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Siena Woods Care Center
6125 N Main Street, Dayton, OH 45415 (opens Google Maps) · Montgomery County · (937) 278-8211· 99 certified beds · avg 87 residents/day · certified since Nov 21, 1990 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: EXCEPTIONAL LIVING CENTERS (10 facilities, chain avg rating 2.7★)
3/5
Health inspection rating (on-site)
inspected Feb 18, 2026
1
Serious findings on record
most recent Jan 11, 2024
$0
Fines, last 3 years
3.90
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 5, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 34 inspection findings. Open the full record below to read every finding.
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 F-0812
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. F-0554
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. F-0582
View all 34 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 18, 2026 | E · Potential for more than minimal harm, pattern | 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 · F-0812 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0554 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0582 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0677 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0759 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0808 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0810 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Feb 18, 2026 | B · Potential for minimal harm, pattern | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Apr 23, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Apr 23, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0761 |
| Apr 23, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0805 |
| Jan 8, 2025 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · from a complaint · F-0883 |
| Oct 24, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0755 |
| Sep 26, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Sep 26, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0690 |
| Sep 26, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Jan 11, 2024 | ▲ G · Actual harm, isolated | 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. · F-0686 |
| Jan 11, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0687 |
| Nov 14, 2019 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0645 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide timely, quality laboratory tests to meet residents' needs. · F-0770 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791 |
| Nov 14, 2019 | C · Potential for minimal harm, widespread | 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. · F-0576 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 13).
All citationsSerious citations (G–L)
2019
All citations: 11
Serious citations (G–L): 0
2024
All citations: 6
Serious citations (G–L): 1
2025
All citations: 4
Serious citations (G–L): 0
2026
All citations: 13
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityOhio averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.90
Ohio average: 3.45
U.S. average: 3.95
Registered Nurse hours
This facility: 0.71
Ohio average: 0.60
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.41
Ohio average: 3.07
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.88 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Siena Woods Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 12 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Exceptional Living Centers — 10 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Buchanan Place — New Tazewell, TN · overall 2/5
- Dover Care Center — Dover, TN · overall 3/5
- Smyrna Care Center — Smyrna, TN · overall 1/5
- Century Villa Health Care — Greentown, IN · overall 4/5
- Charlestown Place at New Albany — New Albany, IN · overall 1/5
- Morning Breeze Retirement Community and Healthcare — Greensburg, IN · overall 3/5
- Best Care Health and Rehabilitation — Wheelersburg, OH · overall 2/5
- Bradford Place Care Center — Hamilton, OH · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 9 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 62% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 59 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 →
Other facilities in the same county
CMS records place this facility in Montgomery, OH — 40 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- St Leonard HCC — Centerville, OH · overall 3/5
- Sycamore Trails Post Acute — Miamisburg, OH · overall 4/5
- Sycamorespring of Miamisburg — Miamisburg, OH · overall 5/5
- The Laurels of Kettering — Kettering, OH · overall 2/5
- Vienna Springs Health Campus — Dayton, OH · overall 5/5
- Walnut Creek Nursing Center — Kettering, OH · overall 1/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 365819.