Sienna Skilled Nursing & Rehabilitation

Name: Sienna Skilled Nursing & Rehabilitation
Address: 250 CADIZ ROAD, Wintersville, OH, 43953, US
Telephone: 7402645245

250 Cadiz Road, Wintersville, OH 43953 · Jefferson County · 88 certified beds · avg 82 residents/day · certified since Oct 10, 2006

Part of chain: CONTINUING HEALTHCARE SOLUTIONS (12 facilities, chain avg rating 2.1★)

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.39

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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 · Apr 28, 2025 · F-0690 · triggered by a complaint

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.

Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.

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: May 6, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (40)

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 9, 2026	F · Potential for harm, facility-wide	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Feb 9, 2026	E · Potential for harm, repeated	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
Feb 9, 2026	D · Potential for harm, one-off	The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint
Feb 9, 2026	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint
Feb 9, 2026	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. · from a complaint
Feb 9, 2026	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. · from a complaint
Nov 17, 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
Aug 11, 2025	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.
Aug 11, 2025	E · Potential for harm, repeated	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.
Aug 11, 2025	E · Potential for harm, repeated	The facility did not properly protect the personal money residents deposited with it for safekeeping.
Aug 11, 2025	E · Potential for harm, repeated	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.
Aug 11, 2025	E · Potential for harm, repeated	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.
Aug 11, 2025	D · Potential for harm, one-off	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.
Aug 11, 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.
Aug 11, 2025	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.
Aug 11, 2025	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.
Aug 11, 2025	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Aug 11, 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.
Aug 11, 2025	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.
Aug 11, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Apr 28, 2025	▲ G · Actual 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
Apr 28, 2025	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Apr 28, 2025	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. · from a complaint
Apr 28, 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. · from a complaint
Apr 28, 2025	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. · from a complaint
Mar 20, 2025	F · Potential for harm, facility-wide	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Mar 20, 2025	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. · from a complaint
Feb 21, 2024	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. · from a complaint
Nov 30, 2023	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.
Nov 30, 2023	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Nov 30, 2023	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.
Nov 30, 2023	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.
Nov 30, 2023	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Nov 30, 2023	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.
Nov 30, 2023	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.
Nov 30, 2023	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.
Feb 24, 2022	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 24, 2022	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 24, 2022	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Feb 24, 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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (8 → 13).

Year	Citations	Serious (G–L)	Worst severity that year
2022	4	0	D
2023	8	0	F
2024	1	0	F
2025	21	1	G ▲
2026	6	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)	2.39	3.45	3.95	bottom 2% in Ohio; bottom 3% in the U.S.
Registered Nurse hours	0.52	0.60	0.69	bottom 44% in Ohio; bottom 40% in the U.S.
Weekend total nurse staffing	2.14	3.07	3.50	bottom 2% in Ohio; bottom 3% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.42	0.42	0.48	top 41% in Ohio; top 45% in the U.S.
Total nursing staff turnover (%)	52.7	48.7	45.8	bottom 38% in Ohio; bottom 30% in the U.S.
RN turnover (%)	58.3	43.9	42.9	bottom 26% in Ohio; bottom 24% 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 2.79, RN 0.60, weekend 2.50. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Continuing Healthcare Solutions INC	Organization	Direct Ownership Interest	NOT APPLICABLE	08/23/2012
Bunner, Michael	Individual	Corporate Director	NOT APPLICABLE	08/01/2012
Bunner, Michael	Individual	ADP of the SNF	NOT APPLICABLE	05/20/2022
Continuing Healthcare Solutions INC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/23/2012
Continuing Healthcare Solutions INC	Organization	ADP of the SNF	NOT APPLICABLE	02/17/2026
Hughey, Tracy	Individual	Corporate Officer	NOT APPLICABLE	01/01/2026
Hughey, Tracy	Individual	ADP of the SNF	NOT APPLICABLE	04/15/2013
Kauffman, Kevin	Individual	Corporate Officer	NOT APPLICABLE	08/01/2024
Kauffman, Kevin	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2024
Kauffman, Kevin	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2024
Mallett, Christopher	Individual	Corporate Director	NOT APPLICABLE	08/01/2012
Mallett, Christopher	Individual	ADP of the SNF	NOT APPLICABLE	05/20/2022
Miller, Michael	Individual	Trustee of the SNF	NOT APPLICABLE	01/01/2026
Palmer, Amy	Individual	ADP of the SNF	NOT APPLICABLE	05/15/2025
Parsons, Benjamin	Individual	Corporate Director	NOT APPLICABLE	08/01/2012
Parsons, Benjamin	Individual	ADP of the SNF	NOT APPLICABLE	05/20/2022
Sprenger, Mark	Individual	Corporate Director	NOT APPLICABLE	08/01/2012
Sprenger, Mark	Individual	ADP of the SNF	NOT APPLICABLE	05/20/2022
Sprenger, Timothy	Individual	Corporate Director	NOT APPLICABLE	08/01/2012
Sprenger, Timothy	Individual	ADP of the SNF	NOT APPLICABLE	05/20/2022

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 care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"If I ask for a copy of my family member's records, how quickly will I get them and what does it cost?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you keep residents' medical records accurate, complete, and secure?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"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
Dixon Healthcare Center	0.9 mi	Wintersville, OH	★☆☆☆☆	1/5	abuse
Steubenville Country Club Manor	1.9 mi	Steubenville, OH	★★☆☆☆	2/5
Villa Vista Royale LLC	2.1 mi	Steubenville, OH	★★★★★	5/5
Carriage Inn of Steubenville	2.5 mi	Steubenville, OH	★★★★☆	3/5
Laurels of Steubenville the	3.6 mi	Steubenville, OH	★★☆☆☆	2/5
Brightwood Center	7.3 mi	Follansbee, WV	★☆☆☆☆	1/5	abuseSFF
Weirton Geriatric Center	8.4 mi	Weirton, WV	★★★★★	4/5
Wellsburg Healthcare Center	9.4 mi	Wellsburg, WV	★★★★★	5/5
Weirton Medical Center	9.4 mi	Weirton, WV	★★★★☆	4/5
Gables Care Center	10.9 mi	Hopedale, OH	★★☆☆☆	2/5
Sienna Hills Nursing & Rehabilitation	16.9 mi	Adena, OH	★★★☆☆	3/5
Carriage Inn of Cadiz	17.0 mi	Cadiz, OH	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Wintersville →

Facility data as of CMS processing date 2026-08-01. CCN 366331.

The Care File

Visit checklist — Sienna Skilled Nursing & Rehabilitation

250 Cadiz Road, Wintersville, OH 43953 · 7402645245

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $0

Most serious findings on record:

▲ Apr 28, 2025 (F-0690, Actual 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.

Questions for the administrator:

☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "If I ask for a copy of my family member's records, how quickly will I get them and what does it cost?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "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 366331 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)