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Nursing home · Top rated by CMS

The Home at Hearthstone

8028 Hamilton Avenue, Cincinnati, OH 45231 · Map
For profit - Corporation · Part of Foundations Health Solutions (63 facilities) · 96 certified beds

Medicare and Medicaid certified
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The Home at Hearthstone is a Medicare-certified nursing home in Cincinnati, Ohio. CMS rates it 5 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.76 hours per resident per day, above the Ohio average of 3.72. Its most recent inspection on Jul 25, 2024 cited 4 deficiencies.

5 out of 5Overall CMS rating
4 out of 5Health inspections
2 out of 5Staffing
96 bedsCertified beds

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating5/5
Health inspections4/5
Staffing2/5
Quality measures5/5
Long-stay quality5/5
Short-stay quality4/5

How The Home at Hearthstone 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.

MetricThis facilityOhio avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.763.723.89above avg
RN staffing (hrs/resident/day)0.460.630.68below avg
Aide staffing (hrs/resident/day)2.322.142.34above avg
Nursing staff turnover39.6%49.8%46.4%below avg
Deficiencies cited, last inspection4.010.29.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.76Total nurse hrs/resident/day
0.46RN hrs/resident/day
0.97LPN hrs/resident/day
2.32Aide hrs/resident/day
3.28Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff39.6%
Registered nurses62.5%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Jul 25, 2024Most recent inspection
4Deficiencies found
20Health inspection score
0Fines
  • Every deficiency from the December 17, 2025 inspection was corrected by December 19, 2025

What inspectors found at The Home at Hearthstone

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Resident Rights Deficiencies · Dec 17, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Jul 25, 2024 · Full report (PDF)
  • Potential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Quality of Life and Care Deficiencies · Jul 25, 2024 · 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 25, 2024 · Full report (PDF)
  • Potential for harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Quality of Life and Care Deficiencies · May 16, 2023
Show all 12 deficiencies
  • Potential for harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pharmacy Service Deficiencies · Feb 3, 2022
  • 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 · Feb 3, 2022
  • Potential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning Deficiencies · Feb 3, 2022
  • Potential for harm

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Resident Assessment and Care Planning Deficiencies · Feb 3, 2022
  • Potential for harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Resident Rights Deficiencies · Feb 3, 2022
  • Potential for harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Resident Rights Deficiencies · Feb 3, 2022
  • Potential for harm

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Resident Rights Deficiencies · Feb 3, 2022

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
8028 Hamilton Avenue
Cincinnati, OH 45231
CMS certification #
366251
Ownership
For profit - Corporation
Certified beds
96
Avg residents/day
88.2
Provider type
Medicare and Medicaid
First certified
2002-12-23
Chain
Foundations Health Solutions (63 facilities)
Setting
Urban

Part of Foundations Health Solutions

Foundations Health Solutions operates 63 nursing facilities across the United States. View all Foundations Health Solutions facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around The Home at Hearthstone using Google Maps.

Other public records

  • Website says A memory care unit, nurse 24 hours a day
Full public records, with dates and sources

Care and services

From the community’s website

What The Home at Hearthstone says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.

  • Has a separate memory care unit, wing or neighborhood. We offer 24/7 skilled nursing care, physical therapy, occupational therapy, speech therapy, a secured memory care unit for seniors living with Alzheimer's and Dementia, and much more to help you reach your maximum potential. (page, checked Oct 12, 2026)
  • Nurse on site: 24 hours a day. We offer 24/7 skilled nursing care, physical therapy, occupational therapy, speech therapy, a secured memory care unit for seniors living with Alzheimer's and Dementia, and much more to help you reach your maximum potential. (page, checked Oct 12, 2026)

Location and nearby care

Nearest hospital with an emergency room
Mercy Health - West Hospital, Cincinnati. 5.1 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
Mt Healthy Christian Home, Cincinnati. 0.0 miles away, straight line.
Nearest home health agency office
Divine Home Health Services LLC, Cincinnati. 1.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Walgreens. 1.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 45231 as metropolitan (metropolitan core).
Dialysis within 15 miles
Davita Affinity Place Dialysis, Cincinnati, 0.8 miles away, straight line (CMS rating 2 of 5 stars)
Dca My Dialysis, Mount Healthy, 0.8 miles away, straight line (CMS rating 1 of 5 stars)
Davita College Hill Dialysis, Cincinnati, 1.6 miles away, straight line (CMS rating 2 of 5 stars)
Hospice
23 Medicare hospices tell CMS they serve ZIP code 45231.
Ohio Living Village Hospice, office in Cincinnati, 3.0 miles away, straight line (CMS family survey rating 2 of 5 stars)
Ahc Home Health Of Cincinnati LLC, office in Cincinnati, 6.2 miles away, straight line
Hospice Of Cincinnati, Inc, office in Cincinnati, 8.4 miles away, straight line (CMS family survey rating 3 of 5 stars)
Nearest geriatric medicine practice
University Of Cincinnati Physicians Company LLC, Cincinnati. 4.1 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
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: very low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively moderate, 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.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
Cincinnati Health Department kitchen inspectionsOct 15, 2026No kitchen matched
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteSee above

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Frequently asked questions

Is The Home at Hearthstone a good nursing home?

CMS gives The Home at Hearthstone an overall rating of 5 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is The Home at Hearthstone staffed?

The Home at Hearthstone reports 3.76 total nurse hours per resident per day, compared with the Ohio average of 3.72.

Has The Home at Hearthstone had inspection problems?

Its most recent CMS inspection cited 4 deficiencies.

How many beds does The Home at Hearthstone have?

The Home at Hearthstone is certified for 96 beds.