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Nursing HomeMedicaid Investigative

Hawthorn Glen Nursing Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

5414 Hankins Road, Middletown, OH 4504474 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Hawthorn Glen Nursing Center Nursing Home in Middletown, OH — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (13 vs median 8.0)
  • High staff turnover (70%)
  • High RN turnover (67%)

Bottom 25% in OH · Below recommended RN staffing · Very high staff turnover · Worst in LIONSTONE CARE chain · No penalties on record

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. Registered Nurse hours are only 79% of the national benchmark, which can affect medication management and response times. The facility has 13 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.59hrs
79%
Registered nurses for medical care
Total Nursing
3.12hrs
76%
All nurses + aides combined
Staff Turnover
69%
Lower is better (< 30% = good)
RN Turnover
69%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

6

measures

Worse Than Avg

7

measures

Mixed Results

4

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility53.3%
Worse than Avg
Here
53.3%
US
95.5%
OH
94.5%
Butler
93.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility82.2%
Worse than Avg
Here
82.2%
US
93.4%
OH
92.6%
Butler
93.6%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility15.6%
Worse than Avg
Here
15.6%
US
5.3%
OH
6.3%
Butler
7.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility21.6%
Mixed vs Avgs
Here
21.6%
US
12.1%
OH
28.2%
Butler
25.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.4%
Better than Avg
Here
6.4%
US
15.3%
OH
6.9%
Butler
12.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.9%
Mixed vs Avgs
Here
5.9%
US
14.4%
OH
5.8%
Butler
11.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility43.6%
Worse than Avg
Here
43.6%
US
79.7%
OH
75.6%
Butler
80.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility58.5%
Worse than Avg
Here
58.5%
US
81.8%
OH
78.4%
Butler
82.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.2%
Worse than Avg
Here
4.2%
US
1.6%
OH
1.2%
Butler
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
Above state avg (10.1)
10 complaint-triggered

This facility has recurring deficiencies with 14 complaint-triggered violations where families filed reports. The most persistent problems involve accident prevention and safety, medication management, and infection control. While the facility corrects issues when found, the pattern shows ongoing struggles with basic care standards, particularly safety supervision and pharmacy services, with some issues appearing across multiple years and complaint investigations.

Jul 31, 2025Routine
12
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0645Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0132Potential for harm · PatternCorrected

Construction Deficiencies

Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

0569Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

0572Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents a notice of rights, rules, services and charges.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0742Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

Jul 31, 2025Complaint
3
0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

Dec 5, 2024Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Aug 13, 2024Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

May 24, 2023Complaint
2
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Apr 11, 2023Complaint
3
0690Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hawthorn Glen Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

Lionstone Care

Chain Size

22 facilities nationwide

Chain avg rating: 2.6/5 · Rank 20 of 22 (Worst)

Ownership & Management

Owners

Lionstone Carnation Opco Holdings, LLC

Owner · Organization

Kazarnovsky, Solomon

Owner (parent company)

25%

Stein, Abba

Owner (parent company)

50%

Klugman, Jacob

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Stein, Shalom

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Sternbuch, Daniel

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Cross River Bank5% or Greater Mortgage InterestKazarnovsky, SolomonManaging Control - Governing BodyStein, AbbaManaging Control - Governing BodyKazarnovsky, SolomonOfficer / DirectorStein, AbbaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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