Aristos Nursing and Rehabilitation

Name: Aristos Nursing and Rehabilitation
Address: 4650 ROCKY RIVER DR, Cleveland, OH, 44135, US
Telephone: 2162675445

4650 Rocky River Dr, Cleveland, OH 44135 · Cuyahoga County · 57 certified beds · avg 51 residents/day · certified since Sep 1, 1996

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.66

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (41)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 13, 2026	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
May 13, 2026	F · Potential for harm, facility-wide	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · from a complaint
May 13, 2026	F · Potential for harm, facility-wide	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
May 13, 2026	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
May 13, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
May 13, 2026	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · from a complaint
May 13, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
May 13, 2026	D · Potential for harm, one-off	The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. · from a complaint
May 13, 2026	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint
May 13, 2026	D · Potential for harm, one-off	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · from a complaint
May 13, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint
May 13, 2026	D · Potential for harm, one-off	The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · from a complaint
May 13, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Sep 29, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 29, 2025	E · Potential for harm, repeated	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Sep 29, 2025	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Sep 29, 2025	E · Potential for harm, repeated	The facility did not have policies on smoking.
Sep 29, 2025	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Sep 29, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Sep 29, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 29, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Sep 29, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Sep 29, 2025	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Sep 29, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Aug 16, 2024	F · Potential for harm, facility-wide	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Sep 28, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Nov 8, 2022	F · Potential for harm, facility-wide	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Nov 8, 2022	E · Potential for harm, repeated	The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times.
Nov 8, 2022	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Aug 29, 2019	F · Potential for harm, facility-wide	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Aug 29, 2019	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 29, 2019	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Aug 29, 2019	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Aug 29, 2019	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Aug 29, 2019	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Aug 29, 2019	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds.
Aug 29, 2019	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 29, 2019	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Aug 29, 2019	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Aug 29, 2019	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Aug 29, 2019	C · Minimal risk, facility-wide	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 11).

Year	Citations	Worst severity that year
2019	12	F
2022	3	F
2023	1	D
2024	1	F
2025	11	F
2026	13	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Ohio avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.66	3.45	3.95	top 28% in Ohio; bottom 45% in the U.S.
Registered Nurse hours	0.68	0.60	0.69	top 27% in Ohio; top 38% in the U.S.
Weekend total nurse staffing	3.40	3.07	3.50	top 21% in Ohio; top 47% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.38	0.42	0.48	bottom 49% in Ohio; bottom 48% in the U.S.
Total nursing staff turnover (%)	54.3	48.7	45.8	bottom 33% in Ohio; bottom 26% in the U.S.
RN turnover (%)	54.5	43.9	42.9	bottom 32% in Ohio; bottom 29% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.27, RN 0.61, weekend 3.04. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Aaa Eminent LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	12/31/2024
Aaa Eminent LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2024
Aaa Opco LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	12/31/2024
Carerite Services LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2024
Armstead Pharmacy Provider Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/31/2024
Ausch, Chaim	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/31/2024
Ausch, Chaim	Individual	Operational/Managerial Control	NOT APPLICABLE	12/31/2024
Ausch, Chaim	Individual	Limited Partnership Interest	NOT APPLICABLE	12/31/2023
Bhimani, Jayantilal	Individual	ADP of the SNF	NOT APPLICABLE	12/31/2024
Carerite Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/31/2024
Eminent Care Group LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/31/2024
Eminent Care Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/31/2024
Geldzahler, Yaakov	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/31/2024
Geldzahler, Yaakov	Individual	Operational/Managerial Control	NOT APPLICABLE	12/31/2024
Geldzahler, Yaakov	Individual	General Partnership Interest	NOT APPLICABLE	12/31/2023
Howard, Wershbale & Co	Organization	ADP of the SNF	NOT APPLICABLE	12/31/2024
Med-Net Compliance LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/31/2024
Mercadante, Ashley	Individual	Operational/Managerial Control	NOT APPLICABLE	12/31/2024
Mercadante, Ashley	Individual	ADP of the SNF	NOT APPLICABLE	12/31/2024
Royer, Kimberly	Individual	Operational/Managerial Control	NOT APPLICABLE	12/31/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Which staff are trained in ostomy care, and how often is that care provided and checked?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Larchwood Care	1.0 mi	Cleveland, OH	★★★★★	4/5
Rocky River Gardens Rehab and Nursing Ctr	1.0 mi	Cleveland, OH	★★☆☆☆	1/5
Westpark Healthcare Campus	1.4 mi	Cleveland, OH	★★★★★	4/5
O'Neill Healthcare Fairview Park	1.8 mi	Fairview Park, OH	★★★★★	5/5
North Park Care Center	2.6 mi	Brook Park, OH	★★★★★	5/5
Gardens of North Olmsted	2.7 mi	North Olmsted, OH	★★☆☆☆	1/5
O'Neill Healthcare North Olmsted	2.7 mi	North Olmsted, OH	★★★★☆	3/5
Welsh Home the	2.9 mi	Rocky River, OH	★★★★★	5/5
East Park Care Center	3.1 mi	Brook Park, OH	★★☆☆☆	1/5
Berea Center	3.1 mi	Berea, OH	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Cleveland →

Facility data as of CMS processing date 2026-08-01. CCN 366058.

The Care File

Visit checklist — Aristos Nursing and Rehabilitation

4650 Rocky River Dr, Cleveland, OH 44135 · 2162675445

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Which staff are trained in ostomy care, and how often is that care provided and checked?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 366058 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)