Cuyahoga County nursing home profile
ROCKY RIVER GARDENS REHAB AND NURSING CTR
CMS public datasets and CMS inspection records. Measurements are attributed to source files. Nothing here is medical, legal or financial advice.
Where these numbers come from, and what they cannot tell you
Public CMS nursing home and provider datasets, CMS inspection records, and provider-family source captures. These are historical measurements and official-source excerpts, not medical advice, not quality recommendations, not proof of plan network status, and not a check on what any Medicare plan covers. Resting Sycamore is not Medicare.gov and is not endorsed by any government agency.
What does CMS report about ROCKY RIVER GARDENS REHAB AND NURSING CTR at a glance?
The basics, current CMS ratings, and attributed flags in one place.
identity
ROCKY RIVER GARDENS REHAB AND NURSING CTR
4102 ROCKY RIVER DR, CLEVELAND, OH 44135 · 2162513300
120 certified beds · For profit - Limited Liability company · Medicare and Medicaid certified
120 certified beds · For profit - Limited Liability company · Medicare and Medicaid certified
CMS star ratings with state percentile
tick = OH median. Ratings are assigned by CMS.
signal chips
Abuse indicator NoSpecial Focus Facility NoSFF candidate list NoDays with no RN on site 1.1%Nursing turnover 58.7% vs OH 48.7%Fines, 3 yr $68,068trajectory and survey clock
8 QUARTER TREND
Not enough history in available CMS data snapshotCurrent CMS overall rating: 2
LAST INSPECTED
2024-04-122024-04-12. 838 days before the CMS release date.
Attribution. Adverse signals on this page are CMS-attributed measurements from public source snapshots, not Resting Sycamore conclusions.
What stands out in the CMS data for ROCKY RIVER GARDENS REHAB AND NURSING CTR?
A short, field-derived read of the measures surfaced on this page.
Quick read
ROCKY RIVER GARDENS REHAB AND NURSING CTR is a 120 bed For profit - Limited Liability company nursing facility in CLEVELAND, OH. No measure on this facility's public record stands out as above average for OH. CMS cited this facility at the immediate jeopardy level 3 time(s) in the last three years. Immediate jeopardy is the most serious category CMS uses. Staff stability is the weakest area. CMS recorded 58.7% total nursing turnover against a OH average of 48.7%. Weekend staffing ran about 18.4% below weekday staffing. If you are considering this facility, the tour questions below were selected from these specific findings.
How does staffing look in the CMS payroll data?
Daily payroll data supports the staffing, weekend and temporary-staff measurements.
care minutes per resident per day, by role
Case-mix adjusted CMS values. Raw total nursing HPRD: 3.21.
weekend gap, derived from PBJ daily rows
Mon
3.42
Tue
3.36
Wed
3.59
Thu
3.22
Fri
3.37
Sat
2.82
Sun
2.71
Weekday 3.39 hrs · Weekend 2.77 hrs · 18.4% lower on weekends
stability and coverage
| Measure | Here | OH |
|---|---|---|
| Total nursing turnover | 58.7% | 48.7% |
| RN turnover | 92.9% | not benchmarked |
| Hours from temporary staff | 5.1% | 4.6% |
| Days with no RN on site | 1.1% | not benchmarked |
state staffing standard
OH standard shown for context: 2.5 direct-care HPRD · Ohio nursing home staffing standard, 2.5 direct-care HPRD, as referenced in the RSA facility standards baseline. CMS total nursing HPRD and the state direct-care standard are not identical calculations.
What did recent inspections cite, and is official narrative available?
CMS Health Deficiencies rows stay the citation spine. CMS Form 2567 inspection content is shown for this facility's cited F-tags and survey dates.
CMS scope and severity
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
No harm, potential
D 11
E 3
F 3
Minimal harm
A
B
C
Shaded cells were cited in the latest survey cycle. Down and right is more serious.
Deficiency trend
Health deficiencies by cycle: 17, then 17, then 10. Latest survey date: 2024-04-12.
Repeat citations
| Tag | Plain English | Previous | Latest | Sev |
|---|---|---|---|---|
| F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | prior cycle | latest cycle | E |
| F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | prior cycle | latest cycle | D |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | prior cycle | latest cycle | D |
| F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | prior cycle | latest cycle | D |
| F0758 | 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. | prior cycle | latest cycle | D |
| F0880 | Provide and implement an infection prevention and control program. | prior cycle | latest cycle | F |
CMS data shows 6 repeat deficiency tags between the latest two cycles.
Recent citations
| Date | Tag | Category | Sev | Found how | Corrected |
|---|---|---|---|---|---|
| 2024-04-12 | F0569 | Resident Rights Deficiencies | D | standard | 2024-05-10 |
| 2024-04-12 | F0637 | Resident Assessment and Care Planning Deficiencies | D | standard | 2024-05-10 |
| 2024-04-12 | F0641 | Resident Assessment and Care Planning Deficiencies | D | standard | 2024-05-10 |
| 2024-04-12 | F0686 | Quality of Life and Care Deficiencies | D | standard | 2024-05-10 |
| 2024-04-12 | F0756 | Pharmacy Service Deficiencies | D | standard | 2024-05-10 |
| 2024-04-12 | F0758 | Pharmacy Service Deficiencies | D | standard | 2024-05-10 |
| 2024-04-12 | F0759 | Pharmacy Service Deficiencies | D | standard | 2024-05-10 |
| 2024-04-12 | F0761 | Pharmacy Service Deficiencies | F | standard | 2024-05-10 |
| 2024-04-12 | F0812 | Nutrition and Dietary Deficiencies | F | standard | 2024-05-10 |
| 2024-04-12 | F0842 | Resident Assessment and Care Planning Deficiencies | D | standard | 2024-05-10 |
Official CMS inspection narrative
F0569 · 2024-04-12 · severity D
Official inspection narrative not available for this citation.
F0637 · 2024-04-12 · severity D
Official inspection narrative not available for this citation.
F0641 · 2024-04-12 · severity D
Official inspection narrative not available for this citation.
F0686 · 2024-04-12 · severity D
Official inspection narrative not available for this citation.
F0756 · 2024-04-12 · severity D
Official inspection narrative not available for this citation.
F0758 · 2024-04-12 · severity D
Official inspection narrative not available for this citation.
F0759 · 2024-04-12 · severity D
Official inspection narrative not available for this citation.
F0761 · 2024-04-12 · severity F
Official inspection narrative not available for this citation.
F0812 · 2024-04-12 · severity F
Official inspection narrative not available for this citation.
F0842 · 2024-04-12 · severity D
Official inspection narrative not available for this citation.
CMS Form 2567 inspection report text
This section preserves official CMS inspection text matched to this facility from the current provider page source.
Inspection Report: 2024-04-12 This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection. Each 16 is a federal standard the facility failed to meet. Read the full inspection report Survey: 2026-01-14 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: E Provide care and assistance to perform activities of daily living for any resident who is unable. --- Survey: 2026-01-14 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. --- Survey: 2026-01-14 | Tag F0761 | Pharmacy Service Deficiencies | Severity: 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. --- Survey: 2026-01-14 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. --- Survey: 2026-01-14 | Tag F0880 | Infection Control Deficiencies | Severity: F Provide and implement an infection prevention and control program. --- Survey: 2026-01-14 | Tag F0921 | Environmental Deficiencies | Severity: E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. --- Survey: 2024-04-12 | Tag F0569 | Resident Rights Deficiencies | Severity: D Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. --- Survey: 2024-04-12 | Tag F0637 | Resident Assessment and Care Planning Deficiencies | Severity: D Assess the resident when there is a significant change in condition --- Survey: 2024-04-12 | Tag F0641 | Resident Assessment and Care Planning Deficiencies | Severity: D Ensure each resident receives an accurate assessment. --- Survey: 2024-04-12 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: D Provide appropriate pressure ulcer care and prevent new ulcers from developing. --- Survey: 2024-04-12 | Tag F0756 | Pharmacy Service Deficiencies | Severity: D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. --- Survey: 2024-04-12 | Tag F0758 | Pharmacy Service Deficiencies | Severity: 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. --- Survey: 2024-04-12 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D Ensure medication error rates are not 5 percent or greater. --- Survey: 2024-04-12 | Tag F0761 | Pharmacy Service Deficiencies | Severity: F 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. --- Survey: 2024-04-12 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. --- Survey: 2024-04-12 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. --- Survey: 2024-12-04 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: J Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. --- Survey: 2024-12-04 | Tag F0690 | Quality of Life and Care Deficiencies | Severity: D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. --- Survey: 2024-10-23 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. --- Survey: 2024-07-22 | Tag F0550 | Resident Rights Deficiencies | Severity: D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. --- Survey: 2024-07-22 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: J Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. --- Survey: 2023-06-14 | Tag F0578 | Resident Rights Deficiencies | Severity: D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. --- Survey: 2023-06-14 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. --- Survey: 2023-06-14 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D Provide care and assistance to perform activities of daily living for any resident who is unable. --- Survey: 2023-06-14 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: D Provide appropriate pressure ulcer care and prevent new ulcers from developing. --- Survey: 2023-06-14 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. --- Survey: 2023-06-14 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: D Provide enough food/fluids to maintain a resident's health. --- Survey: 2023-06-14 | Tag F0756 | Pharmacy Service Deficiencies | Severity: D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. --- Survey: 2023-06-14 | Tag F0758 | Pharmacy Service Deficiencies | Severity: E 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. --- Survey: 2023-06-14 | Tag F0849 | Administration Deficiencies | Severity: D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. --- Survey: 2023-06-14 | Tag F0880 | Infection Control Deficiencies | Severity: D Provide and implement an infection prevention and control program. --- Survey: 2023-06-14 | Tag F0603 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: G Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). --- Survey: 2023-06-14 | Tag F0694 | Quality of Life and Care Deficiencies | Severity: D Provide for the safe, appropriate administration of IV fluids for a resident when needed. --- Survey: 2023-12-15 | Tag F0921 | Environmental Deficiencies | Severity: F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. --- Survey: 2023-04-14 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: D Provide appropriate treatment and care according to orders, resident’s preferences and goals. --- Survey: 2019-12-05 | Tag F0550 | Resident Rights Deficiencies | Severity: D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. --- Survey: 2019-12-05 | Tag F0554 | Resident Rights Deficiencies | Severity: D Allow residents to self-administer drugs if determined clinically appropriate. --- Survey: 2019-12-05 | Tag F0641 | Resident Assessment and Care Planning Deficiencies | Severity: E Ensure each resident receives an accurate assessment. --- Survey: 2019-12-05 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. --- Survey: 2019-12-05 | Tag F0755 | Pharmacy Service Deficiencies | Severity: E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2019-12-05 | Tag F0756 | Pharmacy Service Deficiencies | Severity: D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. --- Survey: 2019-12-05 | Tag F0770 | Administration Deficiencies | Severity: D Provide timely, quality laboratory services/tests to meet the needs of residents. --- Survey: 2019-12-05 | Tag F0776 | Administration Deficiencies | Severity: D Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. --- Survey: 2019-12-05 | Tag F0880 | Infection Control Deficiencies | Severity: D Provide and implement an infection prevention and control program. Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection.
Source rule. Official inspection text is quoted verbatim only when an official CMS Form 2567 source matches the CMS citation row. Citations without a matching official narrative remain labeled as not available.
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Who does CMS report as owning or operating this facility?
Ownership data is shown as CMS-reported structure. Low-confidence chain claims are suppressed.
chain rollup, CMS-corroborated
This facility is one of 6 nursing homes in the CMS chain field for GARDEN HEALTHCARE GROUP.
CHAIN AVG STARS
2.5CHAIN AVG TURNOVER
50.5%CHAIN FINES
$501,948BELOW 3 STARS
4ownership structure
| Owner | Type | Role | % | Since |
|---|---|---|---|---|
| BHIMANI, JAYANTILAL | individual | ADP OF THE SNF | not reported | — |
| BRAUNSTEIN BEARS 2016 TRUST | organization | ADP OF THE SNF | not reported | — |
| CHICKIESTRONG REAL ESTATE LLC | organization | ADP OF THE SNF | not reported | — |
| EATERY CAPITAL LLC | organization | ADP OF THE SNF | not reported | — |
| EATERY MANAGER LLC | organization | ADP OF THE SNF | not reported | — |
| EATERY TRUST | organization | ADP OF THE SNF | not reported | — |
| FEUER, SAMUEL | individual | ADP OF THE SNF | not reported | — |
| GARDEN CARE EL-DG HOLDINGS, LLC | organization | ADP OF THE SNF | not reported | — |
| HOLZHEIMER, BRIAN | individual | ADP OF THE SNF | not reported | — |
| KATZ, LARRY | individual | ADP OF THE SNF | not reported | — |
Ownership change on record: none reported. Correlation claims are not made.
sibling facilities, internal linking
| Other homes, same owner | State | Stars | Turnover | Fines 3 yr |
|---|---|---|---|---|
| CAPITAL CITY GARDENS REHABILITATION AND NURSING CE | OH | 2 | 58.5% | $196,256 |
| EASTLAND REHABILITATION AND NURSING CENTER | OH | 2 | 52.7% | $207,789 |
Ownership information is self-reported to CMS. Entity-resolution confidence for this page: high. No chain averages are emitted at low confidence.
What questions should you bring on a facility tour?
Use these as practical questions for a facility tour or follow-up call.
selected from this building's own data
| Because the data shows | Ask them |
|---|---|
| 6 deficiencies were cited at two or more inspections in a row | “What specifically changed after the last inspection, and may I see the plan of correction?” |
| Long stay antipsychotic use is 11.6% against 8.8% statewide | “How do you handle dementia related agitation before reaching for medication, and who reviews those prescriptions?” |
| Weekend staffing runs 18.4% below weekday staffing | “Who is on the floor on a Saturday night, and how many residents does each aide cover then?” |
| Infection prevention and control was cited at consecutive inspections | “Who runs your infection prevention program, and what changed after the most recent citation?” |
| CMS assessed $68,068 in fines over three years | “What were the most recent fines for, and what did you change in response?” |
| Total nursing turnover is 58.7% against 44.5% statewide | “How long have the director of nursing and the unit charge nurses each been here?” |
| This facility is one of 6 run by the same owner group | “Who makes staffing and budget decisions for this building, the administrator here or the corporate office?” |
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Which nearby facilities are reasonable alternatives to compare?
This facility stays first, followed by nearby facilities in the current verified provider page set.
sortable, this facility pinned row 1
| Facility | Miles | Stars | RN min | Turnover | Went home | Readmit | Fines 3yr |
|---|---|---|---|---|---|---|---|
| ROCKY RIVER GARDENS REHAB AND NURSING CTR (this one) | 0 | 2 | 22 | 58.7% | Not reported | — | $68,068 |
| LARCHWOOD CARE | 0 | 5 | 4 | 42.3% | Not reported | — | $0 |
| Aristos Nursing and Rehabilitation | 1 | 2 | 41 | 54.3% | Not reported | — | $0 |
| WESTPARK HEALTHCARE CAMPUS | 1.1 | 5 | 3 | 48.9% | Not reported | — | $0 |
| FRANKLIN PLAZA EXTENDED CARE | 6.3 | 2 | 33 | 48.7% | Not reported | — | $0 |
| PLEASANTVIEW CARE CENTER | 6.8 | 5 | 36 | 61.4% | Not reported | — | $0 |
Where did this provider data come from, and how can it be corrected?
every dataset, dated
| Dataset | Released | Cadence |
|---|---|---|
| Nursing Home Chain Performance Measures Jun 2026 | 2026-07-15 | periodic |
| Fire Safety Deficiencies | 2026-07-29 | monthly |
| SNF Cost Report 2023 | 2025-12-19 | annual |
| Health Deficiencies | 2026-07-29 | monthly |
| PBJ Daily Nurse Staffing Q1 2026 | 2026-07-29 | quarterly |
| Penalties | 2026-07-29 | monthly |
| Provider Information | 2026-07-29 | monthly |
| Medicare Claims Quality Measures | 2026-07-29 | quarterly |
| MDS Quality Measures | 2026-07-29 | quarterly |
| Ownership | 2026-07-29 | quarterly |
| SNF CHOW Q2 2026 | 2026-07-27 | quarterly |
| Special Focus Facility list + candidate list via Provider Information Special Focus Status field | 2026-07-29 | monthly |
| Survey Summary | 2026-07-29 | monthly |
Data source: CMS, releases as dated above.
methods and corrections
Percentiles are computed from CMS fields in the same source snapshot. Repeat citations are a self-join on CCN and F-tag across consecutive survey cycles. Chain grouping uses CMS chain fields and CMS ownership rows, biased to low confidence when uncertain. Ownership information is self-reported to CMS.
Not connected with or endorsed by the United States government or the federal Medicare program.
Not connected with or endorsed by the United States government or the federal Medicare program.
This form prepares a copy-ready correction request. Final intake, review, and page changes remain part of the approved human correction/removal process.
method questions
Where does this data come from? Data source: CMS public datasets, with release dates listed above.
How can a facility operator request a correction? Use this form to request a correction or removal.
What disclosures apply to this facility page?
required disclosures, verbatim
Not connected with or endorsed by the United States government or the federal Medicare program · Data source: CMS, with release dates · Ownership information is self-reported to CMS · Request a correction · Nothing here is medical, legal or financial advice