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Nursing Home

The Home At Hearthstone

Nursing Home

The Home At Hearthstone

8028 Hamilton Ave, Cincinnati, OH 45231 View map
Overview of The Home at Hearthstone

Make the most of your golden years with The Home at Hearthstone, a lively community in Cincinnati, OH, offering short-term rehabilitation and long-term care. Their community fosters a vibrant living environment with a team of registered nurses, licensed therapists, and dietitians who work together to deliver well-rounded care. To make sure residents who require therapy receive effective treatment plans, their therapists are available 7 days a week to regularly update them as their needs change.

Their dieticians work hard to curate healthy yet flavorful menus tailored to residents’ unique preferences and dietary needs. Residents are also given plenty of opportunities to socialize, have fun, and stay active with an array of activities held regularly. At The Home at Hearthstone, they offer an ideal blend of quality care, comfort, and enriching experiences to ensure residents feel well-cared for and happy.

(513) 521-2700

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
5/5
Ohio average: 3.4/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
4/5
Ohio average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
2/5
Ohio average: 2.9/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
5/5
Ohio average: 4.4/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 9m per day

This home provides 18% less nursing time per resident than the Ohio average.

Ohio average: 3h 50m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 28m per day 38m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 19m per day 2h 8m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 17m per day 3h 17m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 1m per day 3m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 10m per day 25m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 96

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Ohio average
Occupancy rate 92.4%
Residents per day (avg) 88
Occupancy rate
92.4%
Residents per day (avg)
88

Who this home usually serves

TYPE OF STAY

Primarily long-term care, limited rehab

Most residents stay long-term, while a smaller portion are admitted for short-term rehab.

Might be optimal for
Long-term residence Daily assistance Occasional rehab needs

Breakdown by payment type

Medicare

9% of new residents, usually for short-term rehab.

Typical stay 22 days

Private pay

79% of new residents, often for short stays.

Typical stay 8 - 9 months

Medicaid

12% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$11.2M
Profit
$127.7K
Privately-owned community Operated by a business corporation.
Home revenue
$11,157,727.00
Profit
$127,656.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.8M
42.6% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.8M
Total costs $10.6M
Walk Score
Walk Score: 60 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

Additional licensing details

CMS Certification Number: 366251

What does this home offer?

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Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
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Dining Services

Beauty services icon
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Beauty Services

Transportation services icon
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Transportation Services

Recreational activities icon
Recreational activities icon

Recreational Activities

Types of Care at The Home At Hearthstone

Nursing Home
Contact The Home At Hearthstone

Inspection History

In Ohio, the Department of Health, Bureau of Survey and Certification conducts unannounced onsite inspections to evaluate the quality of care and environment in all licensed facilities.

Health Inspection History

Inspections
Total health inspections 4

Ohio average 6.7


Last Health inspection on Jul 2024

Total health citations 17

Ohio average 30.9

Citations per inspection
4.25

Ohio average 4.59


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

16 of 17 citations resulted from standard inspections; and 1 of 17 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Ohio average

Ohio average: 0.3


Serious Health citations More info 0
100% better than Ohio average

Ohio average: 0.9

0 critical citations More info Ohio average: 0.3

0 serious citations More info Ohio average: 0.9

17 moderate citations More info Ohio average: 29

0 minor citations More info Ohio average: 0.7
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Jul 25, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jul 25, 2024
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jul 25, 2024
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. May 16, 2023
Corrected

Compare Nursing Homes around Hamilton County The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.

5 facilities compared · CMS & OH Dept. of Health data · Updated Mar 2026

The Home At Hearthstone
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Cincinnati
96
92.4%
+17%
3.15
-4%
-11%
0
17
0
88
-
60
Anderson, Nicholas
$10,7M
$4,8M
44.4%
366251
Private / Semi-Private Rooms
Beechwood Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Cincinnati (Evanston)
80
94.5%
+20%
4.61
-34%
+30%
0
13
0
75
-
56
Baechtold, William
$8,8M
$5,6M
63.3%
365445
Private / Semi-Private Rooms
Mount Washington Care Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Cincinnati (Fruit Hill)
129
64.7%
-18%
3.25
+27%
-8%
0
39
1
78
A+
32
Edith Olanoff 2011 Trust Dated 10/21/2011
$11,8M
$5,2M
44.2%
365423
Private / Shared Rooms
CareCore at Meadows
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Cincinnati
60
76.6%
-3%
2.86
-12%
-19%
1
61
2
82
-
44
-
$7,7M
$3,2M
40.9%
366175
Private / Semi-Private Rooms
Miami Haven Nursing Home
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Cleves
-
-
-
-
-
-
-
-
-
0
0
0
-
-
16
-
-
-
-
-
Private / Semi-Private Rooms

Places of interest near The Home At Hearthstone

Address 16.3 miles from city center

Address 8028 Hamilton Ave, Cincinnati, OH 45231

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 160
Employees 136
Contractors 24
Staff to resident ratio 1.68:1
21% worse than Ohio average

Ohio average ratio: 2.14:1

Avg staff/day 38
Average shift 9.8 hours
21% better than Ohio average

Ohio average: 8.1 hours

Total staff hours (quarter) 33,804
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 22
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11.4 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 68
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.8 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

3.9%

1,321 contractor hours this quarter

Physical Therapy Assistant: 7 Speech Language Pathologist: 5 Respiratory Therapy Technician: 5 Physical Therapy Aide: 3 Qualified Social Worker: 2 Medical Director: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant6806817,09891100%10.8
Licensed Practical Nurse220227,47291100%11.4
Registered Nurse140141,6158998%9.9
Clinical Nurse Specialist6061,5306167%7.8
Other Dietary Services Staff8081,3148998%7.3
Nurse Aide in Training6066884145%11.5
Speech Language Pathologist0555296571%7.7
RN Director of Nursing2025156470%7.9
Administrator1015126470%8
Nurse Practitioner1014966369%7.9
Dental Services Staff1014716369%7.5
Dietitian1014245763%7.4
Occupational Therapy Aide3033214853%6.5
Qualified Social Worker0222575156%5
Physical Therapy Assistant0772044954%3.7
Physical Therapy Aide0331643033%5.5
Respiratory Therapy Technician0551393538%3.9
Occupational Therapy Assistant3144655%6.5
Medical Director011121213%1
68 Certified Nursing Assistant
% of Days 100%
22 Licensed Practical Nurse
% of Days 100%
14 Registered Nurse
% of Days 98%
6 Clinical Nurse Specialist
% of Days 67%
8 Other Dietary Services Staff
% of Days 98%
6 Nurse Aide in Training
% of Days 45%
5 Speech Language Pathologist
% of Days 71%
2 RN Director of Nursing
% of Days 70%
1 Administrator
% of Days 70%
1 Nurse Practitioner
% of Days 69%
1 Dental Services Staff
% of Days 69%
1 Dietitian
% of Days 63%
3 Occupational Therapy Aide
% of Days 53%
2 Qualified Social Worker
% of Days 56%
7 Physical Therapy Assistant
% of Days 54%
3 Physical Therapy Aide
% of Days 33%
5 Respiratory Therapy Technician
% of Days 38%
4 Occupational Therapy Assistant
% of Days 5%
1 Medical Director
% of Days 13%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
95 residents
Residents by payment source
Medicare
5 residents (5.3%)
Medicaid
90 residents (94.7%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 3.6
38% better than Ohio average

Ohio average: 5.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 7.6
40% better than Ohio average

Ohio average: 12.7

Long-stay resident measures
Significantly above average Ohio avg: 4.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 5.6%
19% better than Ohio average

Ohio average: 6.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 5.7%
36% better than Ohio average

Ohio average: 8.9%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 11.6%
47% better than Ohio average

Ohio average: 22.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.9%
74% better than Ohio average

Ohio average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.5%
36% better than Ohio average

Ohio average: 3.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Ohio average

Ohio average: 0.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.4%
46% better than Ohio average

Ohio average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 50.7%
111% worse than Ohio average

Ohio average: 24.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 11.4%
35% worse than Ohio average

Ohio average: 8.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 85.1%
8% worse than Ohio average

Ohio average: 92.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 87.8%
7% worse than Ohio average

Ohio average: 94.5%

Short-stay resident measures
Above average Ohio avg: 1.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 73.5%
6% worse than Ohio average

Ohio average: 78.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Ohio average

Ohio average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 66.1%
13% worse than Ohio average

Ohio average: 75.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 28.5%
14% worse than Ohio average

Ohio average: 25.1%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 6.2%
50% better than Ohio average

Ohio average: 12.5%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Ohio average

Ohio average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 29.2%
46% worse than Ohio average

Ohio average: 53.7%

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PASSPORT Waiver

Ohio Medicaid PASSPORT

Age 60+, Ohio resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Administered through regional agencies; waitlists possible.

Ohio Home Care Program (non-Medicaid)

OH HCP

Age 60+, Ohio resident, at risk of decline.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; regional variation.

Assisted Living Waiver (ALW)

Ohio Assisted Living Waiver

Age 21+ (65+ prioritized), OH resident, Medicaid-eligible, NFLOC.

~$2,829/month (individual); QIT required.

$2,000 (individual), $3,000 (couple).

Covers ~300 facilities; room/board not included (separate cost).

Program of All-Inclusive Care for the Elderly (PACE)

Ohio PACE (e.g., McGregor PACE)

Age 55+, OH resident (specific counties), NFLOC, safe with PACE support.

~$2,829/month (Medicaid-eligible); private pay option available.

$2,000 (individual), $3,000 (couple) for Medicaid enrollees.

Available in 9 counties (e.g., Cuyahoga, Franklin); expanding via Healthy Aging Grants.

Medicare Savings Program (MSP)

Ohio Medicare Savings Program

Age 65+ or disabled, OH resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; includes Extra Help for Part D; no waitlist.

Home Energy Assistance Program (HEAP)

Ohio HEAP

Age 60+ prioritized, OH resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers gas, electric, oil; emergency aid via Winter/Summer Crisis Programs.

Family Caregiver Support Program (FCSP)

Ohio Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; OH resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

12 AAAs; rural/low-income priority; volunteer respite option.

Senior Community Service Employment Program (SCSEP)

Ohio SCSEP

Age 55+, unemployed, low-income, OH resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Ohio VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, OH resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand; supports care in multiple settings.

Homestead Exemption

Ohio Homestead Exemption

Age 65+ (or disabled), OH resident, homeowner, low-income.

~$38,500/year (individual, adjusted annually).

Not assessed; home ownership required.

Reduces taxable value by $25,000; applies to primary residence.

Save the Dream Ohio (Homeowner Assistance Fund)

Ohio Save the Dream

Age 60+ prioritized, OH resident, homeowner, hardship post-Jan 21, 2020.

~$147,600/year (family of 4, 150% AMI; varies by county).

Not assessed; hardship-focused.

Covers delinquent mortgages, utilities, taxes; max $25,000 mortgage aid.

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