Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.56 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.56 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jul 31, 2025 cited 10 deficiencies.
View inspection evidenceCMS-published records list 50 ownership or control parties.
CMS records show an ownership change effective June 2024.
View ownership evidenceCMS groups this facility with a chain covering 24 facilities across 1 states or territories.
View chain evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
3 currently connected nursing homes share this CMS organization identity with LIONSTONE CARNATION OPCO HOLDINGS, LLC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 28, 2024
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Jun 28, 2024
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Jun 28, 2024
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Jun 28, 2024
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 28, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 28, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 28, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 28, 2024
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Feb 10, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Feb 10, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Feb 10, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 28, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 28, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 28, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 28, 2024
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 28, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 28, 2024
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 28, 2024
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 2 across OH.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Jun 28, 2024
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Jun 28, 2024
Organization · 5% OR GREATER MORTGAGE INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 28, 2024
Other facilities connected through this exact CMS organization identity: 4 across NC, OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 2 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 2 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 13 across OH, WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Other facilities connected through this exact CMS organization identity: 59 across IL, MD, NJ, OH, PA, WI, WV.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Individual · CORPORATE DIRECTOR
Published ownership percentage: 25%
Association date reported to CMS: Jun 28, 2024
Individual · CORPORATE DIRECTOR
Published ownership percentage: 50%
Association date reported to CMS: Jun 28, 2024
Individual · CORPORATE OFFICER
Published ownership percentage: 25%
Association date reported to CMS: Jun 28, 2024
Individual · CORPORATE OFFICER
Published ownership percentage: 50%
Association date reported to CMS: Jun 28, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 28, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 28, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 28, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 28, 2024
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 2 across OH.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 28, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 28, 2024
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across OH.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 611 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 24 | 2.5 | 1.7 |
| Mon Jun | 22 | 2.6 | 1.8 |
| Fri May | 22 | 2.6 | 1.8 |
| Wed Apr | 22 | 2.6 | 1.8 |
| Sun Mar | 22 | 2.6 | 1.6 |
| Sun Feb | 20 | 2.5 | 1.7 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 3, 2025)
Give residents a notice of rights, rules, services and charges.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 3, 2025)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 3, 2025)
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 3, 2025)
PASARR screening for Mental disorders or Intellectual Disabilities
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 3, 2025)
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 3, 2025)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 3, 2025)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 3, 2025)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 3, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 3, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 27, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 6, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 11, 2022)
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 11, 2022)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 11, 2022)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 11, 2022)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 11, 2022)
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 11, 2022)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 11, 2022)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 11, 2022)
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 11, 2022)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 11, 2022)
Ensure staff are vaccinated for COVID-19
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 11, 2022)
No health-deficiency rows were deterministically linked to this inspection.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 9, 2019)
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 9, 2019)
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 9, 2019)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 9, 2019)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 9, 2019)
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 9, 2019)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 9, 2019)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 9, 2019)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 9, 2019)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 9, 2019)
Implement a program that monitors antibiotic use.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 9, 2019)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
9 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
RN staffing decreased from 0.96 to 0.58 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
0.96 → 0.58
CMS · Reported in a source release · View related evidence
Total nurse staffing decreased from 3.45 to 3.19 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
3.45 → 3.19
CMS · Reported in a source release · View related evidence
10 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: HAWTHORN GLEN SNF OPCO LLC.
SEMMA ENTERPRISES, INC. → HAWTHORN GLEN SNF OPCO LLC
CMS · Recorded event date · View related evidence
11 deficiencies were recorded.
CMS · Recorded event date · View related evidence
11 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.231 | 2.921 |
| RN categories | 0.621 | 0.395 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.036 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.454 | 0.958 | 0.553 | 1.943 | 19% | 91 |
| 2025Q3 | 3.189 | 0.577 | 0.782 | 1.831 | 8.3% | 92 |
| 2025Q4 | 3.12 | 0.592 | 0.701 | 1.827 | 0% | 92 |
| 2026Q1 | 3.142 | 0.556 | 0.62 | 1.966 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.