Twin Towers
5343 Hamilton Avenue, Cincinnati, OH 45224 · Hamilton County · 75 certified beds · avg 61 residents/day · certified since Jul 11, 1995
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Feb 26, 2026 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 23, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (12)
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 |
|---|---|---|
| Feb 26, 2026 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Aug 30, 2024 | 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. |
| Aug 30, 2024 | 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. |
| Aug 30, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Aug 30, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Aug 30, 2024 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Aug 30, 2024 | 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. |
| Aug 30, 2024 | 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 3, 2022 | 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. |
| Nov 3, 2022 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | F |
| 2024 | 7 | 0 | F |
| 2026 | 3 | 1 | G ▲ |
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) | 5.82 | 3.45 | 3.95 | top 2% in Ohio; top 5% in the U.S. |
| Registered Nurse hours | 1.37 | 0.60 | 0.69 | top 2% in Ohio; top 6% in the U.S. |
| Weekend total nurse staffing | 5.36 | 3.07 | 3.50 | top 2% in Ohio; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.92 | 0.42 | 0.48 | top 3% in Ohio; top 8% in the U.S. |
| Total nursing staff turnover (%) | 51.0 | 48.7 | 45.8 | bottom 44% in Ohio; bottom 34% in the U.S. |
| RN turnover (%) | 38.1 | 43.9 | 42.9 | top 41% in Ohio; top 44% 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 5.06, RN 1.19, weekend 4.66. Staffing rating: 5/5.
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: 4/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bowersox, James | Individual | Corporate Director | NOT APPLICABLE | 11/14/2012 |
| Bowersox, James | Individual | Corporate Officer | NOT APPLICABLE | 11/19/2014 |
| Burgess, Douglas | Individual | Corporate Director | NOT APPLICABLE | 11/17/2021 |
| East, Sandra | Individual | Corporate Director | NOT APPLICABLE | 11/17/2021 |
| Hildal, Robyn | Individual | Corporate Director | NOT APPLICABLE | 11/17/2021 |
| Kahle, Thomas | Individual | Corporate Director | NOT APPLICABLE | 11/17/2021 |
| McDonald, Kenneth | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2014 |
| McQuinn, Scott | Individual | Corporate Director | NOT APPLICABLE | 11/19/2014 |
| McQuinn, Scott | Individual | Corporate Officer | NOT APPLICABLE | 11/19/2014 |
| Present, Philip | Individual | Corporate Director | NOT APPLICABLE | 11/17/2021 |
| Rivera, Emmanuel | Individual | Contracted Managing Employee | NOT APPLICABLE | 03/01/2024 |
| Stricker, Kristie | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/22/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "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 |
|---|---|---|---|---|---|
| Ohio Living Llanfair | 0.8 mi | Cincinnati, OH | ★★★★★ | 4/5 | |
| Mt Airy Gardens Rehabilitation and Nursing Center | 1.6 mi | Cincinnati, OH | ★★☆☆☆ | 2/5 | |
| Lakeridge Villa Health Care Center | 2.3 mi | Cincinnati, OH | ★☆☆☆☆ | 2/5 | |
| Clovernook Health Care and Rehabilitation Center | 2.4 mi | Cincinnati, OH | ★★☆☆☆ | 1/5 | |
| Scarlet Oaks Nursing and Rehabilitation Center | 2.4 mi | Cincinnati, OH | ★★★☆☆ | 3/5 | |
| Covenant Village Care Center | 2.6 mi | Cincinnati, OH | ★★★☆☆ | 3/5 | |
| Woods Edge Rehab and Nursing | 3.6 mi | Cincinnati, OH | ★★☆☆☆ | 1/5 | |
| Wellspring Health Center | 3.6 mi | Cincinnati, OH | ★★☆☆☆ | 2/5 | |
| Astoria Place of Cincinnati | 3.7 mi | Cincinnati, OH | ★☆☆☆☆ | 1/5 | abuseSFF |
| Seven Acres Senior Living at Clifton | 3.7 mi | Cincinnati, OH | ★★★★☆ | 3/5 | |
| Clifton Healthcare Center | 3.7 mi | Cincinnati, OH | ★★★☆☆ | 2/5 | |
| Mt Healthy Christian Home | 3.7 mi | Cincinnati, OH | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 366023.