Ohio › Butler County › Middletown
Hawthorn Glen Nursing Center
5414 Hankins Road, Middletown, OH 45044
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 74 beds, Hawthorn Glen Nursing Center serves Middletown in Butler County, Ohio and has taken Medicare and Medicaid residents since 1990.
CMS gives it 1 of 5 stars overall, below the Ohio median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 37 health deficiencies across the three most recent survey cycles (13, 13, 11 by cycle, most recent first), none at the actual-harm level. That is 50.0 per 100 beds, more than the state median of 33.3.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.1 hours per resident per day (0.6 RN), close to the Ohio median of 3.6; nursing staff turnover is 66.2%.
Compared with county, state and nation
| Measure | This facility | Butler Co. median | Ohio median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 37 | 13 | 27 | 28.7 |
| Citations per 100 beds | 50.0 | 17.5 | 33.3 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.9 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 66.2% | 48.4% | 48.5% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (25 in the county, 922 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Ohio average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Jul 2025, 15 Jun 2022.
Severity mix: D ×25 E ×8 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 31 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 3 Sep 2025 |
| 31 Jul 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 3 Sep 2025 |
| 31 Jul 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 3 Sep 2025 |
| 31 Jul 2025 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 3 Sep 2025 |
| 31 Jul 2025 | F0572 | Give residents a notice of rights, rules, services and charges. | D | Standard survey | 3 Sep 2025 |
| 31 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 3 Sep 2025 |
| 31 Jul 2025 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 3 Sep 2025 |
| 31 Jul 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 3 Sep 2025 |
| 31 Jul 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 3 Sep 2025 |
| 31 Jul 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 3 Sep 2025 |
| 31 Jul 2025 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard survey | 3 Sep 2025 |
| 31 Jul 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Complaint investigation | 3 Sep 2025 |
| 31 Jul 2025 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 3 Sep 2025 |
| 5 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 Dec 2024 |
| 13 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 6 Sep 2024 |
| 15 Jun 2022 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 11 Jul 2022 |
| 15 Jun 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 11 Jul 2022 |
| 15 Jun 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 11 Jul 2022 |
| 15 Jun 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Jul 2022 |
| 15 Jun 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 11 Jul 2022 |
| 15 Jun 2022 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 11 Jul 2022 |
| 15 Jun 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 11 Jul 2022 |
| 15 Jun 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 11 Jul 2022 |
| 15 Jun 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 11 Jul 2022 |
| 15 Jun 2022 | F0758 | 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 | Standard survey | 11 Jul 2022 |
| 15 Jun 2022 | F0888 | Ensure staff are vaccinated for COVID-19 | D | Standard survey | 11 Jul 2022 |
| 6 Nov 2019 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 9 Dec 2019 |
| 6 Nov 2019 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 9 Dec 2019 |
| 6 Nov 2019 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 9 Dec 2019 |
| 6 Nov 2019 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard survey | 9 Dec 2019 |
| 6 Nov 2019 | F0758 | 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. | E | Standard survey | 9 Dec 2019 |
| 6 Nov 2019 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 9 Dec 2019 |
| 6 Nov 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 9 Dec 2019 |
| 6 Nov 2019 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 9 Dec 2019 |
| 6 Nov 2019 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 9 Dec 2019 |
| 6 Nov 2019 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 9 Dec 2019 |
| 6 Nov 2019 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 9 Dec 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 66.2%, RNs 75.0%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Ohio median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.2% | 4.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.0% | 4.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.7% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.8% | 7.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Hawthorn Glen Snf Opco Llc. Chain: Lionstone Care (24 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Lionstone Carnation Opco Holdings, LLC | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 06/28/2024 |
| Cross River Bank | 5% or greater mortgage interest | NOT APPLICABLE | 06/28/2024 |
| Lionstone Carnation Opco Holdings, LLC | Operational/managerial control | NOT APPLICABLE | 06/28/2024 |
| Hawthorn Glen Propco LLC | Adp of the snf | NOT APPLICABLE | 06/28/2024 |
| Lionstone Carnation Opco Holdings, LLC | Adp of the snf | NOT APPLICABLE | 06/28/2024 |
| Lionstone Carnation Propco Holdings LLC | Adp of the snf | NOT APPLICABLE | 06/28/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Butler County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Birchwood Care Center | Hamilton | 75 | 5 | 5 | 3 | 4 | 5.3 | — | 14 Feb 2022 |
| Chesterwood Atc | West Chester | 125 | 5 | 4 | 2 | 13 | 10.4 | — | 14 Feb 2025 |
| Doverwood Village | Hamilton | 99 | 5 | 4 | 2 | 19 | 19.2 | — | 27 Jun 2025 |
| Gateway Springs Health Campus | Hamilton | 53 | 5 | 5 | 4 | 5 | 9.4 | — | 20 Nov 2024 |
| Glen Meadows | Hamilton | 85 | 5 | 5 | 3 | 15 | 17.6 | — | 26 Mar 2026 |
| Golden Years Nursing Center | Hamilton | 70 | 5 | 5 | 3 | 10 | 14.3 | — | 9 Nov 2022 |
| Knolls of Oxford | Oxford | 50 | 5 | 5 | 4 | 2 | 4.0 | — | 11 Dec 2025 |
| Residence At Huntington Court | Hamilton | 96 | 5 | 4 | 2 | 16 | 16.7 | — | 24 Mar 2026 |
All 25 facilities in Butler County
Questions and answers
How many deficiencies has Hawthorn Glen Nursing Center been cited for?
37 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Ohio median is 27 per facility.
Has Hawthorn Glen Nursing Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Hawthorn Glen Nursing Center compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.
Who operates Hawthorn Glen Nursing Center?
It is part of the Lionstone Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Lionstone Carnation Opco Holdings, LLC and Lionstone Carnation Opco Holdings, LLC. Individual owners and managers are not listed on this site.
When was Hawthorn Glen Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 31 Jul 2025; the most recent standard health survey was 31 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.