Comprehensive Review: Hawthorn Glen Senior Living Campus

Facility overview

Hawthorn Glen Nursing Center is a Medicare and Medicaid certified skilled nursing facility at 5414 Hankins Road, Middletown, OH 45044, reachable at (513) 863-7775. The home has operated under Medicare since November 1990 and is run as a for-profit corporation that belongs to a chain of 22 facilities. According to Medicare.gov Care Compare, it holds an overall rating of 1 out of 5 stars, the lowest of Medicare's five bands and a signal that families should look closely before choosing it.

At a glance

Quick facts from Medicare.gov Care Compare:

• Overall Medicare rating: 1 out of 5 stars (much below average).
• Certified beds: 74, with about 67 residents on an average day.
• Ownership: for-profit corporation, part of a 22-facility chain.

Care and services

As a Medicare-certified skilled nursing facility, Hawthorn Glen focuses on around-the-clock nursing care rather than the independent or assisted living tiers sometimes advertised for the campus. Its core services are:

Care provided

1. Skilled nursing care with 24-hour medical supervision.
   • Short-term rehabilitation, including physical, occupational, and speech therapy after a hospital stay or surgery.
   • Long-term care for residents with complex or chronic medical needs.

Certification

• The facility participates in both Medicare and Medicaid, so it can serve short-stay rehabilitation patients as well as long-term residents who rely on Medicaid.

Medicare star ratings

Overall and health inspection

• Medicare rates nursing homes from one to five stars in several areas. Hawthorn Glen's overall rating is 1 star. Its health-inspection rating, which carries the most weight in that overall score, is 2 stars, still below the national average.
• Health-inspection ratings are built from the findings of state surveyors during on-site visits, so a low mark points to problems documented during recent inspections.

Staffing

• The staffing rating is 1 star, the lowest band Medicare assigns. It reflects both how many nursing hours the home provides per resident and how well it holds on to its staff.

Quality measures

• The quality-measures rating is 4 stars, the facility's clear bright spot. This score draws on clinical data from resident assessments, such as mobility, pressure ulcers, and infections, and a 4-star result sits above the national average.

Reading the ratings together

• The pattern here is common: solid clinical quality measures paired with weak inspection and staffing scores. Because inspections and staffing weigh heavily, the overall rating lands at 1 star despite the stronger quality-measures result.

Staffing in detail

Medicare.gov Care Compare publishes staffing figures based on payroll data the facility reports. The numbers below describe an average day.

• Total nurse staffing: about 3.12 hours per resident per day, below the roughly 3.5 hours a day often cited as a general benchmark for adequate coverage.
• Registered nurse (RN) staffing: about 0.59 hours per resident per day.
• Licensed nurse staffing (RNs and LPNs combined): about 1.29 hours per resident per day.

Turnover

Nurse aide staffing adds about 1.83 hours per resident per day. Turnover is a real concern: both total nursing staff turnover and registered nurse turnover run near 69 percent, meaning roughly two-thirds of the nursing team left over the year. High turnover can disrupt continuity of care.

What the staffing picture means

• Below-benchmark nursing hours combined with high turnover is what drives the 1-star staffing rating. Families may want to ask directly how the home covers nights and weekends.

Recent inspection findings and penalties

Hawthorn Glen's most recent standard health survey on record with Medicare was completed on July 31, 2025. Surveyors cited 13 health deficiencies during that inspection.

Deficiencies range from paperwork issues to problems that put residents at risk, and Medicare's health-inspection star rating already folds these findings into the 2-star result noted above.

On the enforcement side, Medicare.gov Care Compare shows no federal fines or payment denials against the facility in its recent enforcement history, and the home does not carry an abuse-warning icon.

Ownership and payment

• The home is certified for both Medicare and Medicaid. Medicare covers short-term skilled care after a qualifying hospital stay, while long-term custodial care is generally paid privately or through Medicaid for those who qualify.

What stands out

The facility's strongest area is its 4-star quality-measures rating, which points to solid clinical outcomes on the measures Medicare tracks. It participates in both Medicare and Medicaid and carries no fines or abuse flag.

The concerns

The overall rating is 1 star and staffing is 1 star. Nurse staffing hours fall below the common benchmark while turnover runs near 69 percent, and the most recent inspection logged 13 deficiencies. These are meaningful concerns for anyone weighing a long-term stay.

Questions worth asking

• Given the low staffing and inspection scores, a few targeted questions can tell you a lot:
• How many nursing hours per resident does the home provide on nights and weekends?
• What is being done to address the deficiencies cited in the July 2025 survey?
• How does the team maintain continuity of care given high staff turnover?

Recommendations for prospective residents and families

1. Schedule an in-person tour to see the current conditions, how staff interact with residents, and the overall atmosphere.
2. Ask for a current activities calendar to understand what residents actually do day-to-day.
3. Discuss personalized care plans. Ask how the facility builds and updates a plan as a resident's needs change. A good one covers medical care, daily activities, and social engagement, and it should shift smoothly when a resident moves from short-term rehab to long-term care rather than starting from scratch. Expect the team to review and revise plans regularly as conditions change.
4. Ask about staffing. Find out staff turnover rates, what specialized training nurses have, and whether the facility is adequately staffed nights and weekends.
5. Get detailed cost information in writing, including what Medicare or Medicaid will and will not cover and what is billed privately.
6. Ask about quality improvement. Find out what specific steps the facility is taking to address its low health inspection and staffing ratings.
7. Talk to current residents or families if possible. Firsthand accounts of daily life are invaluable.
8. Evaluate rehabilitation services. If rehab is important, ask about success rates, average length of stay, and the qualifications of therapy staff.
9. Ask how the facility communicates with families, especially about health updates and changes to care plans.
10. Consider future needs. Make sure the facility can keep meeting your loved one's needs as their health changes, whether that means more intensive nursing or added rehabilitation down the road.

Conclusion

Hawthorn Glen Nursing Center offers 24-hour skilled nursing and rehabilitation in Middletown, and its 4-star quality-measures score is a genuine strength. But Medicare.gov Care Compare rates it 1 star overall, with 1-star staffing, below-benchmark nurse hours, turnover near 69 percent, and 13 deficiencies at the most recent survey. Families should tour in person, read the latest inspection report, and ask pointed questions about staffing before committing.