Nursing home
Twin Towers (Skilled Nursing and Continuing Care)
5343 Hamilton Avenue, Cincinnati, OH 45224 · Map
Non profit - Corporation · 75 certified beds
Twin Towers (Skilled Nursing and Continuing Care) is a Medicare-certified nursing home in Cincinnati, Ohio. CMS rates it 4 out of 5 stars overall (5/5 for staffing, 3/5 for health inspections). Nurse staffing is 5.07 hours per resident per day, above the Ohio average of 3.72. Its most recent inspection on Aug 30, 2024 cited 7 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Twin Towers (Skilled Nursing and Continuing Care) 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) | 5.07 | 3.72 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.17 | 0.63 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.64 | 2.14 | 2.34 | above avg |
| Nursing staff turnover | 45.7% | 49.8% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 10.2 | 9.5 | below 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 February 26, 2026 inspection was corrected by March 23, 2026
What inspectors found at Twin Towers (Skilled Nursing and Continuing Care)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Feb 26, 2026 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Feb 26, 2026 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Feb 26, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 30, 2024 · Full report (PDF) - 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 · Aug 30, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Aug 30, 2024 · Full report (PDF) - 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 · Aug 30, 2024 · Full report (PDF) - Potential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Aug 30, 2024 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Aug 30, 2024 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Aug 30, 2024 · Full report (PDF) - 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 · Nov 3, 2022 - 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 · Nov 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
- 5343 Hamilton Avenue
Cincinnati, OH 45224 - CMS certification #
- 366023
- Ownership
- Non profit - Corporation
- Certified beds
- 75
- Avg residents/day
- 66.6
- Provider type
- Medicare and Medicaid
- First certified
- 1995-07-11
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Twin Towers (Skilled Nursing and Continuing Care) using Google Maps.
Other public records
- Kitchen 32 inspections by Cincinnati Health Department since 2023; latest Approved - No Violations (September 2026)
- Workplace safety 2 OSHA workplace safety inspections since 2019, 2 violations cited
Full public records, with dates and sources
Kitchen inspections
The local health department inspects the kitchen that serves residents. Results are in the agency's own words.
Cincinnati Health Department: Twin Towers INC Hp4
- Apr 9, 2026 (routine / standard inspection): Approved - No Violations. No violations listed.
- May 7, 2025 (routine / standard inspection): Approved - No Violations. No violations listed.
- Jun 25, 2024 (routine / standard inspection): Approved - Minor Violations.
1 violation
- Facilities: Maintenance: Good repair. Inspector’s note: The physical facilities were not maintained in good repair. Wall cut out for pipe behind dishwasher. Fix gap.
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Critical: Marked critical in the Ohio Uniform Food Safety Code as cited by the city.
Cincinnati Health Department: Twin Towers INC Hp2
- Apr 9, 2026 (routine / standard inspection): Approved - No Violations. No violations listed.
- May 7, 2025 (routine / standard inspection): Approved - No Violations. No violations listed.
- Jun 25, 2024 (routine / standard inspection): Approved - Minor Violations.
1 violation
- VI. Time/Temperature Controlled Safety Food - TCS - hot and cold holding. Inspector’s note: TCS foods were being hot held at temperatures <135° F or a roast <130° F. Beef liver held on temp.118 F. Corrested on site.
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Critical: Marked critical in the Ohio Uniform Food Safety Code as cited by the city.
Cincinnati Health Department: Twin Towers Ret Home-bistro
- May 7, 2025 (routine / standard inspection): Approved - No Violations. No violations listed.
- Jun 18, 2024 (routine / standard inspection): Approved - Minor Violations.
2 violations
- Nonfood-contact surfaces - cleaning frequency. Inspector’s note: Nonfood-contact surfaces are not cleaned frequently enough. Soiled filters on side of ice machine.
- VI. Time/Temperature Controlled Safety Food - TCS - hot and cold holding. Inspector’s note: TCS foods were being held at temperatures >41° F. Tuna salad held on temp. 47 F in overfilled container.
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Critical: Marked critical in the Ohio Uniform Food Safety Code as cited by the city.
Cincinnati Health Department: Twin Towers INC Hp1
- Apr 9, 2026 (routine / standard inspection): Approved - No Violations. No violations listed.
- May 7, 2025 (routine / standard inspection): Approved - Minor Violations.
1 violation
- Warewashing equipment: Determining Chemical Sanitizer Concentration. Inspector’s note: Sanitizer concentration is not being monitored. No sanitizer in dish washer. Monitor sanitizer conc. daily to prevent serving food in unsanitized food contact surfaces.
- Jun 25, 2024 (routine / standard inspection): Approved - Minor Violations.
3 violations
- Equipment, food-contact surfaces, nonfood-contact surfaces, and utensils. Inspector’s note: Non-food contact surfaces are dirty. Soiled sanitizer sink of 3 comp. sink.
- X. Chemical - Poisonous/toxic material. Inspector’s note: The chemical sanitizer being used is not approved for food contact surfaces. Too much sanitizer in dish washing machine. Adjust conc. of sanitizer.
- Miscellaneous sources of contamination. Inspector’s note: Miscellaneous sources of contamination observed. Resident's left over milk stored in cooler with consumer's food. Keep left over employee's or resident in a separate space away from consumer's food to prevent contamination.
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Critical: Marked critical in the Ohio Uniform Food Safety Code as cited by the city.
Cincinnati Health Department: Twin Towers INC Hp3
- Apr 9, 2026 (routine / standard inspection): Approved - No Violations. No violations listed.
- May 8, 2025 (routine / standard inspection): Approved - Minor Violations. No violations listed.
- Jun 25, 2024 (routine / standard inspection): Approved - Minor Violations.
1 violation
- VI. Time/Temperature Controlled Safety Food - TCS - hot and cold holding. Inspector’s note: TCS foods were being hot held at temperatures <135° F or a roast <130° F. Cooked carrot held on temp. 105 F. Corrected on site.
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Critical: Marked critical in the Ohio Uniform Food Safety Code as cited by the city.
Cincinnati Health Department: Twin Towers - Al 4 Kitchen
- May 8, 2025 (routine / standard inspection): Approved - Minor Violations.
2 violations
- Cleaning- Frequency and Restrictions. Inspector’s note: The physical facilities are not cleaned as often as necessary to keep them clean. Cabinets and drawer below juice machine was soiled. Ceiling vents in above dish manchineel was soiled.
- Cutting surfaces.. Inspector’s note: Cutting surface(s) unable to be effectively cleaned and sanitized. Deep cuts in cutting board. Refurbish or replace.
- Dec 19, 2024 (routine / standard inspection): Approved - Minor Violations.
4 violations
- Equipment, food-contact surfaces, nonfood-contact surfaces, and utensils. Inspector’s note: Non-food contact surfaces are dirty. Vitality juice machine drain and grates above drain soiled. Clean machine thoroughly.
- III. Preventing Contamination by Hands - Facilities. Inspector’s note: Handwashing lavatory had no, unapproved, or inoperable hand drying provision. No paper towels at hand washing sink. Corrected on site.
- VII. Protection from Contamination - Equipment cleanliness. Inspector’s note: Food-contact surfaces were dirty. Soiled soup bowl on cart for service. Corrected on site.
- Facilities: Maintenance: Good repair. Inspector’s note: The physical facilities were not maintained in good repair. Repair behind vitality juice mache was rough scarpe to make surface smooth fill gaps and dust on dry wall needs to be clean.
- Jun 25, 2024 (routine / standard inspection): Approved - Minor Violations.
1 violation
- VI. Time/Temperature Controlled Safety Food - TCS - hot and cold holding. Inspector’s note: TCS foods were being held at temperatures >41° F. Meat balls held on temp.49 F. Keep all cold TCS food on temp.41 F or below to prevent growth of bacterias. Corrected on site.
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Critical: Marked critical in the Ohio Uniform Food Safety Code as cited by the city.
Cincinnati Health Department: Twin Towers INC
- Sep 30, 2026 (routine / critical control point): Approved - No Violations. No violations listed.
- Apr 9, 2026 (routine / critical control point): Approved - Minor Violations.
4 violations
- Thawing TCS. Inspector’s note: TCS food was improperly thawed. Observed frozen foods thawing in stagnant water on counter--Discarded
- VII. Protection from Contamination - Equipment Food-Contact Surfaces and Utensils: Clean to Sight and Touch. Inspector’s note: Food-contact surfaces were not clean to the sight and touch. Observed soiled kettle plug. PIC to assure plugs are removed and washed/sanitized after each use
- Fixed equipment installation - Spacing or Sealing. Inspector’s note: Equipment is not sealed to the surface or allow for ease of cleaning. Caulk along edges of damaging in kitchen
- Maintaining Refuse Areas and Enclosures. Inspector’s note: A storage area and enclosure for refuse, recyclables, or returnables is to be maintained clean and free of unnecessary items, that is nonfunctional or longer used; and litter. Area around trash compactor is soiled--clean and maintain clean
- Nov 18, 2025 (routine / standard inspection): Approved - Minor Violations.
6 violations
- VII. Protection from Contamination - Cooking and Baking Equipment - Cleaning Frequency. Inspector’s note: Food contact surfaces of cooking and baking equipment or cavities and door seals of microwaves were not cleaned frequently enough. Soiled microwave ceiling. Clean microwave regularly.
- VI. Time/Temperature Controlled Safety Food - Time/Temperature Controlled for Safety Food - Cold Holding. Inspector’s note: TCS foods were being held at temperatures >41° F. Pasta and balonga held on temp. 56 F. Keep cold food on temp.41 F or less to prevent growth of bacterias.
- VII. Protection from Contamination - Equipment Food-Contact Surfaces and Utensils: Clean to Sight and Touch. Inspector’s note: Food-contact surfaces were not clean to the sight and touch. Observed dirt on side of ice machine on right of white sheild. Clean ice machine thoroughly.
- Cleaning- Frequency and Restrictions. Inspector’s note: The physical facilities are not cleaned as often as necessary to keep them clean. Soiled vent above dishwasher and in kitchen above food prep. area. Clean vent regularly to prevent accumulation of dirt and dust.
- Miscellaneous Sources of Contamination. Inspector’s note: Miscellaneous sources of contamination observed. Employee food stored with consumer's items. Personal key chain was on food prep. Sink. Keep all personal items in separate space away from consumer's food and food contac surfaces.
- Equipment - Good Repair and Proper Adjustment. Inspector’s note: Equipment components were not intact, tight or properly adjusted. Gap in filters under the hood.
- May 7, 2025 (routine / standard inspection): Approved - Minor Violations.
5 violations
- Nonfood-contact surfaces - cleaning frequency. Inspector’s note: Nonfood-contact surfaces are not cleaned frequently enough. Rusty shelves in assisted living upright cooler. Clean and Repaint with food grade paint.
- Food Storage Containers - Identified with Common Name of Food. Inspector’s note: Working containers of food are not properly labeled. Unlabeled water bottle.
- VI. Time/Temperature Controlled Safety Food - Reheating For Hot Holding. Inspector’s note: Reheated TCS food was not heated to 165°F or roasts were not properly reheated. Food did not reheated to 165 F for 15 second before put on hot holding. Must reheat food to 165 F to get rid of bacterial growth if any.
- VI. Time/Temperature Controlled Safety Food - Time/Temperature Controlled for Safety Food - Cold Holding. Inspector’s note: TCS foods were being held at temperatures >41° F. TCS food held in temp. danger zone due to reheating procedure did not followed properly.
- Cleaning- Frequency and Restrictions. Inspector’s note: The physical facilities are not cleaned as often as necessary to keep them clean. Mold on caulk behind spray assembly in dish washing area. Clean and replace caulk. Soiled ceiling vent in food prep. area. Clean vents regularly.
- Dec 19, 2024 (routine / standard inspection): Approved - Minor Violations.
5 violations
- Food Storage containers. Inspector’s note: Working containers of food are not properly labeled. Unlabeled water bottle.
- Kitchenware and tableware. Inspector’s note: Single-service or single-use articles or cleaned and sanitized utensils were not handled, displayed, and dispensed so that contamination of food-and lip-contact surfaces is prevented. Clean spoon stored handles down. Keep clean utensils handles up to protect food and lip contact surfaces.
- VII. Protection from Contamination - Cleaning Frequency. Inspector’s note: Surfaces of utensils or equipment contacting non-TCS food were not cleaned at appropriate frequency. Observed some slime build up inside ice machine by white shield's nut on right. Discard ice clean and sanitize ice machine. Clean all parts and spaces in machine thoroughly. Corrected on site.
- Facilities: Maintenance: Good repair. Inspector’s note: The physical facilities were not maintained in good repair. Holes on the wall above counter food prep. area. where cart stored.
- Equipment. Inspector’s note: Equipment and/or components were not maintained in good working order. Observed gaps in filter under the hood. Filters were on oreder per person in charge.
- Jun 18, 2024 (routine / standard inspection): Approved - Minor Violations.
4 violations
- Facilities: Cleaning: Frequency. Inspector’s note: The physical facilities are not cleaned as often as necessary to keep them clean. Soiled ceiling vent in cooking area.
- Facilities: Maintenance: Good repair. Inspector’s note: The physical facilities were not maintained in good repair. Tile missing in assisted living area prep. room.
- Facilities: Cleaning of plumbing fixtures. Inspector’s note: Plumbing fixtures are being kept clean and maintained. Soiled hand washing sink in dish room.
- Facilities: Cleaning: Frequency. Inspector’s note: The physical facilities are not cleaned as often as necessary to keep them clean. Mold on caulk on back wall of 3 comp.sink. Replace caulk.
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Critical: Marked critical in the Ohio Uniform Food Safety Code as cited by the city.
Cincinnati Health Department: Twin Towers - AL Kitchen
- Sep 30, 2026 (routine / critical control point): Approved - Minor Violations.
1 violation
- Cutting surfaces.. Inspector’s note: Cutting surface(s) unable to be effectively cleaned and sanitized. Observed cutting board with heavy scoring. Ensure to resurface or replace as often as necessary
- Apr 9, 2026 (routine / critical control point): Approved - No Violations. No violations listed.
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Critical: Marked critical in the Ohio Uniform Food Safety Code as cited by the city.
Cincinnati Health Department: Twin Towers - Bistro
- Sep 30, 2026 (routine / critical control point): Approved - Minor Violations.
1 violation
- Nonfood-Contact Surfaces - Materials. Inspector’s note: The nonfood contact surface is no longer corrosion -resistant, nonabsorbent and/or smooth. Observed cracked plastic food storage lids. Ensure surfaces are smooth and easily cleanable. Person in charge voluntarily discarded.
- Apr 9, 2026 (routine / critical control point): Approved - Minor Violations.
3 violations
- Standards of Identity. Inspector’s note: Food product labels are not in compliance with identity requirements. Prepackaged grab and go foods are missing Net weight, statement of responsibility and sub-ingredient listings
- III. Preventing Contamination by Hands - Using a handwashing sink - Operation and Maintenance. Inspector’s note: Handwashing facility is being used for purposes other than handwashing. Observed night stained damaging in kitchen area and Ice in hand sink in survery area. Hand sinks to be used for hand washing only
- VI. Time/Temperature Controlled Safety Food - Time/Temperature Controlled for Safety Food - Hot Holding. Inspector’s note: TCS foods were being hot held at temperatures <135° F . Observed pan of hashbrowns held on warmer at 119 degrees F--Discarded. Maintain hot TCS Foods at 135 degrees F or above. Warmer is not adequate to maintain more than a plate of food at appropriate temperatures. Store pans inside hot wells
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Critical: Marked critical in the Ohio Uniform Food Safety Code as cited by the city.
Cincinnati Health Department: Twin Towers INC
- Feb 22, 2024 (complaint / complaint): CLOS-NO - No Violations Found. No violations listed.
- Feb 22, 2024 (complaint / complaint): CLOS-NO - No Violations Found. No violations listed.
- Dec 4, 2023 (routine / standard inspection): Not Abated.
8 violations
- Violation - Maintaining premises: unnecessary items and litter. There are unnecessary or nonfunctional items and /or litter on the premises.. Inspector’s note: Maintaining premises: unnecessary items and litter. There are unnecessary or nonfunctional items and /or litter on the premises.
- Violation - Facilities-floor water flush Where water flush cleaning used, the floors were not drained, not graded to drain, or the floor/wall junctures were not coved and sealed.. Inspector’s note: Facilities-floor water flush Where water flush cleaning used, the floors were not drained, not graded to drain, or the floor/wall junctures were not coved and sealed. Observed puddled water in dish room--Floors must be graded to drain
- Violation - Facilities-floor and wall juncture covered Floor and wall junctures not coved or not closed to no larger than =1/32 inch.. Inspector’s note: Facilities-floor and wall juncture covered Floor and wall junctures not coved or not closed to no larger than =1/32 inch. Replace and reseal covebase in walk in cooler D-9
- Violation - Facilities-floors, walls, ceilings Indoor floor, wall, or ceiling surfaces are not smooth, durable, and easily cleanable in areas where FSO or RFE activities are conducted.. Inspector’s note: Facilities-floors, walls, ceilings Indoor floor, wall, or ceiling surfaces are not smooth, durable, and easily cleanable in areas where FSO or RFE activities are conducted. Chipped paint on floor beneath kettles--repair
- Violation - Cutting surfaces. Cutting surface(s) unable to be effectively cleaned and sanitized.. Inspector’s note: Cutting surfaces. Cutting surface(s) unable to be effectively cleaned and sanitized.
- Violation - Cleaning frequency-miscellaneous Food-contact surfaces or utensils not cleaned when they were contaminated.. Inspector’s note: OBSERVATION: Cleaning frequency-miscellaneous Food-contact surfaces or utensils not cleaned when they were contaminated. Soiled Saran wrap covers CORRECTIVE ACTION: Maintain food contact surfaces clean
- Violation - Protection from Contamination-Food Storage Food is stored unwrapped or in uncovered containers.. Inspector’s note: OBSERVATION: Protection from Contamination-Food Storage Food is stored unwrapped or in uncovered containers. Uncovered foods on rolling cart CORRECTIVE ACTION: May place a clean tray atop cooling foods
- Violation - Preventing Contamination by Separation, Packaging, and Segregation Ready-to-eat food was not protected from cross-contamination by raw animal food.. Inspector’s note: OBSERVATION: Preventing Contamination by Separation, Packaging, and Segregation Ready-to-eat food was not protected from cross-contamination by raw animal food. Observed cooked pork stored beneath raw Beef CORRECTIVE ACTION: Store all raw TCS foods beneath RTF
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Critical: Marked critical in the Ohio Uniform Food Safety Code as cited by the city.
Cincinnati Health Department: Twin Towers Ret Home-bistro
- Dec 4, 2023 (routine / standard inspection): Abated On-Site.
2 violations
- Violation - RTE TCS food, date marking disposition Ready-to-eat, TCS food was not discarded by the date mark, or was undated and not discarded or was not discarded when the date mark exceeded the required time/temperature combination.. Inspector’s note: OBSERVATION: RTE TCS food, date marking disposition Ready-to-eat, TCS food was not discarded by the date mark, or was undated and not discarded or was not discarded when the date mark exceeded the required time/temperature combination. Expired Roast Beef---discarded CORRECTIVE ACTION: PIC to assure ...
- Violation - RTE TCS, date marking Date marking was not done in a consistent manner according to the code.. Inspector’s note: OBSERVATION: RTE TCS, date marking Date marking was not done in a consistent manner according to the code. CORRECTIVE ACTION: PIC to assure all open processed foods (i.e ham etc) and prepared TCS foods (i.e tuna salad etc) held > 24 hours have a DISCARD DATE. Best practice is to document both ...
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Critical: Marked critical in the Ohio Uniform Food Safety Code as cited by the city.
Cincinnati Health Department: Twin Towers - Al 4 Kitchen
- Dec 4, 2023 (routine / standard inspection): Abated On-Site.
2 violations
- Violation - TCS-cold holding TCS foods were being held at temperatures >41° F.. Inspector’s note: OBSERVATION: TCS-cold holding TCS foods were being held at temperatures >41° F. Meatballs, spaghetti etc in Hoshizaki cooler temped at 48-54 degrees F--Discarded CORRECTIVE ACTION: Maintain cold TCS foods at 41 degrees F or below
- Violation - Equipment-good repair and proper adjustment. Equipment and/or components were not maintained in good working order.. Inspector’s note: Equipment-good repair and proper adjustment. Equipment and/or components were not maintained in good working order. Hoshizaki sandwich block cooler holding temp at 50 degrees. Discontinue using until temperatures are maintained at 40 degrees F or below
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Critical: Marked critical in the Ohio Uniform Food Safety Code as cited by the city.
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Aug 15, 2022: complaint inspection, partial (health). Case closed Aug 18, 2022. No violations cited. OSHA record. OSHA recorded the employer as Twin Towers.
- Aug 30, 2019: complaint inspection, partial (health). Case closed Oct 28, 2019. 2 violations cited (1 serious, 1 other). Penalties: $5,683 proposed, $3,978 now. OSHA record. OSHA recorded the employer as Twin Towers.
Details
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(g)(2)(ii)). Penalty $5,683 proposed, $3,978 now. To be fixed by Oct 28, 2019.
- Other than serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(f)(2)(iv)). Penalty $0 proposed, $0 now. To be fixed by Oct 28, 2019.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Mercy Health - West Hospital, Cincinnati. 3.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Ohio Living Llanfair, Cincinnati. 0.7 miles away, straight line.
- Nearest home health agency office
- Ohio Living Village Home Health, Cincinnati. 0.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 2.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 45224 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Liberty Dialysis North College Hill, Cincinnati, 2.1 miles away, straight line (CMS rating 1 of 5 stars)
Davita College Hill Dialysis, Cincinnati, 2.1 miles away, straight line (CMS rating 2 of 5 stars)
Davita White Oak Dialysis, Cincinnati, 2.9 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 14 Medicare hospices tell CMS they serve ZIP code 45224.
Ohio Living Village Hospice, office in Cincinnati, 0.8 miles away, straight line (CMS family survey rating 2 of 5 stars)
Heartland Hospice (Cincinnati), office in Cincinnati, 8.0 miles away, straight line
Hospice Of Cincinnati, Inc, office in Cincinnati, 9.0 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- University Of Cincinnati Physicians Company LLC, Cincinnati. 4.0 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 very low, wildfire very low, tornado relatively moderate, 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.
| 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 | See above |
| Cincinnati Health Department kitchen inspections | Oct 15, 2026 | See above |
| 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 | Could not read the site |
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Frequently asked questions
Is Twin Towers (Skilled Nursing and Continuing Care) a good nursing home?
CMS gives Twin Towers (Skilled Nursing and Continuing Care) an overall rating of 4 out of 5 stars, including 5/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Twin Towers (Skilled Nursing and Continuing Care) staffed?
Twin Towers (Skilled Nursing and Continuing Care) reports 5.07 total nurse hours per resident per day, compared with the Ohio average of 3.72.
Has Twin Towers (Skilled Nursing and Continuing Care) had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Twin Towers (Skilled Nursing and Continuing Care) have?
Twin Towers (Skilled Nursing and Continuing Care) is certified for 75 beds.