HomeOhioCuyahoga CountyROCKY RIVER GARDENS REHAB AND NURSING CTR
F
Critical

ROCKY RIVER GARDENS REHAB AND NURSING CTR

4102 ROCKY RIVER DR · CLEVELAND, OH 44135

2162513300 · For profit - Limited Liability company

120 beds89.1 residents122 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
C
Below Standard
Total Staff
F
Critical
RN Staff
F
Critical
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ROCKY RIVER GARDENS REHAB AND NURSING CTR receives an overall staffing grade of F (Critical). With 3.2267 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.2387 HPRD, below the recommended 0.75. It is 0.67 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 11.21% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2267 HPRD — needs 0.25 more hours per resident per day.
⚠️RN staffing (0.2387 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (2)

No days with zero registered nurse hours this quarter
Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.2267hrs/resident/day 0.67
CMS benchmark: 3.48
RN HPRD
0.2387hrs/resident/day 0.44
Recommended: 0.75
Weekend Drop-off
11.21%
3.3322 weekday → 2.9587 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9139hrs/resident/day
Direct care aides
LPN HPRD
1.0741hrs/resident/day
Licensed practical nurses
Consistency
0.307std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Cuyahoga County Average-0.51 HPRD
3.74
03.23 HPRD
vs. Ohio State Average-0.51 HPRD
3.73
03.23 HPRD
vs. National Average-0.67 HPRD
3.90
03.23 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ROCKY RIVER GARDENS REHAB AND NURSING CTR
CLEVELAND · This facility
F
3.22670.2387★★☆☆☆
GARDENS OF NORTH OLMSTED
NORTH OLMSTED
3 mi
C
3.54810.4638★★☆☆☆
O'NEILL HEALTHCARE LAKEWOOD
LAKEWOOD
3.4 mi
C
3.55150.4515★★★☆☆
GREENBRIER HEALTH CENTER
PARMA HEIGHTS
4.7 mi
D
3.28430.3806☆☆☆☆
LIFE CARE CENTER OF WESTLAKE
WESTLAKE
5 mi
B
3.62590.6105★★☆☆☆
LUTHERAN HOME
WESTLAKE
5.4 mi
B
4.55050.5537★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
39
Total Deficiencies
$104,742
Fines Assessed
Dec 4, 2024Health
2 deficiencies cited· Includes actual harm
Oct 23, 2024Health
1 deficiency cited· Includes actual harm
Jul 22, 2024Health
2 deficiencies cited· Includes actual harm
Apr 12, 2024Health
10 deficiencies cited
Dec 15, 2023Health
1 deficiency cited
Jun 14, 2023Health
12 deficiencies cited· Includes actual harm
Apr 14, 2023Health
1 deficiency cited
Feb 9, 2023Health
1 deficiency cited
Dec 5, 2019Health
9 deficiencies cited

Penalty History

Oct 23, 2024Fine
$17,068
Oct 23, 2024Fine
$17,414
Oct 23, 2024Payment Denial
Jul 22, 2024Fine
$33,586
Jun 14, 2023Fine
$15,626
Jun 14, 2023Fine
$21,048
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.