Compiled from official CMS federal data
HARVARD GARDENS REHABILITATION & CARE CENTER, CLEVELAND, OH — Violations & Inspection Reports
Does HARVARD GARDENS REHABILITATION & CARE CENTER have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), HARVARD GARDENS REHABILITATION & CARE CENTER (CCN 365828), in CLEVELAND, OH, has federal inspection findings.
In its current inspection cycle, CMS cited the facility for 25 deficiencies; the most severe is rated G, a level CMS classifies as actual harm. The latest standard health inspection on file is dated 2026-03-03. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $194,149 in civil money penalties on file against the facility. The record also includes 8 abuse- or neglect-related citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Apr 2025). This page restates the federal record and draws no conclusion of its own.
Abuse-, fall-, and care-related findings on the federal record
- 8 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Apr 2025.
- 3 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Apr 2026.
- 1 pressure-ulcer care citation (F686) — the consumer term is "bedsores"; most recent Sep 2023.
- 1 nutrition and hydration citation (F692) — the consumer terms are "malnutrition" and "dehydration"; most recent Feb 2025.
- 37 findings on file from complaint-triggered inspections.
Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.
FOR FAMILIES
What brings you to this record?
The Federal Record
At its most recent federal inspection, CMS cited this facility for 1 deficiency that CMS classified as "actual harm" — its category for harm that reached a resident, above the level of risk alone.
Below is this facility's federal inspection record as on file with CMS.
Scope & Severity — current cycle
CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.
Civil money penalties on file
$194,149
CMS also records 42 days of payment denial.
Have a lawyer review this record →
About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
Deficiency timeline
Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
57 more citations on file — Abuse & neglect 4 · Accidents & supervision 2 · Nutrition & hydration 1 · Medication & pharmacy 3 · Resident rights 9 · Other citations 34 (expand)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Keep residents' personal and medical records private and confidential.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dispose of garbage and refuse properly.
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.
Ensure each resident receives an accurate assessment.
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Provide safe and appropriate respiratory care for a resident when needed.
Provide safe, appropriate pain management for a resident who requires such services.
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Provide and implement an infection prevention and control program.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Assess the resident when there is a significant change in condition
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide routine and 24-hour emergency dental care for each resident.
Reasonably accommodate the needs and preferences of each resident.
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Respond appropriately to all alleged violations.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
Provide and implement an infection prevention and control program.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Provide enough food/fluids to maintain a resident's health.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Have policies on smoking.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Overall CMS star rating
This facility: 1 · CMS state average: 3.2
Both figures as published by CMS.
You may be reading this record for the first time.
If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.
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Federal record
HARVARD GARDENS REHABILITATION & CARE CENTER — Federal Record
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SECTION 7 — CASE CONTEXT
Add what you saw at HARVARD GARDENS REHABILITATION & CARE CENTER to this record
No call centers, no auctions. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. The federal record is a point-in-time inspection record and may understate what actually occurred. CareSentinel is operated by Nodal Logics LLC.
Strict time limits can apply to taking legal action — consider consulting a qualified attorney promptly.
If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.
How to read this record
Making sense of a CMS inspection record
CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.
Three questions to ask on a tour
- How is the home staffed on nights, weekends, and holidays?
- What happens when a resident’s condition changes suddenly?
- How, and how quickly, are families told about an incident?