Nursing home
Rocky River Gardens Rehab and Nursing Center
4102 Rocky River Dr, Cleveland, OH 44135 · Map
For profit - Limited Liability company · Part of Garden Healthcare Group (6 facilities) · 120 certified beds
Rocky River Gardens Rehab and Nursing Center is a Medicare-certified nursing home in Cleveland, Ohio. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.23 hours per resident per day, below the Ohio average of 3.72. Its most recent inspection on Apr 12, 2024 cited 16 deficiencies.
- 5 fines totaling $104,742In CMS records: 6 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Rocky River Gardens Rehab and Nursing Center compares
This facility vs. the Ohio and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Ohio avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.23 | 3.72 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.24 | 0.63 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.92 | 2.14 | 2.34 | below avg |
| Nursing staff turnover | 52.0% | 49.8% | 46.4% | above avg |
| Deficiencies cited, last inspection | 16.0 | 10.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 5 fines totaling $104,742, 6 total penalties, 1 Medicare payment denial.
What inspectors found at Rocky River Gardens Rehab and Nursing Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 14, 2026 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Jan 14, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jan 14, 2026 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jan 14, 2026 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jan 14, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 14, 2026 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 4, 2024 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Dec 4, 2024 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 23, 2024 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 22, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jul 22, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 12, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4102 Rocky River Dr
Cleveland, OH 44135 - CMS certification #
- 365392
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 89.1
- Provider type
- Medicare and Medicaid
- First certified
- 1979-07-01
- Chain
- Garden Healthcare Group (6 facilities)
- Setting
- Urban
Part of Garden Healthcare Group
Garden Healthcare Group operates 6 nursing facilities across the United States. View all Garden Healthcare Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Rocky River Gardens Rehab and Nursing Center using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice, diabetes care, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Rocky River Gardens Rehab and Nursing Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Hospice and respite services
(page, checked Oct 15, 2026) - Nurse on site: 24 hours a day.
24-hour skilled nursing care: Round-the-clock nursing staff and a medical director to provide ongoing care, medication administration, and monitoring of vital signs.
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
Hospice and respite services
(page, checked Oct 15, 2026) - Offers diabetes care.
Diabetic management & education
(page, checked Oct 15, 2026) - Provides transportation.
If a resident needs a medical appointment off grounds during their stay we can help book that appointment for them, arrange transportation, and will even accompany them to an appointment (upon request).
(page, checked Oct 15, 2026) - Apartment types named: private room, semi-private room.
Private and semi-private suites are available
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Fairview Hospital, Cleveland. 0.6 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Larchwood Care, Cleveland. 0.0 miles away, straight line.
- Nearest home health agency office
- Alpha Home Health Agency LLC, Cleveland. 1.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 44135 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Center For Dialysis Care Westside Home Care LLC, Fairview Park, 1.7 miles away, straight line (CMS rating 1 of 5 stars)
Davita Villa Of Great Northern, Fairview Park, 1.7 miles away, straight line (CMS rating 3 of 5 stars)
Davita Hilliard Dialysis, Rocky River, 2.1 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 31 Medicare hospices tell CMS they serve ZIP code 44135.
Continuum Care Hospice, office in Parma, 3.7 miles away, straight line (CMS family survey rating 2 of 5 stars)
Cypress Hospice LLC, office in Berea, 5.5 miles away, straight line (CMS family survey rating 5 of 5 stars)
Pathways Hospice And Palliative Care, office in Berea, 5.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Cleveland Clinic, Cleveland. 0.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively low, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Rocky River Gardens Rehab and Nursing Center a good nursing home?
CMS gives Rocky River Gardens Rehab and Nursing Center an overall rating of 2 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Rocky River Gardens Rehab and Nursing Center staffed?
Rocky River Gardens Rehab and Nursing Center reports 3.23 total nurse hours per resident per day, compared with the Ohio average of 3.72.
Has Rocky River Gardens Rehab and Nursing Center had inspection problems?
Its most recent CMS inspection cited 16 deficiencies.
How many beds does Rocky River Gardens Rehab and Nursing Center have?
Rocky River Gardens Rehab and Nursing Center is certified for 120 beds.