The nursing home failed to protect residents from abuse and neglect by others. Cited August 2023 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
SIENNA HILLS NURSING & REHABILITATION
ADENA, OH · Medicare-certified · 43 beds
In good standing
For-profitChain member
4 of 5 overall
Sienna Hills Nursing & Rehabilitation in Adena, OH has a 4-star overall rating, with strong quality measures (5 stars) but weaker staffing (2 stars) and a below-benchmark nurse staffing level of 3.01 hours per resident day versus the federal 4.1-hour benchmark. Its health inspection rating is 3 stars, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0121 hrs/resident/day
Quality measures
Last inspection: April 2, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0121.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 0.68
- Nurse aides
- 1.76
- Weekend nursing
- 2.44
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14%Steady
Residents with a fall causing major injury
4.7%Improving
Residents with pressure ulcers (bedsores)
0.9%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
2.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.1%Improving
Residents whose ability to walk got worse
3.7%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
29.4%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
20.9%Improving
Residents with depressive symptoms
11.2%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
81.2%Worsening
Short-stay residents given the seasonal flu vaccine
61.5%Steady
Short-stay residents given the pneumonia vaccine
73.5%Improving
What the inspectors found
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2022 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly dispose of garbage and other waste. Cited December 2022 — widespread issue, potential for harm.
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F-Tag 814 — 42 CFR §483.60 — S/S: F
The nursing home failed to keep essential equipment working safely. Cited December 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of HILLSTONE HEALTHCARE · 12 homes · 3.7 stars avg
- Occupancy
- 40 residents on an average day (93% of 43 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.