The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
SIENA WOODS CARE CENTER
DAYTON, OH · Medicare-certified · 99 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
SIENA WOODS CARE CENTER has an overall rating of 4 out of 5 stars. Health inspection and staffing are both 3 stars, quality measures are 5 stars, reported nurse staffing is 3.88 hours per resident per day versus the 4.1 federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.8762 hrs/resident/day
Quality measures
Last inspection: February 18, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8762.
Staffing detail
- Registered nurses
- 0.70
- Licensed practical nurses
- 1.02
- Nurse aides
- 2.15
- Weekend nursing
- 3.39
Hours per resident per day.
Total staff turnover: 62%
Registered nurse turnover: 57%
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).
Long-stay residents on antipsychotic medication
14%4.3%Improving
Residents with a fall causing major injury
4.5%1.4%Improving
Residents with pressure ulcers (bedsores)
5.6%6.2%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
11.9%14.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.8%4%Improving
Residents whose ability to walk got worse
13.5%8.3%Improving
Long-stay residents on antianxiety or sleep medication
10.2%10.9%Worsening
Short-stay residents newly given an antipsychotic
1.5%2%Worsening
Residents with a long-term catheter
1.2%0%Improving
Residents with new or worsening incontinence
22.6%30.2%Worsening
Residents with depressive symptoms
0%1.6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—79.5%—
Long-stay residents given the pneumonia vaccine
100%85.9%Worsening
Short-stay residents given the seasonal flu vaccine
—56.6%—
Short-stay residents given the pneumonia vaccine
36.3%32.1%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 883 — 42 CFR §483.80 — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Recent ownership change · Feb 1, 2023
Now operated by Exceptional Living Centers, previously Diversicare of Siena Woods.
- Ownership
- For profit - Corporation
- Chain
- Part of EXCEPTIONAL LIVING CENTERS · 10 homes · 2.7 stars avg
- Occupancy
- 86.8 residents on an average day (88% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 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.