Harvard Gardens Rehabilitation & Care Center
18810 Harvard Ave · Cleveland, OH · 44122 · 2167523600
130 certified beds For profit - Partnership
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $23,720 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.13 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 3.21 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 6 · $194,149 |
Inspection citations (73 in the current record)
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Potential for harm · E April 22, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 1, 2026 · Nutrition and Dietary
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Potential for harm · D April 22, 2026 · found via complaint
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.
Corrected May 1, 2026 · Nutrition and Dietary
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Potential for harm · F April 22, 2026 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 1, 2026 · Environmental
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Actual harm · G April 15, 2026 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D April 15, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · E March 3, 2026
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · F March 3, 2026
Keep residents' personal and medical records private and confidential.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · D March 3, 2026
Assess the resident when there is a significant change in condition
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 3, 2026
Ensure each resident receives an accurate assessment.
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 3, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D March 3, 2026
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.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D March 3, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D March 3, 2026
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected May 1, 2026 · Nursing and Physician Services
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Potential for harm · F March 3, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 1, 2026 · Pharmacy Service
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Potential for harm · D March 3, 2026
Provide routine and 24-hour emergency dental care for each resident.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · F March 3, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 1, 2026 · Nutrition and Dietary
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Potential for harm · F March 3, 2026
Dispose of garbage and refuse properly.
Corrected May 1, 2026 · Nutrition and Dietary
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Potential for harm · D March 3, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 3, 2026
Provide and implement an infection prevention and control program.
Corrected May 1, 2026 · Infection Control
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Potential for harm · D March 3, 2026 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · E March 3, 2026 · found via complaint
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.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · D March 3, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · F March 3, 2026 · found via complaint
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.
Corrected May 1, 2026 · Nursing and Physician Services
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Potential for harm · F March 3, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 1, 2026 · Nutrition and Dietary
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No harm found · C March 3, 2026
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.
Corrected May 1, 2026 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 13, 2025 | Fine | $23,720 |
| February 20, 2024 | Fine | $4,178 |
| February 12, 2024 | Fine | $3,798 |
| January 22, 2024 | Fine | $9,116 |
| December 26, 2023 | Fine | $5,454 |
| September 28, 2023 | Fine | $147,883 |
| September 28, 2023 | Payment Denial | 42 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365828 · certified since March 7, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.