Senior Care Records.

Rocky River Gardens Rehab and Nursing CTR

4102 ROCKY RIVER DR, Cleveland, OH, 44135

Nursing home120 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 17 deficiencies against Rocky River Gardens Rehab and Nursing CTR in Cleveland, Ohio at its most recent standard inspection on 2024-04-12, 7 of them arising from complaints. 3 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 3 times, totalling $68,068. Medicare rates it 2 out of 5 overall.

2 / 5Medicare overall rating
120certified beds
17deficiencies at the last inspection
3immediate-jeopardy findings on record
2actual-harm findings on record
3federal fines, $68,068
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.3
Actual harmA resident was harmed, but not placed in immediate danger.2
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.39
Potential for minimal harmThe least serious band.0
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

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

Resident Rights Deficiencies · F0565 · 2026-05-20 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2026-01-14 · from a complaint · No actual harm, potential for more than minimal harm

F

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

Quality of Life and Care Deficiencies · F0677 · 2026-01-14 · from a complaint · No actual harm, potential for more than minimal harm

E

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.

Pharmacy Service Deficiencies · F0761 · 2026-01-14 · from a complaint · No actual harm, potential for more than minimal harm

E

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

Environmental Deficiencies · F0921 · 2026-01-14 · from a complaint · No actual harm, potential for more than minimal harm

E

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

Quality of Life and Care Deficiencies · F0689 · 2026-01-14 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0842 · 2026-01-14 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2024-12-04 · from a complaint · Immediate jeopardy to resident health or safety

J

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies · F0690 · 2024-12-04 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0689 · 2024-10-23 · from a complaint · Immediate jeopardy to resident health or safety

J

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2024-07-22 · from a complaint · Immediate jeopardy to resident health or safety

J

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies · F0550 · 2024-07-22 · from a complaint · No actual harm, potential for more than minimal harm

D

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.

Pharmacy Service Deficiencies · F0761 · 2024-04-12 · standard survey · No actual harm, potential for more than minimal harm

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · F0812 · 2024-04-12 · standard survey · No actual harm, potential for more than minimal harm

F

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Resident Rights Deficiencies · F0569 · 2024-04-12 · standard survey · No actual harm, potential for more than minimal harm

D

Assess the resident when there is a significant change in condition

Resident Assessment and Care Planning Deficiencies · F0637 · 2024-04-12 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · F0641 · 2024-04-12 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies · F0686 · 2024-04-12 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies · F0756 · 2024-04-12 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Pharmacy Service Deficiencies · F0758 · 2024-04-12 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS3.20868
Nursing staff turnoverShare of nursing staff who left in a year58.7%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS3
Total fined$68,068
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one4
Ownership

Who owns Rocky River Gardens Rehab and Nursing CTR

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
CHICKIESTRONG ROCKY RIVER LLCOrganizationNOT APPLICABLEsince 09/01/2017
GARDEN CARE EL-DG HOLDINGS, LLCOrganizationNOT APPLICABLEsince 09/01/2017
BRAUNSTEIN BEARS 2016 TRUSTOrganizationNOT APPLICABLEsince 09/01/2017
CHICKIESTRONG REAL ESTATE LLCOrganizationNOT APPLICABLEsince 09/01/2017
EATERY CAPITAL LLCOrganizationNOT APPLICABLEsince 09/01/2017
EATERY MANAGER LLCOrganizationNOT APPLICABLEsince 09/01/2017
EATERY TRUSTOrganizationNOT APPLICABLEsince 09/01/2017
GARDEN OHIO OPERATING HOLDINGS LLCOrganizationNOT APPLICABLEsince 09/01/2017
GARDEN OHIO OPERATING MANAGING MEMBER LLCOrganizationNOT APPLICABLEsince 09/01/2017
FEUER, SAMUELIndividualNOT APPLICABLEsince 09/01/2017
LESHKOWITZ, ELIIndividualNOT APPLICABLEsince 09/01/2017
BHIMANI, JAYANTILALIndividualNOT APPLICABLEsince 12/30/2016

Part of the GARDEN HEALTHCARE GROUP group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Welsh Home the

Rocky River · 2.8 mi · 79 beds

Citations0Substantiated0
Contact

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What is needed

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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 365392.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction