The nursing home failed to protect residents from abuse and neglect by others. Cited December 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
ROCKY RIVER GARDENS REHAB AND NURSING CTR
CLEVELAND, OH · Medicare-certified · 120 beds
Needs attention
For-profitChain member
2 of 5 overall
Overall: 2 out of 5 stars. Rocky River Gardens Rehab and Nursing Ctr has very low health inspection and staffing ratings (1 star each), nurse staffing below the federal benchmark (3.27 vs. 4.1 hours/resident/day), and $68,068 in fines in the last 24 months, including a recent federal penalty; quality measures are 5 stars.
Facility ratings
Health inspections
Staffing
3.2681 hrs/resident/day
Quality measures
Last inspection: January 14, 2026Penalties, last 24 months: $68,068recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2681.
Staffing detail
- Registered nurses
- 0.33
- Licensed practical nurses
- 1.05
- Nurse aides
- 1.89
- Weekend nursing
- 2.87
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 77%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.1%Improving
Residents with a fall causing major injury
0.6%Improving
Residents with pressure ulcers (bedsores)
2.5%Improving
Residents with a urinary tract infection
0.3%Steady
Residents who lost too much weight
16.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
0.6%Improving
Residents whose ability to walk got worse
3.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
20%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.3%Worsening
Residents with new or worsening incontinence
23.1%Worsening
Residents with depressive symptoms
29.5%Worsening
Long-stay residents given the seasonal flu vaccine
89.2%Steady
Long-stay residents given the pneumonia vaccine
69.9%Worsening
Short-stay residents given the seasonal flu vaccine
52.7%Steady
Short-stay residents given the pneumonia vaccine
55.6%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to protect residents from being separated from others or confined to their rooms. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 603 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited April 2024 — 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 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $17,414 was recorded.
- PENALTY
A federal fine of $17,068 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $33,586 was recorded.
Penalties & enforcement
On record with Medicare: 5 fines · $104,742 in total fines · 1 payment denial.
- 25 days
Medicare/Medicaid payment denial
Oct 23, 2024
- $17,414
Federal fine
Oct 23, 2024
- $17,068
Federal fine
Oct 23, 2024
- $33,586
Federal fine
Jul 22, 2024
- $21,048
Federal fine
Jun 14, 2023
- $15,626
Federal fine
Jun 14, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of GARDEN HEALTHCARE GROUP · 6 homes · 2.2 stars avg
- Occupancy
- 88.7 residents on an average day (74% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 46 years
The most recent standard health inspection was more than two years ago.
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.