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Home at Hearthstone, the
8028 Hamilton Avenue, Cincinnati, OH 45231 (opens Google Maps) · Hamilton County · (513) 521-2700· 96 certified beds · avg 89 residents/day · certified since Dec 23, 2002 · 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: FOUNDATIONS HEALTH SOLUTIONS (64 facilities, chain avg rating 4.1★)
4/5
Health inspection rating (on-site)
inspected Jul 25, 2024
0
Serious findings on record
$0
Fines, last 3 years
3.15
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: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
⚠ 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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 17 inspection findings. Open the full record below to read every finding.
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 F-0550
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
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
View all 17 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 |
|---|---|---|
| Dec 17, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0550 |
| Jul 25, 2024 | 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 25, 2024 | 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 |
| Jul 25, 2024 | D · Potential for more than minimal harm, isolated | 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 |
| Feb 3, 2022 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · F-0557 |
| Feb 3, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0582 |
| Feb 3, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Feb 3, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0636 |
| Feb 3, 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 |
| Feb 3, 2022 | 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. · F-0657 |
| Feb 3, 2022 | 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 |
| Mar 28, 2019 | D · Potential for more than minimal harm, isolated | 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 |
| Mar 28, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0688 |
| Mar 28, 2019 | 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 |
| Mar 28, 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 |
| Mar 28, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Mar 28, 2019 | 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 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 3).
All citationsSerious citations (G–L)
2019
All citations: 6
Serious citations (G–L): 0
2022
All citations: 7
Serious citations (G–L): 0
2024
All citations: 3
Serious citations (G–L): 0
2025
All citations: 1
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 | 6 | 0 | D |
| 2022 | 7 | 0 | D |
| 2024 | 3 | 0 | D |
| 2025 | 1 | 0 | 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)
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: 3.15
Ohio average: 3.45
U.S. average: 3.95
Registered Nurse hours
This facility: 0.40
Ohio average: 0.60
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.78
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) | 3.15 | 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 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 3.60, RN 0.45, weekend 3.18.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.60 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Home at Hearthstone, the. 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 |
|---|---|---|---|---|
| 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 |
All 12 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Foundations Health Solutions — 64 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.
- Home at Taylor's Pointe — Cincinnati, OH · overall 3/5
- Huntington Woods Care & Rehab Center — Westlake, OH · overall 5/5
- Inniswood Health and Rehabilitation — Westerville, OH · overall 1/5
- Jefferson Healthcare Center — Jefferson, OH · overall 4/5
- Johnstown Pointe Nursing & Rehabilitation Center — Johnstown, OH · overall 5/5
- Keystone Pointe Health and Rehabilitation — Lagrange, OH · overall 5/5
- Lafayette Pointe Nursing & Rehab Ctr — West Lafayette, OH · overall 4/5
- Landings of Westerville Health and Rehab the — Westerville, OH · overall 5/5
Listed by state, then facility name — not a ranking. Showing 8 of the 63 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.
- "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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Ohio midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 37% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 123 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 →
Other facilities in the same county
CMS records place this facility in Hamilton, OH — 69 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Indianspring of Oakley — Cincinnati, OH · overall 2/5
- Ivy Woods Healthcare Center. — Cincinnati, OH · overall 4/5
- Kenwood Terrace Healthcare Center — Cincinnati, OH · overall 4/5
- Liberty Nursing Center of Colerain INC — Cincinnati, OH · overall 1/5
- Lincoln Crawford Care Center — Cincinnati, OH · overall 3/5abuse
- Madeira Healthcare Center — Cincinnati, OH · overall 4/5
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 366251.