Rocky River Gardens Rehab and Nursing Ctr
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 47 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (16 vs median 8.0)
- High staff turnover (52%)
- High RN turnover (79%)
Bottom 25% in OH · Critically understaffed (RN) · Worst in GARDEN HEALTHCARE GROUP chain · $104,742 in fines
What this means for your family
While the facility's physical therapy department is frequently praised for helping patients regain mobility, the recurring, credible reports of bed bug infestations and poor hygiene are critical red flags. We strongly advise families to conduct an unannounced visit and specifically inspect the cleanliness of resident rooms and common areas before considering admission.
Google Reviews
Google Reviews
47 reviews on Google“Rocky River Gardens Rehab and Nursing Center receives highly polarized feedback, with many reviewers praising the physical therapy department while others report severe, recurring issues with facility hygiene and pest control. Families consistently express alarm regarding reports of bed bug infestations and poor communication, though some rehab patients report positive experiences with nursing staff and recovery outcomes.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy
- Attentive and pleasant nursing staff for rehab patients
- Strong recovery outcomes for short-term rehab
Concerns
- Bed bug and pest infestation (mentioned by 8 reviewers)
- Poor facility cleanliness and maintenance (mentioned by 5 reviewers)
- Inadequate communication and administrative disorganization (mentioned by 3 reviewers)
- Understaffing and lack of patient care oversight (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 51 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about the effectiveness of your physical and occupational therapy programs; could you tell us more about how the rehab team supports a resident's recovery journey?
- 2What specific steps are being taken to ensure the facility is kept clean, well-maintained, and comfortable for all residents?
- 3How does the nursing team manage medication schedules and ensure there is consistent oversight for patient care?
- 4Can you describe the dining experience, including how much input residents have regarding meal quality and variety?
- 5How does the administration ensure that families are kept informed and communicated with regarding any changes in a resident's care?
- 6In the event of a medical emergency after hours, what is the protocol for contacting doctors and ensuring immediate care?
Personalized based on this facility's data
Key Review Excerpts
“The therapists (all the therapists, occupational & physical) are amazing. Sweet as pie and just so helpful.”
“It’s a terrible place they take a vantage of many old people they’re liars they take their money it’s a filthy place they do not care”
“They have bed bugs bad and are aware and nothing is being done. They scheduled agency on the second floor cause none of their staff wants to work on that floor and you can’t even work at the nursing station due to the infestation.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
6
measures
4
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents who lost too much weight
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have repeatedly filed complaints about this facility, with concerning patterns of deficiencies in resident protection from abuse and neglect, accident prevention, and medication management. Recent 2024 complaints included serious allegations of abuse/neglect that occurred multiple times, alongside persistent issues with facility safety and proper medication handling. While the facility has correction dates for most violations, the recurring nature of abuse-related complaints and safety deficiencies across multiple years suggests ongoing care quality concerns that families should carefully investigate.
Jan 14, 2026Complaint6
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
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.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dec 4, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
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, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 22, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Apr 12, 2024Routine31
Construction Deficiencies
Use approved construction type or materials.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dec 15, 2023Complaint1
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Federal Penalties
Fine
Oct 23, 2024
$17,068
Fine
Oct 23, 2024
$17,414
Payment Denial
Oct 23, 2024
25-day denial
Fine
Jul 22, 2024
$33,586
Ownership & Operations
Who Operates This Facility
Rocky River Gardens Rehab and Nursing Ctr
for profit
Chain Affiliation
Garden Healthcare Group
6 facilities nationwide
Chain avg rating: 2.2/5 · Rank 5 of 6 (Worst)
Ownership & Management
Owners
Chickiestrong Rocky River LLC
Owner · Organization
Garden Care El-Dg Holdings, LLC
Owner · Organization
Braunstein Bears 2016 Trust
Owner (parent company) · Organization
Chickiestrong Real Estate LLC
Owner (parent company) · Organization
Eatery Capital LLC
Owner (parent company) · Organization
Eatery Manager LLC
Owner (parent company) · Organization
Eatery Trust
Owner (parent company) · Organization
Garden Ohio Operating Holdings LLC
Owner (parent company) · Organization
Garden Ohio Operating Managing Member LLC
Owner (parent company) · Organization
Feuer, Samuel
Owner (parent company)
Leshkowitz, Eli
Owner (parent company)
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
47 reviews from families & visitors
Official Website
Visit rockyghc.com
Medicare data downloads
Original nursing home datasets
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