4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Sienna Hills Nursing & Rehabilitation is an outstanding nursing home in Adena, OH, that offers long-term care and rehabilitation. Through top-tier support around the clock, residents do not have to worry about their daily living activities and healthcare needs. Accessible communal spaces and spacious rooms are available in a nurturing setting to ensure residents’ comfort and safety.
Focusing on residents’ leisure and wellness, plenty of recreational activities and light exercises are conducted. Physical, occupational, and speech therapy are also provided to enhance residents’ living experiences. With its high-quality services and state-of-the-art amenities, residents will surely live to their potential in retirement.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 131st out of 210 homes in Ohio for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 34m per day | ▼ 10% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 41m per day | ▼ 30% State avg: 58m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 46m per day | ▼ 17% State avg: 2h 8m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 26m per day | ▼ 26% State avg: 3h 17m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 0m per day | ▼ 100% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 25m per day | ■ Avg State avg: 25m per day · National avg: 28m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
39% fewer staff per resident than Ohio average
14% better than Ohio average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 6 RN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hoursAssists with medical care and medications.
All 8 LPN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursHelps with daily care and mobility.
All 22 CNA Staff are full-time employees. No contractors work on this role.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 22 | 0 | 22 | 6,498 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 8 | 0 | 8 | 1,997 | 91 | 99% | 9.3 |
| Registered Nurse | 6 | 0 | 6 | 1,564 | 89 | 97% | 10.7 |
| RN Director of Nursing | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 493 | 60 | 65% | 8.2 |
| Nurse Practitioner | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Administrator | 2 | 0 | 2 | 296 | 41 | 45% | 6.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 104 | 13 | 14% | 8 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.2
58% worse than Ohio averageOhio average: 5.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.7
24% worse than Ohio averageOhio average: 12.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
11.7%
71% worse than Ohio averageOhio average: 6.8%
Percent of long-stay residents whose ability to move independently worsened
11.5%
30% worse than Ohio averageOhio average: 8.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.8%
8% worse than Ohio averageOhio average: 22.0%
Percent of long-stay residents experiencing one or more falls with major injury
9.2%
168% worse than Ohio averageOhio average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
1.8%
53% better than Ohio averageOhio average: 3.9%
Percent of long-stay residents with a urinary tract infection
0.9%
56% worse than Ohio averageOhio average: 0.5%
Percent of long-stay residents who lose too much weight
11.7%
88% worse than Ohio averageOhio average: 6.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Ohio averageOhio average: 24.0%
Percent of long-stay residents who received an antipsychotic medication
7.4%
13% better than Ohio averageOhio average: 8.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.5%
In line with Ohio averageOhio average: 92.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Ohio averageOhio average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
2.26
28% worse than Ohio averageOhio average: 1.77
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.72
6% better than Ohio averageOhio average: 1.83
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.1%
10% worse than Ohio averageOhio average: 78.0%
Percent of short-stay residents who newly received an antipsychotic medication
2.6%
107% worse than Ohio averageOhio average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
61.5%
19% worse than Ohio averageOhio average: 75.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
18% of new residents, usually for short-term rehab.
36% of new residents, often for short stays.
46% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
34Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Sienna Hills Nursing & Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #208 / 210Payroll — State benchmarkedThis home is ranked 208th out of 210 homes in Ohio. Shows total annual staff payroll benchmarked to the Ohio average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Ohio that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #191 / 210Payroll % — State benchmarkedThis home is ranked 191st out of 210 homes in Ohio. Shows payroll as a percentage of revenue versus the Ohio average. Well-run Ohio facilities typically land around 54–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Ohio that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Building Type: Single-story
On-site Medical Care and Health Services
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (46% of admissions), and a typical Medicaid stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.5 miles from city center
Estimated distance in miles from Adena's city center to Sienna Hills Nursing & Rehabilitation's address, calculated via Google Maps.
Add your location
The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.
| Sienna Hills Nursing & Rehabilitation | NH | Adena (Colerain) | 43
Facility
43
OH AVG
78
Rank
#254 / 323 |
71.1%
Facility
71.1%
OH AVG
78.7%
Rank
#164 / 211 | -10% | 3.32
Facility
3.32
OH AVG
3.54
Rank
#131 / 210 | +55% | -6% | $0
Facility
$0
OH AVG
$74.0k
Rank
#1 / 211 | 31
Facility
31
OH AVG
30.9
Rank
#117 / 210 | 5.2
Facility
5.2
OH AVG
4.6
Rank
#160 / 210 | 1 | 40 | - |
0
Facility
0
OH AVG
40
Rank
#687 / 705 | - | $2.6M
Facility
$2.6M
OH AVG
$10.1M
Rank
#204 / 210 | $1.5M
Facility
$1.5M
OH AVG
$3.9M
Rank
#208 / 210 | 55.6%
Facility
55.6%
OH AVG
40.2%
Rank
#191 / 210 | 365922 | ||||
| Sienna Skilled Nursing & Rehabilitation | NH HC PC RC | Wintersville (Beechwood) | 88
Facility
88
OH AVG
78
Rank
#119 / 323 |
86.2%
Facility
86.2%
OH AVG
78.7%
Rank
#95 / 211 | +10% | 2.50
Facility
2.50
OH AVG
3.54
Rank
#208 / 210 | +44% | -30% | $0
Facility
$0
OH AVG
$74.0k
Rank
#1 / 211 | 33
Facility
33
OH AVG
30.9
Rank
#124 / 210 | 4.1
Facility
4.1
OH AVG
4.6
Rank
#108 / 210 | 2 | 77 | - |
49
Facility
49
OH AVG
40
Rank
#264 / 705 | - | $9.5M
Facility
$9.5M
OH AVG
$10.1M
Rank
#134 / 210 | $3.5M
Facility
$3.5M
OH AVG
$3.9M
Rank
#144 / 210 | 36.5%
Facility
36.5%
OH AVG
40.2%
Rank
#154 / 210 | 366331 |
Sienna Hills Nursing & Rehabilitation is located in Adena, Ohio.
Here are the financial assistance programs available to residents in Ohio.
Sienna Hills Nursing & Rehabilitation is in the Colerain neighborhood.
Sienna Hills Nursing & Rehabilitation's occupancy is 71.1%.
Sienna Hills Nursing & Rehabilitation is registered as a for-profit.
Yes — there are 4 photos of Sienna Hills Nursing & Rehabilitation in the photo gallery on this page.
Sienna Hills Nursing & Rehabilitation is located at 73841 Pleasant Grove Road, Adena, OH 43901.
(740) 546-3013 will put you in contact with the team at Sienna Hills Nursing & Rehabilitation.
Yes — Sienna Hills Nursing & Rehabilitation is a CMS-certified provider of Medicare and Medicaid.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
