Sienna Hills Nursing & Rehabilitation
73841 Pleasant Grove Road, Adena, OH 43901 · Belmont County · 43 certified beds · avg 38 residents/day · certified since May 26, 1993
Part of chain: HILLSTONE HEALTHCARE (9 facilities, chain avg rating 3.9★)
3/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
2.67
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: 3/5
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 · Aug 30, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Sep 7, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (31)
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 |
|---|---|---|
| Apr 2, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Feb 6, 2025 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Feb 6, 2025 | 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 6, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Feb 6, 2025 | 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 6, 2025 | 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. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Feb 6, 2025 | 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. |
| Oct 18, 2023 | 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. · from a complaint |
| Aug 30, 2023 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Dec 1, 2022 | F · Potential for harm, facility-wide | 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. |
| Dec 1, 2022 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Dec 1, 2022 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Dec 1, 2022 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Dec 1, 2022 | 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. |
| Dec 1, 2022 | 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. |
| Dec 1, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 5, 2020 | F · Potential for harm, facility-wide | 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. |
| Mar 5, 2020 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 5, 2020 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Mar 5, 2020 | 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. |
| Mar 5, 2020 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Mar 5, 2020 | 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. |
| Mar 5, 2020 | 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. |
| Mar 5, 2020 | D · Potential for harm, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. |
| Mar 5, 2020 | D · Potential for harm, one-off | The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care. |
| Mar 5, 2020 | 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. |
| Mar 5, 2020 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 11 | 0 | F |
| 2022 | 7 | 0 | F |
| 2023 | 2 | 1 | G ▲ |
| 2025 | 11 | 0 | F |
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) | 2.67 | 3.45 | 3.95 | bottom 8% in Ohio; bottom 6% in the U.S. |
| Registered Nurse hours | 0.53 | 0.60 | 0.69 | bottom 47% in Ohio; bottom 43% in the U.S. |
| Weekend total nurse staffing | 2.22 | 3.07 | 3.50 | bottom 4% in Ohio; bottom 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.41 | 0.42 | 0.48 | top 44% in Ohio; top 47% in the U.S. |
| Total nursing staff turnover (%) | 44.8 | 48.7 | 45.8 | top 40% in Ohio; top 50% in the U.S. |
| RN turnover (%) | 50.0 | 43.9 | 42.9 | bottom 43% in Ohio; bottom 39% 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 3.07, RN 0.61, weekend 2.56. Staffing rating: 1/5.
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
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bunner, Michael | Individual | 5% or Greater Indirect Ownership Interest | 5% | 05/22/2012 |
| Mallett, Christopher | Individual | 5% or Greater Indirect Ownership Interest | 25% | 01/01/2013 |
| Parsons, Benjamin | Individual | 5% or Greater Indirect Ownership Interest | 20% | 01/01/2013 |
| Sprenger, Mark | Individual | 5% or Greater Indirect Ownership Interest | 25% | 01/01/2014 |
| Sprenger, Timothy | Individual | 5% or Greater Indirect Ownership Interest | 25% | 01/01/2013 |
| Bergsten, Paul | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2022 |
| Bergsten, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2022 |
| Bunner, Michael | Individual | Corporate Director | NOT APPLICABLE | 05/22/2012 |
| Bunner, Michael | Individual | Corporate Officer | NOT APPLICABLE | 05/22/2012 |
| Dapore, Matthew | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2022 |
| Dapore, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2022 |
| Mallett, Christopher | Individual | Corporate Director | NOT APPLICABLE | 01/01/2013 |
| Mallett, Christopher | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2013 |
| Parsons, Benjamin | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/01/2020 |
| Parsons, Benjamin | Individual | Corporate Director | NOT APPLICABLE | 01/01/2013 |
| Parsons, Benjamin | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2013 |
| Sprenger, Mark | Individual | Corporate Director | NOT APPLICABLE | 01/01/2014 |
| Sprenger, Mark | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2014 |
| Sprenger, Timothy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2013 |
| Sprenger, Timothy | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2013 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 |
|---|---|---|---|---|---|
| Belmont Manor | 6.1 mi | St Clairsville, OH | ★★★★☆ | 3/5 | |
| Park Health Center | 6.3 mi | St Clairsville, OH | ★★☆☆☆ | 2/5 | |
| Rolling Hills Rehab and Care Ctr | 6.8 mi | Bridgeport, OH | ★☆☆☆☆ | 1/5 | abuseSFF |
| Continuing Healthcare at Forest Hill | 6.9 mi | St Clairsville, OH | ★☆☆☆☆ | 2/5 | |
| Cumberland Pointe Care Center | 8.2 mi | St Clairsville, OH | ★★★☆☆ | 3/5 | |
| Peterson Rehabilitation and Healthcare | 9.6 mi | Wheeling, WV | ★★☆☆☆ | 1/5 | |
| Country Club Retirement Ctr IV | 10.1 mi | Bellaire, OH | ★☆☆☆☆ | 1/5 | |
| Continuous Care Center Wheeling Hospital | 10.3 mi | Wheeling, WV | ★★★★★ | 5/5 | |
| Good Shepherd Nursing Home | 10.4 mi | Wheeling, WV | ★★★☆☆ | 2/5 | |
| Carriage Inn of Cadiz | 11.5 mi | Cadiz, OH | ★★★☆☆ | 3/5 | |
| Gables Care Center | 12.2 mi | Hopedale, OH | ★★☆☆☆ | 2/5 | |
| Continuing Healthcare of Shadyside | 13.8 mi | Shadyside, OH | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 365922.