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Sienna Hills Nursing & Rehabilitation
73841 Pleasant Grove Road, Adena, OH 43901 (opens Google Maps) · Belmont County · (740) 546-3013· 43 certified beds · avg 38 residents/day · certified since May 26, 1993 · 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: HILLSTONE HEALTHCARE (9 facilities, chain avg rating 3.9★)
3/5
Health inspection rating (on-site)
inspected Feb 6, 2025
1
Serious findings on record
most recent Aug 30, 2023
$0
Fines, last 3 years
2.67
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: 3/5 · 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 · 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.
▲ Actual harm, isolated · 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): 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: Sep 7, 2023 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 31 inspection findings. Open the full record below to read every finding.
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint F-0584
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 F-0550
The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. F-0921
View all 31 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 |
|---|---|---|
| Apr 2, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| Apr 2, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0550 |
| Feb 6, 2025 | F · Potential for more than minimal harm, widespread | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Feb 6, 2025 | 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 6, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Feb 6, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| Feb 6, 2025 | 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 6, 2025 | 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. · F-0689 |
| Feb 6, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Feb 6, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Feb 6, 2025 | 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. · F-0880 |
| Oct 18, 2023 | 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. · from a complaint · F-0657 |
| Aug 30, 2023 | ▲ G · Actual harm, isolated | 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 · F-0600 |
| Dec 1, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Dec 1, 2022 | F · Potential for more than minimal harm, widespread | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Dec 1, 2022 | F · Potential for more than minimal harm, widespread | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Dec 1, 2022 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| Dec 1, 2022 | 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 |
| Dec 1, 2022 | 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. · F-0690 |
| Dec 1, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Mar 5, 2020 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Mar 5, 2020 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Mar 5, 2020 | D · Potential for more than minimal harm, isolated | 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. · F-0585 |
| Mar 5, 2020 | 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 |
| Mar 5, 2020 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| Mar 5, 2020 | 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 |
| Mar 5, 2020 | 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 |
| Mar 5, 2020 | D · Potential for more than minimal harm, isolated | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · F-0660 |
| Mar 5, 2020 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care. · F-0675 |
| Mar 5, 2020 | 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 |
| Mar 5, 2020 | 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 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 9).
All citationsSerious citations (G–L)
2020
All citations: 11
Serious citations (G–L): 0
2022
All citations: 7
Serious citations (G–L): 0
2023
All citations: 2
Serious citations (G–L): 1
2025
All citations: 11
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 |
|---|---|---|---|
| 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)
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: 2.67
Ohio average: 3.45
U.S. average: 3.95
Registered Nurse hours
This facility: 0.53
Ohio average: 0.60
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.22
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) | 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 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 3.07, RN 0.61, weekend 2.56.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.07 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
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
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Sienna Hills Nursing & Rehabilitation. 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 |
|---|---|---|---|---|
| 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 |
All 20 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 Hillstone Healthcare — 9 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.
- Whitehouse Country Manor — Whitehouse, OH · overall 4/5
- Bowerston Hills Nursing & Rehabilitation — Bowerston, OH · overall 5/5
- Colonial Nursing Center of Rockford — Rockford, OH · overall 3/5
- Crystal Care Center of Franklin Furnace — Franklin Furnace, OH · overall 5/5
- Crystal Care of Coal Grove — Coal Grove, OH · overall 3/5
- Pine Ridge Skilled Nursing and Rehab — Morrow, OH · overall 3/5
- River Run Healthcare of Portsmouth — Portsmouth, OH · overall 4/5
- Roselawn Gardens Nursing & Rehabilitation — Alliance, OH · overall 5/5
Listed by state, then facility name — not a ranking.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Ohio midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 45% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 20 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 22 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 →
Other facilities in the same county
CMS records place this facility in Belmont, OH — 10 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- The Enclave at Barnesville — Barnesville, OH · overall 1/5
- Emerald Pointe Health and Rehab Ctr — Barnesville, OH · overall 3/5
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 365922.
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