Sienna Extended Care & Rehab
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 92 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (12 vs median 6.0)
Bottom 25% in OK · Critically understaffed (RN) · No penalties on record
What this means for your family
While the facility is physically attractive and features a strong therapy department, the recurring reports of severe neglect, unresponsiveness to call lights, and medication errors are deeply concerning. If you consider this facility, you must conduct unannounced visits during weekends and evenings to verify staffing levels and observe the actual quality of care provided to residents.
Google Reviews
Google Reviews
92 reviews on Google“Sienna Extended Care & Rehab receives highly polarized reviews, with many families reporting severe concerns regarding chronic understaffing, neglect, and poor communication. While some families praise the physical appearance of the facility and specific staff members in the rehab and admissions departments, a significant number of reviewers describe dangerous lapses in basic care, including unaddressed call lights, hygiene issues, and medication errors.”
Quality Themes
Tap a score for detailsStrengths
- Clean, modern facility appearance
- Helpful and professional admissions staff
- Effective physical and occupational therapy teams
- Select compassionate nursing aides
Concerns
- Chronic understaffing leading to neglect (mentioned by 18 reviewers)
- Unresponsive to call lights and patient needs (mentioned by 12 reviewers)
- Poor communication from management and nursing (mentioned by 9 reviewers)
- Inadequate hygiene and cleanliness in patient rooms (mentioned by 7 reviewers)
- Difficulty reaching the facility by phone (mentioned by 6 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 94 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard great things about your therapy teams; could you tell us more about how the physical and occupational therapy programs are integrated into a resident's daily routine?
- 2Since we want to ensure our loved one's needs are met promptly, what specific protocols do you have in place to ensure call lights are answered quickly and staff are available around the clock?
- 3How does the nursing team manage medication schedules and communicate any changes in a resident's health status to the family?
- 4We are looking for a high standard of personal care; how do you ensure that room cleanliness and personal hygiene needs are consistently met for every resident?
- 5What kind of daily activities or social engagement opportunities are available to help residents stay active and connected with one another?
- 6In the event of a medical emergency during the night or over the weekend, what is the immediate process for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“Within a few hours of being in their care, and after being told multiple times my grandmother was a fall risk patient, she fell and broke her wrist and shoulder and had a gash on her head.”
“The physical and occupational therapy is OUTSTANDING!! 20 ⭐️⭐️⭐️. If you take meds do NOT go here They gave way too much blood thinner and then didn’t know how to handle the emergency of her non stop bleeding.”
“I’m very thankful For Stacey MA Monday through Friday on the 3 to 11 shift. I know when I come in in the evening and when I leave in the evening that my loved one gets the most amazing care when she has Stacey has an aide.”
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
9
measures
6
measures
2
measures
Residents vaccinated for the flu
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents with pressure sores (bedsores)
Residents on anti-anxiety or sleep 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
This facility shows significant concerns with families filing 9 complaint-triggered deficiencies, including serious issues with preventing abuse and neglect that prompted family reports in 2025. The most recurring problems involve medication management (appearing in 6 deficiencies across multiple surveys), resident protection from abuse and financial exploitation, and infection control. While all deficiencies show correction dates, the pattern of repeated medication issues and the recent serious complaints about abuse prevention and respiratory care suggest ongoing operational challenges families should carefully evaluate.
Apr 21, 2025Complaint5
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Apr 21, 2025Routine13
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Feb 8, 2024Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 21, 2023Routine4
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 13, 2023Complaint3
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 10, 2023Routine13
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Ownership & Operations
Who Operates This Facility
Sienna Extended Care & Rehab
for profit
Ownership & Management
Owners
Sienna Extended Care & Rehab LLC
Owner · Organization
Montgomery, Bobbie
Owner
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
92 reviews from families & visitors
Official Website
Visit siennacare.net
Medicare data downloads
Original nursing home datasets
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