Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Home At Hearthstone, The during CMS and state inspections, most recent first.
Staff performed incontinence care on a resident with cognitive impairment without ensuring privacy, leaving the door open and the resident exposed. During dining, CNAs routinely placed clothing protectors on residents with cognitive impairment without seeking consent or confirming care plans, and there was no policy guiding this practice. Facility leadership confirmed that privacy and dignity standards were not upheld as outlined in the admission agreement.
A facility failed to report an incident of resident-to-resident abuse involving two residents with cognitive impairments. One resident, with dementia and delusional disorders, was struck by another resident with Parkinsonism and PTSD, resulting in a scratch. Despite documentation of the altercation, the incident was not reported to the state survey agency as required by facility policy. Staff interviews revealed differing interpretations of reporting requirements, with the DON and Administrator providing conflicting views on the necessity of reporting the incident.
A resident with COPD and chronic respiratory failure was receiving supplemental oxygen without a physician's order, leading to inconsistent administration at varying flow rates. Staff interviews revealed confusion about the correct oxygen settings, with no documented order found. The resident denied adjusting the oxygen flow rate, highlighting a deficiency in respiratory care management.
The facility failed to adhere to infection control protocols, as observed in two incidents involving residents with urinary and incontinence care needs. A resident with an indwelling catheter had their catheter bag left on the floor multiple times, despite staff visits. Another resident, requiring assistance with toileting, had soiled incontinence supplies placed on the floor during care, contrary to training and facility policy.
Failure to Ensure Resident Dignity During Care and Dining
Penalty
Summary
The facility failed to ensure residents were treated with dignity and respect during both incontinence care and dining. Observations revealed that staff performed incontinence care on a resident with moderately impaired cognition and substantial assistance needs without closing the door or pulling the privacy curtain, leaving the resident exposed from the waist down and visible from the hallway. Staff interviews confirmed that the door remained open during the care, and facility leadership acknowledged that privacy measures should have been in place according to the facility's admission agreement, which guarantees privacy during personal care. Additionally, staff were observed placing clothing protectors on three residents with varying degrees of cognitive impairment and assistance needs for eating, without asking for their consent or confirming if it was care planned. Interviews with CNAs and the Administrator revealed that clothing protectors were routinely applied to protect clothing, regardless of resident preference or documented need, and there was no facility policy guiding their use. The facility's admission packet states that residents have the right to be treated with courtesy, respect, and full recognition of their dignity and individuality.
Failure to Report Resident-to-Resident Abuse Incident
Penalty
Summary
The facility failed to report an alleged incident of resident-to-resident abuse involving two residents with cognitive impairments. Resident #65, who was admitted with diagnoses including dementia and delusional disorders, was involved in an altercation with Resident #25, who had diagnoses such as Parkinsonism and PTSD. On the day of the incident, Resident #65, who had a history of wandering and behavioral symptoms, was yelled at and struck by Resident #25, resulting in a slight scratch on Resident #65's cheek. The incident was documented in the progress notes for both residents, indicating that Resident #25, who exhibited verbal behavioral symptoms and had a history of agitation, hit Resident #65 after being bumped by Resident #65's wheelchair. The Director of Nursing (DON) conducted an investigation and noted the altercation, but there was no documentation that the incident was reported to the state survey agency as required by facility policy. Interviews with staff revealed differing interpretations of the reporting requirements. The DON believed the incident did not meet the criteria for reporting due to the residents' dementia and lack of serious injury, while the Administrator stated that incidents involving serious physical or psychosocial injury should be reported. The facility's policy required immediate reporting of all allegations of abuse, neglect, or mistreatment to the Administrator and state survey agency, but this protocol was not followed in this case.
Lack of Physician Orders for Supplemental Oxygen
Penalty
Summary
The facility failed to have physician orders for the use of supplemental oxygen for Resident #57, who was admitted with diagnoses including chronic obstructive pulmonary disease (COPD) and chronic respiratory failure with hypoxia. Despite the care plan directing staff to administer oxygen per physician's orders, there was no documented order for oxygen therapy. Observations revealed that Resident #57 was receiving oxygen at varying flow rates, including 4.5 liters per minute and 4 liters per minute, without a corresponding physician's order. Interviews with staff, including RN #4 and ADON #5, indicated confusion and inconsistency regarding the appropriate oxygen flow rate for Resident #57. RN #4 believed the oxygen was set according to an order, which was not found upon review. ADON #5 thought the resident was supposed to receive oxygen at 2 liters per minute but found it set at 4 liters per minute. The resident denied adjusting the oxygen flow rate themselves, contradicting ADON #5's statement that the resident was known to change the settings. This lack of a physician's order and inconsistent oxygen administration represents a deficiency in providing safe and appropriate respiratory care.
Infection Control Deficiencies in Catheter and Incontinence Care
Penalty
Summary
The facility failed to maintain proper infection prevention and control practices, as evidenced by two separate incidents involving residents with urinary and incontinence care needs. Resident #54, who was admitted with diagnoses including obstructive and reflux uropathy and had an indwelling catheter, was observed multiple times with their urinary catheter bag lying on the floor. Despite several visits by a State tested Nurse Aide (STNA) to the resident's room, the catheter bag was not removed from the floor, which was acknowledged by STNA #20 as inappropriate due to the risk of cross-contamination. In another incident, Resident #21, who was admitted with conditions such as multiple sclerosis and hemiplegia following a stroke, required substantial assistance with toileting and was frequently incontinent. During incontinence care, STNA #12 was observed placing soiled cloths and briefs directly on the floor instead of disposing of them in a bag as per training. STNA #12 admitted to not following the proper procedure, which was contrary to the facility's Infection Prevention and Control Program and the Skin: Incontinence Care Protocol.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Cincinnati
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mt Healthy Christian Home | 0 mi | ★★★★★ | 0 | 0 |
| Clovernook Health Care And Rehabilitation Center | 1.4 mi | ★★★★★ | 16 | 0 |
| Burlington House Rehab & Alzheimer's Care Center | 1.5 mi | ★★★★★ | 1 | 0 |
| Alois Alzheimer's Care Center | 2.2 mi | ★★★★★ | 7 | 0 |
| Lakeridge Villa Health Care Center | 2.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release June 2026) and official state health department websites.