Cycle 1
Health 2025-08-11 · Fire 2025-08-11
21 health deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Wintersville, OH
Sienna Skilled Nursing & Rehabilitation
1-star overall rating with 1-star inspections with 21 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
250 Cadiz Road, Wintersville, OH
(740) 264-5245
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
88
Certified beds
Average residents
78
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Continuing Healthcare Solutions
Operator or chain grouping
Approved since
2006-10-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
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
0.72
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.59
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.60
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
2.91
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.31
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
2.62
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.56
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.61
CMS adjusted RN staffing hours
Adjusted total hours
2.45
CMS adjusted total nurse staffing hours
Case-mix index
1.62
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,380
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
16.97
Composite VBP score used to determine payment impact.
Payment multiplier
0.9817
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.31% · Performance 22.48% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.5
Baseline 8.59% · Performance 7.51% · Measure score 2.5 · Achievement 1.09 · Improvement 2.5
Total nurse turnover
4.07
Baseline 53.23% · Performance 47.06% · Measure score 4.07 · Achievement 4.07 · Improvement 1.67
Adjusted total nurse staffing
0.22
Baseline 2.17 hours · Performance 2.43 hours · Measure score 0.22 · Achievement 0 · Improvement 0.22
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.91% |
10.72%
3.2 pts worse
|
No Different than the National Rate · Eligible stays 132 · Observed rate 18.94% · Lower 95% interval 10.59% |
| Discharge to community | 53.56% |
50.57%
3 pts better
|
No Different than the National Rate · Eligible stays 112 · Observed rate 46.43% · Lower 95% interval 43.9% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 94 · Denominator 94 |
| Falls with major injury | 1.06% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 94 |
| Discharge self-care score | 55.22% |
53.69%
1.5 pts better
|
Numerator 37 · Denominator 67 |
| Discharge mobility score | 49.25% |
50.94%
1.7 pts worse
|
Numerator 33 · Denominator 67 |
| Pressure ulcers or injuries, new or worsened | 1.06% |
2.29%
1.2 pts better
|
Numerator 1 · Denominator 94 · Adjusted rate 0.91% |
| Healthcare-associated infections requiring hospitalization | 7.51% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 97 · Observed rate 8.25% · Lower 95% interval 4.94% |
| Staff COVID-19 vaccination coverage | 2.33% |
8.2%
5.9 pts worse
|
Numerator 2 · Denominator 86 |
| Staff flu vaccination coverage | 17.44% |
42%
24.6 pts worse
|
Numerator 15 · Denominator 86 |
| Discharge function score | 58.21% |
56.45%
1.8 pts better
|
Numerator 39 · Denominator 67 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 30 · Denominator 30 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 48 · Denominator 48 |
| Resident COVID-19 vaccinations up to date | 23.91% |
25.2%
1.3 pts worse
|
Numerator 11 · Denominator 46 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.8
1 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.9 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.0 |
1.8
1.2 pts worse
|
1.8
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.7 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
92.4%
7.6 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 5.3% |
3.3%
2 pts worse
|
3.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 6.5% · Q3 6.7% · Q4 3.3% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.6% |
26.1%
23.5 pts better
|
11.4%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 0.0% · Q3 0.0% · Q4 3.6% · 4Q avg 2.6% |
| Percentage of long-stay residents who lose too much weight | 15.3% |
6.2%
9.1 pts worse
|
5.4%
9.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 10.7% · Q3 16.0% · Q4 16.7% · 4Q avg 15.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.0% |
25.4%
2.6 pts worse
|
19.6%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.8% · Q2 28.6% · Q3 26.9% · Q4 26.4% · 4Q avg 28.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.7% |
11.5%
1.8 pts better
|
16.7%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 10.6% · Q3 9.5% · Q4 9.5% · 4Q avg 9.7% · 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 | 2.5% |
7.7%
5.2 pts better
|
16.3%
13.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.6% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 1.9% |
6.2%
4.3 pts better
|
14.9%
13 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.0% · Q4 5.8% · 4Q avg 1.9% · 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 | 21.8% |
21.7%
0.1 pts worse
|
19.8%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 21.5% · Q3 20.3% · Q4 22.6% · 4Q avg 21.8% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
3.7%
0.6 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.4% · Q3 2.7% · Q4 5.5% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
78.1%
21.4 pts better
|
81.7%
17.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 100.0% · Q3 99.4% · Q4 99.3% · 4Q avg 99.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 21.1% |
12.5%
8.6 pts worse
|
12.0%
9.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 21.1% · Observed 21.5% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.3% |
1.2%
1.1 pts worse
|
1.6%
0.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 3.0% · Q3 1.8% · Q4 2.1% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.3% |
75.6%
23.7 pts better
|
79.7%
19.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.5% |
25.1%
0.6 pts better
|
23.9%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.5% · Observed 29.1% · Expected 28.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-30 · Fire 2023-11-30
8 health deficiencies
Top issue: Resident Rights (3 deficiencies)
3 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Cycle 3
Health 2022-02-24 · Fire 2022-02-24
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-08-11
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-10
F · Potential for more than minimal harm
2025-08-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-10
F · Potential for more than minimal harm
2025-08-11
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-09-10
E · Potential for more than minimal harm
2025-08-11
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-09-10
F · Potential for more than minimal harm
2023-11-30
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-01-19
E · Potential for more than minimal harm
2023-11-30
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 2024-01-19
E · Potential for more than minimal harm
2023-11-30
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-01-19
F · Potential for more than minimal harm
2022-02-24
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-03-18
F · Potential for more than minimal harm
2022-02-24
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-03-18
E · Potential for more than minimal harm
2022-02-24
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-03-18
E · Potential for more than minimal harm
2022-02-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-03-18
E · Potential for more than minimal harm
2022-02-24
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 2022-03-18
E · Potential for more than minimal harm
2022-02-24
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-03-18
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-17
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-11-18
F · Potential for more than minimal harm
2025-08-11
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 2025-09-10
E · Potential for more than minimal harm
2025-08-11
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 2025-09-10
E · Potential for more than minimal harm
2025-08-11
F570 · Resident Rights Deficiencies
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2025-09-10
E · Potential for more than minimal harm
2025-08-11
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-09-10
E · Potential for more than minimal harm
2025-08-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-10
D · Potential for more than minimal harm
2025-08-11
F569 · Resident Rights Deficiencies
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2025-09-10
D · Potential for more than minimal harm
2025-08-11
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 2025-09-10
D · Potential for more than minimal harm
2025-08-11
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-10
D · Potential for more than minimal harm
2025-08-11
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-10
D · Potential for more than minimal harm
2025-08-11
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-09-10
D · Potential for more than minimal harm
2025-08-11
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 2025-09-10
D · Potential for more than minimal harm
2025-08-11
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-10
D · Potential for more than minimal harm
2025-08-11
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-09-10
G · Actual harm
2025-04-28
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 2025-05-06
E · Potential for more than minimal harm
2025-04-28
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 2025-05-06
D · Potential for more than minimal harm
2025-04-28
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2025-05-06
D · Potential for more than minimal harm
2025-04-28
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 2025-05-06
D · Potential for more than minimal harm
2025-04-28
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-05-06
F · Potential for more than minimal harm
2025-03-20
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-04-07
F · Potential for more than minimal harm
2025-03-20
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 2025-04-07
F · Potential for more than minimal harm
2024-02-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-14
F · Potential for more than minimal harm
2023-11-30
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 2024-01-19
E · Potential for more than minimal harm
2023-11-30
F803 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2024-01-19
D · Potential for more than minimal harm
2023-11-30
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-01-19
D · Potential for more than minimal harm
2023-11-30
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-01-19
D · Potential for more than minimal harm
2023-11-30
F625 · Resident Rights Deficiencies
Health
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.
Corrected 2024-01-19
D · Potential for more than minimal harm
2023-11-30
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 2024-01-19
D · Potential for more than minimal harm
2023-11-30
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 2024-01-19
D · Potential for more than minimal harm
2023-11-30
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-19
D · Potential for more than minimal harm
2023-04-18
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-05-08
D · Potential for more than minimal harm
2022-02-24
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-03-18
D · Potential for more than minimal harm
2022-02-24
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 2022-03-18
D · Potential for more than minimal harm
2022-02-24
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-03-18
D · Potential for more than minimal harm
2022-02-24
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 2022-03-18
Penalties and ownership
What sits behind the stars
Ownership
Continuing Healthcare Solutions Inc
5% Or Greater Direct Ownership Interest · Organization
Mallett, Christopher
5% Or Greater Indirect Ownership Interest · Individual
Sprenger, Mark
5% Or Greater Indirect Ownership Interest · Individual
Sprenger, Timothy
5% Or Greater Indirect Ownership Interest · Individual
Parsons, Benjamin
5% Or Greater Indirect Ownership Interest · Individual
Bunner, Michael
5% Or Greater Indirect Ownership Interest · Individual
Bunner, Michael
Corporate Officer · Individual
Continuing Healthcare Solutions Inc
Operational/Managerial Control · Organization
Mallett, Christopher
Corporate Officer · Individual
Parsons, Benjamin
Operational/Managerial Control · Individual
Parsons, Benjamin
Corporate Officer · Individual
Sprenger, Mark
Corporate Officer · Individual
Sprenger, Timothy
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Dixon Healthcare Center
Wintersville, OH
2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $247,969 in total fines with 39 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Steubenville Country Club Manor
Steubenville, OH
1-star overall rating with 1-star inspections with $135,828 in total fines with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#3
Villa Vista Royale LLC
Steubenville, OH
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Jump out