Show Inspection Reports
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.
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Nursing Home in Cleveland
CMS overall rating
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.
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.
Rocky River Gardens Rehabilitation & Nursing Center
Nursing Home in Cleveland
CMS overall rating
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.
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.
Rocky River Gardens Rehabilitation & Nursing Center
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
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
80.8%
Residents per day (avg)
95
Occupancy rate
80.8%
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
Privately-owned community
Operated by a business corporation.
Home revenue
$12.2M
Profit
$562.7K
Privately-owned community
Operated by a business corporation.
Home revenue
$12.2M
Profit
$562.7K
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
Rehabilitation Services
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Short Term Rehab
Long Term Care
Home-Style Cooked Meals
Snacks
Beauty Shop
Daily Activity Programs
Social Functions
Live Entertainment
Spiritual Programs
Holiday Celebrations
Community Support
Free Wi-Fi
Phone Service
Complimentary Cable Tv
ActivitiesMonthly calendars will be posted to keep you informed of upcoming events such as birthday parties, movies, musical programs, outings, and other special events.
Specific ProgramsNursing Services, Physical Therapy, Short Term Rehab, Long Term Care, Respiratory Care, Memory Care
Food DescriptionHome-style cooked meals and snacks are provided.
Meals IncludedYes
Inspection History
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.
9 visits/inspections
8 visits/inspections triggered by complaints
Results
9 with issues
0 without issues
Latest inspection
Date
December 4, 2024
Complaint Investigation41 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Ohio average: 29 deficiencies
Health Inspection History
Inspections
Total health citations
39
Ohio average 30.9
Citations per inspection
4.33
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).
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
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 04, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 04, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 04, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 04, 2024
Corrected
Quality of Care critical citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 23, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 23, 2024
Corrected
Abuse/Neglect critical citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 22, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
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.
Compare Nursing Homes around Cleveland The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.
Filter by care type
Algart Health Care
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Cleveland (Edgewater)
72
94.3%
+20%
4.17
+18%
0
11
5.5
0
69
-
62
Ireland, Garth
$8.3M
$2.7M
31.9%
366308
Crawford Manor Health Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Cleveland (Hough)
50
76.1%
-3%
3.72
+5%
2
45
5.6
2
33
D-
70
Hall, Gregory
$4.2M
$2.1M
50.8%
366110
Rocky River Gardens Rehabilitation & Nursing Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Cleveland (Kamm's Corners)
120
84.9%
+8%
3.35
-5%
5
39
4.3
5
95
A+
48
Chickiestrong Rocky River Llc
$11.6M
$4.9M
42%
365392
CityView Healthcare & Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Cleveland (Central)
146
70.0%
-11%
2.91
-18%
4
47
3.6
5
94
-
60
-
$13.3M
$5.2M
39%
365879
Harvard Gardens Rehabilitation and Care Center
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Cleveland (Lee - Miles)
130
62.8%
-20%
3.77
+6%
6
58
5.8
3
89
-
34
Hgrcc Holdings Llc
$9.7M
$4.4M
44.9%
365828
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)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
122
Employees
102
Contractors
20
Staff to resident ratio
1.11:1
48% worse than Ohio averageOhio average ratio: 2.14:1
Avg staff/day
47
Average shift
8.3 hours
0% compared with Ohio averageOhio average: 8.1 hours
Total staff hours (quarter)
35,712
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
54
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
9%
3,232 contractor hours this quarter
Registered Nurse: 7
Speech Language Pathologist: 3
Physical Therapy Aide: 3
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 2
Qualified Social Worker: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| 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 |
54 Certified Nursing Assistant
% of Days
100%
27 Licensed Practical Nurse
% of Days
100%
13 Registered Nurse
% of Days
98%
5 Other Dietary Services Staff
% of Days
100%
2 Clinical Nurse Specialist
% of Days
71%
3 Speech Language Pathologist
% of Days
88%
3 Nurse Practitioner
% of Days
75%
1 Dietitian
% of Days
67%
2 Respiratory Therapy Technician
% of Days
68%
2 Administrator
% of Days
63%
2 Physical Therapy Assistant
% of Days
63%
1 Mental Health Service Worker
% of Days
55%
3 Physical Therapy Aide
% of Days
59%
1 Occupational Therapy Aide
% of Days
35%
1 Dental Services Staff
% of Days
20%
1 Qualified Social Worker
% of Days
47%
1 Occupational Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
110 residents
Residents by payment source
Medicare
3 residents (2.7%)
Medicaid
96 residents (87.3%)
Private pay or other
11 residents (10%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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
$562.7K
↑ ~$3.0M vs 2022
Total Payroll
$6.8M
↑ ~$2.3M vs 2022
Profit Margin
4.9%
↑ 26.0pp vs 2022
Loading trend charts...
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