Normandy Manor of Rocky River
22709 Lake Rd, Rocky River, OH 44116 · Cuyahoga County · 150 certified beds · avg 133 residents/day · certified since Jun 25, 1993
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Feb 12, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 6, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (32)
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 |
|---|---|---|
| Nov 6, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| Nov 6, 2024 | E · Potential for harm, repeated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Nov 6, 2024 | 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 |
| Aug 22, 2024 | 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 |
| Jul 11, 2024 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. · from a complaint |
| Jul 11, 2024 | 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. |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Feb 12, 2024 | ▲ G · Actual 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. · from a complaint |
| Feb 12, 2024 | F · Potential for harm, facility-wide | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Feb 12, 2024 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint |
| Feb 12, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Dec 19, 2023 | 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. · from a complaint |
| Apr 15, 2022 | 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. |
| Apr 15, 2022 | 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. |
| Apr 15, 2022 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 15, 2022 | 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. |
| Apr 15, 2022 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Apr 15, 2022 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Apr 15, 2022 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Apr 15, 2022 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Apr 15, 2022 | 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. |
| Apr 15, 2022 | 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. |
| Apr 15, 2022 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Apr 15, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 15, 2022 | 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. |
| Apr 25, 2019 | 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. |
| Apr 25, 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. |
| Apr 25, 2019 | E · Potential for harm, repeated | 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. |
| Apr 25, 2019 | 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. |
| Apr 25, 2019 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Apr 25, 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. |
| Apr 25, 2019 | C · Minimal risk, facility-wide | The facility did not dispose of garbage and refuse properly. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (13 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 7 | 0 | F |
| 2022 | 13 | 0 | F |
| 2023 | 1 | 0 | F |
| 2024 | 11 | 1 | G ▲ |
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) | 3.46 | 3.45 | 3.95 | top 39% in Ohio; bottom 35% in the U.S. |
| Registered Nurse hours | 0.38 | 0.60 | 0.69 | bottom 16% in Ohio; bottom 19% in the U.S. |
| Weekend total nurse staffing | 3.10 | 3.07 | 3.50 | top 37% in Ohio; bottom 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.42 | 0.48 | bottom 10% in Ohio; bottom 14% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 48.7 | 45.8 | — |
| RN turnover (%) | 0.0 | 43.9 | 42.9 | — |
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 3.55, RN 0.39, weekend 3.18. Staffing rating: 1/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Orlean, David | Individual | 5% or Greater Direct Ownership Interest | 59% | 12/01/1991 |
| Orlean, David | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/1993 |
| Orlean, Debra Sue | Individual | 5% or Greater Direct Ownership Interest | 20% | 12/01/1993 |
| Orlean, Susan | Individual | 5% or Greater Direct Ownership Interest | 20% | 12/01/1993 |
| Connolly, Emily | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/11/2022 |
| Connolly, Emily | Individual | ADP of the SNF | NOT APPLICABLE | 09/11/2022 |
| Kubinski, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/16/2022 |
| Normandy II, INC. | Organization | General Partnership Interest | NOT APPLICABLE | 12/01/1991 |
| Normandy II, INC. | Organization | Limited Partnership Interest | NOT APPLICABLE | 02/01/1993 |
| Orlean, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/1993 |
| Orlean, David | Individual | Limited Partnership Interest | NOT APPLICABLE | 12/01/1991 |
| Orlean, David | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/1993 |
| Orlean, Debra Sue | Individual | Limited Partnership Interest | NOT APPLICABLE | 12/01/1993 |
| Orlean, Debra Sue | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/1993 |
| Orlean, Susan | Individual | Limited Partnership Interest | NOT APPLICABLE | 12/01/1993 |
| Orlean, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/1993 |
| Patel, Kishor | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Shula, Matthew | Individual | Corporate Director | NOT APPLICABLE | 10/19/2008 |
| Sovereign Rocky River, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/31/2004 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can I see where garbage is stored and how often it's removed?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "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 | Flags |
|---|---|---|---|---|---|
| Welsh Home the | 1.6 mi | Rocky River, OH | ★★★★★ | 5/5 | |
| O'Neill Healthcare Fairview Park | 2.6 mi | Fairview Park, OH | ★★★★★ | 5/5 | |
| Life Care Center of Westlake | 3.0 mi | Westlake, OH | ★★☆☆☆ | 2/5 | |
| Huntington Woods Care & Rehab Center | 3.0 mi | Westlake, OH | ★★★★★ | 5/5 | |
| Lutheran Home | 3.1 mi | Westlake, OH | ★★★★☆ | 4/5 | |
| Gardens of North Olmsted | 3.2 mi | North Olmsted, OH | ★★☆☆☆ | 1/5 | |
| Rae-Ann Westlake | 3.4 mi | Westlake, OH | ★★★★☆ | 4/5 | |
| Rocky River Gardens Rehab and Nursing Ctr | 3.8 mi | Cleveland, OH | ★★☆☆☆ | 1/5 | |
| Larchwood Care | 3.9 mi | Cleveland, OH | ★★★★★ | 4/5 | |
| Rae Ann Suburban | 4.1 mi | Westlake, OH | ★★☆☆☆ | 1/5 | |
| O'Neill Healthcare North Olmsted | 4.3 mi | North Olmsted, OH | ★★★★☆ | 3/5 | |
| O'Neill Healthcare Lakewood | 4.4 mi | Lakewood, OH | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
All facilities in Rocky River →
Facility data as of CMS processing date 2026-08-01. CCN 365926.