Sienna Hills Nursing & Rehabilitation

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
Sienna Hills Nursing & Rehabilitation
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.

Overview of Sienna Hills Nursing & Rehabilitation

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.

(740) 546-3013

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
2/5 ▼ 1.2 Ohio average: 3.2/5
Health Inspection Info 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.
2/5 ▼ 0.8 Ohio average: 2.8/5
Staffing Info 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.
2/5 ▼ 0.4 Ohio average: 2.4/5
Quality Measures Info 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.
4/5 ▼ 0.4 Ohio average: 4.4/5

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Ohio state averages

Total nursing care / resident Info This home is ranked 109th out of 176 homes in Ohio.

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.
3h 19m per day
Rank #109 / 176Nurse hours — state benchmarkedThis home is ranked 109th out of 176 homes in Ohio.Shows adjusted nurse hours per resident per day benchmarked to the Ohio average, with a ranking across 176 Ohio SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility Ohio avg (3h 32m per day)
vs Ohio avg
-6%

6 of 6 metrics below state avg

Staff typeHours / dayvs state avg
Registered Nurse (RN) Info 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. 28m per day ▼ 26% State avg: 38m per day · National avg: 41m per day
LPN / LVN Info 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. 51m per day ▼ 12% State avg: 58m per day · National avg: 52m per day
Nurse Aide Info 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 38m per day ▼ 23% State avg: 2h 8m per day · National avg: 2h 20m per day
Total Nursing (Weekend) Info 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 40m per day ▼ 19% State avg: 3h 17m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 2m per day ▼ 33% State avg: 3m per day · National avg: 4m per day
RN (Weekend) Info 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. 20m per day ▼ 20% State avg: 25m per day · National avg: 28m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 43

This home usually has availability

Occupancy lower than 85% suggests more openings may be available.

Lower occupancy than the Ohio average: 78.7%
Occupancy rate 71.1% Rank #129 / 177Occupancy rate — state benchmarkedThis home is ranked 129th out of 177 homes in Ohio.Shows this facility's occupancy rate versus the Ohio average, with its statewide rank out of 177. Higher occupancy signals strong local demand and financial stability.
Residents per day (avg) 32
Occupancy rate
71.1% Rank #129 / 177Occupancy rate — state benchmarkedThis home is ranked 129th out of 177 homes in Ohio.Shows this facility's occupancy rate versus the Ohio average, with its statewide rank out of 177. Higher occupancy signals strong local demand and financial stability.
Residents per day (avg)
32

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

18% of new residents, usually for short-term rehab.

Typical stay 23 days

Private pay

36% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

46% of new residents, often for long-term daily care.

Typical stay 3 - 4 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$3.6M
Operating loss
-$26.1K
Privately-owned community Operated by a business corporation.
Home revenue
$3.6M Rank #170 / 176Revenue — state benchmarkedThis home is ranked 170th out of 176 homes in Ohio.Shows this facility's annual revenue compared to the Ohio SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$26.1K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #174 / 176Payroll — state benchmarkedThis home is ranked 174th out of 176 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.
$1.3M
35.5% of revenue Rank #110 / 176Payroll % — state benchmarkedThis home is ranked 110th out of 176 homes in Ohio.Shows payroll as a percentage of revenue versus the Ohio average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.4M
Total costs $3.7M

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Building type icon
Building type icon

Building Type: Single-story

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Types of Care at Sienna Hills Nursing & Rehabilitation

Nursing Home

Contact Sienna Hills Nursing & Rehabilitation

Health Inspection History

Inspections
Total health inspections 6

State average 6.7


Last Health inspection on Apr 2025

Total health citations
31 Rank #103 / 177Health citations — state benchmarkedThis home is ranked 103rd out of 177 homes in Ohio.Shows this facility's total health deficiency citations benchmarked to the Ohio state average, with a ranking across all 177 OH SNFs. Lower citation counts earn a better rank.

State average 30.9

Citations per inspection
5.17

State average 4.59


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

27 of 31 citations resulted from standard inspections; and 4 of 31 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info
0 Rank #1 / 96Severe citations — state benchmarkedThis home is ranked 1st out of 96 homes in Ohio.Shows citations where actual resident harm occurred, compared to the Ohio average and ranked across 96 SNFs statewide. Even a single severe citation is significant — lower is always better.
100% better than State average

State average: 0.3


Serious Health citations More info 1
11% worse than State average

State average: 0.9

0 critical citations More info State average: 0.3

1 serious citation More info State average: 0.9

30 moderate citations More info State average: 29

0 minor citations More info State average: 0.7
Citations history (last 3 years)
Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Apr 02, 2025
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Apr 02, 2025
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Feb 06, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Feb 06, 2025
Corrected

Compare Nursing Homes around the area The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.

5 facilities compared · CMS & OH Dept. of Health data · Updated Apr 2026

Filter by care type
Sienna Hills Nursing & Rehabilitation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Adena (Colerain)49 71.1% -10%3.32 +29%-6%0315.2132- 0 -$3.6M$1.3M35.5%365922
Sienna Skilled Nursing & Rehabilitation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Wintersville (Beechwood)88 86.2% +10%2.50 +22%-30%0334.1277- 49 -$9.8M$3.1M31.7%366331
Forester Nursing Home Inc -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Wintersville (Beechwood)---------000.00-- 25 -----
Labelle View Nursing Center -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Steubenville (La Belle)---------000.00-- 40 -----
Riverview Nursing Home Inc -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Steubenville (Jacksonville)---------000.00-- 48 -----

Financial Assistance in
Ohio

Get Financial aid guidance

PASSPORT Waiver

Ohio Medicaid PASSPORT

Age 60+
General Ohio resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
OH

Administered through regional agencies; waitlists possible.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Ohio Home Care Program (non-Medicaid)

OH HCP

Age 60+
General Ohio resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
OH

Limited funding; regional variation.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Assisted Living Waiver (ALW)

Ohio Assisted Living Waiver

Age 21+ (65+ prioritized)
General OH resident, Medicaid-eligible, NFLOC.
Income Limits (2025) ~$2,829/month (individual); QIT required.
Asset Limits $2,000 (individual), $3,000 (couple).
OH

Covers ~300 facilities; room/board not included (separate cost).

Benefits
Personal care Meals Medication management Transportation (~$3,000-$4,000/month value)

Program of All-Inclusive Care for the Elderly (PACE)

Ohio PACE (e.g., McGregor PACE)

Age 55+
General OH resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
OH

Available in 9 counties (e.g., Cuyahoga, Franklin); expanding via Healthy Aging Grants.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Ohio Medicare Savings Program

Age 65+ or disabled
General OH resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
OH

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Home Energy Assistance Program (HEAP)

Ohio HEAP

Age 60+ prioritized
General OH resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
OH

Covers gas, electric, oil; emergency aid via Winter/Summer Crisis Programs.

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

Ohio Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; OH resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
OH

12 AAAs; rural/low-income priority; volunteer respite option.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

Senior Community Service Employment Program (SCSEP)

Ohio SCSEP

Age 55+
General unemployed, low-income, OH resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
OH

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Ohio VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General OH resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
OH

High veteran demand; supports care in multiple settings.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Homestead Exemption

Ohio Homestead Exemption

Age 65+ (or disabled)
General OH resident, homeowner, low-income.
Income Limits (2025) ~$38,500/year individual, adjusted annually
Asset Limits Not assessed; home ownership required.
OH

Reduces taxable value by $25,000; applies to primary residence.

Benefits
Tax reduction (~$400-$800/year avg., varies by county)

Save the Dream Ohio (Homeowner Assistance Fund)

Ohio Save the Dream

Age 60+ prioritized
General OH resident, homeowner, hardship post-Jan 21, 2020.
Income Limits (2025) ~$147,600/year family of 4, 150% AMI; varies by county
Asset Limits Not assessed; hardship-focused.
OH

Covers delinquent mortgages, utilities, taxes; max $25,000 mortgage aid.

Benefits
Mortgage aid ($25,000 max) Utility/property tax aid ($5,000 avg.)

Places of interest near Sienna Hills Nursing & Rehabilitation

Address 6.1 miles from city center Info Estimated distance in miles from Adena's city center to Sienna Hills Nursing & Rehabilitation's address, calculated via Google Maps.

Calculate Travel Distance to Sienna Hills Nursing & Rehabilitation

Add your location

Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 42
Employees 33
Contractors 9
Staff to resident ratio 1.24:1
42% worse than Ohio average

Ohio average ratio: 2.14:1

Avg staff/day 15
Average shift 8.3 hours
0% compared with Ohio average

Ohio average: 8.1 hours

Total staff hours (quarter) 11,323
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.6 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

8.2%

929 contractor hours this quarter

Speech Language Pathologist: 3 Respiratory Therapy Technician: 2 Physical Therapy Aide: 2 Qualified Social Worker: 1 Physical Therapy Assistant: 1
Staff by category
Certified Nursing Assistant150155,10691100%8.8
Licensed Practical Nurse6062,02791100%9.5
Registered Nurse5051,2407886%10.6
Other Dietary Services Staff1015386673%8.2
Administrator1015126470%8
Nurse Practitioner1014725965%8
RN Director of Nursing2024606066%7.7
Physical Therapy Aide0223876774%5.8
Qualified Social Worker0112294853%4.8
Speech Language Pathologist0331645864%2.6
Physical Therapy Assistant011813235%2.5
Respiratory Therapy Technician022672224%3
Clinical Nurse Specialist2024055%8
15 Certified Nursing Assistant
% of Days 100%
6 Licensed Practical Nurse
% of Days 100%
5 Registered Nurse
% of Days 86%
1 Other Dietary Services Staff
% of Days 73%
1 Administrator
% of Days 70%
1 Nurse Practitioner
% of Days 65%
2 RN Director of Nursing
% of Days 66%
2 Physical Therapy Aide
% of Days 74%
1 Qualified Social Worker
% of Days 53%
3 Speech Language Pathologist
% of Days 64%
1 Physical Therapy Assistant
% of Days 35%
2 Respiratory Therapy Technician
% of Days 24%
2 Clinical Nurse Specialist
% of Days 5%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 34
Medicare
32
94.1% of residents
Medicaid
2
5.9% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 average

Ohio average: 5.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.7
24% worse than Ohio average

Ohio average: 12.7

Long-stay resident measures
Above average Ohio avg: 4.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.7%
71% worse than Ohio average

Ohio average: 6.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 11.5%
30% worse than Ohio average

Ohio average: 8.9%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 23.8%
8% worse than Ohio average

Ohio average: 22.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 9.2%
168% worse than Ohio average

Ohio average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.8%
53% better than Ohio average

Ohio average: 3.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.9%
56% worse than Ohio average

Ohio average: 0.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 11.7%
88% worse than Ohio average

Ohio average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Ohio average

Ohio average: 24.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 7.4%
13% better than Ohio average

Ohio average: 8.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 92.5%
In line with Ohio average

Ohio average: 92.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than Ohio average

Ohio average: 94.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.26
28% worse than Ohio average

Ohio average: 1.77

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.72
6% better than Ohio average

Ohio average: 1.83

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 70.1%
10% worse than Ohio average

Ohio average: 78.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.6%
107% worse than Ohio average

Ohio average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 61.5%
19% worse than Ohio average

Ohio average: 75.6%

Guides for Better Senior Living

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

Explore Open Rooms
1 Contact details
2 What type of senior care service are you looking for?
3 What budget do you have in mind for senior care?
4 How soon do you need to find care?
5 Additional details

Thank you for your interest!

Our team will be in touch shortly to help with next steps.