Adena, OH

Sienna Hills Nursing & Rehabilitation

1-star overall rating with 2-star inspections with 11 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

73841 Pleasant Grove Road, Adena, OH

(740) 546-3013

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Hillstone Healthcare

Operator or chain grouping

Approved since

1993-05-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

14 facilities

Chain averages 3 overall / 3 health / 2 staffing / 5 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.47

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.85

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.63

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

2.95

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.32

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.38

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.33

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.47

CMS adjusted RN staffing hours

Adjusted total hours

2.92

CMS adjusted total nurse staffing hours

Case-mix index

1.38

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,983

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

21.83

Composite VBP score used to determine payment impact.

Payment multiplier

0.9827

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

4.37

Performance 45.83% · Measure score 4.37 · Achievement 4.37 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Baseline 3.01 hours · Performance 2.73 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 11 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 50
Staff flu vaccination coverage	3.64%	42% 38.4 pts worse	Numerator 2 · Denominator 55
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.3	1.8 0.5 pts worse	1.9 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.3 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.7	1.8 0.1 pts better	1.8 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.8 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	86.7%	92.4% 5.7 pts worse	93.4% 6.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 93.1% · Q3 76.7% · Q4 76.7% · 4Q avg 86.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.5% 5.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	7.5%	3.3% 4.2 pts worse	3.3% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 10.3% · Q3 6.7% · Q4 0.0% · 4Q avg 7.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.9%	26.1% 24.2 pts better	11.4% 9.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 7.4% · 4Q avg 1.9%
Percentage of long-stay residents who lose too much weight	5.9%	6.2% 0.3 pts better	5.4% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 4.0% · Q3 4.3% · Q4 0.0% · 4Q avg 5.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	28.8%	25.4% 3.4 pts worse	19.6% 9.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.1% · Q2 32.0% · Q3 24.0% · Q4 26.9% · 4Q avg 28.8%
Percentage of long-stay residents who received an antipsychotic medication	19.2%	11.5% 7.7 pts worse	16.7% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 19.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	5.7%	7.7% 2 pts better	16.3% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.8%	6.2% 4.6 pts worse	14.9% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 9.1% · Q3 22.7% · Q4 0.0% · 4Q avg 10.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.2% 0.2 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.5% 0.5 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.1%	21.7% 1.4 pts worse	19.8% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 21.0% · Q3 24.1% · Q4 24.0% · 4Q avg 23.1%
Percentage of long-stay residents with pressure ulcers	1.0%	3.7% 2.7 pts better	5.1% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	71.9%	78.1% 6.2 pts worse	81.7% 9.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 56.0% · Q3 81.5% · Q4 80.0% · 4Q avg 71.9%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.2% 1.2 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	61.5%	75.6% 14.1 pts worse	79.7% 18.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 61.5%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-06 · Fire 2025-02-06

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2022-12-01 · Fire 2022-12-01

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

8 fire-safety deficiencies

Top issue: Miscellaneous (3 deficiencies)

Cycle 3 Health 2020-03-05 · Fire 2020-03-05

13 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

8 fire-safety deficiencies

Top issue: Miscellaneous (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-20

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-03-27

E · Potential for more than minimal harm 2025-02-20

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-03-27

F · Potential for more than minimal harm 2025-02-06

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-03-27

F · Potential for more than minimal harm 2025-02-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-27

F · Potential for more than minimal harm 2025-02-06

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-03-27

F · Potential for more than minimal harm 2025-02-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-03-27

F · Potential for more than minimal harm 2025-02-06

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-03-27

F · Potential for more than minimal harm 2025-02-06

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-03-27

E · Potential for more than minimal harm 2025-02-06

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-03-27

E · Potential for more than minimal harm 2025-02-06

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-03-27

F · Potential for more than minimal harm 2022-12-01

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2022-12-16

F · Potential for more than minimal harm 2022-12-01

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-12-16

F · Potential for more than minimal harm 2022-12-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-12-16

F · Potential for more than minimal harm 2022-12-01

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-12-16

F · Potential for more than minimal harm 2022-12-01

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2022-12-16

E · Potential for more than minimal harm 2022-12-01

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2022-12-16

F · Potential for more than minimal harm 2020-03-05

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2020-04-17

F · Potential for more than minimal harm 2020-03-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2020-04-17

F · Potential for more than minimal harm 2020-03-05

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2020-04-17

F · Potential for more than minimal harm 2020-03-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2020-04-17

F · Potential for more than minimal harm 2020-03-05

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2020-04-17

E · Potential for more than minimal harm 2020-03-05

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2020-07-31

E · Potential for more than minimal harm 2020-03-05

K532 · Services Deficiencies

Fire Safety

Have a properly installed and maintained dumbwaiter or escalator.

Corrected 2020-04-17

E · Potential for more than minimal harm 2020-03-05

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2020-04-17

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-02

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-04-02

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-04-17

F · Potential for more than minimal harm 2025-02-06

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-06

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-06

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-06

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-06

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-06

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-06

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-06

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-27

D · Potential for more than minimal harm 2023-10-18

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-10-31

G · Actual harm 2023-08-30

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-09-07

F · Potential for more than minimal harm 2022-12-01

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-12-16

F · Potential for more than minimal harm 2022-12-01

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2022-12-16

F · Potential for more than minimal harm 2022-12-01

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2022-12-16

D · Potential for more than minimal harm 2022-12-01

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2022-12-16

D · Potential for more than minimal harm 2022-12-01

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-12-16

D · Potential for more than minimal harm 2022-12-01

F690 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-12-16

D · Potential for more than minimal harm 2022-12-01

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-12-16

F · Potential for more than minimal harm 2020-03-05

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2020-04-17

E · Potential for more than minimal harm 2020-03-05

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2020-04-17