Cleveland, OH

Rocky River Gardens Rehab And Nursing Ctr

2-star overall rating with 1-star inspections with $104,742 in total fines with 16 recent health deficiencies with 21 fire-safety deficiencies in the latest cycle

4102 Rocky River Dr, Cleveland, OH

(216) 251-3300

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

89

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Garden Healthcare Group

Operator or chain grouping

Approved since

1979-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 2 overall / 2 health / 1 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.24

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.07

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.92

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.23

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.31

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.96

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.23

CMS adjusted RN staffing hours

Adjusted total hours

3.12

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

79%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

52%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,889

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

18.74

Composite VBP score used to determine payment impact.

Payment multiplier

0.9820

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.83

Performance 52.13% · Measure score 2.83 · Achievement 2.83 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0.92

Baseline 3.10 hours · Performance 3.34 hours · Measure score 0.92 · Achievement 0.92 · Improvement 0.39

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10%
10.72%
0.7 pts better
No Different than the National Rate · Eligible stays 34 · Observed rate 8.82% · Lower 95% interval 6.16%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 1.06
1.02
About the same
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 21 · Denominator 21
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 21
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 21 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 47.62%
8.2%
39.4 pts better
Numerator 80 · Denominator 168
Staff flu vaccination coverage 0%
42%
42 pts worse
Numerator 0 · Denominator 163
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.6
1.8
0.8 pts worse
1.9
0.7 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.7 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.4
1.8
0.4 pts better
1.8
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 78.5%
92.4%
13.9 pts worse
93.4%
14.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 89.7% · Q2 89.4% · Q3 75.3% · Q4 58.2% · 4Q avg 78.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.2%
94.5%
5.3 pts worse
95.5%
6.3 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.2%
Percentage of long-stay residents experiencing one or more falls with major injury 1.6%
3.3%
1.7 pts better
3.3%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 27.4%
26.1%
1.3 pts worse
11.4%
16 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 23.1% · Q3 33.8% · Q4 26.6% · 4Q avg 27.4%
Percentage of long-stay residents who lose too much weight 15.9%
6.2%
9.7 pts worse
5.4%
10.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 23.8% · Q3 13.4% · Q4 12.0% · 4Q avg 15.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.7%
25.4%
2.7 pts better
19.6%
3.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 26.2% · Q3 23.2% · Q4 15.5% · 4Q avg 22.7%
Percentage of long-stay residents who received an antipsychotic medication 18.7%
11.5%
7.2 pts worse
16.7%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 19.6% · Q3 13.7% · Q4 17.0% · 4Q avg 18.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 2.6%
7.7%
5.1 pts better
16.3%
13.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.5% · Q3 2.7% · Q4 5.4% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 0.9%
6.2%
5.3 pts better
14.9%
14 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 0.0% · Q4 1.2% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
0.2%
0.1 pts worse
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.3%
0.5%
0.2 pts better
1.7%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.7%
21.7%
1 pts better
19.8%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 18.7% · Q3 16.5% · Q4 26.3% · 4Q avg 20.7%
Percentage of long-stay residents with pressure ulcers 3.7%
3.7%
About the same
5.1%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.2% · Q3 3.1% · Q4 4.6% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 74.4%
78.1%
3.7 pts worse
81.7%
7.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 80.4% · Q3 77.4% · Q4 37.5% · 4Q avg 74.4%
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.2%
1.2 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 52.7%
75.6%
22.9 pts worse
79.7%
27 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 52.7%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-04-12 · Fire 2024-04-12

16 health deficiencies

Top issue: Pharmacy Service (5 deficiencies)

21 fire-safety deficiencies

Top issue: Smoke (9 deficiencies)

Cycle 2 Health 2023-06-14 · Fire 2023-06-14

17 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2019-12-05 · Fire 2019-12-05

11 health deficiencies

Top issue: Administration (2 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-12

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-08-12

F · Potential for more than minimal harm 2024-04-12

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-12

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-12

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-12

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-12

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-12

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-12

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-04-12

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-04-12

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-04-12

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-04-12

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-04-12

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-04-12

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-04-12

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-04-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-05-10

F · Potential for more than minimal harm 2023-06-14

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-07-11

E · Potential for more than minimal harm 2023-06-14

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-07-11

E · Potential for more than minimal harm 2023-06-14

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-07-11

E · Potential for more than minimal harm 2023-06-14

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-07-11

F · Potential for more than minimal harm 2019-12-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-12-20

F · Potential for more than minimal harm 2019-12-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-12-20

E · Potential for more than minimal harm 2019-12-05

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2019-12-20

E · Potential for more than minimal harm 2019-12-05

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2019-12-20

E · Potential for more than minimal harm 2019-12-05

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-12-20

Inspection history

Recent health citations

F · Potential for more than minimal harm 2026-01-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-16

E · Potential for more than minimal harm 2026-01-14

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-01-16

E · Potential for more than minimal harm 2026-01-14

F761 · Pharmacy Service Deficiencies

Health

Ensure 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.

Corrected 2026-01-16

E · Potential for more than minimal harm 2026-01-14

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2026-01-16

D · Potential for more than minimal harm 2026-01-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-01-16

D · Potential for more than minimal harm 2026-01-14

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-01-16

J · Immediate jeopardy 2024-12-04

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-11-18

D · Potential for more than minimal harm 2024-12-04

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-12-11

J · Immediate jeopardy 2024-10-23

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-12-04

J · Immediate jeopardy 2024-07-22

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-07-23

D · Potential for more than minimal harm 2024-07-22

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-07-23

F · Potential for more than minimal harm 2024-04-12

F761 · Pharmacy Service Deficiencies

Health

Ensure 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.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-12

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-04-12

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-04-12

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-04-12

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-04-12

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-04-12

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-04-12

F758 · Pharmacy Service Deficiencies

Health

Implement 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.

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-04-12

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-04-12

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-05-10

F · Potential for more than minimal harm 2023-12-15

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-12-18

G · Actual harm 2023-06-14

F603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Corrected 2023-07-11

G · Actual harm 2023-06-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-07-11

E · Potential for more than minimal harm 2023-06-14

F758 · Pharmacy Service Deficiencies

Health

Implement 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.

Corrected 2023-07-11

D · Potential for more than minimal harm 2023-06-14

F578 · Resident Rights Deficiencies

Health

Honor 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.

Corrected 2023-07-11

D · Potential for more than minimal harm 2023-06-14

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-07-11

D · Potential for more than minimal harm 2023-06-14

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-07-11

D · Potential for more than minimal harm 2023-06-14

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-07-11

D · Potential for more than minimal harm 2023-06-14

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-07-11

D · Potential for more than minimal harm 2023-06-14

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2023-07-11

D · Potential for more than minimal harm 2023-06-14

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-07-11

D · Potential for more than minimal harm 2023-06-14

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2023-07-11

D · Potential for more than minimal harm 2023-06-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-11

D · Potential for more than minimal harm 2023-04-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-04-20

E · Potential for more than minimal harm 2019-12-05

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-12-20

E · Potential for more than minimal harm 2019-12-05

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-12-05

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-12-05

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-12-05

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-12-05

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-12-05

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-12-05

F776 · Administration Deficiencies

Health

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-12-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-12-20

Penalties and ownership

What sits behind the stars

$17,068 2024-10-23

Fine

Fine · fine $17,068

Fine

$17,414 2024-10-23

Fine

Fine · fine $17,414

Fine

$0 2024-10-23

Payment Denial

Payment Denial · denial start 2024-11-16 · 25 days

25 day denial

$33,586 2024-07-22

Fine

Fine · fine $33,586

Fine

$15,626 2023-06-14

Fine

Fine · fine $15,626

Fine

$21,048 2023-06-14

Fine

Fine · fine $21,048

Fine

Ownership

Chickiestrong Rocky River LLC

5% Or Greater Direct Ownership Interest · Organization

86% 1 facilities 2017-09-01
Garden Care El-Dg Holdings, LLC

5% Or Greater Direct Ownership Interest · Organization

14% 1 facilities 2017-09-01
Bhimani, Jayantilal

Operational/Managerial Control · Individual

0% 3 facilities 2016-12-30
Braunstein Bears 2016 Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 13 facilities 2017-09-01
Chickiestrong Real Estate LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2017-09-01
Chickiestrong Rocky River LLC

Operational/Managerial Control · Organization

0% 1 facilities 2017-09-01
Eatery Capital LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2017-09-01
Eatery Manager LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2017-09-01
Eatery Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2017-09-01
Feuer, Samuel

5% Or Greater Indirect Ownership Interest · Individual

0% 20 facilities 2017-09-01
Garden Ohio Operating Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2016-12-30
Garden Ohio Operating Managing Member LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2017-09-01
Holzheimer, Brian

Operational/Managerial Control · Individual

0% 1 facilities 2025-10-13
Katz, Larry

5% Or Greater Indirect Ownership Interest · Individual

0% 21 facilities 2017-09-01
Leshkowitz, Eli

5% Or Greater Indirect Ownership Interest · Individual

0% 18 facilities 2017-09-01
Leshkowitz, Eli

Corporate Officer · Individual

0% 18 facilities 2016-12-30

Nearby options

Other facilities in reach

#1

Larchwood Care

Cleveland, OH

5-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
4 / 5
Staffing
3 / 5
Fines
$0
#2

Aristos Nursing and Rehabilitation

Cleveland, OH

3-star overall rating with 3-star inspections with 11 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
4 / 5
Fines
$0
#3

Westpark Healthcare Campus

Cleveland, OH

4-star overall rating with 3-star inspections with 8 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
3 / 5
Staffing
3 / 5
Fines
$0

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