Facility profile · CCN 365392
Rocky River Gardens Rehab And Nursing Ctr
44 federal citations on record , including 3 at the Immediate Jeopardy level, and 6 federal enforcement actions totaling $104,742.
Record summary
Federal record · Q1 202644
Total citations
34
Last 3 years
5
Actual harm+
6
Federal penalties
$104,742
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
44 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 14, 2026 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Jan 14, 2026 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Jan 14, 2026 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jan 14, 2026 | F761 | 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 | Complaint |
| Jan 14, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jan 14, 2026 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Dec 4, 2024 | F690 | 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 | Complaint |
| Dec 4, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Oct 23, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Jul 22, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Jul 22, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Apr 12, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Apr 12, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Apr 12, 2024 | F761 | 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 | Standard |
| Apr 12, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Apr 12, 2024 | F758 | 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 | Standard |
| Apr 12, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Apr 12, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Apr 12, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Apr 12, 2024 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Apr 12, 2024 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard |
| Dec 15, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint |
| Jun 14, 2023 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint |
| Jun 14, 2023 | F603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G | Complaint |
| Jun 14, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jun 14, 2023 | F849 | 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 | Standard |
| Jun 14, 2023 | F758 | 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 | Standard |
| Jun 14, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Jun 14, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jun 14, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Jun 14, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Jun 14, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jun 14, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jun 14, 2023 | F578 | 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 | Standard |
| Apr 14, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 5, 2019 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Dec 5, 2019 | F776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Standard |
| Dec 5, 2019 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Dec 5, 2019 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Dec 5, 2019 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Dec 5, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Dec 5, 2019 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Dec 5, 2019 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Dec 5, 2019 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 6 enforcement actions against this facility, including 5 civil money penalties totaling $104,742 and 1 payment-denial actions spanning 25 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 23, 2024 | Fine | $17,068 | — |
| Oct 23, 2024 | Fine | $17,414 | — |
| Oct 23, 2024 | Payment Denial | — | Nov 16, 2024 · 25 days |
| Jul 22, 2024 | Fine | $33,586 | — |
| Jun 14, 2023 | Fine | $15,626 | — |
| Jun 14, 2023 | Fine | $21,048 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
Concerned about care at Rocky River Gardens Rehab And Nursing Ctr?
An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.
- Consultation is free and confidential
- You pay nothing unless there is a recovery
- Your note is shared only with vetted plaintiff attorneys