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Nursing HomeMedicaid

Sienna Hills Nursing & Rehabilitation

Strong Medicare quality ratings; families often praise attentive and caring nursing staff. Still worth an in-person visit.

73841 Pleasant Grove Road, Adena, OH 4390143 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 9 Google reviews

5
4
3
2
1
Sienna Hills Nursing & Rehabilitation Nursing Home in Adena, OH — Street View
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What this means for your family

This facility is highly regarded for its attentive staff and quality of care, making it a strong candidate for families prioritizing human connection. While the building is noted as being outdated, the positive feedback regarding the clinical and support staff suggests that the quality of care remains a priority.

Google Reviews

Google Reviews

9 reviews on Google
Sienna Hills Nursing & Rehabilitation receives praise for its attentive and caring staff, with family members noting that the team goes above and beyond to ensure resident comfort. While the facility is described as having a homey atmosphere and scratch-made meals, some reviewers have pointed out that the building appears outdated.

Quality Themes

Tap a score for details
Food10.0Staff9.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Attentive and caring nursing staff
  • High-quality, scratch-made meals
  • Strong coordination between therapists and case management

Concerns

  • Facility infrastructure is outdated

Rating Trends

Tap a year to see what changed

2345.0'16(1)3.53.0'18(1)1.05.0'23(1)5.05.0'25(1)5.0'26(1)

Distribution · 9 analyzed

5
6
4
0
3
1
2
1
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about the scratch-made meals here; could you tell us more about the daily dining experience and how much input residents have in the menu?
  • 2With the recent inspections, what specific steps is the facility taking to improve staffing levels and ensure consistent care for every resident?
  • 3How do the therapists and case management team work together to coordinate a personalized rehabilitation plan for a resident?
  • 4Could you describe the protocol for handling medical emergencies or sudden changes in health during the overnight hours?
  • 5What kind of daily activities or social programs are available to help residents stay engaged and connected with one another?
  • 6Since the facility has a more classic feel, how are you addressing any maintenance or infrastructure updates to ensure a comfortable environment?

Personalized based on this facility's data


Key Review Excerpts

My parents have both been in and out of skilled nursing the past year and this is by far the most attentive and caring staff we’ve experienced. From the nurses to the aides to therapists and case management, all very much appreciated.

Long-term resident's family · 2023★★★★★

Wonderful staff they do the best they can to makes residents feel comfortable! Meals are made from scratch! Only thing is it’s a little outdated but, having a great staff means more to me than paint color.

Family member · 2024★★★★★
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.57hrs
76%
Registered nurses for medical care
Total Nursing
3.01hrs
73%
All nurses + aides combined
Staff Turnover
45%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

9

measures

Worse Than Avg

4

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility11.2%
Better than Avg
Here
11.2%
US
12.1%
OH
28.2%
Belmont
30.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility81.3%
Worse than Avg
Here
81.3%
US
93.4%
OH
92.6%
Belmont
99.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.7%
Better than Avg
Here
3.7%
US
15.3%
OH
6.9%
Belmont
6.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility29.4%
Worse than Avg
Here
29.4%
US
19.5%
OH
25.4%
Belmont
23.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility14.0%
Mixed vs Avgs
Here
14.0%
US
15.5%
OH
9.4%
Belmont
5.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.1%
Mixed vs Avgs
Here
7.1%
US
14.4%
OH
5.8%
Belmont
6.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility61.5%
Worse than Avg
Here
61.5%
US
79.8%
OH
75.6%
Belmont
91.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility73.5%
Worse than Avg
Here
73.5%
US
81.8%
OH
78.4%
Belmont
91.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
OH
1.2%
Belmont
0.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
Near state avg (10.1)
6 complaint-triggered

Families have filed reports leading to complaint investigations, including a concerning allegation of abuse/neglect in 2023, though all issues have been corrected. The facility shows recurring problems with fire safety systems, resident rights (particularly safe environment standards), and care planning that persist across multiple surveys from 2020 to 2025, suggesting ongoing operational challenges despite corrections.

Apr 2, 2025Complaint
2
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Feb 20, 2025Complaint
2
0781Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0500Potential for harm · PatternCorrected

Services Deficiencies

Meet other general requirements that are deficient.

Feb 6, 2025Routine
17
0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 18, 2023Complaint
1
0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Aug 30, 2023Complaint
1
0600Actual harm · IsolatedCorrected

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.

Dec 1, 2022Routine
13
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0908Potential for harm · WidespreadCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0222Potential for harm · PatternCorrected

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.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0690Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Sienna Hills Nursing & Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Hillstone Healthcare

Chain Size

12 facilities nationwide

Chain avg rating: 3.1/5 · Rank 14 of 14 (Worst)

Ownership & Management

Owners

Bunner, Michael

Owner (parent company)

5%

Mallett, Christopher

Owner (parent company)

25%

Parsons, Benjamin

Owner (parent company)

20%

Sprenger, Mark

Owner (parent company)

25%

Sprenger, Timothy

Owner (parent company)

25%

Key personnel

Parsons, BenjaminW-2 Managing EmployeeBunner, MichaelOfficer / DirectorMallett, ChristopherOfficer / DirectorParsons, BenjaminOfficer / DirectorSprenger, MarkOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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