Nursing home
Hawthorn Glen Nursing Center
5414 Hankins Road, Middletown, OH 45044 · Map
For profit - Corporation · Part of Lionstone Care (22 facilities) · 74 certified beds
Hawthorn Glen Nursing Center is a Medicare-certified nursing home in Middletown, Ohio. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.19 hours per resident per day, below the Ohio average of 3.72. Its most recent inspection on Jul 31, 2025 cited 13 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Hawthorn Glen Nursing Center compares
This facility vs. the Ohio and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Ohio avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.19 | 3.72 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.58 | 0.63 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.83 | 2.14 | 2.34 | below avg |
| Nursing staff turnover | 70.5% | 49.8% | 46.4% | above avg |
| Deficiencies cited, last inspection | 13.0 | 10.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the July 31, 2025 inspection was corrected by September 3, 2025
What inspectors found at Hawthorn Glen Nursing Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jul 31, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Quality of Life and Care Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Give residents a notice of rights, rules, services and charges.
Resident Rights Deficiencies · Jul 31, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 5414 Hankins Road
Middletown, OH 45044 - CMS certification #
- 365813
- Ownership
- For profit - Corporation
- Certified beds
- 74
- Avg residents/day
- 62.9
- Provider type
- Medicare and Medicaid
- First certified
- 1990-11-16
- Chain
- Lionstone Care (22 facilities)
- Setting
- Urban
Part of Lionstone Care
Lionstone Care operates 22 nursing facilities across the United States. View all Lionstone Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Hawthorn Glen Nursing Center using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice
- Emergency In FEMA's high-risk flood area (Zone AE)
Full public records, with dates and sources
Care and services
From the community’s website
What Hawthorn Glen Nursing Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
24/7 professional nursing care supporting recovery, monitoring health, and daily needs.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Hospice & Palliative Care
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- West Chester Hospital, West Chester. 6.1 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Majestic Care of Middletown LLC, Middletown. 2.7 miles away, straight line.
- Nearest home health agency office
- Physicians Choice Inc, Hamilton. 1.0 mile away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 3.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 45044 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita Butler County Home Training Dialysis, Liberty Township, 3.7 miles away, straight line (CMS rating 3 of 5 stars)
Davita Butler County Dialysis, Middletown, 5.4 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Medical Care Of Hamilton, Hamilton, 5.7 miles away, straight line (CMS rating 1 of 5 stars) - Hospice
- 23 Medicare hospices tell CMS they serve ZIP code 45044.
Suncrest Hospice, office in West Chester, 6.2 miles away, straight line (CMS family survey rating 3 of 5 stars)
Hospice Care Of Middletown Inc, office in Middletown, 6.4 miles away, straight line (CMS family survey rating 5 of 5 stars)
Spirit Hospice LLC, office in West Chester, 7.2 miles away, straight line - Nearest geriatric medicine practice
- Comprehensive Geriatric Care, LLC, Monroe. 3.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone AE: 1% annual chance flood area (high risk); base flood elevation set; inside the regulatory floodway. This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively high, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Hawthorn Glen Nursing Center a good nursing home?
CMS gives Hawthorn Glen Nursing Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Hawthorn Glen Nursing Center staffed?
Hawthorn Glen Nursing Center reports 3.19 total nurse hours per resident per day, compared with the Ohio average of 3.72.
Has Hawthorn Glen Nursing Center had inspection problems?
Its most recent CMS inspection cited 13 deficiencies.
How many beds does Hawthorn Glen Nursing Center have?
Hawthorn Glen Nursing Center is certified for 74 beds.