Twin Towers — nursing home in Cincinnati, OH

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 75 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 62.1 CMS, MDS-derived
CMS Certification Number: 366023
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 11, 1995
Ownership type: Non profit - Corporation
Operator (legal business name): Twin Towers
CMS chain: Not part of a CMS-reported chain
Phone: (513) 853-2000
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Feb 26, 2026

Citations

19

12 health · 7 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D8	E1	F9
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 366023
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 75
First approved: Jul 11, 1995
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Ohio.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Feb 26, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Feb 26, 2026	Health	Health Standard	3	Actual harm	—	Open →
Aug 30, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Aug 30, 2024	Health	Health Standard	7	Potential harm	—	Open →
Nov 3, 2022	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Nov 3, 2022	Health	Health Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D8	E1	F9
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Feb 26, 2026	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Mar 23, 2026
Feb 26, 2026	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 23, 2026
Feb 26, 2026	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 23, 2026
Aug 30, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 14, 2024
Aug 30, 2024	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 14, 2024
Aug 30, 2024	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 14, 2024
Aug 30, 2024	F-0726	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. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Oct 14, 2024
Aug 30, 2024	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 14, 2024
Aug 30, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 14, 2024
Aug 30, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Oct 14, 2024
Aug 30, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Oct 14, 2024
Nov 3, 2022	K-0222	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. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 16, 2022
Nov 3, 2022	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 16, 2022
Nov 3, 2022	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 16, 2022
Nov 3, 2022	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 16, 2022
Nov 3, 2022	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 16, 2022
Nov 3, 2022	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Waiver granted Dec 16, 2022
Nov 3, 2022	F-0803	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Dec 16, 2022
Nov 3, 2022	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Dec 16, 2022

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 2.4

Quality measuresstate 4.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing5.04

State avg 3.71US avg 3.90

Registered nurse (RN)1.20

State avg 0.64US avg 0.69

Licensed practical nurse1.23

State avg 0.95US avg 0.86

Nurse aide2.61

State avg 2.12US avg 2.35

Weekend total nurse4.53

State avg 3.29US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.85 (case-mix index 1.21).

Staff turnover

Total nursing staff turnover52.6%

State avg 49.0%US avg 45.3%

Registered nurse turnover36.8%

State avg 44.4%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Feb 26, 2026
Cycle 1 health score: 28
Total weighted score: 34

Operating entity

Twin Towers

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

12

Organizations

0

Individuals

12

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
James Bowersox	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 14, 2012
Douglas Burgess	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 17, 2021
Sandra East	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 17, 2021
Robyn Hildal	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 17, 2021
Thomas Kahle	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 17, 2021
Scott Mcquinn	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 19, 2014
Philip Present	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 17, 2021
James Bowersox	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 19, 2014
Scott Mcquinn	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 19, 2014
Emmanuel Rivera	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Mar 1, 2024
Kenneth Mcdonald	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jan 1, 2014
Kristie Stricker	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jul 22, 2024

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 5343 Hamilton Avenue, Cincinnati, OH 45224
ZIP: 45224
County: Hamilton County FIPS 39061
State: Ohio
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Ohio Living Llanfair 1701 Llanfair Avenue, Cincinnati, OH 45224 CCN 365470	1.2 km	36	Dec 31, 2025	21	—
Mt Airy Gardens Rehabilitation and Nursing Center 2250 Banning Road, Cincinnati, OH 45239 CCN 365293	2.6 km	99	Sep 8, 2025	1081 IJ1 open	$10k
Lakeridge Villa Health Care Center 7220 Pippin Rd, Cincinnati, OH 45239 CCN 366145	3.8 km	99	Mar 6, 2025	85	—
Clovernook Health Care and Rehabilitation Center 7025 Clovernook Avenue, Cincinnati, OH 45231 CCN 365551	3.9 km	126	Apr 14, 2026	641 harm1 open	—
Scarlet Oaks Nursing and Rehabilitation Center 440 Lafayette Avenue, Cincinnati, OH 45220 CCN 365978	3.9 km	70	Jan 23, 2025	47	—
Covenant Village Care Center 3210 West Fork Road, Cincinnati, OH 45211 CCN 366399	4.2 km	107	Jun 11, 2026	341 harm4 open	—
Woods Edge Rehab and Nursing 1171 Towne Street, Cincinnati, OH 45216 CCN 366209	5.8 km	93	Apr 16, 2026	851 IJ1 open	$14k
Wellspring Health Center 8000 Evergreen Ridge Drive, Cincinnati, OH 45215 CCN 365812	5.9 km	54	Jun 1, 2026	621 IJ1 harm	$110k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	366023	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	366023	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 366023

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction