SNF

ROCKY RIVER GARDENS REHAB AND NURSING CTR

CCN: 365392 · CLEVELAND, OH 44135 · Cuyahoga County

Overview

Address
4102 ROCKY RIVER DR, CLEVELAND, OH 44135
Phone
2162513300
Certified beds
120
Avg daily residents
89 (74% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1979-07-01
Setting
Urban
2 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures — Data not available.

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.23 4.00 3.12 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.24 0.70 0.23 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.07 0.89 1.04 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.92 2.41 1.85 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.31 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.06 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.96
hrs / resident / day
RN (weekend)
0.20
hrs / resident / day
Total nurse (adjusted, weekend)
2.86
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
52.0%
annual
RN turnover
78.6%
annual
Administrators departed
New facility — insufficient data.

Resident acuity

Nursing Case-Mix Index
1.42
higher acuity than avg
Case-Mix Index Ratio
1.03
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-04-12 16 10 6 112 1 112
Cycle 2/3 (prior) 2023-06-14 19 12 9 282 1 282
Total weighted health score
154.5
lower is better

Deficiencies (44)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

39 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
3 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2026-01-14 2026-01-16
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2026-01-14 2026-01-16
0761 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. E 2026-01-14 2026-01-16
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2026-01-14 2026-01-16
0880 Provide and implement an infection prevention and control program. F 2026-01-14 2026-01-16
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2026-01-14 2026-01-16
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2024-12-04 2024-11-18
0690 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 2024-12-04 2024-12-11
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2024-10-23 2024-12-04
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-07-22 2024-07-23
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2024-07-22 2024-07-23
0569 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. D 2024-04-12 2024-05-10
0637 Assess the resident when there is a significant change in condition D 2024-04-12 2024-05-10
0641 Ensure each resident receives an accurate assessment. D 2024-04-12 2024-05-10
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-04-12 2024-05-10
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2024-04-12 2024-05-10
0758 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 2024-04-12 2024-05-10
0759 Ensure medication error rates are not 5 percent or greater. D 2024-04-12 2024-05-10
0761 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 2024-04-12 2024-05-10
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-04-12 2024-05-10
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-04-12 2024-05-10
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F 2023-12-15 2023-12-18
0578 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 2023-06-14 2023-07-11
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-06-14 2023-07-11
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-06-14 2023-07-11
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2023-06-14 2023-07-11
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2023-06-14 2023-07-11
0692 Provide enough food/fluids to maintain a resident's health. D 2023-06-14 2023-07-11
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2023-06-14 2023-07-11
0758 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. E 2023-06-14 2023-07-11
0849 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 2023-06-14 2023-07-11
0880 Provide and implement an infection prevention and control program. D 2023-06-14 2023-07-11
0603 Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). G 2023-06-14 2023-07-11
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2023-06-14 2023-07-11
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-04-14 2023-04-20
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2019-12-05 2019-12-20
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2019-12-05 2019-12-20
0641 Ensure each resident receives an accurate assessment. E 2019-12-05 2019-12-20
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2019-12-05 2019-12-20
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2019-12-05 2019-12-20
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2019-12-05 2019-12-20
0770 Provide timely, quality laboratory services/tests to meet the needs of residents. D 2019-12-05 2019-12-20
0776 Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. D 2019-12-05 2019-12-20
0880 Provide and implement an infection prevention and control program. D 2019-12-05 2019-12-20

Penalties (6)

Fines issued
5
last 3 years
Total fines
$104,742
Payment denials
1
Date Type Fine amount
2023-06-14 Fine $15,626
2024-10-23 Fine $17,068
2024-10-23 Fine $17,414
2023-06-14 Fine $21,048
2024-07-22 Fine $33,586
2024-10-23 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 3.4% Medicaid 25.7% Other 70.8%

Operating performance

Operating Margin
-0.2%
Total Margin
4.8%
Occupancy Rate
84.9%
Cost per Resident Day
$24

Revenue & costs

Net Patient Revenue
$11.0M
Total Costs
$910K
Net Income
$563K

Balance sheet

Total Assets
$3.9M
Total Liabilities
$4.7M
Fund Balance
-$729K
Current Ratio
0.89

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: GARDEN HEALTHCARE GROUP

Chain ID
760
Facilities in chain
6
Legal business name
GARDEN HEALTHCARE OF ROCKY RIVER LLC
Chain-average star ratings (for peer context)
Overall
2.2
Health
1.5
Staffing
1.3
QM
4.7

Owner / manager organizations (10)

Organization Role Association
CHICKIESTRONG ROCKY RIVER LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2017
GARDEN CARE EL-DG HOLDINGS, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2017
BRAUNSTEIN BEARS 2016 TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/01/2017
CHICKIESTRONG REAL ESTATE LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/01/2017
EATERY CAPITAL LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/01/2017
EATERY MANAGER LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/01/2017
EATERY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/01/2017
GARDEN OHIO OPERATING HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/30/2016
GARDEN OHIO OPERATING MANAGING MEMBER LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/01/2017
CHICKIESTRONG ROCKY RIVER LLC OPERATIONAL/MANAGERIAL CONTROL since 09/01/2017

Owner / manager individuals (6)

Name Role Association
FEUER, SAMUEL 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/01/2017
KATZ, LARRY 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/01/2017
LESHKOWITZ, ELI 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/01/2017
BHIMANI, JAYANTILAL OPERATIONAL/MANAGERIAL CONTROL since 12/30/2016
HOLZHEIMER, BRIAN OPERATIONAL/MANAGERIAL CONTROL since 10/13/2025
LESHKOWITZ, ELI CORPORATE OFFICER since 12/30/2016

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $24 metrics.cost_per_resident_day
Cost Report Current Ratio 0.89 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 25.7% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.4% metrics.medicare_day_share
Cost Report Net Income ($) $562,704 metrics.net_income
Cost Report Net Patient Revenue ($) $11,002,574 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 84.9% metrics.occupancy_rate
Cost Report Operating Margin (%) -0.2% metrics.operating_margin
Cost Report Total Assets ($) $3,935,262 metrics.total_assets
Cost Report Total Costs ($) $910,097 metrics.total_costs
Cost Report Total Fund Balances ($) $-729,408 metrics.fund_balance
Cost Report Total Liabilities ($) $4,664,670 metrics.total_liabilities
Cost Report Total Margin (%) 4.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.03864 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.85110 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.23052 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.12026 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.85945 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote 26 Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 89.1 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.88664 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.40970 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.69887 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.99521 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.52135 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.5 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.2 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.7 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.3 Chain Average Staffing Rating
Provider Information Chain ID 760 Chain ID
Provider Information Chain Name GARDEN HEALTHCARE GROUP Chain Name
Provider Information City/Town CLEVELAND City/Town
Provider Information CMS Certification Number (CCN) 365392 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Cuyahoga County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1979-07-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 41.4427 Latitude
Provider Information Legal Business Name GARDEN HEALTHCARE OF ROCKY RIVER LLC Legal Business Name
Provider Information Location 4102 ROCKY RIVER DR,CLEVELAND,OH,44135 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -81.819 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home — Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 120 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 6 Number of Facilities in Chain
Provider Information Number of Fines 5 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.41532 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.02735 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 4102 ROCKY RIVER DR Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name ROCKY RIVER GARDENS REHAB AND NURSING CTR Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 170 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 112 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 6 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 10 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-04-12 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 112 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 16 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 12 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-06-14 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 282 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 9 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 282 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 19 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.19761 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 78.6 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.31330 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.07477 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.91548 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.05534 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.23854 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.22878 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating — Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State OH State
Provider Information Telephone Number 2162513300 Telephone Number
Provider Information Total Amount of Fines in Dollars 104742.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.95890 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 6 Total Number of Penalties
Provider Information Total nursing staff turnover 52.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 154.500 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 44135 ZIP Code