All states › Ohio › Cleveland › Harvard Gardens Rehabilitation & Care Center
18810 Harvard Ave Cleveland, OH 44122 · Cuyahoga County
All 19 nursing homes in Cleveland, OH (19 take Medicaid)
CMS certification number 365828 · See this home on Medicare Care Compare
Is Harvard Gardens Rehabilitation & Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Harvard Gardens Rehabilitation & Care Center as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Ohio average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.20 hours per resident per day at Harvard Gardens Rehabilitation & Care Center, below the Ohio median of 3.58 (US median: 3.72). About 0.28 of those hours are from registered nurses. On weekends it falls to 3.02 hours, 6% below its all-week average. 71.6% of nursing staff left within a year (Ohio median 48.9%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Harvard Gardens Rehabilitation & Care Center: Medicare and Medicaid
Harvard Gardens Rehabilitation & Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Ohio's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 3, 2026 and found 15 deficiencies, plus 11 from complaint inspections in the same period. In total, inspectors issued 73 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 73 citations at Harvard Gardens Rehabilitation & Care Center across 11 inspection dates, 29 of them from complaint investigations. 3 were at the actual-harm level (G–I), most recently on April 15, 2026. The most common areas cited were quality of life and care (17) and nutrition and dietary (11). The most serious was cited under the CMS rule to "provide for the safe, appropriate administration of IV fluids for a resident when needed" (tag F0694, level G, April 15, 2026). 8 citations were under CMS's abuse, neglect and exploitation rules.
June 15, 2026 · 1 citation · includes complaint inspection
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
April 22, 2026 · 3 citations · includes complaint inspection
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
April 15, 2026 · 2 citations, includes actual harm · includes complaint inspection
GProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 3, 2026 · 20 citations · includes complaint inspection
FKeep residents' personal and medical records private and confidential.
FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
FProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FDispose of garbage and refuse properly.
ENotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EEnsure each resident receives an accurate assessment.
DReasonably accommodate the needs and preferences of each resident.
DAssess the resident when there is a significant change in condition
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate pain management for a resident who requires such services.
DEnsure that the resident and his/her doctor meet face-to-face at all required visits.
DProvide routine and 24-hour emergency dental care for each resident.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
CConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
April 10, 2025 · 7 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
February 13, 2025 · 9 citations · includes complaint inspection
FEnsure 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.
FProvide and implement an infection prevention and control program.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DProvide enough food/fluids to maintain a resident's health.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
January 8, 2025 · 3 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
October 29, 2024 · 1 citation · includes complaint inspection
DEnsure that the resident and his/her doctor meet face-to-face at all required visits.
February 22, 2024 · 4 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
January 18, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 28, 2023 · 22 citations, includes actual harm
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
FProvide and implement an infection prevention and control program.
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
FHave policies on smoking.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Questions to ask on a tour of Harvard Gardens Rehabilitation & Care Center
- Inspectors cited the home at the actual-harm level on April 15, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 10, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 71.6% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
7 penalties in the last three years, including $129,226 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 3, 2026 | Fine | $82,960 |
| Mar 3, 2026 | Payment Denial | 40 days of payments denied |
| Feb 13, 2025 | Fine | $23,720 |
| Feb 20, 2024 | Fine | $4,178 |
| Feb 12, 2024 | Fine | $3,798 |
| Jan 22, 2024 | Fine | $9,116 |
| Dec 26, 2023 | Fine | $5,454 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 1/5 | 1/5 | 5/5 |
| August 2026 | 2/5 | 1/5 | 1/5 | 5/5 |
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Location
Hospitals near Harvard Gardens Rehabilitation & Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
0.5 mi
South Pointe Hospital Warrensville HeightsEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 46m for patients treated and sent home
- 1.3 mi
-
2.6 mi
University Hospitals Ahuja Medical Center BeachwoodEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 4h 4m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Harvard Gardens Rehabilitation & Care Center › All nursing homes in Cleveland ›
Compare Harvard Gardens Rehabilitation & Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Gardens of McGregor and Amasa Stone · East Cleveland · 5 stars · 6.0 mi
- Northfield Village Retirement Community · Northfield · 5 stars · 7.8 mi
- St Augustine Manor · Cleveland · 5 stars · 8.7 mi
- Algart Health Care · Cleveland · 5 stars · 8.7 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.