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Hawthorn Glen Nursing Center

5414 Hankins Road, Middletown, OH 450445138637775Ownership: For profit - CorporationCertified beds: 74Avg. daily residents: 66Chain: Lionstone Care (24 facilities)County: Butler

The complete public record on Hawthorn Glen Nursing Center, a Medicare & Medicaid–certified nursing home in Middletown, Ohio, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Ohio average: 3.2 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★☆☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Hawthorn Glen Nursing Center holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 66% is well above the Ohio average of 49%; high turnover is one of the strongest predictors of inconsistent care. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.14 total nurse staff hours per resident per day
below the state average (3.69)
0.56 RN hours per resident per day
below the state average (0.64)
2.92 weekend nurse staff hours per resident per day
66.2% total nursing staff turnover
above the state average (48.7)
75.0% RN turnover
2 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

July 31, 2025 most recent standard health inspection
13 health deficiencies cited in the most recent inspection cycle
above the state average (10.6)
13 health deficiencies in the two prior cycles combined
$0 in federal fines across 0 penalties (last 3 years)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

37 citations on record across recent inspections. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
July 31, 20250812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…F · Potential for more than minimal harm
July 31, 20250645PASARR screening for Mental disorders or Intellectual DisabilitiesE · Potential for more than minimal harm
July 31, 20250761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all…E · Potential for more than minimal harm
July 31, 20250569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D · Potential for more than minimal harm
July 31, 20250572Give residents a notice of rights, rules, services and charges.D · Potential for more than minimal harm
July 31, 20250609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D · Potential for more than minimal harm
July 31, 20250610Respond appropriately to all alleged violations.D · Potential for more than minimal harm
July 31, 20250657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health… ComplaintD · Potential for more than minimal harm
July 31, 20250695Provide safe and appropriate respiratory care for a resident when needed. ComplaintD · Potential for more than minimal harm
July 31, 20250740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.