Hawthorn Glen Nursing Center

Name: Hawthorn Glen Nursing Center
Address: 5414 HANKINS ROAD, Middletown, OH, 45044, US
Telephone: 5138637775

5414 Hankins Road, Middletown, OH 45044 · Butler County · 74 certified beds · avg 67 residents/day · certified since Nov 16, 1990

Part of chain: LIONSTONE CARE (24 facilities, chain avg rating 2.5★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.17

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: 1/5

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 (37)

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
Jul 31, 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.
Jul 31, 2025	E · Potential for harm, repeated	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.
Jul 31, 2025	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.
Jul 31, 2025	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.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost.
Jul 31, 2025	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.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Jul 31, 2025	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
Jul 31, 2025	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. · from a complaint
Jul 31, 2025	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD).
Jul 31, 2025	D · Potential for harm, one-off	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. · from a complaint
Jul 31, 2025	D · Potential for harm, one-off	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows.
Dec 5, 2024	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. · from a complaint
Aug 13, 2024	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. · from a complaint
Jun 15, 2022	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jun 15, 2022	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.
Jun 15, 2022	E · Potential for harm, repeated	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.
Jun 15, 2022	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.
Jun 15, 2022	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.
Jun 15, 2022	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.
Jun 15, 2022	D · Potential for harm, one-off	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.
Jun 15, 2022	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.
Jun 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.
Jun 15, 2022	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jun 15, 2022	D · Potential for harm, one-off	The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time.
Nov 6, 2019	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.
Nov 6, 2019	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.
Nov 6, 2019	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Nov 6, 2019	E · Potential for harm, repeated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Nov 6, 2019	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Nov 6, 2019	D · Potential for harm, one-off	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.
Nov 6, 2019	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.
Nov 6, 2019	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.
Nov 6, 2019	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Nov 6, 2019	D · Potential for harm, one-off	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.
Nov 6, 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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 13).

Year	Citations	Worst severity that year
2019	11	F
2022	11	F
2024	2	D
2025	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)	3.17	3.45	3.95	bottom 39% in Ohio; bottom 20% in the U.S.
Registered Nurse hours	0.56	0.60	0.69	top 46% in Ohio; bottom 46% in the U.S.
Weekend total nurse staffing	2.95	3.07	3.50	top 49% in Ohio; bottom 28% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.42	0.48	top 47% in Ohio; top 49% in the U.S.
Total nursing staff turnover (%)	66.2	48.7	45.8	bottom 11% in Ohio; bottom 9% in the U.S.
RN turnover (%)	75.0	43.9	42.9	bottom 10% in Ohio; bottom 9% 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 3.14, RN 0.56, weekend 2.92. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Kazarnovsky, Solomon	Individual	5% or Greater Indirect Ownership Interest	25%	06/28/2024
Lionstone Carnation Opco Holdings, LLC	Organization	5% or Greater Direct Ownership Interest	—	06/28/2024
Stein, Abba	Individual	5% or Greater Indirect Ownership Interest	50%	06/28/2024
Ansari, Saba	Individual	ADP of the SNF	NOT APPLICABLE	06/28/2024
Cross River Bank	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	06/28/2024
Hawthorn Glen Propco LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/28/2024
Kazarnovsky, Solomon	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/28/2024
Kazarnovsky, Solomon	Individual	Corporate Director	NOT APPLICABLE	06/28/2024
Kazarnovsky, Solomon	Individual	Corporate Officer	NOT APPLICABLE	06/28/2024
Kazarnovsky, Solomon	Individual	Operational/Managerial Control	NOT APPLICABLE	06/28/2024
Kazarnovsky, Solomon	Individual	ADP of the SNF	NOT APPLICABLE	06/28/2024
Klugman, Jacob	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	02/10/2025
Lionstone Carnation Opco Holdings, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/28/2024
Lionstone Carnation Opco Holdings, LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/28/2024
Lionstone Carnation Propco Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/28/2024
Norris, Matthew	Individual	Operational/Managerial Control	NOT APPLICABLE	06/28/2024
Norris, Matthew	Individual	ADP of the SNF	NOT APPLICABLE	06/28/2024
Peace Capital Holdings II LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/28/2024
SMS 2021 Trust	Organization	ADP of the SNF	NOT APPLICABLE	06/28/2024
Stein, Abba	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/28/2024

Questions to ask on your visit

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

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
"Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"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
Majestic Care of Middletown LLC	2.7 mi	Middletown, OH	★★☆☆☆	1/5
Ohio Living Mount Pleasant	3.8 mi	Monroe, OH	★★★★☆	3/5
Gateway Springs Health Campus	4.1 mi	Hamilton, OH	★★★★★	5/5
Liberty Station Health Campus	4.4 mi	Liberty TWP, OH		—/5
Doverwood Village	4.6 mi	Hamilton, OH	★★★★★	4/5
Birchwood Care Center	4.7 mi	Hamilton, OH	★★★★★	5/5
Glen Meadows	5.2 mi	Hamilton, OH	★★★★★	5/5
Hamilton Respiratory and Nursing Center	5.9 mi	Hamilton, OH	★★★☆☆	3/5
Arlington Pointe Care Center	5.9 mi	Middletown, OH	★★★★☆	4/5
The Laurels of Middletown	6.0 mi	Middletown, OH	★★★★☆	3/5
Heritagespring Healthcare Center of West Chester	6.2 mi	West Chester, OH	★★★☆☆	3/5
Residence at Huntington Court	6.5 mi	Hamilton, OH	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Middletown →

Facility data as of CMS processing date 2026-08-01. CCN 365813.

The Care File

Visit checklist — Hawthorn Glen Nursing Center

5414 Hankins Road, Middletown, OH 45044 · 5138637775

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
☐ "Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "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 365813 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)