The Home at Hearthstone

    8028 Hamilton Ave, Cincinnati, OH 45231
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Beautiful facility, caring skilled staff

    I had a very positive experience. The facility is beautiful and clean, and the staff are friendly, skilled, and genuinely caring - nursing and therapy helped my grandfather return home healthy. Meals, activities, and responsive management gave us real peace of mind; I'd recommend them to families.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.73·(45)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.5
    • Staff

      3.8
    • Meals

      4.0
    • Amenities

      4.8
    • Value

      3.7

    Pros

    • Compassionate and respectful caregiving staff
    • Skilled nursing and effective rehabilitation services
    • Clean, well-maintained facility and comfortable rooms
    • Varied, engaging resident activities and special events
    • Nutritious, appealing meal service
    • Dedicated memory-care leadership
    • Proactive maintenance and prompt facility repairs
    • Family-friendly programs and visitation events
    • Attentive activity staff and program coordination
    • Friendly and helpful front-desk and reception staff

    Cons

    • Inconsistent staff responsiveness and call‑response delays
    • Staffing instability and weekend staffing gaps
    • Inconsistent linen and laundry management
    • Gaps in resident supervision and fall‑prevention practices
    • Variable staff conduct and communication tone
    • Inconsistent adherence to clinical protocols and care planning
    • Variable meal temperature and availability
    • Weaknesses in personal‑property and inventory controls
    • Inconsistent leadership and administrative continuity

    Summary of reviews

    Feedback for The Home at Hearthstone is mixed, with a clear split between families who describe high-quality, rehabilitative care and those who raise operational and safety concerns. Many statements praise the facility’s clinical strengths, activity programming, and physical environment; however, there are recurring criticisms around response times, staffing consistency, and certain housekeeping and supervision practices.

    Care quality and clinical services receive both strong positive and critical remarks. Several families highlighted skilled nursing, effective therapy programs, and successful discharges home after rehabilitation. The memory-care unit and some named clinicians and aides were described as knowledgeable and capable. Conversely, other accounts describe inconsistent adherence to clinical protocols, delays in attending to resident needs, and missed routine care tasks (for example, inconsistent bathing schedules and delayed checks). These patterns suggest variability in day‑to‑day clinical reliability rather than a uniform level of care.

    Staff and workplace culture show similar divergence. Numerous reviews emphasize kind, compassionate, and professional caregiving staff, with activity aides and maintenance personnel singled out for attentive service. At the same time, other reviewers reported unprofessional interactions, a sharp communication tone, and high staff turnover. Weekend coverage and administrative availability were specifically called out as weaker periods. The combination of praised individuals and concerns about staffing stability indicates that resident experience may depend significantly on team composition and shift coverage.

    Dining, activities, and facilities are generally cited as strengths. The facility itself is repeatedly described as clean, comfortable, and well maintained, with proactive maintenance staff. Activity offerings — bingo, movies, seasonal events, and family-centered programs — receive consistent praise, and several reviewers credited the activities team with creating a lively atmosphere. Meals were described by many as appetizing and appealing; however, there are isolated comments about meal temperature and availability that point to inconsistency in food-service execution.

    Operational and safety issues were raised across multiple reports. Concerns include inconsistent laundry and linen handling, occasional missing personal items, locked‑unit access policies that some families found problematic, and instances interpreted as inadequate supervision or fall‑prevention. Taken together, these suggest operational gaps in housekeeping, asset controls, and resident-safety practices rather than an across‑the‑board deficiency in infrastructure.

    In summary, The Home at Hearthstone appears to offer genuine strengths — competent clinical rehabilitation, a pleasant physical environment, engaged activity programming, and many caring staff members — alongside notable operational weaknesses that can affect individual experiences. Prospective residents and families should consider an in‑person tour, ask targeted questions about staffing ratios and weekend coverage, review linen and laundry turnaround procedures, inquire about fall‑prevention and supervision protocols, and request examples of how management addresses communication and clinical‑protocol lapses. Those steps can help clarify whether the facility’s strengths align with a particular resident’s needs and expectations.

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    Medicare Ratings

    5·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of The Home at Hearthstone

    The Home at Hearthstone is located at 8028 Hamilton Ave, Cincinnati, OH, 45231.

    About The Home at Hearthstone

    The Home At Hearthstone is a nursing home run by Foundations Health Solutions, LLC since January 2019, and sits as a single-story community in Ohio with 96 certified beds, usually serving about 89 residents each day. Residents get 24-hour skilled nursing care, and there's a team of registered nurses, licensed therapists, and dietitians, who work together to handle both short-term rehab and long-term care. The place has a staffing level around 3.68 nurse hours per resident per day, though the nurse turnover rate's a bit high at 34.9%. Therapists update treatment plans every day, and dietitians create meals tailored for personal tastes and necessary diets, serving three home-cooked dishes daily and handling special requests for diabetes or high blood pressure. There's help with things like bathing, clothing, toileting, grooming, and moving in or out of the bath, plus transportation for doctor's appointments, shopping, and spiritual offerings. Private and semi-private rooms are available, each with modern TVs, and there's a therapy gym, reading room, spa, steam room, fitness area, hairdresser or parlor, outdoor spaces, and recreation areas so residents can relax or spend time together. Residents get daily scheduled social activities, events, movies, and creative programs, with options for music treatment, animal therapy, board games, and outside trips, as well as exercise and wellness routines fit for individual needs.

    The facility has a secured memory care unit and special Alzheimer's programs, with locked areas and security systems in place to prevent wandering for those with memory loss, and offers specialized therapies and psychiatric, hospice, case management, dementia, and physical rehabilitation units. Services include wound management, peritoneal dialysis, IV therapy, anodyne therapy, and help planning for discharge. Beauty services, a mobile stylist, dining room, and communal lounges help people feel comfortable and support friendships. It accepts Long-term Care Insurance and supports families with resources, plus guides them through care and insurance issues. There's a focus on providing higher levels of supervision and help compared to assisted living, letting residents keep as much independence as possible, though the place has had 17 reported deficiencies in inspections, including some infection-related problems, reporting issues, and some gaps in respiratory care, infection prevention, and mandated abuse reporting. The Home At Hearthstone carries approval from The Joint Commission, and it keeps restorative nursing programs going. While there's no publicly available information about the facility's reputation, people can expect a mix of skilled care, activities, and support every day, whether for a short-term stay or a longer time.

    People often ask...

    The Home at Hearthstone offers assisted living, memory care, and skilled nursing.

    There are 7 photos of The Home at Hearthstone on Mirador.

    The full address for this community is 8028 Hamilton Ave, Cincinnati, OH 45231.

    No, The Home at Hearthstone does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of The Home at Hearthstone. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Home at Hearthstone directly. There is no cost for this service. We are compensated by the community you select.

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