What is Home at Hearthstone, the's Medicare star rating?

CMS rates Home at Hearthstone, the 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Home at Hearthstone, the get at its last inspection?

3 health deficiencies at the standard inspection on July 25, 2024. The Ohio average is 10.5.

Has Home at Hearthstone, the been fined?

CMS lists no fines in the last three years.

Does Home at Hearthstone, the accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Home at Hearthstone, the?

CMS lists 12 owners and managers, and links the home to Foundations Health Solutions. Legal business name: CHS - MT. HEALTHY, INC.

Home at Hearthstone, the: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on July 25, 2024, inspectors cited 3 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 17 health citations since March 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.60 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.

37.4% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Foundations Health Solutions, an affiliated group of 64 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

603/19

702/22

307/24

112/25

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 17 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

16D

Potential for minimal harm

December 17, 2025Complaint inspection · 1 citation

E

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

F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 19, 2025

Inspectors wroteBased on observations, staff interview, review of the admission agreement, and record review, the facility failed to ensure residents were treated with dignity and respect during dining and incontinence care. This affected four (#6, #27, #38, and #55) of four residents reviewed for dignity. The facility census was 87.

July 25, 2024Standard inspection · 3 citations

D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2024

Inspectors wroteBased on interview, record review, and policy review, the facility failed to report an alleged incident of resident to resident abuse. This affected two (Residents #25 and #65) of two residents reviewed for mood/behavior needs.
D

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

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2024

Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to have physician orders for the use of supplemental oxygen. This affected one (Resident #57) of one resident reviewed for respiratory care.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2024

Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to ensure a urinary catheter bag was not left on the floor and failed to ensure contaminated incontinence care supplies were disposed of appropriately. This affected two (Residents #54 and #21).

February 3, 2022Standard inspection · 7 citations

D

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

F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 4, 2022

Inspectors wroteBased on interview and record review, the facility failed to provide a resident with their possessions after a room change. This affected one resident (#14) out of 84 residents residing at the facility. The facility census was 84.
D

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

F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 4, 2022

Inspectors wroteBased on record review and staff interview, the facility failed to ensure a resident was provided with the required beneficiary notice in writing and in advance of discontinuing skilled Medicare part A services. This affected one (#74) of three residents reviewed for beneficiary protection notification. The facility census was 84.
D

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.

F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 4, 2022

Inspectors wroteBased on observation, record review and staff interview, the facility failed to ensure privacy curtains were clean and free of stains and substances. This affected two (#17 and #09) of 24 residents reviewed for privacy curtains. The facility census was 84.
D

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

F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 4, 2022

Inspectors wroteBased on interview and record review, the facility failed to ensure vision and hearing impairment was accurately coded on the Minimum Data Set (MDS) assessment. This affected two resident (#14 and #22) out of 19 residents reviewed for accuracy of assessments. The facility census was 84.
D

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

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 4, 2022

Inspectors wroteBased on interview and record review, the facility failed to develop a care plan to address a resident's hearing impairment and seizures. This affected two resident (#22 and #83) out of 19 residents reviewed for accuracy of care planning. The facility census was 84.
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 4, 2022

Inspectors wroteBased on observation, record review and staff interview, the facility failed to a resident's smoking care plan was revised. This affected one (#09) of 19 residents reviewed for privacy care plans. The facility census was 84.
D

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

F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 4, 2022

Inspectors wroteBased on interview and record review, the facility failed to address a resident's drug regimen review timely. This affected one resident (#22) out of five residents reviewed for unnecessary medications. The facility census was 84.

March 28, 2019Standard inspection · 6 citations

D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2019

Inspectors wroteBased on medical record review and staff interview, the facility failed to provide notification to the ombudsman when residents were transferred from the facility. This affected two Residents (#9 and #25) of five reviewed for hospitalizations. The facility census was 93.
D

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2019

Inspectors wroteBased on medical record review, observation, staff, resident and family interviews and policy review, the facility failed to apply appliances as ordered and care planned to prevent contractures. This affected two (Resident #7 and Resident #24) of two residents reviewed for appliances. The facility identified ten residents (Residents #59, #29, #37, #73, #24, #47, #10, #7, #18 and #69) as having appliances ordered in a facility census of 93.
D

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

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2019

Inspectors wroteBased on medical record review, observation, and staff interview, the facility failed to provide monitoring of residents response to oxygen administration. This affected one (Resident #74) of two residents reviewed for respiratory care. The facility census was 93.
D

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

F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2019

Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to have pharmacy medication irregularities addressed by the physician in a timely manner. This affected two Residents (#14, and #25) of five reviewed for unnecessary medications. The facility census was 93.
D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2019

Inspectors wroteBased on medical record review, staff and physician interview, and Medscape pharmacy information, the facility failed to provide blood pressure monitoring to ensure a medication was necessary for a resident. This affected two (Resident #60 and #25) of three residents prescribed Midodrine. The facility census was 93.
D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2019

Inspectors wroteBased on record review and staff interview, the facility failed to evaluate psychotropic medications administered beyond 14 days. This affected one (Resident #25) of five residents reviewed for unnecessary medications. The facility census was 93.

Fire safety inspections

25 fire safety citations on file: 5 on July 25, 2024, 15 on February 3, 2022, 5 on March 28, 2019.

Every fire safety citation25 citations

F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · July 25, 2024 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · July 25, 2024 · Corrected (the home has a date of correction)
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · July 25, 2024 · Corrected (the home has a date of correction)
E
Have exits that are accessible at all times.

K 271 · July 25, 2024 · Corrected (the home has a date of correction)
E
Have an alternate power supply for its alarm system.

K 344 · July 25, 2024 · Corrected (the home has a date of correction)
F
Develop a communication plan.

E 29 · February 3, 2022 · Corrected (the home has a date of correction)
F
Provide emergency officials' contact information.

E 31 · February 3, 2022 · Corrected (the home has a date of correction)
F
Provide primary/alternate means for communication.

E 32 · February 3, 2022 · Corrected (the home has a date of correction)
F
Establish emergency prep training and testing.

E 36 · February 3, 2022 · Corrected (the home has a date of correction)
F
Establish staff and initial training requirements.

E 37 · February 3, 2022 · Corrected (the home has a date of correction)
F
Conduct testing and exercise requirements.

E 39 · February 3, 2022 · Corrected (the home has a date of correction)
F
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · February 3, 2022 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · February 3, 2022 · Corrected (the home has a date of correction)
F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.

K 346 · February 3, 2022 · Corrected (the home has a date of correction)
F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

K 354 · February 3, 2022 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · February 3, 2022 · Corrected (the home has a date of correction)
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · February 3, 2022 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · February 3, 2022 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · February 3, 2022 · Corrected (the home has a date of correction)
E
Have properly installed electrical wiring and gas equipment.

K 511 · February 3, 2022 · Corrected (the home has a date of correction)
F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · March 28, 2019 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · March 28, 2019 · Corrected (the home has a date of correction)
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · March 28, 2019 · Corrected (the home has a date of correction)
F
Provide a written emergency evacuation plan.

K 711 · March 28, 2019 · Corrected (the home has a date of correction)
F
Have a battery powered remote alarm panel in a location accessible by operating personnel.

K 916 · March 28, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Ohio	United States
All nursing staff (RN, LPN and aides)	3.60	3.69	3.86
Registered nurses	0.45	0.64	0.69
All nursing staff on weekends	3.18	3.28	3.42
Nurse aides	2.16
Licensed practical nurses	0.99
Nursing staff turnover (share who left in a year)	37.4%	48.7%	45.8%
Registered nurse turnover	22.2%	43.9%	42.9%
Administrators who left	0

CMS expects 4.38 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.77 on weekdays and 3.18 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.66 in April to June 2025 to 3.60 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.60	0.45	3.77	3.18	0.0%	0 of 90	89
Oct to Dec 2025	3.72	0.45	3.89	3.28	0.0%	1 of 92	87
Jul to Sep 2025	3.76	0.46	3.94	3.28	0.0%	0 of 92	88
Apr to Jun 2025	3.66	0.45	3.85	3.17	0.0%	0 of 91	88
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Ohio, Jan to Mar 2026	3.64	0.60	3.80	3.24	4.6%	0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Ohio	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	4.7	5.3	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.2	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	0.5	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	0.3	3.2	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	5.5	6.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.6	3.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	13.7	8.8	15.4

Owners and operators

Legal business name: CHS - MT. HEALTHY, INC. CMS links this home to Foundations Health Solutions, a group of 64 nursing homes averaging 4.2 stars overall.

Name	Role	Type	Since
Colleran, Brian	Corporate director	Individual	01/01/2019
Colleran, Brian	Corporate officer	Individual	01/01/2019
Krystowski, John	Corporate officer	Individual	06/01/2018
Foundations Health Solutions, LLC	Operational/managerial control	Organization	01/01/2019
Colleran, Brian	Operational/managerial control	Individual	01/01/2019
Krystowski, John	Operational/managerial control	Individual	06/01/2018
Santiago, Jessica	Operational/managerial control	Individual	09/20/2022
Foundations Health Solutions, LLC	Adp of the SNF	Organization	04/09/2025
Colleran, Brian	Adp of the SNF	Individual	01/01/2019
Krystowski, John	Adp of the SNF	Individual	06/01/2018
Nelson, Naveena	Adp of the SNF	Individual	06/01/2018
Santiago, Jessica	Adp of the SNF	Individual	09/20/2022

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on December 17, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on February 3, 2022: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on July 25, 2024: "Provide safe and appropriate respiratory care for a resident when needed."
When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on February 3, 2022: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.18 hours per resident per day, below the Ohio average of 3.28.

Other nursing homes nearby

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Clovernook Health Care and Rehabilitation Center
Cincinnati, 1.4 mi · 2 of 5 stars · 49 citations
Burlington House Rehab & Alzheimer's Care Center
Cincinnati, 1.5 mi · 3 of 5 stars · 31 citations
Alois Alzheimer's Care Center
Cincinnati, 2.2 mi · 3 of 5 stars · 13 citations
Lakeridge Villa Health Care Center
Cincinnati, 2.4 mi · 1 of 5 stars · 40 citations
Home at Taylor's Pointe
Cincinnati, 2.5 mi · 3 of 5 stars · 14 citations
Mt Airy Gardens Rehabilitation and Nursing Center
Cincinnati, 2.6 mi · 2 of 5 stars · 68 citations
Ohio Living Llanfair
Cincinnati, 3 mi · 5 of 5 stars · 14 citations

Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.

Common questions

What is Home at Hearthstone, the's Medicare star rating?: CMS rates Home at Hearthstone, the 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Home at Hearthstone, the get at its last inspection?: 3 health deficiencies at the standard inspection on July 25, 2024. The Ohio average is 10.5.
Has Home at Hearthstone, the been fined?: CMS lists no fines in the last three years.
Does Home at Hearthstone, the accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Home at Hearthstone, the?: CMS lists 12 owners and managers, and links the home to Foundations Health Solutions. Legal business name: CHS - MT. HEALTHY, INC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.