Rocky River Gardens Rehab and Nursing Ctr
A nursing home in Cleveland, Ohio 44135
4102 Rocky River Dr, Cleveland, Ohio 44135. (216) 251-3300.
- Not fully inspected in over two years (CMS flag)
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 22 health citations at the latest inspection cycle Ohio average: 10.5
- 3.52 nurse hours per resident per day Ohio average: 3.71
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
22 health citations at the latest inspection cycle
The Ohio average is 10.5.
Last standard inspection Apr 12, 2024.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Dec 4, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
28 citations in 8 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 28 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 18 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 24, 2026: complaint inspection2 citations
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Jul 8, 2026: complaint inspection3 citations
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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.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide and implement an infection prevention and control program.
May 20, 2026: complaint inspection1 citation
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
Jan 14, 2026: complaint inspection6 citations
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Dec 4, 2024: complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Oct 23, 2024: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 22, 2024: complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Apr 12, 2024: standard inspection10 citations
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Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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Assess the resident when there is a significant change in condition
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Ensure each resident receives an accurate assessment.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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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.
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Ensure medication error rates are not 5 percent or greater.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dec 15, 2023: complaint inspection1 citation
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jul 1, 1979.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 120 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $68,068 in all.
- 1 Medicare payment denial in the last three years.
- 18 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Oct 23, 2024 | Medicare payment denial | Not given |
| Oct 23, 2024 | Fine | $17,414 |
| Oct 23, 2024 | Fine | $17,068 |
| Jul 22, 2024 | Fine | $33,586 |
Who does the caring?
3.52 nurse hours per resident per day
The Ohio average is 3.71.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Ohio average |
|---|---|---|
| Nurse hours per resident per day | 3.52 | 3.71 |
| Of which registered nurses | 0.46 | 0.64 |
| At weekends | 2.98 | 3.29 |
| Nursing staff turnover | 55.7% | 49% |
| Registered nurse turnover | 85.7% | 44.4% |
| Administrators who left | Not given | Not given |
Who owns it?
- Chickiestrong Rocky River LLC owns 86.08% directly since Sep 1, 2017; Chickiestrong Rocky River LLC owns 86.08% directly since Sep 1, 2017; Garden Care El-Dg Holdings, LLC owns 13.92% directly since Sep 1, 2017; Garden Care El-Dg Holdings, LLC owns 13.92% directly since Sep 1, 2017.
- Chickiestrong Rocky River LLC runs it.
- 30 owners or officers are people: Eli M Leshkowitz (owns 5% or more through other companies, 8.96%); Eli M Leshkowitz (owns a share through other companies, 8.96%); Samuel Feuer (owns 5% or more through other companies, 8.71%); Samuel Feuer (owns a share through other companies, 8.71%); Larry Katz (owns 5% or more through other companies, 8.42%); A person CMS lists without a name (owns a share through other companies, 1.64%); A person CMS lists without a name (owns a share through other companies, 1.64%); A person CMS lists without a name (owns a share through other companies, 1.15%); A person CMS lists without a name (owns a share through other companies, 0.82%); A person CMS lists without a name (owns a share through other companies, 0.8%); A person CMS lists without a name (owns a share through other companies, 0.8%); A person CMS lists without a name (owns a share through other companies, 0.8%); A person CMS lists without a name (owns a share through other companies, 0.8%); A person CMS lists without a name (owns a share through other companies, 0.66%); A person CMS lists without a name (owns a share through other companies, 0.49%); A person CMS lists without a name (owns a share through other companies, 0.33%); A person CMS lists without a name (owns a share through other companies, 0.33%); A person CMS lists without a name (owns a share through other companies, 0.16%); A person CMS lists without a name (owns a share through other companies, 0.16%); A person CMS lists without a name (owns a share through other companies, 0.07%); Eli M Leshkowitz (corporate officer); Eli M Leshkowitz (additional disclosable party (controls, leases property to, or provides services to the home)); Samuel Feuer (additional disclosable party (controls, leases property to, or provides services to the home)); Jayantilal Bhimani (runs it (operational or managerial control)); Jayantilal Bhimani (on the governing body (managing control)); Jayantilal Bhimani (additional disclosable party (controls, leases property to, or provides services to the home)); Larry Katz (additional disclosable party (controls, leases property to, or provides services to the home)); Brian Holzheimer (runs it (operational or managerial control)); Brian Holzheimer (on the governing body (managing control)); Brian Holzheimer (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Garden Healthcare Group (6 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Chickiestrong Rocky River LLC | Owns 5% or more directly | 86.08% | Sep 1, 2017 |
| Chickiestrong Rocky River LLC | Owns a share directly | 86.08% | Sep 1, 2017 |
| Garden Ohio Operating Holdings LLC | Owns a share through other companies | 86.08% | Sep 1, 2017 |
| Garden Ohio Operating Holdings LLC | Owns 5% or more through other companies | 80% | Dec 30, 2016 |
| Garden Ohio Operating Managing Member LLC | Owns 5% or more through other companies | 64.44% | Sep 1, 2017 |
| Garden Ohio Operating Managing Member LLC | Owns a share through other companies | 64.44% | Sep 1, 2017 |
| Braunstein Bears 2016 Trust | Owns 5% or more through other companies | 42.76% | Sep 1, 2017 |
| Braunstein Bears 2016 Trust | Owns a share through other companies | 42.76% | Sep 1, 2017 |
| Chickiestrong Real Estate LLC | Owns 5% or more through other companies | 21.64% | Sep 1, 2017 |
| Chickiestrong Real Estate LLC | Owns a share through other companies | 21.64% | Sep 1, 2017 |
| Garden Care El-Dg Holdings, LLC | Owns 5% or more directly | 13.92% | Sep 1, 2017 |
| Garden Care El-Dg Holdings, LLC | Owns a share directly | 13.92% | Sep 1, 2017 |
| Eatery Manager LLC | Owns 5% or more through other companies | 10.64% | Sep 1, 2017 |
| Eatery Manager LLC | Owns a share through other companies | 10.64% | Sep 1, 2017 |
| Eatery Capital LLC | Owns 5% or more through other companies | 10.64% | Sep 1, 2017 |
| Eatery Capital LLC | Owns a share through other companies | 10.64% | Sep 1, 2017 |
| Eatery Trust | Owns 5% or more through other companies | 10.64% | Sep 1, 2017 |
| Eatery Trust | Owns a share through other companies | 10.64% | Sep 1, 2017 |
| An organisation CMS lists without a name | Owns a share through other companies | 3.28% | Sep 1, 2017 |
| An organisation CMS lists without a name | Owns a share through other companies | 3.28% | Sep 1, 2017 |
| An organisation CMS lists without a name | Owns a share through other companies | 3.28% | Sep 1, 2017 |
| An organisation CMS lists without a name | Owns a share through other companies | 2.46% | Sep 1, 2017 |
| An organisation CMS lists without a name | Owns a share through other companies | 1.64% | Sep 1, 2017 |
| An organisation CMS lists without a name | Owns a share through other companies | 1.3% | Sep 1, 2017 |
| An organisation CMS lists without a name | Owns a share through other companies | 1.3% | Sep 1, 2017 |
| An organisation CMS lists without a name | Owns a share through other companies | 1.15% | Sep 1, 2017 |
| An organisation CMS lists without a name | Owns a share through other companies | 0.49% | Sep 1, 2017 |
| An organisation CMS lists without a name | Owns a share through other companies | 0.49% | Sep 1, 2017 |
| An organisation CMS lists without a name | Owns a share through other companies | 0.16% | Sep 1, 2017 |
| Eatery Manager LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2017 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 30, 2016 | |
| Chickiestrong Rocky River LLC | Runs it (operational or managerial control) | Sep 1, 2017 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 30, 2016 | |
| Chickiestrong Real Estate LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2017 | |
| Eatery Capital LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2017 | |
| Eatery Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2017 | |
| Garden Care El-Dg Holdings, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2017 | |
| Braunstein Bears 2016 Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2017 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 30, 2016 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Ohio average 4.5).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 3.5 miles, this one had the 2nd most health citations at the latest inspection cycle (22; the middle value was 8.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Rocky River Gardens Rehab and Nursing Ctr This nursing home | 22 | |
| Larchwood Care | 0.0 | 8 |
| Aristos Nursing and Rehabilitation | 1.0 | 22 |
| Westpark Healthcare Campus | 1.1 | 7 |
| O’neill Healthcare Fairview Park | 1.6 | 0 |
| Welsh Home the | 2.6 | 1 |
| Gardens of North Olmsted | 3.0 | 35 |
| O’neill Healthcare Lakewood | 3.4 | 6 |
| North Park Care Center | 3.4 | 0 |
| O’neill Healthcare North Olmsted | 3.4 | 9 |
| Crestmont North Nursing Home | 3.5 | 13 |
| Enniscourt Nursing Care | 3.5 | 9 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.