The home failed to ensure IV fluids were given safely and appropriately when needed. Cited April 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 694 — 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
Data as of September 1, 2026
2 of 5 overall
Harvard Gardens Rehabilitation & Care Center has a 2-star overall rating, with very low health inspection and staffing ratings (1 star each) despite 5 stars for quality measures. It also has nursing staff below the federal benchmark (3.09 vs. 4.1 hours/resident/day), $106,680 in fines over the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.0947 hrs/resident/day
Quality measures
Last inspection: June 15, 2026Penalties, last 24 months: $106,680recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0947.
Staffing detail
- Registered nurses
- 0.30
- Licensed practical nurses
- 1.11
- Nurse aides
- 1.69
- Weekend nursing
- 2.83
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
10.3%4.3%Improving
Residents with a fall causing major injury
1.3%1.1%No change
Residents with pressure ulcers (bedsores)
6.2%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.8%1.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.8%4.7%Improving
Residents whose ability to walk got worse
5.2%4.6%Improving
Long-stay residents on antianxiety or sleep medication
21.7%13.5%Improving
Short-stay residents newly given an antipsychotic
3.1%0%Improving
Residents with a long-term catheter
1.2%0%Improving
Residents with new or worsening incontinence
21.9%7.9%Improving
Residents with depressive symptoms
30.6%64%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%100%No change
What the inspectors found
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
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.
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F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited April 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — 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
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
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- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
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- INSPECTION
Health inspection found 2 health deficiencies.
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- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $82,960 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
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- INSPECTION
Health inspection found 7 health deficiencies.
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- PENALTY
A federal fine of $23,720 was recorded.
- INSPECTION
Health inspection found 9 health deficiencies.
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Penalties & enforcement
On record with Medicare: 7 fines · $277,109 in total fines · 2 payment denials.
- 40 days
Medicare/Medicaid payment denial
Mar 3, 2026
- $82,960
Federal fine
Mar 3, 2026
- $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
Operator & ownership
- Ownership
- For profit - Partnership
- Occupancy
- 105.6 residents on an average day (81% 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.