Federal inspection record · CMS data as of October 1, 2026
Rocky River Gardens Rehab And Nursing Ctr
4102 Rocky River Dr, Cleveland, OH · (216) 251-3300
- Certified beds
- 120
- Residents per day
- 87
- Ownership
- For-Profit
- Chain
- Garden Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1979
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Rocky River Gardens Rehab And Nursing Ctr carries 174.5 inspection points. That is fewer than 9% of Ohio's 913 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–42 pts
- 3★ 42–69 pts
- 2★ 69–121.25 pts
- 1★ over 121.25 pts
Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
49 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care9E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Pharmacy Service9F
- E
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.
- F
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Resident Rights8D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor 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.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning8E
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control4F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Administration3D
- D
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.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Environmental2F
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2024-04-12
22 health deficiencies · 21 fire-safety deficiencies
Top issue: Pharmacy Service (5 deficiencies)
2023-06-14
15 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2019-12-05
12 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 31 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
3 h 31 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 56% of nursing staff and 86% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$68,068 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-23 | Fine | $17,068 |
| 2024-10-23 | Fine | $17,414 |
| 2024-10-23 | Payment Denial · 25 day denial | $0 |
| 2024-07-22 | Fine | $33,586 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine22.6 pts worse | 70.1% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.3 pts worse | 85.4% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 1.1% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.2 pts worse | 32.8% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.5 pts worse | 9.6% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.8 pts better | 15.7% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.3 pts worse | 10.8% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.2 pts better | 2.1% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4 pts better | 1.0% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.3% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 0.3% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.9 pts worse | 28.8% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts better | 2.1% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine57.7 pts worse | 20.7% | 78.4% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine47.1 pts worse | 29.3% | 76.4% | 80.1% |
·
Who owns and runs it
28 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bhimani, Jayantilal | Managing Control - Governing Body · Individual | 0% | 6 facilities |
| Bhimani, Jayantilal | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Bhimani, Jayantilal | Adp Of The SNF · Individual | 0% | 6 facilities |
| Braunstein Bears 2016 Trust | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Braunstein Bears 2016 Trust | Adp Of The SNF · Organization | 0% | 4 facilities |
| Chickiestrong Real Estate LLC | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Chickiestrong Real Estate LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Chickiestrong Rocky River LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Chickiestrong Rocky River LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Eatery Capital LLC | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Eatery Capital LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Eatery Manager LLC | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Eatery Manager LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Eatery Trust | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Eatery Trust | Adp Of The SNF · Organization | 0% | 2 facilities |
| Feuer, Samuel | Indirect Ownership Interest · Individual | 0% | 15 facilities |
| Feuer, Samuel | Adp Of The SNF · Individual | 0% | 15 facilities |
| Garden Care El-Dg Holdings, LLC | Direct Ownership Interest · Organization | 0% | 2 facilities |
| Garden Care El-Dg Holdings, LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Garden Ohio Operating Holdings LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Garden Ohio Operating Managing Member LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Holzheimer, Brian | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Holzheimer, Brian | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Holzheimer, Brian | Adp Of The SNF · Individual | 0% | 1 facilities |
| Katz, Larry | Adp Of The SNF · Individual | 0% | 19 facilities |
| Leshkowitz, Eli | Indirect Ownership Interest · Individual | 0% | 15 facilities |
| Leshkowitz, Eli | Corporate Officer · Individual | 0% | 15 facilities |
| Leshkowitz, Eli | Adp Of The SNF · Individual | 0% | 15 facilities |
·
Fire safety
30 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- F
Have an enclosure around a vertical opening shaft.
- F
Provide properly protected cooking facilities.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress7F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
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.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
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.
Miscellaneous5F
- F
Provide a written emergency evacuation plan.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have restrictions on the use of portable space heaters.
- E
Have restrictions on the use of highly flammable decorations.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems3F
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
Services2F
- F
Have properly installed electrical wiring and gas equipment.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Construction1F
- F
Use approved construction type or materials.
·
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-
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-
Westpark Healthcare Campus
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