Elder Care Record

Ohio › Belmont County › Adena

Sienna Hills Nursing & Rehabilitation

73841 Pleasant Grove Road, Adena, OH 43901

CCN 365922 · For-profit, corporation · 43 certified beds · chain Hillstone Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Sienna Hills Nursing & Rehabilitation is a For-profit, corporation nursing home in Adena, Ohio, certified for 43 beds and caring for about 38 residents a day.

CMS gives it 3 of 5 stars overall, equal to the Ohio median; the health inspection rating is 3, staffing 1 and quality measures 5.

Inspectors recorded 31 health deficiencies across the three most recent survey cycles (9, 9, 13 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 72.1 per 100 beds, more than the state median of 33.3.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.1 hours per resident per day (0.6 RN), close to the Ohio median of 3.6; nursing staff turnover is 44.8%.

31health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.1nurse hours per resident per daystate median 3.6
89%occupancy (residents ÷ beds)38 residents a day

Compared with county, state and nation

MeasureThis facilityBelmont Co. medianOhio medianUS average
Overall star rating3233.0
Health citations, 3 cycles31452728.7
Citations per 100 beds72.158.333.326.8
Total nurse hours per resident day3.13.23.63.9
RN hours per resident day0.60.60.60.7
Nursing staff turnover44.8%41.2%48.5%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (10 in the county, 922 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)9
Cycle 29
Cycle 313

Dark bar: this facility. Grey bar: Ohio average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Feb 2025, 1 Dec 2022.

Severity mix: G ×1 D ×23 E ×2 F ×5

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
2 Apr 2025F0584Honor 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.EComplaint investigation17 Apr 2025
2 Apr 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation17 Apr 2025
6 Feb 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard survey27 Mar 2025
6 Feb 2025F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey27 Mar 2025
6 Feb 2025F0584Honor 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.DStandard survey27 Mar 2025
6 Feb 2025F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey27 Mar 2025
6 Feb 2025F0679Provide activities to meet all resident's needs.DStandard survey27 Mar 2025
6 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey27 Mar 2025
6 Feb 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey27 Mar 2025
6 Feb 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey27 Mar 2025
6 Feb 2025F0880Provide and implement an infection prevention and control program.DStandard survey27 Mar 2025
18 Oct 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation31 Oct 2023
30 Aug 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation7 Sep 2023
1 Dec 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey16 Dec 2022
1 Dec 2022F0814Dispose of garbage and refuse properly.FStandard survey16 Dec 2022
1 Dec 2022F0908Keep all essential equipment working safely.FStandard survey16 Dec 2022
1 Dec 2022F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey16 Dec 2022
1 Dec 2022F0679Provide activities to meet all resident's needs.DStandard survey16 Dec 2022
1 Dec 2022F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey16 Dec 2022
1 Dec 2022F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey16 Dec 2022
5 Mar 2020F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey17 Apr 2020
5 Mar 2020F0584Honor 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.EStandard survey17 Apr 2020
5 Mar 2020F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard survey17 Apr 2020
5 Mar 2020F0641Ensure each resident receives an accurate assessment.DStandard survey17 Apr 2020
5 Mar 2020F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey17 Apr 2020
5 Mar 2020F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey17 Apr 2020
5 Mar 2020F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey17 Apr 2020
5 Mar 2020F0660Plan the resident's discharge to meet the resident's goals and needs.DStandard survey17 Apr 2020
5 Mar 2020F0675Honor each resident's preferences, choices, values and beliefs.DStandard survey17 Apr 2020
5 Mar 2020F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey17 Apr 2020
5 Mar 2020F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey17 Apr 2020

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.07 h
Nurse aides1.74 h
LPN0.72 h
RN0.61 h
Weekend total2.56 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 44.8%, RNs 50.0%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityOhio medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay5.8%4.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.7%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay3.8%4.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.5%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay10.0%7.5%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Sienna Hills Nursing & Rehabilitation, Inc.. Chain: Hillstone Healthcare (9 facilities).

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Belmont County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Belmont ManorSt Clairsville574343052.6—3 Mar 2026
Cumberland Pointe Care CenterSt Clairsville753333952.0—15 Sep 2025
Emerald Pointe Health and Rehab CtrBarnesville643334875.0—9 Dec 2025
Park Health CenterSt Clairsville872233843.7$17K23 Mar 2026
Continuing Healthcare At Forest HillSt Clairsville881214551.1$27K2 Apr 2026
Continuing Healthcare of ShadysideShadyside881213742.0—27 Mar 2026
Country Club Retirement Ctr IVBellaire621114572.6—17 Mar 2026
Rolling Hills Rehab and Care Ctrabuse iconSFF CandidateBridgeport7511177102.7$92K13 Apr 2026

All 10 facilities in Belmont County

Questions and answers

How many deficiencies has Sienna Hills Nursing & Rehabilitation been cited for?

31 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Ohio median is 27 per facility.

Has Sienna Hills Nursing & Rehabilitation been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Sienna Hills Nursing & Rehabilitation compare?

Reported total nurse staffing is 3.1 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.

Who operates Sienna Hills Nursing & Rehabilitation?

It is part of the Hillstone Healthcare chain. Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.

When was Sienna Hills Nursing & Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 2 Apr 2025; the most recent standard health survey was 6 Feb 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.