Sienna Hills Nursing & Rehabilitation
73841 Pleasant Grove Road · Adena, OH · 43901 · 7405463013
43 certified beds For profit - Corporation Chain: Hillstone Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
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-day | 3.01 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 2.44 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (31 in the current record)
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Potential for harm · D April 2, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 17, 2025 · Resident Rights
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Potential for harm · E April 2, 2025 · found via complaint
Honor 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.
Corrected April 17, 2025 · Resident Rights
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Potential for harm · D February 6, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 27, 2025 · Resident Rights
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Potential for harm · D February 6, 2025
Honor 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.
Corrected March 27, 2025 · Resident Rights
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Potential for harm · D February 6, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 6, 2025
Provide activities to meet all resident's needs.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025
Provide and implement an infection prevention and control program.
Corrected March 27, 2025 · Infection Control
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Potential for harm · F February 6, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 27, 2025 · Environmental
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Potential for harm · D October 18, 2023 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 31, 2023 · Resident Assessment and Care Planning
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Actual harm · G August 30, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 7, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 1, 2022
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected December 16, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 1, 2022
Provide activities to meet all resident's needs.
Corrected December 16, 2022 · Quality of Life and Care
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Potential for harm · D December 1, 2022
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 December 16, 2022 · Quality of Life and Care
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Potential for harm · D December 1, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 16, 2022 · Quality of Life and Care
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Potential for harm · F December 1, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 16, 2022 · Nutrition and Dietary
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Potential for harm · F December 1, 2022
Dispose of garbage and refuse properly.
Corrected December 16, 2022 · Nutrition and Dietary
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Potential for harm · F December 1, 2022
Keep all essential equipment working safely.
Corrected December 16, 2022 · Environmental
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Potential for harm · E March 5, 2020
Honor 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.
Corrected April 17, 2020 · Resident Rights
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Potential for harm · D March 5, 2020
Honor 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.
Corrected April 17, 2020 · Resident Rights
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Potential for harm · D March 5, 2020
Ensure each resident receives an accurate assessment.
Corrected April 17, 2020 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2020
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 17, 2020 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2020
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 17, 2020 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365922 · certified since May 26, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.