All states › Ohio › Cleveland › Rocky River Gardens Rehab and Nursing Center
4102 Rocky River Dr Cleveland, OH 44135 · Cuyahoga County
All 19 nursing homes in Cleveland, OH (19 take Medicaid)
CMS certification number 365392 · See this home on Medicare Care Compare
Is Rocky River Gardens Rehab and Nursing 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 Rocky River Gardens Rehab and Nursing 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 3.52 hours per resident per day at Rocky River Gardens Rehab and Nursing Center, about the same as the Ohio median of 3.58 (US median: 3.72). About 0.46 of those hours are from registered nurses. On weekends it falls to 2.98 hours, 15% below its all-week average. Ask how weekends are staffed. 55.7% of nursing staff left within a year (Ohio median 48.9%).
About this nursing home
Paying for care at Rocky River Gardens Rehab and Nursing Center: Medicare and Medicaid
Rocky River Gardens Rehab and Nursing 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 April 12, 2024 and found 10 deficiencies, plus 12 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 49 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 49 citations at Rocky River Gardens Rehab and Nursing Center across 11 inspection dates, 18 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 4, 2024 (complaint inspection). The most common areas cited were quality of life and care (11) and pharmacy service (9). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, December 4, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.
July 24, 2026 · 2 citations · includes complaint inspection
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
July 8, 2026 · 3 citations · includes complaint inspection
EProvide and implement an infection prevention and control program.
DHonor 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.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
May 20, 2026 · 1 citation · includes complaint inspection
DHonor the resident's right to organize and participate in resident/family groups in the facility.
January 14, 2026 · 6 citations · includes complaint inspection
FProvide and implement an infection prevention and control program.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure 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.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
December 4, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
October 23, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
July 22, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
April 12, 2024 · 10 citations
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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
DAssess the resident when there is a significant change in condition
DEnsure each resident receives an accurate assessment.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DImplement 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.
DEnsure medication error rates are not 5 percent or greater.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
December 15, 2023 · 1 citation · includes complaint inspection
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
June 14, 2023 · 12 citations, includes actual harm
GProtect each resident from separation (from other residents, his/her room, or confinement to his/her room).
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EImplement 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.
DHonor 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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide enough food/fluids to maintain a resident's health.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
DProvide and implement an infection prevention and control program.
December 5, 2019 · 9 citations
EEnsure each resident receives an accurate assessment.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DAllow residents to self-administer drugs if determined clinically appropriate.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DProvide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Rocky River Gardens Rehab and Nursing Center
- Inspectors cited the home at the immediate-jeopardy level on December 4, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 4, 2024. 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?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- 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
4 penalties in the last three years, including $68,068 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 23, 2024 | Fine | $17,068 |
| Oct 23, 2024 | Fine | $17,414 |
| Oct 23, 2024 | Payment Denial | 25 days of payments denied |
| Jul 22, 2024 | Fine | $33,586 |
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 Rocky River Gardens Rehab and Nursing Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.6 mi
Fairview Hospital ClevelandEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 4h 2m for patients treated and sent home
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5.0 mi
Southwest General Health Center Middleburg HeightsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 19m for patients treated and sent home
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6.2 mi
Parma Community General Hospital ParmaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 28m 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 Rocky River Gardens Rehab and Nursing Center › All nursing homes in Cleveland ›
Compare Rocky River Gardens Rehab and Nursing Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Larchwood Care · Cleveland · 5 stars · 0.0 mi
- Westpark Healthcare Campus · Cleveland · 5 stars · 1.1 mi
- O'Neill Healthcare Fairview Park · Fairview Park · 5 stars · 1.6 mi
- The Welsh Home · Rocky River · 5 stars · 2.6 mi
Other Garden Healthcare Group nursing homes in Ohio
- Maple Gardens Rehabilitiation and Nursing Center · Eaton · 4 stars
- Whispering Hills Rehabilitation and Nursing Center · Mount Vernon · 3 stars
- Capital City Gardens Rehabilitation and Nursing Center · Columbus · 2 stars
- Eastland Rehabilitation and Nursing Center · Columbus · 2 stars
- Prestige Gardens Rehabilitation and Nursing Center · Marysville · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 Garden Healthcare Group nursing homes ›
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.