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Nursing HomeMedicaid Top Rated

Twin Towers

Strong Medicare quality ratings; families often praise beautiful, well-maintained campus and facilities. Still worth an in-person visit.

5343 Hamilton Avenue, College Hill · Cincinnati, OH 4522475 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 181 Google reviews

Twin Towers Nursing Home in Cincinnati, OH — Street View
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What this means for your family

Twin Towers offers an exceptional environment for independent living with high-quality amenities and social engagement. However, families should be prepared for high costs and should insist on written clarification regarding insurance coverage and care plan transitions before move-in.

Google Reviews

Google Reviews

181 reviews on Google
Twin Towers is a large, well-maintained senior living campus that many residents and their families praise for its beautiful grounds, active social community, and compassionate staff. However, some families have reported significant concerns regarding high costs, lack of transparency in insurance coverage, and occasional lapses in care or communication during transitions between levels of care.

Quality Themes

Tap a score for details
Food9.0Staff8.0Clean9.0Activities9.0MedsN/AMemoryN/AComms4.0Value3.0

Strengths

  • Beautiful, well-maintained campus and facilities
  • Active social community with diverse activities
  • Compassionate and attentive nursing staff
  • High-quality hospice and end-of-life care

Concerns

  • High cost and lack of financial transparency (mentioned by 4 reviewers)
  • Communication issues with admissions and management (mentioned by 3 reviewers)
  • Inadequate care or follow-through for residents with complex needs (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'18(21)'20(20)'22(24)'24(10)'26(3)

Distribution · 182 analyzed

5
109
4
34
3
20
2
7
1
12

How They Respond to Reviews

93%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1It's wonderful to see how well-maintained the campus is; could you tell us more about the different social activities and clubs available for residents to stay engaged?
  • 2We noticed the management is very responsive to feedback online; how does the leadership team typically communicate important updates or changes to families?
  • 3With the high staffing rating you have, how do the nurses ensure that residents with complex medical needs receive consistent, personalized follow-through?
  • 4Can you walk us through the protocol for handling medical emergencies or urgent care needs during the overnight hours?
  • 5Could you help us understand the full breakdown of monthly costs and what specific services are included to help us plan our budget?
  • 6How does the nursing team coordinate care specifically for residents transitioning into hospice or end-of-life care?

Personalized based on this facility's data


Key Review Excerpts

Each team member went above and beyond their positions to see that my family was comfortable and understood every step of a difficult time and never needed anything.

Hospice/End-of-life family member · 2018★★★★★

My sister is totally enjoying the company of others and the social activities offered. Loves her new patio home and her neighborhood is quiet. The variety of food on the menu is a nice change from 'What's for dinner?' decision making.

Independent living resident's family · 2019★★★★★

My Dad and I have toured a number of Senior Living Communities. He has decided to choose Twin Towers, starting in an independent living apartment. The apartment is beautiful and so much nicer than others we’ve considered.

Prospective resident's family · 2023★★★★★
Source: 181 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.14hrs
OK
Registered nurses for medical care
Total Nursing
4.97hrs
OK
All nurses + aides combined
Staff Turnover
45%
Lower is better (< 30% = good)
RN Turnover
31%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

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

Medicare Rating
5/ 5
Better Than Avg

13

measures

Worse Than Avg

1

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
OH
28.2%
Hamilton
38.3%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.0%
Better than Avg
Here
12.0%
US
19.5%
OH
25.4%
Hamilton
22.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
93.4%
OH
92.6%
Hamilton
89.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.8%
Better than Avg
Here
5.8%
US
15.4%
OH
9.4%
Hamilton
10.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.8%
Better than Avg
Here
4.8%
US
14.4%
OH
5.8%
Hamilton
4.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.7%
Mixed vs Avgs
Here
13.7%
US
15.3%
OH
6.9%
Hamilton
6.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility92.9%
Better than Avg
Here
92.9%
US
79.7%
OH
75.6%
Hamilton
60.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.4%
Better than Avg
Here
96.4%
US
81.8%
OH
78.4%
Hamilton
67.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
OH
1.2%
Hamilton
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (10.1)

Twin Towers shows a pattern of recurring issues across three surveys, with the most persistent problems in nutrition and dietary services (appearing in all three inspections), building safety systems, and infection control. The 2024 survey revealed concerning deficiencies in medication management, including high error rates, along with problems in nursing competency and resident notification requirements. While all identified issues have correction dates, the repeated violations in key areas suggest ongoing operational challenges.

Feb 26, 2026Routine
3
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Aug 30, 2024Routine
16
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.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

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.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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.

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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.

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Nov 3, 2022Routine
16
0918Potential for harm · Widespread

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0918Potential for harm · Widespread

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

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.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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.

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.

Mar 5, 2020Routine
7
0607Potential for harm · WidespreadCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0803Potential for harm · WidespreadCorrected

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.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Twin Towers

Organization Type

nonprofit

Ownership & Management

Key personnel

Rivera, EmmanuelContracted Managing EmployeeMcdonald, KennethW-2 Managing EmployeeStricker, KristieW-2 Managing EmployeeBowersox, JamesOfficer / DirectorBurgess, DouglasOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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