SNF
HOME AT HEARTHSTONE, THE
CCN: 366251 · CINCINNATI, OH 45231 · Hamilton County
Overview
- Address
- 8028 HAMILTON AVENUE, CINCINNATI, OH 45231
- Phone
- 5135212700
- Certified beds
- 96
- Avg daily residents
- 88 (92% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2002-12-23
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.76 | 4.60 | 3.15 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.46 | 0.81 | 0.39 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.97 | 1.02 | 0.82 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.32 | 2.78 | 1.95 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.43 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.02 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.28
hrs / resident / day
RN (weekend)
0.17
hrs / resident / day
Total nurse (adjusted, weekend)
2.75
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
39.6%
annual
RN turnover
62.5%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.63
higher acuity than avg
Case-Mix Index Ratio
1.18
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-07-25 | 4 | 3 | 1 | 20 | 1 | 20 |
| Cycle 2/3 (prior) | 2022-02-03 | 8 | 7 | 1 | 32 | 1 | 32 |
Total weighted health score
23.0
lower is better
Deficiencies (18)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
18 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-12-17 | 2025-12-19 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-07-25 | 2024-08-16 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-07-25 | 2024-08-16 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-07-25 | 2024-08-16 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-05-16 | 2023-05-22 |
| 0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2022-02-03 | 2022-03-04 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2022-02-03 | 2022-03-04 |
| 0584 | 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. | D | 2022-02-03 | 2022-03-04 |
| 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2022-02-03 | 2022-03-04 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2022-02-03 | 2022-03-04 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2022-02-03 | 2022-03-04 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2022-02-03 | 2022-03-04 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2019-03-28 | 2019-05-01 |
| 0688 | 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. | D | 2019-03-28 | 2019-05-01 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2019-03-28 | 2019-05-01 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2019-03-28 | 2019-05-01 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2019-03-28 | 2019-05-01 |
| 0758 | 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. | D | 2019-03-28 | 2019-05-01 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 0.6% Medicaid 34.0% Other 65.4%
Operating performance
Operating Margin
1.3%
Total Margin
1.3%
Occupancy Rate
92.4%
Revenue & costs
Net Patient Revenue
$9.5M
Total Costs
$543K
Net Income
$128K
Balance sheet
Total Assets
$2.0M
Total Liabilities
$517K
Fund Balance
$1.5M
Current Ratio
2.07
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: FOUNDATIONS HEALTH SOLUTIONS
- Chain ID
225- Facilities in chain
- 63
- Legal business name
- CHS - MT. HEALTHY, INC
Chain-average star ratings (for peer context)
Overall
4.0
Health
3.8
Staffing
2.1
QM
4.4
Owner / manager organizations (3)
| Organization | Role | Association |
|---|---|---|
| FOUNDATIONS HEALTH LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 06/02/2018 |
| COLLERAN FAM TR DATED 01-01-2018 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/01/2018 |
| FOUNDATIONS HEALTH SOLUTIONS, LLC | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2019 |
Owner / manager individuals (6)
| Name | Role | Association |
|---|---|---|
| COLLERAN, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2019 |
| KRYSTOWSKI, JOHN | OPERATIONAL/MANAGERIAL CONTROL | since 06/01/2018 |
| SANTIAGO, JESSICA | OPERATIONAL/MANAGERIAL CONTROL | since 09/20/2022 |
| COLLERAN, BRIAN | CORPORATE DIRECTOR | since 01/01/2019 |
| COLLERAN, BRIAN | CORPORATE OFFICER | since 01/01/2019 |
| KRYSTOWSKI, JOHN | CORPORATE OFFICER | since 06/01/2018 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Both
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Current Ratio | 2.07 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 34.0% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 0.6% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $127,656 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $9,527,197 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 92.4% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 1.3% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $2,003,702 | metrics.total_assets |
| Cost Report | Total Costs ($) | $542,541 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $1,486,818 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $516,884 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 1.3% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.81726 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.94781 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.38636 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.15142 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.75345 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 88.2 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 1.02145 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.77607 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.80513 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.60265 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 4.05675 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.8 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 4.0 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.4 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.1 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 225 | Chain ID |
| Provider Information | Chain Name | FOUNDATIONS HEALTH SOLUTIONS | Chain Name |
| Provider Information | City/Town | CINCINNATI | City/Town |
| Provider Information | CMS Certification Number (CCN) | 366251 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Hamilton | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2002-12-23 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 39.2399 | Latitude |
| Provider Information | Legal Business Name | CHS - MT. HEALTHY, INC | Legal Business Name |
| Provider Information | Location | 8028 HAMILTON AVENUE,CINCINNATI,OH,45231 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -84.548 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 96 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 63 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.63051 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.18355 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 8028 HAMILTON AVENUE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | HOME AT HEARTHSTONE, THE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 310 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 20 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 1 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 3 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-07-25 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 20 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 4 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 7 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2022-02-03 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 32 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 1 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 32 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 8 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.16786 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 62.5 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.43484 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.97426 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.32200 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.02382 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.46058 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.75684 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | OH | State |
| Provider Information | Telephone Number | 5135212700 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.28242 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 39.6 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 23.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Both | With a Resident and Family Council |
| Provider Information | ZIP Code | 45231 | ZIP Code |