Siena Skilled Nursing and Rehabilitation Center
Strong Medicare quality ratings; families often praise exceptional physical and occupational therapy. Still worth an in-person visit.
based on 93 Google reviews
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What this means for your family
This facility is an excellent choice for patients focused on intensive physical rehabilitation, as the therapy teams are frequently cited as top-tier. However, families should closely monitor medication schedules and be prepared for potentially slow response times to call buttons, particularly during the weekend shifts.
Google Reviews
Google Reviews
93 reviews on Google“Families considering Siena Skilled Nursing and Rehabilitation Center will find a facility highly praised for its exceptional physical therapy and a compassionate, friendly nursing staff. However, significant concerns exist regarding slow response times to call buttons, particularly on weekends, and occasional lapses in medication management. While many praise the cleanliness and the beautiful mountain location, others have reported issues with staffing levels and the complexity of the visitor check-in process.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical and occupational therapy
- Compassionate and friendly nursing staff
- Clean and well-maintained facility
- Beautiful mountain location
Concerns
- Slow response times to emergency call buttons (mentioned by 4 reviewers)
- Inconsistent medication management and administration (mentioned by 3 reviewers)
- Understaffing, especially during weekends (mentioned by 2 reviewers)
- Frustrating visitor check-in/entry process (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 102 analyzed
How They Respond to Reviews
The owner provides personalized responses that frequently use the reviewer's name and acknowledge specific details mentioned in the text. They demonstrate a professional tone, particularly when addressing constructive criticism or concerns regarding patient care.
Questions for Your Tour
- 1With such a high rating for physical and occupational therapy, how do you tailor rehabilitation plans to help residents regain their independence?
- 2We noticed how much the management engages with feedback from the community; how does the facility use resident and family input to improve daily operations?
- 3What specific protocols are in place to ensure that call buttons are answered promptly, especially during the evening or overnight shifts?
- 4Could you walk us through your process for medication administration to ensure everything is tracked accurately and consistently?
- 5How do you manage staffing levels on the weekends to ensure the same level of care is provided as during the weekdays?
- 6What kind of daily activities or social outings do you organize to take advantage of this beautiful mountain location?
Personalized based on this facility's data
Key Review Excerpts
“The rehab staff was no nonsense, their goal was to help patients get stronger and back on their feet. They even gave our family training on how to care for my mom at home.”
“The emergency red “help” button? Be prepared to wait 15-20 minutes for assistance.”
“My 95-year-old mother just spent 10 days at sienna. She arrived so fragile and spent. Her recovery was just amazing. When I got her home she was standing and walking with her walker.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
2
measures
2
measures
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Siena has recurring issues across multiple care areas, with families filing complaints that triggered inspections for problems with resident assessments and notification requirements. The facility shows persistent deficiencies in medication management, care planning, and building safety systems like fire sprinklers that have appeared repeatedly across surveys from 2022-2025. While all violations have correction dates, the pattern of recurring problems in core care areas suggests ongoing quality challenges families should investigate during visits.
Mar 4, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Mar 3, 2026Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Aug 14, 2025Routine9
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Nov 25, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Sep 12, 2024Routine6
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Nov 21, 2023Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Federal Penalties
Fine
Nov 6, 2023
$4,194
Ownership & Operations
Who Operates This Facility
Siena Skilled Nursing and Rehabilitation Center
for profit
Chain Affiliation
Generations Healthcare
27 facilities nationwide
Chain avg rating: 3.8/5 · Rank 9 of 33 (Best)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
93 reviews from families & visitors
Official Website
Visit lifegen.net
Medicare data downloads
Original nursing home datasets
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