The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
HARVARD GARDENS REHABILITATION & CARE CENTER
CLEVELAND, OH · Medicare-certified · 130 beds
Needs attention
For-profit
1 of 5 overall
Harvard Gardens Rehabilitation & Care Center has a 1-star overall rating, with 1-star health inspection and staffing ratings despite 4 stars for quality measures. It reported 3.13 nurse hours per resident per day versus the 4.1 federal benchmark, had $23,720 in fines in the last 24 months, and has a recent federal penalty flag.
Facility ratings
Health inspections
Staffing
3.1333 hrs/resident/day
Quality measures
Last inspection: March 3, 2026Penalties, last 24 months: $23,720recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1333.
Staffing detail
- Registered nurses
- 0.27
- Licensed practical nurses
- 1.16
- Nurse aides
- 1.70
- Weekend nursing
- 3.21
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
13.5%0%Improving
Residents with a fall causing major injury
2.4%2.3%No change
Residents with pressure ulcers (bedsores)
1.6%1.2%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.2%1.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8%5.1%Improving
Residents whose ability to walk got worse
10.8%2.5%Improving
Long-stay residents on antianxiety or sleep medication
13.3%15%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
23.5%36.8%Worsening
Residents with depressive symptoms
23.4%70.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—81.2%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—33.8%—
Short-stay residents given the pneumonia vaccine
100%98.3%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $23,720 was recorded.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 6 fines · $194,149 in total fines · 1 payment denial.
- $23,720
Federal fine
Feb 13, 2025
- $4,178
Federal fine
Feb 20, 2024
- $3,798
Federal fine
Feb 12, 2024
- $9,116
Federal fine
Jan 22, 2024
- $5,454
Federal fine
Dec 26, 2023
- 42 days
Medicare/Medicaid payment denial
Sep 28, 2023
- $147,883
Federal fine
Sep 28, 2023
Operator & ownership
- Ownership
- For profit - Partnership
- Occupancy
- 101.2 residents on an average day (78% of 130 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.