5 of 5 stars overall. SIENA GARDENS REHABILITATION & TRANSITIONAL CARE has top health inspection and quality ratings, a 4-star staffing rating, no fines in the last 24 months, and reported nurse staffing of 3.39 hours per resident per day, below the federal benchmark of 4.1.
Last inspection: September 16, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3854.
Staffing detail
Registered nurses
0.89
Licensed practical nurses
0.42
Nurse aides
2.07
Weekend nursing
3.02
Hours per resident per day.
Total staff turnover: 27%
Registered nurse turnover: 18%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
5.6%4.7%Improving
Residents with a fall causing major injury
3.4%1.2%Improving
Residents with pressure ulcers (bedsores)
1.1%2.6%Worsening
Residents with a urinary tract infection
1.2%0%Improving
Residents who lost too much weight
3.7%9.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.5%8.8%Worsening
Residents whose ability to walk got worse
8.5%2.2%Improving
Long-stay residents on antianxiety or sleep medication
12%11%Improving
Short-stay residents newly given an antipsychotic
0%2.2%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.4%17.6%Worsening
Residents with depressive symptoms
39.5%48.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—96.8%—
Long-stay residents given the pneumonia vaccine
98.9%100%Improving
Short-stay residents given the seasonal flu vaccine
—91.7%—
Short-stay residents given the pneumonia vaccine
95.7%100%Improving
What the inspectors found
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The home failed to properly watch nurse aides' work and provide regular training. Cited October 2022 — isolated incident, potential for harm.
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F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: D
The home failed to provide timely, quality lab services and tests needed by residents. Cited October 2022 — isolated incident, potential for harm.
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F-Tag 770 — 42 CFR §483.50 — S/S: D
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited October 2019 — isolated incident, potential for harm.
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F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: D
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited October 2019 — isolated incident, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 8 health deficiencies.
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Operator & ownership
Ownership
For profit - Individual
Chain
Part of FOUNDATIONS HEALTH SOLUTIONS · 63 homes · 4.2 stars avg
Occupancy
94.9 residents on an average day (96% of 99 beds)
Resident voice
Resident council
Medicare history
Certified for 7 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.