Siena Gardens Rehabilitation & Transitional Care

Name: Siena Gardens Rehabilitation & Transitional Care
Address: 1055 STATE ROUTE 125, Cincinnati, OH, 45245, US
Telephone: 5134493900

1055 State Route 125, Cincinnati, OH 45245 · Clermont County · 99 certified beds · avg 95 residents/day · certified since Sep 13, 2018

Part of chain: FOUNDATIONS HEALTH SOLUTIONS (64 facilities, chain avg rating 4.1★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.06

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (11)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Sep 16, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Oct 6, 2022	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Oct 6, 2022	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Oct 3, 2019	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Oct 3, 2019	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Oct 3, 2019	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Oct 3, 2019	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Oct 3, 2019	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Oct 3, 2019	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Oct 3, 2019	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Oct 3, 2019	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (2 → 1).

Year	Citations	Worst severity that year
2019	8	D
2022	2	D
2025	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Ohio avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.06	3.45	3.95	bottom 30% in Ohio; bottom 16% in the U.S.
Registered Nurse hours	0.81	0.60	0.69	top 14% in Ohio; top 27% in the U.S.
Weekend total nurse staffing	2.73	3.07	3.50	bottom 30% in Ohio; bottom 18% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.67	0.42	0.48	top 10% in Ohio; top 18% in the U.S.
Total nursing staff turnover (%)	27.0	48.7	45.8	top 4% in Ohio; top 9% in the U.S.
RN turnover (%)	17.6	43.9	42.9	top 12% in Ohio; top 11% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.39, RN 0.89, weekend 3.02. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Ali, Asad	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2018
Burnett, Stella	Individual	Operational/Managerial Control	NOT APPLICABLE	10/14/2019
Burnett, Stella	Individual	ADP of the SNF	NOT APPLICABLE	10/14/2019
Colleran, Brian	Individual	Corporate Director	NOT APPLICABLE	01/01/2019
Colleran, Brian	Individual	Corporate Officer	NOT APPLICABLE	01/01/2019
Colleran, Brian	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2019
Colleran, Brian	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2019
Foundations Health Solutions, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2019
Foundations Health Solutions, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/08/2025
Krystowski, John	Individual	Corporate Officer	NOT APPLICABLE	06/01/2018
Krystowski, John	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2018
Krystowski, John	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2018

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"How quickly are lab tests done and results acted on when a resident's doctor orders them?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Atlantes the	0.4 mi	Cincinnati, OH	★★★★★	5/5
Glen the	1.8 mi	Cincinnati, OH	★★★★★	5/5
Otterbein Union Township	2.0 mi	Batavia, OH	★★★☆☆	3/5
Eastgate Health Care Center	2.2 mi	Cincinnati, OH	★★★★★	4/5
Anderson, the	2.5 mi	Cincinnati, OH	★☆☆☆☆	2/5
Forest Hills Healthcare Center.	3.6 mi	Cincinnati, OH	★★★★☆	3/5
Mount Washington Care Center	4.7 mi	Cincinnati, OH	★★★☆☆	2/5
Sunrise Nursing Healthcare LLC	5.3 mi	Amelia, OH	★★★★☆	4/5
Residence at Salem Woods	5.7 mi	Cincinnati, OH	★★★★★	5/5
S.e.m. Haven Health Care Center	7.1 mi	Milford, OH	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Cincinnati →

Facility data as of CMS processing date 2026-08-01. CCN 366469.

The Care File

Visit checklist — Siena Gardens Rehabilitation & Transitional Care

1055 State Route 125, Cincinnati, OH 45245 · 5134493900

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 366469 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)