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Nursing Home

Twin Towers

Nursing Home

Twin Towers

5343 Hamilton Ave, Cincinnati, OH 45224 View map
Overview of Twin Towers

Find luxurious and relaxing senior living with Twin Towers, nestled in the vibrant neighborhood of Cincinnati, OH. With options ranging from independent and assisted living neighborhoods to skilled care, memory support, and rehabilitation services, residents receive the support they need. Here, they can choose from cozy and well-appointed accommodations, including fully equipped patio homes and spacious apartments.

The community is dedicated to providing top-notch amenities and services, including a fitness room to boost physical endurance and wellness, as well as an aquatic center. Residents can unwind in the heated swimming pool or participate in various events. They can meet new companions and share wonderful memories in the beautifully designed common spaces. At Twin Towers, seniors can live out their retirement as they planned.

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.
4/5
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.
3/5
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.
5/5
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.
4/5
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.
5h 27m per day

This home provides 42% more 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. 1h 10m per day 38m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 38m 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. 4h 39m per day 3h 17m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 20m per day 3m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 50m per day 25m per day 29m per day

Capacity and availability

High-capacity home

May provide extensive amenities, services and programs.

Total beds 231

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Ohio average
Occupancy rate 31.2%
Residents per day (avg) 67
Occupancy rate
31.2%
Residents per day (avg)
67

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

19% of new residents, usually for short-term rehab.

Typical stay 18 days

Private pay

76% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

5% of new residents, often for long-term daily care.

Typical stay 10 - 11 months

Finances and operations

Voluntary non-profit community
Operated by a church.
Home revenue
$15.8M
Operating deficit
-$782.1K
Voluntary non-profit community Operated by a church.
Home revenue
$15,819,129.00
Operating deficit
$-782,120.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.9M
30.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.7M
Total costs $16.6M
Bed community size
231-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score
Walk Score: 31 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
31%
In line with Ohio average
Occupied beds
72 / 231
Average residents 72 per day

License details

Facility type
Residential Care Facility
Status Active
County: HAMILTON

Additional licensing details

CMS Certification Number: 366023

Ownership & operating entity

Twin Towers is administrated by KRISTIE STRICKER.

Policies

Pets Allowed
No Smoking
No Alcohol
Honor DO NOT Resuscitate
Pets are allowed in certain areas of the campus and planning is underway to allow pets in Residential Care.
Motorized vehicles may be used by resdients, however safe operation is required an residents must have an assessment on at least an annual basis.
This assessment is conducted by OT to ensure capability of safe operation.
Motorized vehicles are to be kept in the resident's unit to keep the hallways free of clutter.
Residents are responsible for the cost to repair damages caused by their scooters.

Contact Information

Fax: (513) 247-1932

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Total residents icon
Total residents icon

Total Residents: 75

Building type icon
Building type icon

Building Type: Mid-rise

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Twin Towers

Independent Living Assisted Living Skilled Nursing Hospice Care Memory Care
Contact Twin Towers

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Payment & Funding Options

Methods of Payment other than Private: Medicaid Assisted Living Waiver for Services

Performance summary

Key indicators of commitment to quality care and safety.

Scores

Resident Satisfaction Score
84.81

Based on survey responses.

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.

3 visits/inspections

2 routine inspections

Results

3 with issues

0 without issues

Latest inspection

Date:August 12, 2025

Inspection oversight

Immediate jeopardy identified:No
Substandard quality of care cited:No

13 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

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

86 / 100

Ohio average: 86 / 100

2022 – 2023 Period

Care and services

90 / 100

Ohio average: 89 / 100

Environment

94 / 100

Ohio average: 95 / 100

Moving in

85 / 100

Ohio average: 82 / 100

Facility culture

84 / 100

Ohio average: 86 / 100

Caregivers

90 / 100

Ohio average: 89 / 100

Spending time

76 / 100

Ohio average: 80 / 100

Meals and dining

80 / 100

Ohio average: 81 / 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

70 / 100

Ohio average: 77 / 100

Latest survey results

Care and services

70 / 100

Ohio average: 80 / 100

Environment

77 / 100

Ohio average: 78 / 100

Moving in

81 / 100

Ohio average: 85 / 100

Facility culture

71 / 100

Ohio average: 78 / 100

Caregivers

76 / 100

Ohio average: 78 / 100

Spending time

64 / 100

Ohio average: 68 / 100

Meals and dining

52 / 100

Ohio average: 67 / 100

How often family visits residents at Twin Towers

Profile of respondents of this survey

Daily 0.0
Several times a week 29.0
Once a week 25.8
Two to three times a month 25.8
Once a month 3.2
Few times a year 16.1

Health Inspection History

Inspections
Total health inspections 3

Ohio average 6.7


Last Health inspection on Aug 2024

Total health citations 13

Ohio average 30.9

Citations per inspection
4.33

Ohio average 4.59


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

All 13 citations resulted from standard inspections.

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

13 moderate citations More info Ohio average: 29

0 minor citations More info Ohio average: 0.7
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Aug 30, 2024
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Aug 30, 2024
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Aug 30, 2024
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Aug 30, 2024
Corrected

Compare Assisted Living 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

Bridgetown Nursing and Rehabilitation
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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
55
56.3%
-28%
3.46
+73%
-2%
0
21
0
42
-
61
Bommer, Cameron
$4,8M
$1,8M
36.5%
365462
-
Twin Towers
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).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Cincinnati (College Hill)
75
89.4%
+14%
5.44
-23%
+54%
0
13
0
67
-
31
Burgess, Douglas
$15,0M
$4,9M
32.6%
366023
-
Brookwood Retirement Community
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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
251
62.1%
-21%
3.91
+22%
+11%
5
37
0
101
A+
17
-
$17,3M
$7,2M
41.4%
365712
-
Mimi’s House
-
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Symmes
8 Residents
-
-
-
-
-
-
-
-
0
0
0
-
A+
33
-
-
-
-
-
Private Rooms
Ana’s Phc 2 Private Care Home LLC
-
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lawrenceville
-
-
-
-
-
-
-
-
-
0
0
0
-
-
37
-
-
-
-
-
Private / Semi-Private Rooms

Places of interest near Twin Towers

Address 7.4 miles from city center — 0.42 miles to nearest hospital (Cincinnati Children's College Hill)

Address 5343 Hamilton Ave, Cincinnati, OH 45224

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Staffing Data (Q2 2025)

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

Total staff 241
Employees 115
Contractors 126
Staff to resident ratio 3.35:1
56% better than Ohio average

Ohio average ratio: 2.14:1

Avg staff/day 48
Average shift 7.9 hours
0% compared with Ohio average

Ohio average: 8.1 hours

Total staff hours (quarter) 34,652
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 93
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 98
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

11.7%

4,045 contractor hours this quarter

Licensed Practical Nurse: 68 Certified Nursing Assistant: 55 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant43559815,19691100%8
Licensed Practical Nurse2568938,46391100%8.1
Registered Nurse170173,56991100%8.8
Respiratory Therapy Technician130132,1538189%6.9
Clinical Nurse Specialist5051,8836673%7.8
Physical Therapy Assistant5051,2448088%6.5
Administrator1015126470%8
Nurse Practitioner2024725965%8
Qualified Social Worker2024496268%7.1
Occupational Therapy Aide1124485965%7.6
RN Director of Nursing1012022629%7.8
Occupational Therapy Assistant011314549%0.7
Medical Director011301112%2.7
98 Certified Nursing Assistant
% of Days 100%
93 Licensed Practical Nurse
% of Days 100%
17 Registered Nurse
% of Days 100%
13 Respiratory Therapy Technician
% of Days 89%
5 Clinical Nurse Specialist
% of Days 73%
5 Physical Therapy Assistant
% of Days 88%
1 Administrator
% of Days 70%
2 Nurse Practitioner
% of Days 65%
2 Qualified Social Worker
% of Days 68%
2 Occupational Therapy Aide
% of Days 65%
1 RN Director of Nursing
% of Days 29%
1 Occupational Therapy Assistant
% of Days 49%
1 Medical Director
% of Days 12%

Facility Characteristics

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

Total census
72 residents
Residents by payment source
Medicare
3 residents (4.2%)
Medicaid
23 residents (31.9%)
Private pay or other
46 residents (63.9%)
Programs & Services
Residents' Group

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

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

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. 7.8
34% worse 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. 13.0
In line with 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 8.6%
26% worse than Ohio average

Ohio average: 6.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 16.5%
86% worse 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 14.0%
36% 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 4.3%
25% worse than Ohio average

Ohio average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.1%
46% better than Ohio average

Ohio average: 3.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.3%
137% worse than Ohio average

Ohio average: 0.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.5%
21% worse than Ohio average

Ohio average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Ohio average

Ohio average: 24.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 7.1%
16% better than Ohio average

Ohio average: 8.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.4%
5% better than Ohio average

Ohio average: 92.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.2%
In line with Ohio average

Ohio average: 94.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.37
23% better than Ohio average

Ohio average: 1.77

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.38
25% better than Ohio average

Ohio average: 1.83

Short-stay resident measures
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 96.4%
23% better than Ohio average

Ohio average: 78.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.1%
14% better than Ohio average

Ohio average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 92.9%
23% better 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. 28.3%
13% worse than Ohio average

Ohio average: 25.1%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.8%
30% 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. 54.1%
In line with Ohio average

Ohio average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 46.1%
9% worse than Ohio average

Ohio average: 50.6%

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Ohio Seniors

Get financial aid guidance

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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