Inspection Reports for
The Home At Hearthstone
8028 Hamilton Ave, Cincinnati, OH 45231, OH, 45231
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
3.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
22% better than Ohio average
Ohio average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
87 residents
Based on a December 2025 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 87
Deficiencies: 1
Date: Dec 17, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to concerns about residents' dignity and respect during dining and incontinence care.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number 2645862.
Findings
The facility failed to ensure residents were treated with dignity and respect during dining and incontinence care, affecting four residents reviewed for dignity. Observations and interviews confirmed privacy violations during incontinence care and inappropriate use of clothing protectors without resident consent or clear policy.
Deficiencies (1)
Failure to honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights, including privacy during incontinence care and respect during dining.
Report Facts
Residents affected: 4
Facility census: 87
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #22 | Confirmed door was open during incontinence care | |
| Certified Nursing Assistant (CNA) #23 | Confirmed door was open during incontinence care | |
| Certified Nursing Assistant (CNA) #99 | Placed clothing protectors on residents during dining | |
| Certified Nursing Assistant (CNA) #76 | Confirmed clothing protectors were put on residents automatically without asking | |
| Administrator | Confirmed privacy curtain and door should be used during incontinence care and discussed clothing protector policy | |
| Director of Nursing (DON) | Confirmed privacy curtain and door should be used during incontinence care |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Jul 25, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to timely report an alleged resident-to-resident abuse incident and other care concerns.
Complaint Details
The complaint investigation focused on an incident on 07/13/24 where Resident #25 hit Resident #65, resulting in a slight scratch. The facility did not report this incident to the state survey agency, citing that the residents had dementia, did not recall the incident, and no major injuries occurred. Interviews with staff and administration confirmed the failure to report the incident as required.
Findings
The facility failed to report an alleged resident-to-resident abuse incident involving two residents with dementia, failed to have physician orders for supplemental oxygen for one resident, and failed to ensure proper infection control practices related to urinary catheter care and disposal of contaminated incontinence supplies.
Deficiencies (3)
Failed to timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities involving two residents.
Failed to have physician orders for the use of supplemental oxygen for one resident receiving oxygen therapy.
Failed to ensure a urinary catheter bag was not left on the floor and failed to ensure contaminated incontinence care supplies were disposed of appropriately.
Report Facts
Residents affected: 2
Oxygen flow rate: 4
Oxygen flow rate: 2
Residents affected: 1
Residents affected: 2
Admission date: Jul 14, 2019
Admission date: May 24, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DON #3 | Director of Nursing | Named in relation to failure to report resident-to-resident abuse incident |
| LPN #6 | Licensed Practical Nurse | Notified DON of resident-to-resident incident |
| RN #4 | Registered Nurse | Observed and interviewed regarding oxygen administration without physician order |
| ADON #5 | Assistant Director of Nursing | Applied oxygen to Resident #57 and acknowledged no physician order for oxygen flow rate |
| STNA #20 | State Tested Nurse Aide | Observed leaving urinary catheter bag on floor and acknowledged it was improper |
| STNA #12 | State Tested Nurse Aide | Observed discarding soiled incontinence supplies on floor and acknowledged improper practice |
| Administrator | Responsible for submitting reports to state survey agency; interviewed about incident reporting criteria |
Inspection Report
Complaint Investigation
Census: 86
Deficiencies: 1
Date: May 16, 2023
Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to provide appropriate pressure ulcer care and prevent new ulcers from developing in residents.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00139522, Complaint Number OH00135816, and Complaint Number OH00135758.
Findings
The facility failed to ensure interventions to prevent skin breakdown were implemented as ordered by the physician and per the resident plan of care, affecting two residents (#18 and #60) with stage four pressure ulcers. Observations and interviews confirmed that required interventions such as floating or elevating heels were not consistently performed despite physician orders and documentation indicating completion.
Deficiencies (1)
Failure to provide appropriate pressure ulcer care and prevent new ulcers from developing as ordered by the physician and per the resident plan of care.
Report Facts
Facility census: 86
Residents affected: 2
Stage four pressure ulcers: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| STNA #335 | State Tested Nurse Aide | Interviewed regarding Resident #18's heel elevation |
| STNA #360 | State Tested Nurse Aide | Interviewed regarding Resident #18's heel elevation and recliner footrest |
| RN #300 | Registered Nurse | Interviewed regarding Resident #60's heel elevation and pressure boot application |
| Administrator | Confirmed physician's order for Resident #18's heel elevation |
Inspection Report
Census: 84
Deficiencies: 7
Date: Feb 3, 2022
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident rights, beneficiary notices, environment cleanliness, assessment accuracy, care planning, and medication regimen review.
Findings
The facility was found deficient in multiple areas including failure to provide resident belongings after room change, failure to provide timely beneficiary notices, unclean privacy curtains, inaccurate coding of vision and hearing impairments on assessments, incomplete care plans for hearing impairment and seizures, failure to revise a resident's smoking care plan, and delayed response to pharmacist medication recommendations.
Deficiencies (7)
Failed to provide a resident with their possessions after a room change.
Failed to ensure a resident was provided with the required beneficiary notice in writing and in advance of discontinuing skilled Medicare Part A services.
Failed to ensure privacy curtains were clean and free of stains and substances.
Failed to ensure vision and hearing impairment was accurately coded on the Minimum Data Set (MDS) assessment.
Failed to develop a care plan to address a resident's hearing impairment and seizures.
Failed to revise a resident's smoking care plan to reflect updated assessment and use of smoking holder.
Failed to address a resident's drug regimen review timely following pharmacist recommendation.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 2
Residents affected: 2
Residents affected: 1
Residents affected: 1
Facility census: 84
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #93 | Licensed Practical Nurse | Verified resident belongings remained in storage, verified impaired vision and hearing not coded accurately, verified hearing addressed on care plan, verified Resident #83 did not have seizure care plan |
| Assistant Administrator #117 | Assistant Administrator | Revealed facility did not have policies on moving resident belongings, cleaning privacy curtains |
| Manager of Clinical Services #300 | Manager of Clinical Services | Verified beneficiary notices were provided late, revealed no policies on beneficiary notices, coding MDS, care planning, and verified delayed pharmacist recommendation response |
| Registered Nurse #18 | Registered Nurse | Witnessed verbal consent on beneficiary notices |
| Social Services #65 | Social Services | Completed beneficiary notices |
| Director of Nursing | Director of Nursing | Verified privacy curtains were stained |
| MDS Nurse #93 | MDS Nurse | Verified Resident #83 did not have seizure care plan |
Inspection Report
Annual Inspection
Census: 93
Deficiencies: 6
Date: Mar 28, 2019
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication management, and notification procedures in a nursing home facility.
Findings
The facility failed to provide timely notification to the ombudsman when residents were transferred to hospitals, failed to apply prescribed appliances to prevent contractures, did not monitor residents' response to oxygen administration, failed to have pharmacy medication irregularities addressed timely by physicians, and did not monitor blood pressure for residents prescribed Midodrine. Additionally, psychotropic medications were administered beyond recommended durations without proper evaluation.
Deficiencies (6)
Failed to provide timely notification to the ombudsman when residents were transferred from the facility.
Failed to apply appliances as ordered and care planned to prevent contractures.
Failed to provide monitoring of residents' response to oxygen administration.
Failed to have pharmacy medication irregularities addressed by the physician in a timely manner.
Failed to provide blood pressure monitoring to ensure medication necessity for residents prescribed Midodrine.
Failed to evaluate psychotropic medications administered beyond 14 days and ensure PRN use is limited.
Report Facts
Facility census: 93
Residents affected: 2
Residents affected: 2
Residents affected: 1
Residents affected: 2
Residents affected: 2
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #7 | Licensed Practical Nurse | Interviewed regarding oxygen administration and monitoring for Resident #74 |
| LPN #30 | Licensed Practical Nurse | Interviewed regarding oxygen administration and monitoring for Resident #74 |
| STNA #83 | State Tested Nurse Assistant | Observed and interviewed regarding failure to apply appliances for Resident #7 |
| STNA #108 | State Tested Nurse Assistant | Interviewed regarding appliance use for Resident #7 |
| Therapist #203 | Therapist | Interviewed regarding appliance orders and evaluations for Resident #7 |
| Occupational Therapist #202 | Occupational Therapist | Interviewed regarding restorative care and appliance orders for Resident #24 |
| Director of Nursing | Director of Nursing (DON) | Interviewed multiple times regarding notification failures, medication irregularities, and appliance application |
| Physician #200 | Physician | Interviewed regarding blood pressure monitoring expectations for Resident #60 |
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