Siena Woods Care Center

6125 N Main Street · Dayton, OH · 45415 · 9372788211

99 certified beds For profit - Corporation Chain: Exceptional Living Centers

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

Red flags

62% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 52
Serious harm & abuse 20% 88
Staffing 20% 68
Federal penalties 15% 100
Trend 10% 75
Context 5% 85

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.893.48 min · 4.1 strong
RN hours / resident-day0.620.55–0.75
Weekend hours / resident-day3.35≈ weekday level
Nursing turnover / year62%median 45%
Fines (3-yr window)none

Inspection citations (42 in the current record)

  • Potential for harm · D February 18, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 31, 2026 · Quality of Life and Care

  • Potential for harm · D February 18, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 31, 2026 · Quality of Life and Care

  • Potential for harm · D February 18, 2026 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 31, 2026 · Pharmacy Service

  • Potential for harm · D February 18, 2026 · found via complaint

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Corrected March 31, 2026 · Nutrition and Dietary

  • Potential for harm · E February 18, 2026 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 31, 2026 · Nutrition and Dietary

  • Potential for harm · D February 18, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected March 31, 2026 · Infection Control

  • Potential for harm · D April 23, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 12, 2025 · Quality of Life and Care

  • Potential for harm · D April 23, 2025 · found via complaint

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected May 12, 2025 · Pharmacy Service

  • Potential for harm · D April 23, 2025 · found via complaint

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected May 12, 2025 · Nutrition and Dietary

  • Potential for harm · E January 8, 2025 · found via complaint

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected January 20, 2025 · Infection Control

  • Potential for harm · E October 24, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 6, 2024 · Pharmacy Service

  • Potential for harm · D September 26, 2024 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected November 6, 2024 · Quality of Life and Care

  • Potential for harm · D September 26, 2024 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected November 6, 2024 · Quality of Life and Care

  • Potential for harm · D September 26, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected November 6, 2024 · Infection Control

  • Actual harm · G January 11, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 5, 2024 · Quality of Life and Care

  • Potential for harm · D January 11, 2024

    Provide appropriate foot care.

    Corrected February 5, 2024 · Quality of Life and Care

  • Potential for harm · D November 14, 2019

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected December 30, 2019 · Resident Rights

  • Potential for harm · D November 14, 2019

    Ensure each resident receives an accurate assessment.

    Corrected December 30, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D November 14, 2019

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected December 30, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D November 14, 2019

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 30, 2019 · Quality of Life and Care

  • Potential for harm · D November 14, 2019

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected December 30, 2019 · Pharmacy Service

  • Potential for harm · D November 14, 2019

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected December 30, 2019 · Pharmacy Service

  • Potential for harm · D November 14, 2019

    Implement 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.

    Corrected December 30, 2019 · Pharmacy Service

  • Potential for harm · D November 14, 2019

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected December 30, 2019 · Administration

  • Potential for harm · D November 14, 2019

    Provide or obtain dental services for each resident.

    Corrected December 30, 2019 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365819 · certified since November 21, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.