Siena Woods Care Center

Name: Siena Woods Care Center
Address: 6125 N MAIN STREET, Dayton, OH, 45415, US
Telephone: 9372788211

6125 N Main Street, Dayton, OH 45415 · Montgomery County · 99 certified beds · avg 87 residents/day · certified since Nov 21, 1990

Part of chain: EXCEPTIONAL LIVING CENTERS (10 facilities, chain avg rating 2.7★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.90

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jan 11, 2024 · F-0686

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Feb 5, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (34)

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
Feb 18, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Feb 18, 2026	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Feb 18, 2026	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Feb 18, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 18, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 18, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Feb 18, 2026	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Feb 18, 2026	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. · from a complaint
Feb 18, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
Feb 18, 2026	D · Potential for harm, one-off	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. · from a complaint
Feb 18, 2026	D · Potential for harm, one-off	The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals.
Feb 18, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Feb 18, 2026	B · Minimal risk, repeated	The facility did not dispose of garbage and refuse properly.
Apr 23, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Apr 23, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Apr 23, 2025	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint
Jan 8, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · from a complaint
Oct 24, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Sep 26, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Sep 26, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Sep 26, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Jan 11, 2024	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jan 11, 2024	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Nov 14, 2019	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 14, 2019	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Nov 14, 2019	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Nov 14, 2019	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Nov 14, 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.
Nov 14, 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.
Nov 14, 2019	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Nov 14, 2019	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Nov 14, 2019	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Nov 14, 2019	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Nov 14, 2019	C · Minimal risk, facility-wide	The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 13).

Year	Citations	Serious (G–L)	Worst severity that year
2019	11	0	F
2024	6	1	G ▲
2025	4	0	E
2026	13	0	E

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)	3.90	3.45	3.95	top 18% in Ohio; top 44% in the U.S.
Registered Nurse hours	0.71	0.60	0.69	top 25% in Ohio; top 36% in the U.S.
Weekend total nurse staffing	3.41	3.07	3.50	top 21% in Ohio; top 47% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.52	0.42	0.48	top 23% in Ohio; top 30% in the U.S.
Total nursing staff turnover (%)	62.4	48.7	45.8	bottom 17% in Ohio; bottom 13% in the U.S.
RN turnover (%)	57.1	43.9	42.9	bottom 28% in Ohio; bottom 26% 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 3.88, RN 0.70, weekend 3.39. Staffing rating: 3/5.

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 - Corporation

Owner / manager	Type	Role	Stake	Since
Lexington Health Management LLC	Organization	5% or Greater Indirect Ownership Interest	—	02/01/2023
Medical Rehabilitation Centers, LLC	Organization	5% or Greater Direct Ownership Interest	100%	02/01/2023
Watts, Amy	Individual	5% or Greater Indirect Ownership Interest	—	02/01/2023
Watts, Walter	Individual	5% or Greater Indirect Ownership Interest	—	02/01/2023
Campbell, Brenda	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2023
Campbell, Brenda	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2023
Peters, Amanda	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/01/2023
Peters, Amanda	Individual	ADP of the SNF	NOT APPLICABLE	04/28/2025
Singh, Shachi	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/01/2023
Singh, Shachi	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2023
Watts, Walter	Individual	Corporate Officer	NOT APPLICABLE	02/01/2023
Watts, Walter	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2023

Questions to ask on your visit

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

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"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	Flags
Aventura at Carriage Inn	0.4 mi	Dayton, OH	★★★☆☆	2/5
Riverside Nursing and Rehabilitation Center	1.6 mi	Dayton, OH	★★☆☆☆	1/5
Stonespring of Vandalia	1.8 mi	Dayton, OH	★★★★★	4/5
Maria Joseph Living Care Center	1.9 mi	Dayton, OH	★★★★☆	3/5
Arc at Trotwood LLC	2.1 mi	Dayton, OH	★☆☆☆☆	1/5
Trotwood Health & Rehab LLC	2.3 mi	Dayton, OH	★★☆☆☆	1/5	abuse
Carecore at Mary Scott	2.9 mi	Dayton, OH	★★★☆☆	2/5
Aventura at Shiloh Springs	3.5 mi	Trotwood, OH	★★☆☆☆	1/5
Grafton Oaks Nursing Center	3.8 mi	Dayton, OH	★★☆☆☆	2/5	abuse
Gem City Healthcare and Rehabilitation Center	4.0 mi	Dayton, OH	★★★☆☆	2/5
Grace Brethren Village	4.1 mi	Englewood, OH	★★★★☆	3/5
Cypress Pointe Health Campus	4.8 mi	Englewood, OH	★★★★★	4/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 365819.

The Care File

Visit checklist — Siena Woods Care Center

6125 N Main Street, Dayton, OH 45415 · 9372788211

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ Jan 11, 2024 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "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 365819 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)