Federal inspection record · CMS data as of October 1, 2026
Sienna Skilled Nursing & Rehabilitation
250 Cadiz Road, Wintersville, OH · (740) 264-5245
- Certified beds
- 88
- Residents per day
- 81
- Ownership
- For-Profit
- Chain
- Continuing Healthcare Solutions
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 10, 2006
1
How this home got 1 star
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
-
Staffing
★★★★★no change (already 1)
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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Sienna Skilled Nursing & Rehabilitation carries 133 inspection points. That is fewer than 17% 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
42 health citations on record since 2022. 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.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Everything else, by area of care
Quality of Life and Care13D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate foot care.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
- 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.
Resident Rights11E
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Assure the security of all personal funds of residents deposited with the facility.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- 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.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Nutrition and Dietary6F
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
Resident Assessment and Care Planning5D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Pharmacy Service3E
- E
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.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control2F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-08-11
22 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2023-11-30
15 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2022-02-24
5 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 57 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
2 h 57 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 71% 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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 0.9 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 1.8 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better | 100.0% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 1.2% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms28.1 pts better | 3.5% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts worse | 9.4% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.9 pts better | 23.6% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.2 pts worse | 9.7% | 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 worsened1.5 pts better | 3.8% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.4 pts better | 3.6% | 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 incontinence7 pts worse | 27.9% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts worse | 4.8% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21.4 pts better | 99.8% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit14 pts worse | 26.6% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 0.6% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.6 pts better | 100.0% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9 pts worse | 33.4% | 24.4% | 23.4% |
·
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 |
|---|---|---|---|
| Bunner, Michael | Corporate Director · Individual | 0% | 13 facilities |
| Bunner, Michael | Adp Of The SNF · Individual | 0% | 13 facilities |
| Continuing Healthcare Solutions Inc | Direct Ownership Interest · Organization | 0% | 5 facilities |
| Continuing Healthcare Solutions Inc | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Continuing Healthcare Solutions Inc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Hughey, Tracy | Corporate Officer · Individual | 0% | 11 facilities |
| Hughey, Tracy | Adp Of The SNF · Individual | 0% | 11 facilities |
| Kauffman, Kevin | Corporate Officer · Individual | 0% | 11 facilities |
| Kauffman, Kevin | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Kauffman, Kevin | Adp Of The SNF · Individual | 0% | 11 facilities |
| Mallett, Christopher | Corporate Director · Individual | 0% | 13 facilities |
| Mallett, Christopher | Adp Of The SNF · Individual | 0% | 13 facilities |
| Miller, Michael | Trustee Of The SNF · Individual | 0% | 11 facilities |
| Palmer, Amy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Parsons, Benjamin | Corporate Director · Individual | 0% | 13 facilities |
| Parsons, Benjamin | Adp Of The SNF · Individual | 0% | 13 facilities |
| Sprenger, Mark | Corporate Director · Individual | 0% | 13 facilities |
| Sprenger, Mark | Adp Of The SNF · Individual | 0% | 13 facilities |
| Sprenger, Timothy | Corporate Director · Individual | 0% | 14 facilities |
| Sprenger, Timothy | Adp Of The SNF · Individual | 0% | 14 facilities |
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Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous3F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have restrictions on the use of portable space heaters.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Services2F
- F
Meet other general requirements that are deficient.
- F
Have properly installed electrical wiring and gas equipment.
Egress1E
- 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.
Gas, Vacuum, and Electrical Systems1E
- E
Ensure proper usage of power strips and extension cords.
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