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Twin Towers
5343 Hamilton Avenue, Cincinnati, OH 45224 (opens Google Maps) · Hamilton County · (513) 853-2000· 75 certified beds · avg 61 residents/day · certified since Jul 11, 1995 · 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 →
4/5
Health inspection rating (on-site)
inspected Feb 26, 2026
1
Serious findings on record
most recent Feb 26, 2026
$0
Fines, last 3 years
5.82
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 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Mar 23, 2026 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.
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. F-0686
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. F-0580
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. F-0692
View all 12 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 |
|---|---|---|
| Feb 26, 2026 | ▲ G · Actual harm, isolated | 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. · F-0686 |
| Feb 26, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0580 |
| Feb 26, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Aug 30, 2024 | 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 |
| Aug 30, 2024 | 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 |
| Aug 30, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0580 |
| Aug 30, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Aug 30, 2024 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726 |
| Aug 30, 2024 | 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 |
| Aug 30, 2024 | 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 3, 2022 | 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 |
| Nov 3, 2022 | 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. · F-0803 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 3).
All citationsSerious citations (G–L)
2022
All citations: 2
Serious citations (G–L): 0
2024
All citations: 7
Serious citations (G–L): 0
2026
All citations: 3
Serious citations (G–L): 1
All bars start at zero. Exact values and supporting details remain below.
| 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)
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: 5.82
Ohio average: 3.45
U.S. average: 3.95
Registered Nurse hours
This facility: 1.37
Ohio average: 0.60
U.S. average: 0.69
Weekend total nurse staffing
This facility: 5.36
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) | 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 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 5.06, RN 1.19, weekend 4.66.Comparing with Medicare Care Compare? Care Compare shows the raw figure (5.06 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
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: 4/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Twin Towers. 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 →
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 |
All 12 owning or managing parties CMS has on file are shown — none excluded.
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?"
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 51% 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 121 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 |
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.
- Veranda Gardens Nursing & Rehabilitation Center — Cincinnati, OH · overall 2/5
- Western Hills Retirement Village — Cincinnati, OH · overall 4/5
- Advanced Health Care of Cincinnati — Cincinnati, OH · overall 3/5
- Alois Alzheimer's Care Center — Cincinnati, OH · overall 4/5
- Anderson, the — Cincinnati, OH · overall 1/5
- Arc at Cincinnati — Cincinnati, OH · overall 1/5SFF
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 366023.
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