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Hawthorn Glen Nursing Center
5414 Hankins Road, Middletown, OH 45044 (opens Google Maps) · Butler County · (513) 863-7775· 74 certified beds · avg 67 residents/day · certified since Nov 16, 1990 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: LIONSTONE CARE (24 facilities, chain avg rating 2.5★)
2/5
Health inspection rating (on-site)
inspected Jul 31, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.17
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 37 inspection findings. Open the full record below to read every finding.
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. F-0812
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. F-0645
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. F-0761
View all 37 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 31, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jul 31, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0645 |
| Jul 31, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Jul 31, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0569 |
| Jul 31, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0572 |
| Jul 31, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0609 |
| Jul 31, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0610 |
| Jul 31, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0657 |
| Jul 31, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0695 |
| Jul 31, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · F-0740 |
| Jul 31, 2025 | D · Potential for more than minimal harm, isolated | 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). · F-0742 |
| Jul 31, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0803 |
| Jul 31, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0808 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Aug 13, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Jun 15, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0727 |
| Jun 15, 2022 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Jun 15, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0756 |
| Jun 15, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Jun 15, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Jun 15, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Jun 15, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Jun 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jun 15, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Jun 15, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Jun 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time. · F-0888 |
| Nov 6, 2019 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Nov 6, 2019 | F · Potential for more than minimal harm, widespread | 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. · F-0881 |
| Nov 6, 2019 | E · Potential for more than minimal harm, pattern | 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. · F-0623 |
| Nov 6, 2019 | E · Potential for more than minimal harm, pattern | 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. · F-0625 |
| Nov 6, 2019 | E · Potential for more than minimal harm, pattern | 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. · F-0758 |
| Nov 6, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0655 |
| Nov 6, 2019 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Nov 6, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Nov 6, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0759 |
| Nov 6, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Nov 6, 2019 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 13).
All citationsSerious citations (G–L)
2019
All citations: 11
Serious citations (G–L): 0
2022
All citations: 11
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
2025
All citations: 13
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 11 | 0 | F |
| 2022 | 11 | 0 | F |
| 2024 | 2 | 0 | D |
| 2025 | 13 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityOhio averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.17
Ohio average: 3.45
U.S. average: 3.95
Registered Nurse hours
This facility: 0.56
Ohio average: 0.60
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.95
Ohio average: 3.07
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.14 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Hawthorn Glen Nursing Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 26 parties CMS has on file for this facility; 6 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Lionstone Care — 24 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Heatherdowns Rehab & Residential Care Center — Toledo, OH · overall 2/5
- Maple Hills Skilled Nursing & Rehabilitation — McArthur, OH · overall 3/5
- McCrea Manor NSNG and Rehab Ctr LLC — Alliance, OH · overall 2/5
- Oak Grove Manor — Mansfield, OH · overall 1/5
- Ohio Valley Manor Care Center — Ripley, OH · overall 4/5
- Shaker Gardens Nursing and Rehabilitation Center — Shaker Heights, OH · overall 5/5
- Stellar Care Center — Woodsfield, OH · overall 1/5SFF
- The Convalarium of Dublin — Dublin, OH · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 23 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 66% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 26 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 101 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 →
Other facilities in the same county
CMS records place this facility in Butler, OH — 25 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Jamestowne Rehabilitation — Hamilton, OH · overall 3/5
- Knolls of Oxford — Oxford, OH · overall 5/5
- Majestic Care of Fairfield LLC — Fairfield, OH · overall 2/5
- Parkside Nursing and Rehabilitation Center — Fairfield, OH · overall 3/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 365813.