Siena Woods Care Center
Strong Medicare quality ratings; families often praise friendly and compassionate nursing staff. Still worth an in-person visit.
based on 77 Google reviews

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What this means for your family
This facility shows a significant divide in experiences. While the dietary and rehab teams receive praise, the recurring reports of severe understaffing and poor communication during medical crises are major red flags. If you consider this facility, we strongly recommend conducting unannounced visits during evening or weekend hours to assess staffing levels and response times yourself.
Google Reviews
Google Reviews
77 reviews on Google“Siena Woods Care Center receives highly polarized feedback, with recent reviews showing a significant divide between glowing praise for staff and dietary services and severe allegations of neglect. Families frequently report concerns regarding chronic understaffing, particularly on nights and weekends, and poor communication during medical emergencies. While some visitors describe the facility as clean and welcoming, others document distressing experiences involving hygiene issues, unresponsive nursing staff, and poor quality of care.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and compassionate nursing staff
- High-quality dietary department
- Clean and well-maintained facility
- Effective rehabilitation therapy team
Concerns
- Chronic understaffing on nights and weekends (mentioned by 6 reviewers)
- Poor communication regarding medical status and hospital transfers (mentioned by 4 reviewers)
- Unsanitary conditions and poor hygiene care (mentioned by 5 reviewers)
- Unresponsive nursing staff to call buttons (mentioned by 4 reviewers)
- Poor food quality and small portion sizes (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 84 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1We've heard wonderful things about your dietary department; could you tell us more about how meals are prepared and if there are options for specific dietary needs?
- 2With the facility being so well-maintained, what is your routine for ensuring resident rooms and common areas stay deeply cleaned every day?
- 3How does the nursing team ensure that family members are kept updated and informed immediately following a doctor's visit or a hospital transfer?
- 4What is the protocol for responding to call buttons during the night shifts and over the weekends to ensure no resident is left waiting?
- 5Can you walk us through your process for managing medications to ensure everything is administered accurately and on schedule?
- 6What kind of daily activities or social outings do you have planned to keep the residents engaged and active?
Personalized based on this facility's data
Key Review Excerpts
“My grandfather has been there less than one week. We called today to speak with the social worker regarding the plan for his rehabilitation and were transferred to the nursing station instead. The nurse informed us that he was taken to the hospital last night ALONE.”
“The dietary department at Siena Woods Care Facility Is absolutely amazing! Friendly, attentive and passionate about what they do! They go above and beyond your normal standards!”
“My dad smelled so bad it was awful and they gave all these excuses. While all along it was them not taking care of him properly. The aids are always on their phones.”
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
6
measures
7
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families filed multiple complaints triggering 8 deficiencies, with concerning patterns in pressure ulcer care appearing across four separate surveys from 2018 to 2025. The facility shows recurring issues with medication management, infection control, and wound care, suggesting systemic problems that persist despite corrections. While all deficiencies show correction dates, the repeated nature of core care issues raises questions about sustained improvement.
Feb 18, 2026Complaint6
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 23, 2025Complaint3
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Jan 8, 2025Complaint1
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Oct 24, 2024Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 26, 2024Complaint3
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 11, 2024Routine6
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Ownership & Operations
Who Operates This Facility
Siena Woods Care Center
for profit
Chain Affiliation
Exceptional Living Centers
10 facilities nationwide
Chain avg rating: 3.2/5 · Rank 5 of 10
Ownership & Management
Owners
Medical Rehabilitation Centers, LLC
Owner · Organization
Watts, Amy
Owner (parent company)
Watts, Walter
Owner (parent company)
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
77 reviews from families & visitors
Official Website
Visit sienawoods.com
Medicare data downloads
Original nursing home datasets
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