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Nursing homeFAID #10082

The Home At Hearthstone

8028 HAMILTON AVENUE, CINCINNATI, OH, 45231
(513) 521-2700
96 licensed beds
★★★★★5/5CMS Five-Star overall4/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
96
CMS facility ID
366251
Care type
Nursing home
County
Hamilton
Facility name
The Home At Hearthstone
Street address
8028 HAMILTON AVENUE
City / state / ZIP
Cincinnati, OH 45231
Phone
(513) 521-2700

The Home At Hearthstone is a Medicare/Medicaid-certified skilled nursing facility in Cincinnati, Ohio. It is licensed for 96 beds — close to the median for skilled nursing facilities in Ohio (86 beds).

It is one of 183 senior care facilities in Cincinnati and 922 skilled nursing facilities across Ohio. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited The Home At Hearthstone 42 times across 7 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Foundations Health Solutions
Ownership type
For profit - Corporation

Registered owners & officers

Colleran, Brian
Director · Officer · Operational control · Additional disclosable party — since 2019
Foundations Health Solutions, Llc
Operational control · Additional disclosable party — since 2019
Krystowski, John
Officer · Operational control · Additional disclosable party — since 2018
Nelson, Naveena
Additional disclosable party — since 2018
Santiago, Jessica
Operational control · Additional disclosable party — since 2022

Regulatory standing

Federal court records
6 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2002-12-23
CMS overall rating
5 of 5 stars
Health deficiencies
4 at the last standard inspection
Federal fines
None on record
Last standard inspection
2024-07-25
Nurse staffing
3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$330 per day (≈ $10,030/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
34% Medicaid · 1% Medicare · 65% private/other
Occupancy
92% (fiscal year 2023)
Vs. state median
9% below the OH median of $364/day — full state cost breakdown

Services & coverage

Licensed beds
96
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2025-12-17Health inspectionComplaint-triggered1 citation
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-12-19
2024-07-25Health inspection3 citations
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-16
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-16
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-08-16
5 earlier / fire-safety inspections (38 citations)
2022-02-03Health inspection7 citations
F-0557
D · No harm found
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2022-03-04
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-03-04
F-0584
D · No harm found
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.
Corrected 2022-03-04
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-03-04
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-03-04
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-03-04
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-03-04
2019-03-28Health inspection6 citations
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-05-01
F-0688
D · No harm found
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.
Corrected 2019-05-01
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-05-01
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2019-05-01
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2019-05-01
F-0758
D · No harm found
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.
Corrected 2019-05-01
2024-07-25Fire-safety inspection5 citations
K-0271
E · No harm found
Have exits that are accessible at all times.
Corrected 2024-08-16
K-0344
E · No harm found
Have an alternate power supply for its alarm system.
Corrected 2024-08-16
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-16
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-16
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-08-16
2022-02-03Fire-safety inspection15 citations
E-0029
F · No harm found
Develop a communication plan.
Corrected 2022-03-04
E-0031
F · No harm found
Provide emergency officials' contact information.
Corrected 2022-03-04
E-0032
F · No harm found
Provide primary/alternate means for communication.
Corrected 2022-03-04
E-0036
F · No harm found
Establish emergency prep training and testing.
Corrected 2022-03-04
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2022-03-04
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2022-03-04
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-03-04
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-03-04
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2022-03-04
K-0346
F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2022-03-04
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-03-04
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-03-04
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-03-04
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2022-03-04
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-03-04
2019-03-28Fire-safety inspection5 citations
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-05-01
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-05-01
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-05-01
K-0711
F · No harm found
Provide a written emergency evacuation plan.
Corrected 2019-05-01
K-0916
F · No harm found
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2019-05-01
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 366251.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 42 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered