Twin Towers
Twin Towers is a continuing care retirement community in Cincinnati, Ohio, offering independent living, assisted living, memory care, skilled nursing, and nursing home care. Independent living provides private living with community services and no daily care, while assisted living provides help with daily tasks. Memory care offers a secured, supervised setting, and skilled nursing provides licensed nursing care on site around the clock. Having these care levels in one community makes Twin Towers a good fit for a resident whose needs may grow over time.
Twin Towers has 231 beds. Medicare, Medicaid, and private pay are accepted, giving families several payment routes: Medicare applies to short-term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay means paying directly. Total nurse staffing is 5 hours and 51 minutes per resident per day, representing the daily nurse staffing time allocated to each resident.
In the College Hill neighborhood, Twin Towers has a walk score of 31. Most errands require a car or a ride. Kristie Stricker serves as the administrator.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
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 Jun 2026).
Standout metric: Registered nurse (RN) is +120% above Ohio average
0 of 5 metrics below Ohio average
Daily care time per resident, by role
US average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
US average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
US average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
91.2% of staff hours were worked by the facility's own employees
Ohio average: 90.4% · Contractors this quarter: Certified Nursing Assistant (51), Licensed Practical Nurse (47), Occupational Therapy Assistant (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Community insights.
High-capacity home · May provide extensive amenities, services and programs.
Source: CMS Provider Information, average daily residents
About This Community
Twin Towers is administered by Kristie Stricker.
- Podiatry, audiology, optometry, dental and diagnostic services
- Bistro / café on site.
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
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.
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Ohio state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
• Total citations (100% above) 0 Better No metrics in this bucket.
Citations
| This Facility | OH Average | vs. OH Avg |
|---|---|---|---|
|
Total citations
| 4 | 2.0 | This facility has 100% more total citations than a typical Ohio nursing home (4 vs. OH avg 2).↑ 100% worse |
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
2025 – 2026 Period
Based on 25 completed resident interviews out of 62 eligible residents, collected August 2025 through January 2026. Ohio has not yet published statewide averages for this survey.
Care and services
Environment
Moving in
Facility culture
Caregivers
Spending time
Meals and dining
Average score
Ohio average: 86 / 100
2022 – 2023 Period
Based on 24 completed resident interviews out of 76 eligible residents, collected November 2022 through May 2023.
Care and services
Ohio average: 89 / 100
Environment
Ohio average: 95 / 100
Moving in
Ohio average: 82 / 100
Facility culture
Ohio average: 86 / 100
Caregivers
Ohio average: 89 / 100
Spending time
Ohio average: 80 / 100
Meals and dining
Ohio average: 81 / 100
Based on the Ohio Long-Term Care Facility Resident Satisfaction Survey 2025-2026
Can you decide how to spend your day?
This facility100/100
Did (Does) the therapy help you meet your goals?
This facility100/100
Did (Do) the therapists help you set goals?
This facility95/100
Did (Do) you know who to speak to about your therapy progress?
This facility84/100
Have you gotten or are you getting physical therapy, occupational therapy or speech therapy, while living at this care facility?
This facility80/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the Ohio Long-Term Care Facility Resident Satisfaction Survey 2025-2026
Is it very clean here?
This facility100/100
With or without assistance, can you get to different places in the building?
This facility100/100
With or without assistance, can you enjoy the outdoors if you want to, weather permitting?
This facility100/100
Are your personal items safe here?
This facility100/100
Do you feel safe here?
This facility100/100
Are you able to get around your room or apartment easily, with or without assistance?
This facility96/100
Do you feel you have enough privacy?
This facility92/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the Ohio Long-Term Care Facility Resident Satisfaction Survey 2025-2026
Did you feel warmly welcomed as a new resident?
This facility95/100
Do you remember what it was like when you first came to stay at this care facility?
This facility88/100
Were you given enough information to learn how things work here?
This facility80/100
Did you receive a thorough orientation to this facility?
This facility65/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the Ohio Long-Term Care Facility Resident Satisfaction Survey 2025-2026
Are your concerns taken care of in a timely way?
This facility100/100
Do the people who work here seem happy to work here?
This facility100/100
Do the people who work here go above and beyond to give you a good life?
This facility100/100
Do the people who work here help you with technology, if needed?
This facility100/100
Would you highly recommend this facility to someone who needs this type of care?
This facility100/100
Overall, are you satisfied with the care you receive here?
This facility100/100
Do you feel comfortable speaking up about things you don't like here?
This facility96/100
Do you enjoy spending time with anyone who lives here?
This facility92/100
Are you as involved in decisions about your care as you want to be?
This facility91/100
Do the people who work here tell you when rules, policies, and procedures change?
This facility81/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the Ohio Long-Term Care Facility Resident Satisfaction Survey 2025-2026
Do the people who work here do everything they can to protect you from getting sick?
This facility100/100
Do you have opportunities to maintain your health and wellness, if you want?
This facility100/100
Do you feel confident the people who work here would come quickly anytime you needed help?
This facility100/100
Do the people who work here make sure you are comfortable when they provide care or services?
This facility96/100
Are the people who work here knowledgeable about your medical conditions and treatments?
This facility96/100
Do the people who care for you explain your care and services to you?
This facility96/100
Do the people who work here support you to do as much for yourself as you are able to do?
This facility91/100
Do the people who work here do things the way you want them done?
This facility87/100
Do the same people take care of you most of the time?
This facility87/100
Do the people who work here check on you often enough to see if you need anything?
This facility75/100
Do the people who work here ever get angry at you? *
This facility72/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
* Score shows the percentage of residents answering "No".
Based on the Ohio Long-Term Care Facility Resident Satisfaction Survey 2025-2026
Do you usually enjoy how you spend your time?
This facility100/100
Do you feel included in life here?
This facility96/100
Do you have something to look forward to most days?
This facility92/100
Are you able to do the activities offered here, if you want?
This facility92/100
Do you have plenty of opportunities to do things that are meaningful to you?
This facility86/100
Do you like the activities here?
This facility86/100
Do you have enough opportunities to go on outings and special events?
This facility83/100
Do you feel as connected to the outside community as you want to be?
This facility72/100
Do you spend too much time waiting for things to begin? *
This facility65/100
Are there enjoyable things to do on the weekends, if you want?
This facility59/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
* Score shows the percentage of residents answering "No".
Based on the Ohio Long-Term Care Facility Resident Satisfaction Survey 2025-2026
Do you get enough to eat here?
This facility100/100
Do you get enough fresh fruits and vegetables here?
This facility92/100
Can you ask for different food to be added to the menu?
This facility90/100
Do you like the food here?
This facility88/100
Do you look forward to mealtimes?
This facility83/100
Does the menu change often enough?
This facility75/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Have you gotten or are you getting physical therapy, occupational therapy or speech therapy, while living at this care facility?
This facility57/100
Ohio average46/100
Did (Do) you know who to speak to about your therapy progress?
This facility85/100
Ohio average85/100
Did (Do) the therapists help you set goals?
This facility91/100
Ohio average89/100
Can you decide how to spend your day?
This facility92/100
Ohio average94/100
Did (Does) the therapy help you meet your goals?
This facility100/100
Ohio average88/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Can you enjoy the outdoors if you want to?
This facility74/100
Ohio average91/100
Are you able to get around the building if you want to?
This facility88/100
Ohio average95/100
Do you feel you have enough privacy?
This facility96/100
Ohio average95/100
Is it very clean here?
This facility96/100
Ohio average96/100
Is it easy for you to get around in your room (or apartment)?
This facility100/100
Ohio average96/100
Are your personal items safe here?
This facility100/100
Ohio average92/100
Do you feel safe here?
This facility100/100
Ohio average98/100
Can you find a place to be alone if you want to be alone?
This facility100/100
Ohio average96/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Did you receive a thorough orientation to TWIN TOWERS?
This facility76/100
Ohio average70/100
Were you given enough information to learn how things work here?
This facility83/100
Ohio average82/100
Did you feel warmly welcomed as a new resident?
This facility94/100
Ohio average93/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Do the people who work here tell you when rules, policies, and procedures change?
This facility76/100
Ohio average78/100
Are you as involved in decisions about your care as you want to be?
This facility78/100
Ohio average85/100
Are you friends with anyone who lives here?
This facility79/100
Ohio average81/100
Do the people who work here go above and beyond to give you a good life?
This facility82/100
Ohio average87/100
Do the people who work here help you with technology, if needed?
This facility82/100
Ohio average89/100
Are your concerns taken care of in a timely way?
This facility83/100
Ohio average86/100
Do the people who work here seem happy to work here?
This facility85/100
Ohio average92/100
Are you encouraged to speak up about things you don’t like here?
This facility90/100
Ohio average81/100
Would you highly recommend TWIN TOWERS to someone who needs this type of care?
This facility95/100
Ohio average89/100
Overall, are you satisfied with the care you receive here?
This facility100/100
Ohio average94/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Do the people who work here ever get angry at you?
This facility74/100
Ohio average88/100
Do the people who work here check on you often enough to see if you need anything?
This facility75/100
Ohio average81/100
Do the people who work here do things the way you want them done?
This facility82/100
Ohio average88/100
Do the same people take care of you most of the time?
This facility86/100
Ohio average84/100
Do the people who work here make sure you are comfortable when they provide care or services?
This facility90/100
Ohio average95/100
Are the people who work here knowledgeable about your medical conditions and treatments?
This facility94/100
Ohio average90/100
Do the people who work here support you to do as much for yourself as you are able to do?
This facility95/100
Ohio average96/100
Do you have opportunities to maintain your health and wellness, if you want?
This facility95/100
Ohio average92/100
Do the people who care for you explain your care and services to you?
This facility96/100
Ohio average85/100
Do you feel confident the people who work here would come quickly anytime you needed help?
This facility96/100
Ohio average85/100
Do the people who work here do everything they can to protect you from getting sick?
This facility100/100
Ohio average94/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Are there enjoyable things to do on the weekends, if you want?
This facility55/100
Ohio average63/100
Are you as connected to the community as you want to be?
This facility62/100
Ohio average71/100
Do you have something to look forward to most days?
This facility75/100
Ohio average77/100
Do you have enough opportunities to go on outings and special events?
This facility79/100
Ohio average73/100
Do you feel included in life here?
This facility79/100
Ohio average89/100
Do you have plenty of opportunities to do things that are meaningful to you?
This facility82/100
Ohio average83/100
Are you able to do the activities offered here, if you want?
This facility83/100
Ohio average93/100
Do you usually enjoy how you spend your time?
This facility83/100
Ohio average87/100
Do you like the activities here?
This facility95/100
Ohio average83/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Does the menu change often enough?
This facility62/100
Ohio average77/100
Do you have input on the food that is served?
This facility64/100
Ohio average68/100
Do you look forward to mealtimes?
This facility75/100
Ohio average80/100
Do you like the food here?
This facility87/100
Ohio average81/100
Do you get enough fresh food options here?
This facility92/100
Ohio average81/100
Do you get enough to eat here?
This facility96/100
Ohio average95/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
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
Ohio average: — / 100
Latest survey results
Care and services
Ohio average: 80 / 100
Environment
Ohio average: 78 / 100
Moving in
Ohio average: 85 / 100
Facility culture
Ohio average: 78 / 100
Caregivers
Ohio average: 78 / 100
Spending time
Ohio average: 68 / 100
Meals and dining
Ohio average: 67 / 100
How often family visits residents at Twin Towers
Profile of respondents of this survey
100=Definitely Yes, 67=Probably Yes, 33=Probably No, 0=Definitely No
Does this living arrangement help the resident maintain their independence?
This facility82/100
Ohio average84/100
Do you have enough opportunities for input into decisions about your resident’s care?
This facility65/100
Ohio average78/100
Do you get enough information to make decisions with or about your resident?
This facility66/100
Ohio average77/100
Scores represent percent of positive responses for each item based on the latest Family Satisfaction Survey results
100=Definitely Yes, 67=Probably Yes, 33=Probably No, 0=Definitely No
Is the residential care facility thoroughly clean?
This facility85/100
Ohio average83/100
Can the resident get outside often enough?
This facility71/100
Ohio average74/100
Are the resident’s belongings safe?
This facility73/100
Ohio average79/100
Scores represent percent of positive responses for each item based on the latest Family Satisfaction Survey results
100=Definitely Yes, 67=Probably Yes, 33=Probably No, 0=Definitely No
When the resident moved in, were you given thorough information to help you know what to expect?
This facility82/100
Ohio average85/100
Was the resident given a thorough orientation to residential care?
This facility75/100
Ohio average80/100
Did you feel warmly welcomed as a new family member?
This facility85/100
Ohio average90/100
Scores represent percent of positive responses for each item based on the latest Family Satisfaction Survey results
100=Definitely Yes, 67=Probably Yes, 33=Probably No, 0=Definitely No
Are you encouraged to speak up when you have a problem?
This facility71/100
Ohio average83/100
Are your concerns addressed in a timely way?
This facility60/100
Ohio average78/100
Are you kept well informed about how things are going with your resident?
This facility65/100
Ohio average76/100
Do the staff seem happy to work at the residential care facility?
This facility73/100
Ohio average77/100
Do the staff go above and beyond to give your resident a good life?
This facility69/100
Ohio average76/100
Do you feel confident that staff would help your resident beyond their personal care needs if you could not (eg, paperwork, purchasing clothing)?
This facility63/100
Ohio average69/100
Do you have peace of mind about the care your resident is getting when you aren’t at the residential care facility?
This facility81/100
Ohio average82/100
Would you highly recommend this residential care facility to a family member or friend?
This facility71/100
Ohio average79/100
Scores represent percent of positive responses for each item based on the latest Family Satisfaction Survey results
100=Definitely Yes, 67=Probably Yes, 33=Probably No, 0=Definitely No
Do you feel confident the staff is knowledgeable about the resident’s medical condition(s) and treatment(s)?
This facility74/100
Ohio average79/100
Do the staff know what the resident likes and doesn’t like?
This facility78/100
Ohio average79/100
Do the staff regularly check to see if the resident needs anything?
This facility76/100
Ohio average77/100
Have you gotten to know the staff who care for your resident?
This facility69/100
Ohio average78/100
Do the staff encourage your resident to be as independent as they are able to be?
This facility77/100
Ohio average82/100
Do you feel confident staff would come quickly anytime your resident needed help?
This facility83/100
Ohio average77/100
Scores represent percent of positive responses for each item based on the latest Family Satisfaction Survey results
100=Definitely Yes, 67=Probably Yes, 33=Probably No, 0=Definitely No
Does the resident have something enjoyable to look forward to most days?
This facility65/100
Ohio average71/100
Do the staff do a good job keeping the resident connected to the community?
This facility64/100
Ohio average72/100
Does the resident have plenty of opportunities to do things that are meaningful to them?
This facility70/100
Ohio average71/100
Does the residential care facility have enough opportunities for your resident to go on special outings and events?
This facility71/100
Ohio average63/100
Does the resident like the provided activities?
This facility70/100
Ohio average69/100
Does the residential care facility provide things the resident enjoys doing on the weekend?
This facility49/100
Ohio average56/100
Do you have plenty of opportunities to be involved in the residential care facility?
This facility66/100
Ohio average72/100
Scores represent percent of positive responses for each item based on the latest Family Satisfaction Survey results
100=Definitely Yes, 67=Probably Yes, 33=Probably No, 0=Definitely No
Is there a lot of variety in the meals?
This facility57/100
Ohio average70/100
Are you included in mealtimes if you want to be?
This facility51/100
Ohio average65/100
Is the food good?
This facility52/100
Ohio average68/100
Scores represent percent of positive responses for each item based on the latest Family Satisfaction Survey results
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Citation severity
Latest inspection: Feb 26, 2026 · 3 citations, all corrected
Most cited category: Quality of Life & Care, 3 of 12 citations · 6 categories in total
Citations history
Most recent firstTop deficiency categories
Share of 12 citationsHow citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 12 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
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 Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Ohio average.
13 long-stay measures: 7 better, 5 worse, 1 near OH average
8 short-stay measures: 4 better, 1 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Hospital & emergency visits
Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Hospital & emergency visits
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Twin Towers’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 170 Ohio nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Losing money on care, and more than last year
−26.0% operating margin
−10.8 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income (−$0.1M) trims the net loss to −$2.8M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with Ohio homes
56.3% payroll share of revenue
OH average 54.7%Rank #63 / 170Payroll % of net patient revenue — State benchmarked This nursing home is ranked 63rd out of 170 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 fell $0.0M while revenue fell $0.4M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Ohio homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | OH median | Compared with OH homesRank in OH | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $10.3M | −$0.4M | Trend 20172024 | OH median $9.8M | Rank in OH Rank #78 / 170Net patient revenue — State benchmarked This nursing home is ranked 78th out of 170 nursing homes we track in Ohio for net patient revenue. Shows this facility's net patient revenue compared to the Ohio average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. 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. Higher than 54% of homes | Above OH median Higher net patient revenue than 54% of OH homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $13.0M | +$0.6M | Trend 20172024 | OH median — | Rank in OH Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$2.7M | −$1.0M | Trend 20172024 | OH median — | Rank in OH Not ranked | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −26.0% | −10.8 pts | Trend 20172024 | OH median — | Rank in OH Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | −$0.1M | — | Trend — | OH median — | Rank in OH Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$2.8M | −$2.0M | Trend — | OH median — | Rank in OH Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Staff spending in line with Ohio homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | OH median | Compared with OH homesRank in OH | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.8M | −$0.0M | Trend 20172024 | OH median $5.4M | Rank in OH Rank #67 / 170Payroll costs — State benchmarked This nursing home is ranked 67th out of 170 nursing homes we track in Ohio for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Ohio average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. 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. Higher than 61% of homes | Above OH median Higher payroll than 61% of OH homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 56.3% | +1.8 pts | Trend 20172024 | OH median 53.9% | Rank in OH Rank #63 / 170Payroll % of net patient revenue — State benchmarked This nursing home is ranked 63rd out of 170 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. Higher than 63% of homes | Near OH average The OH average is 54.7% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · OH benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Ohio payroll average.
% of net patient revenue
Payroll share Operating margin OH payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $9.9M | $10.4M | $10.4M | $9.9M | $10.3M | $10.0M | $10.7M | $10.3M |
| Operating expenses | $13.9M | $14.3M | $11.4M | $11.9M | $13.0M | $13.0M | $12.3M | $13.0M |
| Net patient income | −$4.0M | −$3.9M | −$1.0M | −$1.9M | −$2.8M | −$3.0M | −$1.6M | −$2.7M |
| Operating margin | −40.5% | −37.1% | −10.0% | −19.3% | −26.9% | −29.8% | −15.2% | −26.0% |
| Net income | −$3.3M | −$3.4M | −$0.9M | −$0.7M | −$2.4M | −$2.7M | −$0.8M | −$2.8M |
| Payroll costs | $6.6M | $7.3M | $5.3M | $5.8M | $6.1M | $5.7M | $5.8M | $5.8M |
| Payroll share of revenue | 67.0% | 70.5% | 50.7% | 58.4% | 59.8% | 57.0% | 54.5% | 56.3% |
| Beds | 101 | 101 | 101 | 99 | 99 | 99 | 75 | 75 |
| Gross revenue | $14.8M | $15.7M | $15.5M | $14.2M | $15.1M | $14.9M | $15.0M | $14.7M |
| Salaries | $5.3M | $5.9M | $4.4M | $4.8M | $5.0M | $4.7M | $4.9M | $4.9M |
| Wage-related costs | $1.3M | $1.5M | $0.9M | $1.0M | $1.1M | $1.0M | $0.9M | $0.9M |
| Contract labor | $1.5M | $1.1M | $0.7M | $0.1M | $0.9M | $1.4M | $0.6M | $0.7M |
| Other operating costs | $7.3M | $6.9M | $6.2M | $6.1M | $6.9M | $7.3M | $6.5M | $7.2M |
| Net patient revenue per day | $310 | $311 | $321 | $333 | $341 | $349 | $396 | $404 |
| Cost per day | $436 | $426 | $353 | $397 | $432 | $453 | $456 | $509 |
| Average length of stay | 76.2 days | 98.1 days | 97.9 days | 80.2 days | 69.3 days | 81.1 days | 96.5 days | 114.6 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Places of interest near Twin Towers
6.1 miles from city center
Estimated distance in miles from Cincinnati's city center to Twin Towers's address, calculated via Google Maps.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The Home At Hearthstone | NH MC PC SNF | Cincinnati | 96
Facility
96
OH AVG
82
Rank
#61 / 183 |
95.1%
Facility
95.1%
OH AVG
85%
Rank
#63 / 152 | +12% | 3.01
Facility
3.01
OH AVG
3.48
Rank
#116 / 170 | -11% | -13% | $0
Facility
$0
OH AVG
$81.1k
Rank
#1 / 172 | 17
Facility
17
OH AVG
31.2
Rank
#47 / 172 | 4.3
Facility
4.3
OH AVG
4.8
Rank
#86 / 172 | - | 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
$10.4M
Rank
#64 / 170 | $6.3MFiscal year ending 12/2024
Facility
$6.3MFiscal year ending 12/2024
OH AVG
$5.5M
Rank
#51 / 170 | 57.7%Fiscal year ending 12/2024
Facility
57.7%Fiscal year ending 12/2024
OH AVG
54.7%
Rank
#47 / 170 | 366251 | ||||
| Beechwood Home | NH HOS SNF | Cincinnati (Evanston) | 80
Facility
80
OH AVG
82
Rank
#85 / 183 |
87.6%
Facility
87.6%
OH AVG
85%
Rank
#71 / 152 | +3% | 4.56
Facility
4.56
OH AVG
3.48
Rank
#23 / 170 | -18% | +31% | $0
Facility
$0
OH AVG
$81.1k
Rank
#1 / 172 | 14
Facility
14
OH AVG
31.2
Rank
#34 / 172 | 2.8
Facility
2.8
OH AVG
4.8
Rank
#27 / 172 | - | 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
$10.4M
Rank
#94 / 170 | $6.8MFiscal year ending 12/2024
Facility
$6.8MFiscal year ending 12/2024
OH AVG
$5.5M
Rank
#39 / 170 | 73%Fiscal year ending 12/2024
Facility
73%Fiscal year ending 12/2024
OH AVG
54.7%
Rank
#8 / 170 | 365445 | ||||
| Sanctuary Pointe Nursing & Rehab Center | NH AL HOS MC PC RC SNF | Cincinnati | 124
Facility
124
OH AVG
82
Rank
#31 / 183 |
95.6%
Facility
95.6%
OH AVG
85%
Rank
#37 / 152 | +12% | 3.26
Facility
3.26
OH AVG
3.48
Rank
#105 / 170 | -49% | -6% | $0
Facility
$0
OH AVG
$81.1k
Rank
#1 / 172 | 14
Facility
14
OH AVG
31.2
Rank
#34 / 172 | 3.5
Facility
3.5
OH AVG
4.8
Rank
#54 / 172 | - | 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
$10.4M
Rank
#43 / 170 | $7.2MFiscal year ending 12/2024
Facility
$7.2MFiscal year ending 12/2024
OH AVG
$5.5M
Rank
#36 / 170 | 57.1%Fiscal year ending 12/2024
Facility
57.1%Fiscal year ending 12/2024
OH AVG
54.7%
Rank
#53 / 170 | 366432 | ||||
| Alois Alzheimer Center | NH HOS MC PC RC SNF | Cincinnati (Greenhills) | 20
Facility
20
OH AVG
82
Rank
#64 / 183 | - | - | 3.95
Facility
3.95
OH AVG
3.48
Rank
#18 / 170 | -31% | +14% | $0
Facility
$0
OH AVG
$81.1k
Rank
#1 / 172 | 11
Facility
11
OH AVG
31.2
Rank
#21 / 172 | 3.7
Facility
3.7
OH AVG
4.8
Rank
#59 / 172 | - | 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
$10.4M
Rank
#115 / 170 | $4.9MFiscal year ending 12/2024
Facility
$4.9MFiscal year ending 12/2024
OH AVG
$5.5M
Rank
#98 / 170 | 62%Fiscal year ending 12/2024
Facility
62%Fiscal year ending 12/2024
OH AVG
54.7%
Rank
#28 / 170 | 366489 | ||||
| Twin Towers | NH AL CCRC IL MC SNF | Cincinnati (College Hill) | 288
Facility
288
OH AVG
82
Rank
#1 / 183 | - | - | 5.85
Facility
5.85
OH AVG
3.48
Rank
#6 / 170 | -14% | +68% | $0
Facility
$0
OH AVG
$81.1k
Rank
#1 / 172 | 12
Facility
12
OH AVG
31.2
Rank
#25 / 172 | 4.0
Facility
4.0
OH AVG
4.8
Rank
#71 / 172 | 1 | 62 | - |
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
$10.4M
Rank
#78 / 170 | $5.8MFiscal year ending 12/2024
Facility
$5.8MFiscal year ending 12/2024
OH AVG
$5.5M
Rank
#67 / 170 | 56.3%Fiscal year ending 12/2024
Facility
56.3%Fiscal year ending 12/2024
OH AVG
54.7%
Rank
#63 / 170 | 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 for
Nursing Home in Ohio
Twin Towers is located in Cincinnati, Ohio.
Here are the financial assistance programs available to residents in Ohio.




