CCN 366251 · Hamilton County, Ohio
Home at Hearthstone, the
8028 Hamilton Avenue, Cincinnati, OH 45231
Home at Hearthstone, the is a 96-bed for-profit nursing home in Cincinnati, Ohio, first certified for Medicare or Medicaid in 2002. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 89.3 residents a day, about 93% of its certified beds. It has an active FHA-insured Section 232 loan: $4.7 million originally, at 3.39%, with $3.4 million outstanding as of September 30, 2026 and maturity in April 2047.
Facility facts
- Certified beds
- 96
- Average residents per day
- 89.3 (93.0% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Chs - Mt. Healthy, Inc
- Certified since
- Dec 23, 2002
- Chain or affiliated group
- Foundations Health Solutions (64 facilities, chain average 4.2 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Ohio median | US median |
|---|---|---|---|
| Overall rating | 5 of 5 | State spread: 118 at 1, 216 at 2, 180 at 3, 190 at 4, 209 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.60 | 3.57 | 3.68 |
| RN hours per resident per day | 0.45 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 3.18 | ||
| Nursing staff turnover | 37.4% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 93.0% | 87.2% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 4 (Jul 25, 2024) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Home at Hearthstone, the meets that part today: 5 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Foundations Health Solutions, LLCOrganization | Operational / Managerial Control | n/a | 01/01/2019 |
| Colleran, BrianIndividual | Operational / Managerial Control | n/a | 01/01/2019 |
| Krystowski, JohnIndividual | Operational / Managerial Control | n/a | 06/01/2018 |
| Santiago, JessicaIndividual | Operational / Managerial Control | n/a | 09/20/2022 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Mar 21, 2012 | 223(f) refinance or purchaseHUD project name: Home at Hearthstone Center, 96 beds. Lender at endorsement: 0 | $4,667,500 | Active: 3.39%, $3,374,007 balanceMatures Apr 1, 2047. Servicer: Keybank National Association | 04622075 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.