31.9%
68.50
4.1690
-
11
-
-48%+18%+20%Studio / 1 Bed
Crawford Manor Health Care Center
-23%
+5%
-3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Cleveland (Hough)
50
No
D-
70
HALL, GREGORY
76.1%
$4,150,846.00
$2,108,075.00
50.8%
33.20
3.7181
2
45
2
-23%+5%-3%-
Rocky River Gardens Rehabilitation & Nursing Center
+16%
-5%
+8%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Cleveland (Kamm's Corners)
120
No
A+
48
CHICKIESTRONG ROCKY RIVER LLC
84.9%
$11,578,620.00
$4,867,135.00
42%
95.00
3.3538
5
39
5
+16%-5%+8%-
CityView Healthcare & Rehabilitation
-38%
-18%
-11%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Cleveland (Central)
146
No
-
60
-
70.0%
$13,326,963.00
$5,197,143.00
39%
94.30
2.9078
4
47
5
-38%-18%-11%-
Harvard Gardens Rehabilitation and Care Center
-28%
+6%
-20%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Cleveland (Lee - Miles)
130
No
-
34
HGRCC HOLDINGS LLC
62.8%
$9,746,133.00
$4,371,650.00
44.9%
88.90
3.7657
6
58
3
-28%+6%-20%-
Algart Health Care
Type of care:
AL
SNF
Community:
Cleveland (Edgewater)
Bed Count:
72
Pets Allowed:
No
Operator:
IRELAND, GARTH
CCN:
366308
Occupancy:
94.3%
Home Revenue:
$8,327,688.00
Payroll Costs:
$2,659,751.00
Payroll %:
31.9%
Avg Residents/Day:
68.50
Overall Rating:
Adj Nurse Hours:
4.1690
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
11
RN share vs State Avg:
-48%
-48%
Staffing vs State Avg:
+18%
+18%
Occupancy vs State Avg:
+20%
+20%
Bed Options:
Studio / 1 Bed
Crawford Manor Health Care Center
Type of care:
SNF
AL
Community:
Cleveland (Hough)
Bed Count:
50
Pets Allowed:
No
Operator:
HALL, GREGORY
CCN:
366110
Occupancy:
76.1%
Home Revenue:
$4,150,846.00
Payroll Costs:
$2,108,075.00
Payroll %:
50.8%
Avg Residents/Day:
33.20
Overall Rating:
Adj Nurse Hours:
3.7181
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
45
Severe Citations:
2
RN share vs State Avg:
-23%
-23%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
-3%
-3%
Rocky River Gardens Rehabilitation & Nursing Center
Type of care:
SNF
AL
Community:
Cleveland (Kamm's Corners)
Bed Count:
120
Pets Allowed:
No
Operator:
CHICKIESTRONG ROCKY RIVER LLC
CCN:
365392
Occupancy:
84.9%
Home Revenue:
$11,578,620.00
Payroll Costs:
$4,867,135.00
Payroll %:
42%
Avg Residents/Day:
95.00
Overall Rating:
Adj Nurse Hours:
3.3538
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
5
Citations:
39
Severe Citations:
5
RN share vs State Avg:
+16%
+16%
Staffing vs State Avg:
-5%
-5%
Occupancy vs State Avg:
+8%
+8%
CityView Healthcare & Rehabilitation
Type of care:
SNF
AL
Community:
Cleveland (Central)
Bed Count:
146
Pets Allowed:
No
CCN:
365879
Occupancy:
70.0%
Home Revenue:
$13,326,963.00
Payroll Costs:
$5,197,143.00
Payroll %:
39%
Avg Residents/Day:
94.30
Overall Rating:
Adj Nurse Hours:
2.9078
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
47
Severe Citations:
5
RN share vs State Avg:
-38%
-38%
Staffing vs State Avg:
-18%
-18%
Occupancy vs State Avg:
-11%
-11%
Harvard Gardens Rehabilitation and Care Center
Type of care:
AL
IL
MC
SNF
Community:
Cleveland (Lee - Miles)
Bed Count:
130
Pets Allowed:
No
Operator:
HGRCC HOLDINGS LLC
CCN:
365828
Occupancy:
62.8%
Home Revenue:
$9,746,133.00
Payroll Costs:
$4,371,650.00
Payroll %:
44.9%
Avg Residents/Day:
88.90
Overall Rating:
Adj Nurse Hours:
3.7657
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
6
Citations:
58
Severe Citations:
3
RN share vs State Avg:
-28%
-28%
Staffing vs State Avg:
+6%
+6%
Occupancy vs State Avg:
-20%
-20%Places of interest near Rocky River Gardens Rehabilitation & Nursing Center
7.6 miles from city center — 0.47 miles to nearest hospital (Cleveland Clinic Fairview Hospital)
4102 Rocky River Dr, Cleveland, OH 44135
Calculate Travel Distance to Rocky River Gardens Rehabilitation & Nursing Center
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
122
Total Staff
102
Employees
20
Contractors
35,712
Total Hours (Quarter)
47
Avg Staff/Day
8.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 13 | 9.5 | Yes |
| Licensed Practical Nurse | 27 | 9.5 | No |
| Certified Nursing Assistant | 54 | 8.3 | No |
Staff by Category
Administration ⓘ
2 staff
8hs shift avg
Nursing Staff ⓘ
94 staff
8.7hs shift avg
Physicians & Practitioners ⓘ
5 staff
7.9hs shift avg
Therapy Services ⓘ
12 staff
6.7hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
2.2hs shift avg
Dietary Services ⓘ
6 staff
7.5hs shift avg
Other Services ⓘ
2 staff
7.9hs shift avg
Contractor Analysis
9%
of total hours from contractors
3,232 contractor hours this quarter
Speech Language Pathologist: 3
Physical Therapy Assistant: 2
Physical Therapy Aide: 3
Respiratory Therapy Technician: 2
Registered Nurse: 7
Qualified Social Worker: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 54 | 0 | 54 | 16,809 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 27 | 0 | 27 | 9,841 | 91 | 100% | 9.5 |
| Registered Nurse | 6 | 7 | 13 | 2,003 | 89 | 98% | 9.5 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,584 | 91 | 100% | 7.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 857 | 65 | 71% | 7.8 |
| Speech Language Pathologist | 0 | 3 | 3 | 812 | 80 | 88% | 6.9 |
| Nurse Practitioner | 3 | 0 | 3 | 744 | 68 | 75% | 8 |
| Dietitian | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 480 | 62 | 68% | 7.6 |
| Administrator | 2 | 0 | 2 | 456 | 57 | 63% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 430 | 57 | 63% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 387 | 50 | 55% | 7.7 |
| Physical Therapy Aide | 0 | 3 | 3 | 353 | 54 | 59% | 5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 199 | 32 | 35% | 6.2 |
| Dental Services Staff | 1 | 0 | 1 | 154 | 18 | 20% | 8.5 |
| Qualified Social Worker | 0 | 1 | 1 | 95 | 43 | 47% | 2.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 23 | 3 | 3% | 7.7 |
Health Inspection History
Inspections
Total health citations
39
Citations per inspection
4.33
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
3
3
900% worse than Ohio averageOhio average: 0.3
Serious Health citations
2
2
122% worse than Ohio averageOhio average: 0.9
3 critical citations
2 serious citations
34 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect critical citation
Dec 04, 2024
Corrected
Quality of Care moderate citation
Dec 04, 2024
Corrected
Quality of Care critical citation
Oct 23, 2024
Corrected
Abuse/Neglect critical citation
Jul 22, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
110
Total Residents
Medicare
3
(2.7%)
ⓘ
Medicaid
96
(87.3%)
ⓘ
Private Pay/Other
11
(10%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.6
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.8
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
1.2%
Percent of long-stay residents whose need for help with daily activities has increased
1.2%
82% better than Ohio averageOhio average: 6.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
2.6%
Percent of long-stay residents whose ability to move independently worsened
2.6%
70% better than Ohio averageOhio average: 8.9%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.6%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
17% worse than Ohio averageOhio average: 3.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.8%
Percent of long-stay high risk residents with pressure ulcers
3.8%
In line with Ohio averageOhio average: 3.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.3%
Percent of long-stay residents with a urinary tract infection
0.3%
50% better than Ohio averageOhio average: 0.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
16.5%
Percent of long-stay residents who lose too much weight
16.5%
166% worse than Ohio averageOhio average: 6.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
21.3%
Percent of long-stay residents who have depressive symptoms
21.3%
11% better than Ohio averageOhio average: 24.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
14.0%
Percent of long-stay residents who received an antipsychotic medication
14.0%
65% worse than Ohio averageOhio average: 8.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.0%
9% worse than Ohio averageOhio average: 92.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.2%
6% worse than Ohio averageOhio average: 94.5%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.58
Number of hospitalizations per 1,000 long-stay resident days.
2.58
46% worse than Ohio averageOhio average: 1.77
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.36
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.36
26% better than Ohio averageOhio average: 1.83
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.7%
In line with Ohio averageOhio average: 78.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Ohio averageOhio average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
52.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
52.7%
30% worse than Ohio averageOhio average: 75.6%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
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.
Penalties and fines
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)
Total fines amount
$105K
52% higher than Ohio averageOhio average: $69K
Number of fines
5
170% more fines than Ohio averageOhio average: 1.9
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
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
Fines amount comparison
Fines amount comparison
This facility
$105K
Ohio average
$69K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
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
$17K
Civil Money Penalty
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
$17K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 23, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 23, 2024
25 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 22, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 22, 2024
$34K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Rocky River Gardens Rehabilitation & Nursing Center based on CMS SNF Cost Reports.
Occupancy Rate
84.9%
↑ 13.2pp vs 2022
Net Income
$562,704
↑ ~$3.0M vs 2022
Total Payroll
$6,815,054
↑ ~$2.3M vs 2022
Profit Margin
4.9%
↑ 26.0pp vs 2022
Loading trend charts...
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