ROCKY RIVER GARDENS REHAB AND NURSING CTR
4102 ROCKY RIVER DR, CLEVELAND, OH 44135 · CCN 365392
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 89.1
- Phone
- 2162513300
Inspection history vs Ohio & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Ohio avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-04-12 | 16 | 10.2 | 9.5 | +5.8 worse |
| 2 | 2023-06-14 | 17 | 10.7 | 9.8 | +6.3 worse |
| 3 | 2019-12-05 | 11 | 9.9 | 9.3 | +1.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 4 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 5 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.23 | 52.0% |
| RN staffing (reported) | 0.24 | 78.6% |
| Total nurse staffing (adjusted) | 3.12 | — |
Fines & penalties
- Total fines
- $104,742
- Number of fines
- 5
- Number of penalties
- 6
- Payment denials
- 1
Chain
- Chain
- GARDEN HEALTHCARE GROUP
- Facilities in chain
- 6
- Chain avg overall
- 2.20 / 5
Inspection citations (44)3 immediate jeopardy2 actual harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2026-01-14 · Health · corrected 2026-01-16
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-14 · Health · corrected 2026-01-16
Potential for more than minimal harm
- EF0761Ensure 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.2026-01-14 · Health · corrected 2026-01-16
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-14 · Health · corrected 2026-01-16
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2026-01-14 · Health · corrected 2026-01-16
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2026-01-14 · Health · corrected 2026-01-16
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-12-04 · Health · corrected 2024-11-18
Immediate jeopardy
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-12-04 · Health · corrected 2024-12-11
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-23 · Health · corrected 2024-12-04
Immediate jeopardy
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-22 · Health · corrected 2024-07-23
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-22 · Health · corrected 2024-07-23
Immediate jeopardy
- DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2024-04-12 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2024-04-12 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-04-12 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-12 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-04-12 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0758Implement 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.2024-04-12 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-04-12 · Health · corrected 2024-05-10
Potential for more than minimal harm
- FF0761Ensure 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.2024-04-12 · Health · corrected 2024-05-10
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-12 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-04-12 · Health · corrected 2024-05-10
Potential for more than minimal harm
- FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-12-15 · Health · corrected 2023-12-18
Potential for more than minimal harm
- DF0578Honor 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.2023-06-14 · Health · corrected 2023-07-11
Potential for more than minimal harm
- GF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2023-06-14 · Health · corrected 2023-07-11
Actual harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-14 · Health · corrected 2023-07-11
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-14 · Health · corrected 2023-07-11
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-14 · Health · corrected 2023-07-11
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-14 · Health · corrected 2023-07-11
Actual harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-06-14 · Health · corrected 2023-07-11
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-06-14 · Health · corrected 2023-07-11
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-06-14 · Health · corrected 2023-07-11
Potential for more than minimal harm
- EF0758Implement 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.2023-06-14 · Health · corrected 2023-07-11
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-06-14 · Health · corrected 2023-07-11
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-06-14 · Health · corrected 2023-07-11
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-14 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-12-05 · Health · corrected 2019-12-20
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2019-12-05 · Health · corrected 2019-12-20
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2019-12-05 · Health · corrected 2019-12-20
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-12-05 · Health · corrected 2019-12-20
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-12-05 · Health · corrected 2019-12-20
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-12-05 · Health · corrected 2019-12-20
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2019-12-05 · Health · corrected 2019-12-20
Potential for more than minimal harm
- DF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2019-12-05 · Health · corrected 2019-12-20
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2019-12-05 · Health · corrected 2019-12-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CHICKIESTRONG ROCKY RIVER LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 86% | 2017-09-01 |
| GARDEN CARE EL-DG HOLDINGS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | 2017-09-01 |
| BRAUNSTEIN BEARS 2016 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2017-09-01 |
| CHICKIESTRONG REAL ESTATE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2017-09-01 |
| EATERY CAPITAL LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2017-09-01 |
| EATERY MANAGER LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2017-09-01 |
| EATERY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2017-09-01 |
| GARDEN OHIO OPERATING HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-12-30 |
| GARDEN OHIO OPERATING MANAGING MEMBER LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2017-09-01 |
| FEUER, SAMUEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2017-09-01 |
| KATZ, LARRY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2017-09-01 |
| LESHKOWITZ, ELI | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2017-09-01 |
| CHICKIESTRONG ROCKY RIVER LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-09-01 |
| BHIMANI, JAYANTILAL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-12-30 |
| HOLZHEIMER, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-10-13 |
| LESHKOWITZ, ELI | Individual | CORPORATE OFFICER | — | 2016-12-30 |
Other facilities in CLEVELAND
| Name | Overall | Beds |
|---|---|---|
| LARCHWOOD CARE | ★★★★★ | 74 |
| ST AUGUSTINE MANOR | ★★★★☆ | 234 |
| HILLSIDE PLAZA | ★★★★☆ | 47 |
| WESTPARK HEALTHCARE CAMPUS | ★★★★☆ | 100 |
| JUDSON PARK | ★★★★☆ | 36 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.