Federal inspection record · CMS data as of October 1, 2026
Home At Hearthstone, The
8028 Hamilton Avenue, Cincinnati, OH · (513) 521-2700
- Certified beds
- 96
- Residents per day
- 91
- Ownership
- For-Profit
- Chain
- Foundations Health Solutions
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 23, 2002
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Home At Hearthstone, The carries 22 inspection points. That is fewer than 84% of Ohio's 913 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–42 pts
- 3★ 42–69 pts
- 2★ 69–121.25 pts
- 1★ over 121.25 pts
Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
17 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights5E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Pharmacy Service4D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
Quality of Life and Care3D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning3D
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2024-07-25
4 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2022-02-03
7 health deficiencies · 15 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2019-03-28
6 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 28 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 28 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 98.5% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.7 pts better | 94.4% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.8 pts better | 0.3% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms23 pts worse | 54.6% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts better | 5.2% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4 pts worse | 29.5% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.6 pts worse | 12.1% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.1 pts better | 5.2% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.1 pts worse | 5.1% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.0% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.0% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.8 pts better | 9.1% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 2.4% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5 pts worse | 73.4% | 78.4% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine24.2 pts worse | 52.2% | 76.4% | 80.1% |
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Who owns and runs it
12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Colleran, Brian | Corporate Director · Individual | 0% | 64 facilities |
| Colleran, Brian | Corporate Officer · Individual | 0% | 64 facilities |
| Colleran, Brian | Operational/Managerial Control · Individual | 0% | 64 facilities |
| Colleran, Brian | Adp Of The SNF · Individual | 0% | 64 facilities |
| Foundations Health Solutions, LLC | Operational/Managerial Control · Organization | 0% | 63 facilities |
| Foundations Health Solutions, LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Krystowski, John | Corporate Officer · Individual | 0% | 64 facilities |
| Krystowski, John | Operational/Managerial Control · Individual | 0% | 64 facilities |
| Krystowski, John | Adp Of The SNF · Individual | 0% | 64 facilities |
| Nelson, Naveena | Adp Of The SNF · Individual | 0% | 4 facilities |
| Santiago, Jessica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Santiago, Jessica | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have an alternate power supply for its alarm system.
- F
Provide properly protected cooking facilities.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
Emergency Preparedness6F
- F
Develop a communication plan.
- F
Provide emergency officials' contact information.
- F
Provide primary/alternate means for communication.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
Services3F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress3F
- E
Have exits that are accessible at all times.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Miscellaneous1F
- F
Provide a written emergency evacuation plan.
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Other homes nearby
-
Mt Healthy Christian Home
Cincinnati, OH
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 11 min
- Fines
- $0
-
Clovernook Health Care And Rehabilitation Center
Cincinnati, OH · Cch Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 43 min
- Fines
- $0
-
Burlington House Rehab & Alzheimer's Care Center
Cincinnati, OH · Abuse icon
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 28 min
- Fines
- $0