Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Sienna Hills Nursing & Rehabilitation during CMS and state inspections, most recent first.
The facility did not ensure a comfortable environment for residents by failing to maintain adequate heating in the shared shower room. Staff and several residents reported that the shower room was often cold, especially during winter, due to non-functioning heaters. Residents sometimes refused showers or received bed baths instead. Concerns about the cold shower room were raised in resident council meetings and the grievance log, but there was no documented response or resolution, and the issue persisted over an extended period.
A resident with severe cognitive impairment requested to be laid down in her room. Two CNAs assisted, and upon entering the room, another CNA used profanity and refused to help, stating she had already put the resident to bed once. This comment was made in the resident's presence and witnessed by staff, failing to honor the resident's right to dignity and respect.
The facility failed to maintain a clean and comfortable environment for residents, as numerous drywall repairs in resident rooms and common areas were not properly painted. This issue was observed during a survey and confirmed by the facility administrator, potentially affecting all 34 residents.
The facility failed to include the Quality Improvement Organization (QIO) name and contact information on the Notice of Medicare Non-Coverage (NOMNC) 10123 forms for four residents. These residents, with various medical conditions, were discharged from skilled services but remained in the facility or were discharged to home or lesser care. The omission of QIO details, necessary for appealing service termination decisions, was confirmed by the Administrator.
A resident with intact cognition reported missing snacks from his room, suspecting another resident who shared a bathroom with him. Despite multiple reports to staff, the issue persisted without resolution or investigation. A CNA witnessed the suspected resident taking snacks but did not recall which nurse she reported it to. The facility's log showed no record of the missing items, and the policy for handling such incidents was not followed.
A facility failed to update a resident's PASRR document following an inpatient psychiatric hospitalization for increased aggression and agitation. The resident, with diagnoses including schizophrenia and bipolar disorder, was admitted for evaluation, but the PASRR document remained unchanged, as confirmed by the Administrator.
A resident with depression and other health issues was not assessed for activity preferences, and the facility failed to offer activities that met his interests. The resident's medical record lacked an activity assessment and comprehensive plan of care. Staff interviews confirmed the absence of communication regarding the resident's preferences, and the facility's policy on activity programs was not followed.
A resident with nicotine dependence and a visual deficit suffered a burn injury due to inadequate smoking safety measures. Despite requiring supervision and using a smoking apron, the resident's care plan lacked an order for a cigarette extender, leading to a burn on the resident's finger. Staff were not consistently aware of the need for the extender, and no skin assessment was conducted until the survey. The facility's policy for safe smoking practices was not adequately followed.
A resident with end-stage renal disease and other health conditions did not receive the appropriate diet and snacks as ordered by the dialysis dietician due to a lack of communication between the facility and dialysis dieticians. The resident's nutrition plan did not include the recommended high protein snack, and the facility's dietary staff failed to provide it, leading to unmet nutritional needs.
A resident requiring dialysis did not receive calcium acetate with meals as ordered, and their care plan was outdated, reflecting incorrect dialysis days. The medication administration records showed discrepancies in timing, and there was no order for weighing the resident as per the care plan.
A facility failed to maintain proper infection control practices when a resident's indwelling urinary catheter drainage bag was observed touching the floor. The resident, with multiple health conditions including obstructive uropathy and Fournier gangrene, had a care plan requiring the catheter to be kept off the floor to prevent infection. The Director of Nursing confirmed the deficiency, which violated the facility's urinary catheter care policy.
Failure to Maintain Adequate Heating in Shared Shower Room
Penalty
Summary
The facility failed to maintain a comfortable and safe environment for residents by not ensuring adequate heating in the only shared shower room. Observations revealed that the shower room, located on the 300 hall, lacked a functioning heater. The wall-mounted heater was inoperable, and the main heating unit, part of the facility's boiler system, could not be controlled from inside the shower room. The temperature in the shower room was noted to be cooler than the adjacent hallway, and a portable fan was present but reportedly only used after showers. Thermostats throughout the facility showed hallway temperatures between 68 and 69 degrees Fahrenheit, but the manual thermostat controlling the 200 and 300 halls was found set to 42 degrees Fahrenheit, which may have contributed to the cooler conditions in the shower room. Interviews with staff and residents confirmed ongoing issues with the shower room temperature, particularly during colder months. Staff reported that the smaller wall heater had not worked for years and that residents sometimes refused showers due to the cold, opting for bed baths instead. Residents who had recently used the shower room described it as cold, especially when wet, and noted that the heater had been broken for an extended period. Some residents recalled the use of a portable space heater in the past, which was later removed due to safety concerns, and expressed a desire for a warmer environment during showers. Review of resident council meeting minutes and the facility's grievance log indicated that concerns about the lack of heat in the shower room had been raised by residents, but meeting minutes did not document any response or follow-up. A service order from an outside boiler company confirmed that heating issues were identified, particularly on the 300 hall, but did not specifically address the shower room. There was no documented evidence that the recommended repairs or further assessments had been completed to resolve the lack of heat in the shower room.
Failure to Treat Resident with Dignity and Respect
Penalty
Summary
A deficiency occurred when a resident with severe cognitive impairment, admitted with diagnoses including nontraumatic intracerebral hemorrhage, cerebral infarction, and vascular dementia, was not treated with respect and dignity by staff. The resident requested to return to her room and be laid down. Two CNAs assisted her to her room, where another CNA was present. In the presence of the resident, this CNA stated, using profanity, that she would not put the resident to bed because she had already done so once. This exchange was witnessed by the assisting CNAs and reported to the nurse on duty. The incident was documented in multiple staff witness statements, all indicating that the inappropriate comment was made in front of the resident. The LPN on duty was notified of the situation. The Director of Nursing, who was not employed at the time, later confirmed that the behavior described in the witness statements did not align with treating residents with dignity and respect. Facility policy reviewed states that residents have the right to a dignified existence and to be treated with respect, kindness, and dignity.
Unpainted Drywall Repairs in Resident Rooms and Common Areas
Penalty
Summary
The facility failed to maintain resident rooms and common areas in a clean and comfortable manner, as evidenced by numerous instances of drywall repairs that were not properly painted. This deficiency was observed during a survey conducted from February 3 to February 6, 2025, and had the potential to affect all 34 residents within the facility. Specific areas of concern included several resident rooms and hallways where drywall repairs were visible without any repainting. The facility administrator confirmed these findings during observations conducted on February 6, 2025.
Failure to Provide QIO Information on NOMNC Forms
Penalty
Summary
The facility failed to provide the Quality Improvement Organization (QIO) name and contact information on the Notice of Medicare Non-Coverage (NOMNC) 10123 forms for four residents. This deficiency was identified during a review of records and interviews with facility staff. The residents affected included those with various medical conditions such as atrial fibrillation, dysphagia, muscle weakness, cognitive communication deficit, hypokalemia, anxiety, multiple sclerosis, pulmonary embolism, anemia, vascular dementia, adult failure to thrive, myocardial infarction, arthritis, hypertension, and cerebral infarction. These residents were discharged from skilled services but remained in the facility or were discharged to home or lesser care. The NOMNC 10123 forms for these residents, dated between September 2024 and January 2025, lacked the required QIO information, which is necessary for residents to appeal the decision to end services. The facility's failure to include this information was confirmed by the Administrator during an interview. The omission of the QIO details on the NOMNC forms is a violation of the instructions provided for these notices, which require the facility to insert the QIO name and phone number to facilitate the appeal process for residents.
Failure to Safeguard Resident's Personal Items
Penalty
Summary
The facility failed to safeguard a resident's personal items from potential theft, affecting a resident with intact cognition who was admitted with multiple diagnoses including chronic respiratory failure and end-stage renal disease. The resident reported missing snacks from his drawer, suspecting another resident who shared a bathroom with him. Despite reporting the issue to staff multiple times, the problem persisted without resolution or investigation. Interviews with staff revealed that a CNA witnessed the suspected resident taking snacks but did not recall which nurse she reported it to. The RN confirmed the resident's complaints but noted that the room door was closed when the resident left for dialysis. The Social Service staff responsible for reporting concerns was unaware of the issue, and the Director of Nursing had not been informed. The facility's log showed no record of the missing items, and the policy for handling such incidents was not followed, as there was no communication or resolution provided to the resident.
Failure to Update PASRR Document After Psychiatric Hospitalization
Penalty
Summary
The facility failed to ensure that a Pre-Admission Screening and Resident Review (PASRR) document accurately reflected a significant change in condition for a resident. The resident, who was admitted with multiple diagnoses including schizophrenia, bipolar disorder, and dementia, underwent an inpatient psychiatric evaluation due to increased aggression and agitation. Despite this significant event, the PASRR document was not updated following the resident's psychiatric hospitalization. This oversight was confirmed during an interview with the Administrator, who acknowledged that the PASRR document did not accurately reflect the resident's inpatient psychiatric hospitalization.
Failure to Assess and Offer Resident-Centered Activities
Penalty
Summary
The facility failed to assess and offer activities that met the interests of a resident, who was admitted with diagnoses including depression, cerebral infarction, diabetes type one, and difficulty walking. The resident's medical record lacked evidence of an activity assessment, and there was no comprehensive activity plan of care. Progress notes and task documentation did not reflect the resident's participation in activities, and the resident was often marked as passive or observed only. Interviews with the resident revealed that he was not offered activities of interest, such as working on model cars or planes, and no one had discussed his activity preferences with him. Interviews with facility staff, including the social service/activity director and the activity assistant, confirmed that the resident did not have an activity assessment or individualized plan of care for activities. The staff were unclear about the documentation of activities and had not spoken to the resident about his preferences. The facility's policy on activity programs emphasized the importance of meeting residents' interests and supporting their well-being, but this was not reflected in the care provided to the resident. The lack of a structured activity program and communication with the resident contributed to the deficiency in meeting his needs.
Failure to Ensure Safe Smoking Practices
Penalty
Summary
The facility failed to ensure an individualized, comprehensive plan of care for a resident with a history of nicotine dependence, resulting in a burn injury from smoking. The resident, who was cognitively intact but had a visual deficit, was known to smoke five to ten times a day and required supervision. Despite the resident's use of a smoking apron and the facility's storage of the lighter and cigarettes, there was no evidence of an order for a cigarette extender to prevent burns, nor was it included in the resident's care plan. The resident reported using an extender, but it was not labeled for individual use, and staff were not consistently aware of its necessity. The deficiency was identified when a skin alteration was observed on the resident's right middle finger, which the resident confirmed was a burn from a cigarette. The facility's staff, including CNAs and RNs, were not fully aware of the burn or the need for a cigarette extender, and no skin assessment was completed until the survey. The Director of Nursing confirmed the lack of a comprehensive smoking plan and the absence of an investigation into the cause of the burn. The facility's policy required routine evaluations to ensure safe smoking practices, which were not adequately followed in this case.
Failure to Provide Appropriate Diet and Snacks for Dialysis Resident
Penalty
Summary
The facility failed to provide a resident with the appropriate diet and snacks as ordered by the dialysis center dietician, and there was a lack of communication between the facility dietician and the dialysis dietician. The resident, who was admitted with diagnoses including type 2 diabetes, morbid obesity, heart failure, sepsis, hypertension, and end-stage renal disease, was not receiving the high protein snack at night as recommended by the dialysis dietician. The resident's nutrition plan of care did not include the high protein snack, and the facility's dietary supplement list and task documentation showed no evidence of the snack being provided. Interviews revealed that the resident was receiving snacks that did not meet the dietary requirements, such as fudge rounds or oatmeal cream pies, instead of high protein options. The facility's registered dietician confirmed there was no order for the high protein snack and acknowledged issues with dietary staff changeover affecting meal provision. The dialysis dietician had not been in contact with the facility dietician and had re-faxed the nutrition notes to the facility, indicating a lack of communication and coordination in meeting the resident's nutritional needs.
Deficiency in Dialysis Care and Medication Administration
Penalty
Summary
The facility failed to ensure that a resident requiring dialysis received medication as ordered and that the dialysis plan of care was accurate. The resident, who was admitted with multiple diagnoses including end-stage renal disease and was dialysis-dependent, did not receive calcium acetate, a phosphorus binder, with meals and snacks as required. The medication administration records showed discrepancies in the timing of the medication, which was not aligned with the resident's mealtimes. Interviews with the Registered Dietician and the Director of Nursing confirmed that the medication was not administered during mealtimes, contrary to the resident's needs. Additionally, the resident's dialysis care plan was outdated and did not reflect the correct days for dialysis treatment. The care plan indicated dialysis on Tuesdays, Thursdays, and Saturdays, while the resident actually attended dialysis on Mondays, Wednesdays, and Fridays. This discrepancy was confirmed through interviews with the resident, a Registered Nurse, and the Director of Nursing. Furthermore, there was no evidence of an order to weigh the resident as per the plan of care, indicating a lack of adherence to the resident's dialysis care requirements.
Infection Control Deficiency: Catheter Bag Contact with Floor
Penalty
Summary
The facility failed to implement appropriate infection control practices when an indwelling urinary catheter drainage bag was observed in contact with the floor. This deficiency was identified during an observation of a resident who had an indwelling supra-pubic catheter due to obstructive uropathy. The resident, who was cognitively intact and required assistance with activities of daily living, was admitted with multiple diagnoses including obstructive reflex uropathy, acute kidney failure, diabetes mellitus, coronary artery disease, morbid obesity, bipolar disorder, and Fournier gangrene. The care plan for the resident included maintaining the catheter off the floor to prevent infection. During the observation, the urinary catheter bag, encased in a cloth privacy cover, was seen touching the floor. This was confirmed by the Director of Nursing, who acknowledged that the catheter bag should not be in contact with the floor. The facility's policy on urinary catheter care, revised in 2021, mandates that catheter tubing and drainage bags be kept off the floor, highlighting a failure to adhere to established infection control protocols.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Adena
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Belmont Manor | 6.1 mi | ★★★★★ | 5 | 0 |
| Park Health Center | 6.3 mi | ★★★★★ | 8 | 1 |
| Rolling Hills Rehab And Care Ctr | 6.8 mi | ★★★★★ | 18 | 1 |
| Continuing Healthcare At Forest Hill | 6.9 mi | ★★★★★ | 9 | 0 |
| East Ohio Regional Hospital Long Term Care | 7.8 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release June 2026) and official state health department websites.