Home at Hearthstone, the

Name: Home at Hearthstone, the
Address: 8028 HAMILTON AVENUE, Cincinnati, OH, 45231, US
Telephone: 5135212700

8028 Hamilton Avenue, Cincinnati, OH 45231 · Hamilton County · 96 certified beds · avg 89 residents/day · certified since Dec 23, 2002

Part of chain: FOUNDATIONS HEALTH SOLUTIONS (64 facilities, chain avg rating 4.1★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.15

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

⚠ 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.

All citations in the current public record (17)

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
Dec 17, 2025	E · Potential for harm, repeated	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. · from a complaint
Jul 25, 2024	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 25, 2024	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.
Jul 25, 2024	D · Potential for harm, one-off	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.
Feb 3, 2022	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
Feb 3, 2022	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.
Feb 3, 2022	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 3, 2022	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Feb 3, 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.
Feb 3, 2022	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.
Feb 3, 2022	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.
Mar 28, 2019	D · Potential for harm, one-off	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.
Mar 28, 2019	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.
Mar 28, 2019	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.
Mar 28, 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.
Mar 28, 2019	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.
Mar 28, 2019	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 3).

Year	Citations	Worst severity that year
2019	6	D
2022	7	D
2024	3	D
2025	1	E

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)	3.15	3.45	3.95	bottom 37% in Ohio; bottom 19% in the U.S.
Registered Nurse hours	0.40	0.60	0.69	bottom 20% in Ohio; bottom 21% in the U.S.
Weekend total nurse staffing	2.78	3.07	3.50	bottom 36% in Ohio; bottom 20% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.19	0.42	0.48	bottom 8% in Ohio; bottom 11% in the U.S.
Total nursing staff turnover (%)	37.4	48.7	45.8	top 21% in Ohio; top 30% in the U.S.
RN turnover (%)	22.2	43.9	42.9	top 16% in Ohio; top 17% 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 3.60, RN 0.45, weekend 3.18. Staffing rating: 2/5.

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: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Colleran, Brian	Individual	Corporate Director	NOT APPLICABLE	01/01/2019
Colleran, Brian	Individual	Corporate Officer	NOT APPLICABLE	01/01/2019
Colleran, Brian	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2019
Colleran, Brian	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2019
Foundations Health Solutions, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2019
Foundations Health Solutions, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/09/2025
Krystowski, John	Individual	Corporate Officer	NOT APPLICABLE	06/01/2018
Krystowski, John	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2018
Krystowski, John	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2018
Nelson, Naveena	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2018
Santiago, Jessica	Individual	Operational/Managerial Control	NOT APPLICABLE	09/20/2022
Santiago, Jessica	Individual	ADP of the SNF	NOT APPLICABLE	09/20/2022

Questions to ask on your visit

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

"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How soon after admission is a full assessment completed, and how are the findings shared with the family?"
"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
Mt Healthy Christian Home	0.0 mi	Cincinnati, OH	★★★★★	5/5
Clovernook Health Care and Rehabilitation Center	1.4 mi	Cincinnati, OH	★★☆☆☆	1/5
Burlington House Rehab & Alzheimer's Care Center	1.5 mi	Cincinnati, OH	★★★☆☆	2/5	abuse
Alois Alzheimer's Care Center	2.2 mi	Cincinnati, OH	★★★★☆	4/5
Lakeridge Villa Health Care Center	2.4 mi	Cincinnati, OH	★☆☆☆☆	2/5
Home at Taylor's Pointe	2.5 mi	Cincinnati, OH	★★★☆☆	4/5
Mt Airy Gardens Rehabilitation and Nursing Center	2.6 mi	Cincinnati, OH	★★☆☆☆	2/5
Ohio Living Llanfair	3.0 mi	Cincinnati, OH	★★★★★	4/5
Triple Creek Retirement Community	3.2 mi	Cincinnati, OH	★★★★★	4/5
Wellspring Health Center	3.6 mi	Cincinnati, OH	★★☆☆☆	2/5
Sanctuary Pointe Nursing & Rehabilitation Center	3.6 mi	Cincinnati, OH	★★★★★	5/5
Twin Towers	3.7 mi	Cincinnati, OH	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Cincinnati →

Facility data as of CMS processing date 2026-08-01. CCN 366251.

The Care File

Visit checklist — Home at Hearthstone, the

8028 Hamilton Avenue, Cincinnati, OH 45231 · 5135212700

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
☐ "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 366251 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)