The Home At Hearthstone
Nursing Home, Memory Care, Palliative Care & Skilled Nursing · Cincinnati, OH
ALM Inspection Grade A+ Info ALM's inspection grade is 97 / 100, an A+ — 13 points above the Ohio average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

The Home At Hearthstone

Nursing Home, Memory Care, Palliative Care & Skilled Nursing · Cincinnati, OH
ALM Inspection Grade A+ Info ALM's inspection grade is 97 / 100, an A+ — 13 points above the Ohio average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Home At Hearthstone accepts Medicare, Medicaid, and private pay.
The Home At Hearthstone accepts Medicare, Medicaid, and private pay.

Overview of The Home at Hearthstone

The Home at Hearthstone provides nursing home, memory care, palliative care, and skilled nursing in Cincinnati, OH. Nursing home and skilled nursing services include licensed nursing care on site around the clock, while memory care provides a secured setting with supervision for someone at risk of wandering. Palliative care focuses on comfort and symptom management. The community may be a good fit for someone whose needs include both ongoing nursing support and memory care.

There are 96 beds, with 95% occupied. Private and semi-private rooms give residents the choice of having a room to themselves or sharing with another resident. Total nurse staffing is 3 hours and 1 minute per resident per day, representing the daily nursing time assigned to each resident.

Medicare, Medicaid, and private pay are accepted. A Walk Score of 60 places the area in the somewhat walkable range, so some errands can be completed on foot and a resident who no longer drives may be able to reach nearby destinations independently.

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.
▲ 54.1% Above OH avg. ▲ 54.1% Above OH avg.OH average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 42.3% Above OH avg. ▲ 42.3% Above OH avg.OH average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 18.3% Below OH avg. ▼ 18.3% Below OH avg.OH average: 2.4Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 10.4% Above OH avg. ▲ 10.4% Above OH avg.OH average: 4.5Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing Info Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).

Total nursing care per resident / day Info This nursing home is ranked 142nd out of 176 nursing homes we track in Ohio for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
↓ 13% · OH 3h 29mThis facility: 3h 1m per resident per day, 13% below the Ohio average of 3h 29m (among Ohio facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. Rank #142 / 176Nurse hours — State benchmarked This nursing home is ranked 142nd out of 176 nursing homes we track in Ohio for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Ohio average, with a ranking across 176 Ohio facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
3h 1m

6 of 6 metrics below Ohio average

Staff by category

Q2 2026 · Apr 1 – Jun 30 More info This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2026.
Certified Nursing Assistant6006016,70791100%9.3
Licensed Practical Nurse230237,35091100%9.6
Registered Nurse120121,8758897%9.5
Clinical Nurse Specialist4041,8346673%8
Other Dietary Services Staff9091,1147987%6.7
Administrator1014806066%8
Dietitian3034705965%6.8
Nurse Practitioner1014645864%8
Dental Services Staff1014526268%7.3
RN Director of Nursing1014405560%8
Occupational Therapy Aide2024105459%7.4
Physical Therapy Assistant0663175459%5.5
Physical Therapy Aide0222984347%6.9
Qualified Social Worker0442845358%5.4
Speech Language Pathologist0442085358%3.9
Respiratory Therapy Technician0661915560%3.1
Nurse Aide in Training30390910%6.9
Qualified Activities Professional101421213%3.5
Occupational Therapy Assistant0223567%5.9
Medical Director011151415%1.1
60 Certified Nursing Assistant
Coverage 100%
23 Licensed Practical Nurse
Coverage 100%
12 Registered Nurse
Coverage 97%
4 Clinical Nurse Specialist
Coverage 73%
By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 96 Rank #89 / 194Bed count — State benchmarked This nursing home is ranked 89th out of 194 nursing homes we track in Ohio for bed count. Shows this facility's certified or reported bed count compared to other Ohio facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities. Rank #53 / 231Walk Score — State benchmarked This nursing home is ranked 53rd out of 231 nursing homes we track in Ohio for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Ohio facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
60 / 100
Occupancy rate Info Occupancy higher than 95% suggests steady demand, but availability may be limited. Rank #16 / 113Occupancy rate — State benchmarked This nursing home is ranked 16th out of 113 nursing homes we track in Ohio for occupancy. Shows this facility's occupancy rate versus the Ohio average, with its Statewide rank out of 113. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
95.1% This home is often near full

Based on 91.3 residents and 96 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)

Higher than the Ohio average: 85%
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
150 days

About This Community

License Details

CMS Certification Number366251

Ownership & Operating Entity

The Home At Hearthstone is administered by Jessica Santiago.

Safety & Compliance

Resident Council
Family Council

Leadership

Director of NursingTammy Callihan

Additional Services

2 services
Transportation
Beauty Services

Contact Information

Additional Policies & Features

Pets not allowed

Room Accommodations

Building TypeSingle-story
Room Types
Private Semi-Private Rooms

Contact The Home At Hearthstone

Resident satisfaction survey results

Every two years, the Ohio Department of Aging and the Office of the State Long-Term Care Ombudsman organizations conduct a satisfaction survey among residents in long-term care facilities to assess their quality of care and life.

Average score

77 / 100

2025 – 2026 Period

Based on 33 completed resident interviews out of 85 eligible residents, collected August 2025 through January 2026. Ohio has not yet published statewide averages for this survey.

Care and services

82 / 100

Environment

87 / 100

Moving in

67 / 100

Facility culture

80 / 100

Caregivers

73 / 100

Spending time

68 / 100

Meals and dining

80 / 100

Family satisfaction survey results

The Scripps Gerontology Center at Miami University conducts a satisfaction survey among residents' family members, friends and guardians to assess quality of care and life.

Average score

65 / 100

Ohio average: 74 / 100

Latest survey results

Care and services

60 / 100

Ohio average: 72 / 100

Environment

64 / 100

Ohio average: 71 / 100

Moving in

71 / 100

Ohio average: 75 / 100

Facility culture

70 / 100

Ohio average: 72 / 100

Caregivers

67 / 100

Ohio average: 70 / 100

Spending time

58 / 100

Ohio average: 62 / 100

Meals and dining

52 / 100

Ohio average: 65 / 100

How often family visits residents at The Home At Hearthstone

Profile of respondents of this survey

Daily 9.1
Several times a week 22.7
Once a week 18.2
Two to three times a month 22.7
Once a month 9.1
Few times a year 18.2
Inspections

CMS Health Inspection History

Since 2019 · 7 years of data · Last health inspection Dec 2025

ALM Inspection Grade

97 / 100 Calculated from CMS inspection data for this community's nursing-home beds
How it compares

13 points above the Ohio average for CMS-certified facilities (84/100)

Category breakdown

Citations Strong

28 severity-weighted points (17 citations) · 3× lower than the typical CMS-certified OH facility (median: 74)

Enforcement Strong

No fines on record · 0 enforcement actions

Persistence Typical

28 days to fix issues · faster than the typical CMS-certified OH facility (median: 32)

Inspection grade: 97 out of 100, letter grade A+.
Total health inspections
4 ↓ 38% · OH 6.4This facility: 4, 38% below the Ohio average of 6.4 (among Ohio facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
17 Rank #47 / 176Health citations — State benchmarked This nursing home is ranked 47th out of 176 nursing homes we track in Ohio for health citations. Shows this facility's total health deficiency citations benchmarked to the Ohio State average, with a ranking across all 176 OH facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 46% · OH 31.2This facility: 17, 46% below the Ohio average of 31.2 (among Ohio facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4.25 Rank #85 / 176Citations per inspection — State benchmarked This nursing home is ranked 85th out of 176 nursing homes we track in Ohio for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Ohio mean across 176 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 12% · OH 4.85This facility: 4.25, 12% below the Ohio average of 4.85 (among Ohio facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected 17 of 17 citations corrected
Bar = mix of this home's 17 citations, not a state comparison

Lighter shade = corrected

Critical J–L
0 ↓ 100% · OH 0.3This facility: 0, 100% below the Ohio average of 0.3 (among Ohio facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious G–I
0 ↓ 100% · OH 0.9This facility: 0, 100% below the Ohio average of 0.9 (among Ohio facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate D–F
17 ↓ 42% · OH 29.4This facility: 17, 42% below the Ohio average of 29.4 (among Ohio facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor A–C
0 ↓ 100% · OH 0.6This facility: 0, 100% below the Ohio average of 0.6 (among Ohio facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal risk

Latest inspection: Dec 17, 2025 · 1 citation (Resident Rights, moderate), corrected

Most cited category: Resident Rights, 5 of 17 citations · 6 categories in total

Citations history
Most recent first
Dec 17, 2025 1 citation
Resident Rights moderate citation Corrected
Jul 25, 2024 3 citations
Abuse/Neglect moderate citation Corrected
Quality of Care moderate citation Corrected
Infection Control moderate citation Corrected
Feb 03, 2022 7 citations
Resident Rights moderate citation Corrected
Resident Rights moderate citation Corrected
Resident Rights moderate citation Corrected
Care Planning moderate citation Corrected
Care Planning moderate citation Corrected
Care Planning moderate citation Corrected
Pharmacy moderate citation Corrected
Mar 28, 2019 6 citations
Resident Rights moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
Pharmacy moderate citation Corrected
Pharmacy moderate citation Corrected
Pharmacy moderate citation Corrected
Top deficiency categories
Share of 17 citations
Resident Rights 5 deficiencies (29%)
Pharmacy Services 4 deficiencies (24%)
Resident Assessment & Care Planning 3 deficiencies (18%)
Quality of Life & Care 3 deficiencies (18%)
Infection Control 1 deficiency (6%)
Abuse, Neglect & Exploitation 1 deficiency (6%)
How citations are counted

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.

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Source

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Show Inspection Reports
Enforcement

Penalties and fines About penalties and fines Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database · Data as of Oct 2026

No penalties in the past 3 years

No civil money penalties or payment denials on record since Oct 2023.

Clean record
Total fines
$0 OH avg $71KOhio average: $71,095. Average among the 334 Ohio facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0 OH avg 1.56Ohio average: 1.56. Average among the 334 Ohio facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials What is a payment denial? Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0 OH avg 0.53Ohio average: 0.53. Average among the 334 Ohio facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes

Quality of care over time

How residents at this home fare on health outcomes and preventive care, compared with the Ohio average.

Data as of Oct 2026 · CMS Care Compare

Long-stay quality rating Info CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best. 5 / 5 Significantly above average ↑ 6% · OH 4.7This facility: 5.0, 6% above the OH average of 4.7 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
High-risk clinical events Info Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better. 3.6 Score · lower is better ↓ 20% · OH 4.6This facility: 3.6, 20% below the OH average of 4.6 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Functional decline Info Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better. 6.4 Score · lower is better ↓ 39% · OH 10.5This facility: 6.4, 39% below the OH average of 10.5 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.

11 long-stay measures: 6 better, 2 worse, 3 near OH average

7 short-stay measures: 2 better, 3 worse, 2 compared with US only

Financials

Money and staffing.

The Home At Hearthstone’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 174 Ohio nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.

FY Dec 2024

Is it financially stable?

Breaking even on care

2.0% operating margin

+0.7 pts vs prior year

Positive margin in 6 of the last 8 reported years. Net income $0.2M after other income.

Does it invest in staff?

Payroll in line with Ohio homes

57.7% payroll share of revenue

OH average 54.7%Rank #48 / 174Payroll % of net patient revenue — State benchmarked This nursing home is ranked 48th out of 174 nursing homes we track in Ohio for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Ohio average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

Payroll rose $0.7M while revenue rose $1.4M. Check hours per resident in the staffing section to confirm it reaches the floor.

Who this home usually serves

Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024 Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Resident snapshot
95 residents · Sep 2026 Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare 5 · 5%
Medicaid 90 · 95%
Private pay & other 0 · 0%
Shows care patterns over time; not used to rate this facility.

Primarily long-term care, limited rehab

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

Typical stay

Medicare 25 days Medicaid 7 - 8 months Private pay & other 5 - 6 months

Places of interest near The Home At Hearthstone

Address 9.6 miles from city center Info Estimated distance in miles from Cincinnati's city center to The Home At Hearthstone's address, calculated via Google Maps.

Calculate Travel Distance to The Home At Hearthstone

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Address

Compare Nursing Homes around Cincinnati

Info below is compiled from CMS reports & the OH Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Ohio average is: 54.7% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
The Home At Hearthstone ★ ★ ★ ★ ★
NH
MC
PC
SNF
Cincinnati
96
Facility 96
OH AVG 93
Rank #89 / 194
A+
95.1%
Facility 95.1%
OH AVG 85%
Rank #16 / 113
+12%
3.01
Facility 3.01
OH AVG 3.48
Rank #142 / 176
★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ -14%-13%
$0
Facility $0
OH AVG $80.0k
Rank #1 / 176
17
Facility 17
OH AVG 31.2
Rank #47 / 176
4.3
Facility 4.3
OH AVG 4.9
Rank #85 / 176
-91-
60
Facility 60
OH AVG 42
Rank #53 / 231
Nicholas Anderson
$10.9MFiscal year ending 12/2024
Facility $10.9MFiscal year ending 12/2024
OH AVG $10.5M
Rank #65 / 174
$6.3MFiscal year ending 12/2024
Facility $6.3MFiscal year ending 12/2024
OH AVG $5.6M
Rank #52 / 174
57.7%Fiscal year ending 12/2024
Facility 57.7%Fiscal year ending 12/2024
OH AVG 54.7%
Rank #48 / 174
366251
Beechwood Home ★ ★ ★ ★ ★
NH
HOS
SNF
Cincinnati (Evanston)
80
Facility 80
OH AVG 93
Rank #108 / 194
A
87.6%
Facility 87.6%
OH AVG 85%
Rank #54 / 113
+3%
4.56
Facility 4.56
OH AVG 3.48
Rank #13 / 176
★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ -21%+31%
$0
Facility $0
OH AVG $80.0k
Rank #1 / 176
8
Facility 8
OH AVG 31.2
Rank #13 / 176
2.0
Facility 2.0
OH AVG 4.9
Rank #10 / 176
-70-
56
Facility 56
OH AVG 42
Rank #66 / 231
William Baechtold
$9.3MFiscal year ending 12/2024
Facility $9.3MFiscal year ending 12/2024
OH AVG $10.5M
Rank #95 / 174
$6.8MFiscal year ending 12/2024
Facility $6.8MFiscal year ending 12/2024
OH AVG $5.6M
Rank #40 / 174
73%Fiscal year ending 12/2024
Facility 73%Fiscal year ending 12/2024
OH AVG 54.7%
Rank #9 / 174
365445
Sanctuary Pointe Nursing & Rehab Center ★ ★ ★ ★ ★
NH
AL
HOS
MC
PC
RC
SNF
Cincinnati
124
Facility 124
OH AVG 93
Rank #44 / 194
A
95.6%
Facility 95.6%
OH AVG 85%
Rank #12 / 113
+12%
3.26
Facility 3.26
OH AVG 3.48
Rank #108 / 176
★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ -56%-6%
$0
Facility $0
OH AVG $80.0k
Rank #1 / 176
13
Facility 13
OH AVG 31.2
Rank #33 / 176
4.3
Facility 4.3
OH AVG 4.9
Rank #85 / 176
-119-
22
Facility 22
OH AVG 42
Rank #180 / 231
Chase M. Kohn Irrevocable Trust
$12.6MFiscal year ending 12/2024
Facility $12.6MFiscal year ending 12/2024
OH AVG $10.5M
Rank #44 / 174
$7.2MFiscal year ending 12/2024
Facility $7.2MFiscal year ending 12/2024
OH AVG $5.6M
Rank #37 / 174
57.1%Fiscal year ending 12/2024
Facility 57.1%Fiscal year ending 12/2024
OH AVG 54.7%
Rank #55 / 174
366432
Alois Alzheimer Center ★ ★ ★ ★ ☆
NH
HOS
MC
PC
RC
SNF
Cincinnati (Greenhills)
20
Facility 20
OH AVG 93
Rank #192 / 194
?--
3.95
Facility 3.95
OH AVG 3.48
Rank #33 / 176
★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -62%+14%
$0
Facility $0
OH AVG $80.0k
Rank #1 / 176
11
Facility 11
OH AVG 31.2
Rank #21 / 176
3.7
Facility 3.7
OH AVG 4.9
Rank #57 / 176
-88-
49
Facility 49
OH AVG 42
Rank #90 / 231
Boymel Operations Holdings Co LLC
$7.8MFiscal year ending 12/2024
Facility $7.8MFiscal year ending 12/2024
OH AVG $10.5M
Rank #118 / 174
$4.9MFiscal year ending 12/2024
Facility $4.9MFiscal year ending 12/2024
OH AVG $5.6M
Rank #100 / 174
62%Fiscal year ending 12/2024
Facility 62%Fiscal year ending 12/2024
OH AVG 54.7%
Rank #28 / 174
366489
Twin Towers ★ ★ ★ ★ ★
NH
AL
CCRC
IL
MC
SNF
Cincinnati (College Hill)
288
Facility 288
OH AVG 93
Rank #1 / 194
?--
5.85
Facility 5.85
OH AVG 3.48
Rank #6 / 176
★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ -28%+68%
$0
Facility $0
OH AVG $80.0k
Rank #1 / 176
12
Facility 12
OH AVG 31.2
Rank #27 / 176
4.0
Facility 4.0
OH AVG 4.9
Rank #73 / 176
162-
31
Facility 31
OH AVG 42
Rank #148 / 231
Douglas Burgess
$10.3MFiscal year ending 12/2024
Facility $10.3MFiscal year ending 12/2024
OH AVG $10.5M
Rank #78 / 174
$5.8MFiscal year ending 12/2024
Facility $5.8MFiscal year ending 12/2024
OH AVG $5.6M
Rank #69 / 174
56.3%Fiscal year ending 12/2024
Facility 56.3%Fiscal year ending 12/2024
OH AVG 54.7%
Rank #65 / 174
366023

Rank badges are statewide and care-type specific: each nursing home is ranked against every other OH nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

Financial assistance

Programs that may help with care and living costs in Ohio

The Home At Hearthstone is in Cincinnati, Ohio. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.

Get financial aid guidance
Residential care support

Assisted Living Waiver (ALW)

Assisted Living Waiver (ALW)

Eligibility

General
Adults age 21+ meeting Medicaid financial and care-need requirements who live in an Ohio Department of Aging-certified assisted-living facility.
OH specifics
Medicaid assisted-living services require financial and care eligibility; room and board are a separate resident responsibility.

What it provides

  • Pays for covered care in an approved assisted-living facility; participants remain responsible for room and board.
Cash support · veterans

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

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

Who it is for
Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
Income limit
2026 · Countable income is compared with the applicable maximum annual pension rate (MAPR), which varies by dependents and benefit category. For a veteran with one dependent and Aid and Attendance, MAPR is $34,488/year.
Asset limit
VA pension net-worth ceiling is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus income for VA purposes; exclusions and transfer rules apply.

Eligibility

General
Aid and Attendance or Housebound is an increased VA pension rate for eligible veterans or surviving spouses who meet pension and additional care/disability requirements; it is not a stand-alone state benefit.
OH specifics
Federal VA pension rules apply nationwide.

What it provides

  • Monthly pension is based on the applicable MAPR less countable annual income; divided by 12. Maximum annual veteran Aid and Attendance rates are $29,093 without dependents and $34,488 with one dependent; actual payments may be lower.
In-home & community support

PASSPORT Waiver

PASSPORT Waiver

Eligibility

General
Adults age 60+ who meet Medicaid financial eligibility and nursing-facility level-of-care requirements and seek care at home.
OH specifics
PASSPORT is a Medicaid waiver supporting eligible older Ohioans at home or in community settings instead of nursing facilities.

What it provides

  • Assessed home and community-based services; including personal-care assistance; through the PASSPORT Medicaid waiver.
Caregiver support

National Family Caregiver Support Program

National Family Caregiver Support Program

Who it is for
Family or informal caregivers of an older adult

Eligibility

General
Family and informal caregivers seeking support through the state aging network; individual services are assessed through local providers.

What it provides

  • Caregiver support through the Ohio aging network and local providers; funded under the National Family Caregiver Support Program.
Medicare costs

Medicare Savings Program (MSP)

Medicare Savings Program (MSP)

Who it is for
Medicare beneficiaries with limited income who need help with premiums or cost sharing

Eligibility

General
Medicare beneficiary; the state determines the applicable Medicare Savings Program. QMB helps with premiums and Medicare cost sharing; SLMB and QI generally help with Part B premiums.
OH specifics
QI requires annual application and is funded first-come, first-served with priority for prior recipients. QMB, SLMB and QI confer Part D Extra Help.

What it provides

  • QMB pays eligible Part A/Part B premiums and Medicare deductibles and cost sharing; SLMB and QI pay Part B premiums. The exact benefit depends on the approved program.
Energy assistance

Home Energy Assistance Program (HEAP)

Home Energy Assistance Program (HEAP)

Eligibility

General
Income-eligible households with qualifying home-energy costs; the administering agency applies household-size and program eligibility rules.
OH specifics
Administered by the Ohio Department of Job and Family Services effective April 6, 2026.

What it provides

  • Federally funded assistance with eligible household energy bills.
Homeowner tax relief

Homestead Exemption

Homestead Exemption

Income limit
2026 application · $41,000 in qualifying total 2025 income, subject to grandfathering and special-category exceptions; state and county guidance governs income calculation.

Eligibility

General
Qualifying Ohio homeowners age 65+ or with permanent and total disability; the property must be the principal home and applicable income requirements must be met.
OH specifics
For tax year 2026 the standard exemption shields up to $29,700 of home value; it is not a $29,700 tax refund.

What it provides

  • Tax savings equal the applicable local taxes on exempt home value.
Know before you visit

Frequently Asked Questions about The Home At Hearthstone

Quick answers from public records and the community's own listing.
01 Who is the Director of Nursing at The Home At Hearthstone?
Tammy Callihan is the Director of Nursing at The Home At Hearthstone.
02 Is The Home At Hearthstone in a walkable area?
The Home At Hearthstone has a walk score of 60. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
03 What is the occupancy rate at The Home At Hearthstone?
The Home At Hearthstone's occupancy is 95.1%.
04 Are pets allowed at The Home At Hearthstone?
No, The Home At Hearthstone has a no-pet policy.
05 What is the best email address for The Home At Hearthstone?
The team at The Home At Hearthstone can be reached at JSANTIAGO@HEARTHSTONE-CARE.NET.
06 Does The Home At Hearthstone operate as a for-profit or non-profit?
The Home At Hearthstone is registered as a for-profit in OH.
07 Who is the administrator of The Home At Hearthstone?
Jessica Santiago is the administrator of The Home At Hearthstone.