Federal inspection record · CMS data as of October 1, 2026
Sienna Hills Nursing & Rehabilitation
73841 Pleasant Grove Road, Adena, OH · (740) 546-3013
- Certified beds
- 43
- Residents per day
- 35
- Ownership
- For-Profit
- Chain
- Hillstone Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 26, 1993
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Sienna Hills Nursing & Rehabilitation carries 56 inspection points. That is fewer than 53% of Ohio's 913 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–42 pts
- 3★ 42–69 pts
- 2★ 69–121.25 pts
- 1★ over 121.25 pts
Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
30 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care9D
- D
Provide activities to meet all resident's needs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Honor each resident's preferences, choices, values and beliefs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning7D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Plan the resident's discharge to meet the resident's goals and needs.
Resident Rights6E
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
- E
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.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental2F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F
Keep all essential equipment working safely.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Pharmacy Service1D
- D
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.
Inspection history
2025-02-06
9 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2022-12-01
9 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2020-03-05
12 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 17 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 17 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 33% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.6 pts worse | 82.1% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4 pts better | 97.7% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts worse | 3.6% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.2 pts better | 29.4% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.4 pts better | 2.7% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11 pts worse | 36.5% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.1 pts worse | 8.6% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.3 pts better | 0.0% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts better | 1.9% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.0% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.0% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.8 pts better | 15.1% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts better | 2.2% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7 pts worse | 71.4% | 78.4% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine22.2 pts worse | 54.2% | 76.4% | 80.1% |
·
Who owns and runs it
20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Mallett, Christopher | 5% Or Greater Indirect Ownership Interest · Individual | 25% | 13 facilities |
| Sprenger, Mark | 5% Or Greater Indirect Ownership Interest · Individual | 25% | 13 facilities |
| Sprenger, Timothy | 5% Or Greater Indirect Ownership Interest · Individual | 25% | 14 facilities |
| Parsons, Benjamin | 5% Or Greater Indirect Ownership Interest · Individual | 20% | 13 facilities |
| Bunner, Michael | 5% Or Greater Indirect Ownership Interest · Individual | 5% | 13 facilities |
| Bergsten, Paul | Corporate Officer · Individual | 0% | 8 facilities |
| Bergsten, Paul | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Bunner, Michael | Corporate Director · Individual | 0% | 13 facilities |
| Bunner, Michael | Corporate Officer · Individual | 0% | 13 facilities |
| Dapore, Matthew | Corporate Officer · Individual | 0% | 8 facilities |
| Dapore, Matthew | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Mallett, Christopher | Corporate Director · Individual | 0% | 13 facilities |
| Mallett, Christopher | Corporate Officer · Individual | 0% | 13 facilities |
| Parsons, Benjamin | W-2 Managing Employee · Individual | 0% | 13 facilities |
| Parsons, Benjamin | Corporate Director · Individual | 0% | 13 facilities |
| Parsons, Benjamin | Corporate Officer · Individual | 0% | 13 facilities |
| Sprenger, Mark | Corporate Director · Individual | 0% | 13 facilities |
| Sprenger, Mark | Corporate Officer · Individual | 0% | 13 facilities |
| Sprenger, Timothy | Corporate Director · Individual | 0% | 14 facilities |
| Sprenger, Timothy | Corporate Officer · Individual | 0% | 14 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous8F
- F
Have restrictions on the use of portable space heaters.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Smoke6F
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install an approved automatic sprinkler system.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Services3F
- E
Meet other general requirements that are deficient.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have a properly installed and maintained dumbwaiter or escalator.
Gas, Vacuum, and Electrical Systems3F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure proper usage of power strips and extension cords.
- F
Have proper medical gas storage and administration areas.
Egress3E
- E
Have exits that are accessible at all times.
- E
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.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
·
Other homes nearby
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Belmont Manor
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 53 min
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Park Health Center
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Rolling Hills Rehab And Care Ctr
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- Nursing / resident / day
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