Nursing home
Sienna Hills Nursing & Rehabilitation
73841 Pleasant Grove Road, Adena, OH 43901 · Map
For profit - Corporation · Part of Hillstone Healthcare (14 facilities) · 43 certified beds
Sienna Hills Nursing & Rehabilitation is a Medicare-certified nursing home in Adena, Ohio. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 2.95 hours per resident per day, below the Ohio average of 3.72. Its most recent inspection on Feb 6, 2025 cited 11 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Sienna Hills Nursing & Rehabilitation compares
This facility vs. the Ohio and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Ohio avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.95 | 3.72 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.47 | 0.63 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.63 | 2.14 | 2.34 | below avg |
| Nursing staff turnover | 41.7% | 49.8% | 46.4% | below avg |
| Deficiencies cited, last inspection | 11.0 | 10.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the April 2, 2025 inspection was corrected by April 17, 2025
What inspectors found at Sienna Hills Nursing & Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Apr 2, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Apr 2, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Feb 6, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Oct 18, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 73841 Pleasant Grove Road
Adena, OH 43901 - CMS certification #
- 365922
- Ownership
- For profit - Corporation
- Certified beds
- 43
- Avg residents/day
- 36.7
- Provider type
- Medicare and Medicaid
- First certified
- 1993-05-26
- Chain
- Hillstone Healthcare (14 facilities)
- Setting
- Urban
Part of Hillstone Healthcare
Hillstone Healthcare operates 14 nursing facilities across the United States. View all Hillstone Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Sienna Hills Nursing & Rehabilitation using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2020, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- May 27, 2020: fatality or catastrophe inspection, partial (health). Case closed Sep 8, 2020. No violations cited. OSHA record. OSHA recorded the employer as Continuing Healthcare Solutions INC. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Harrison Community Hospital, Cadiz. 9.9 miles away, straight line.
- Nearest Medicare nursing home
- Belmont Manor, St Clairsville. 6.1 miles away, straight line.
- Nearest home health agency office
- Wvuhs Home Care, Saint Clairsville. 5.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 7.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 43901 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita National Road, Bridgeport, 7.7 miles away, straight line (CMS rating 1 of 5 stars)
Davita Belmont Dialysis, Saint Clairsville, 8.2 miles away, straight line (CMS rating 3 of 5 stars)
Davita Wheeling Dialysis, Wheeling, 10.1 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 43901.
Amedisys Hospice, office in Saint Clairsville, 5.8 miles away, straight line (CMS family survey rating 4 of 5 stars)
Stonerise At Home, office in Saint Clairsville, 6.0 miles away, straight line
Valley Hospice Inc, office in Rayland, 7.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- University Of Pittsburgh Physicians, Mc Murray. 38.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado relatively low, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Sienna Hills Nursing & Rehabilitation a good nursing home?
CMS gives Sienna Hills Nursing & Rehabilitation an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Sienna Hills Nursing & Rehabilitation staffed?
Sienna Hills Nursing & Rehabilitation reports 2.95 total nurse hours per resident per day, compared with the Ohio average of 3.72.
Has Sienna Hills Nursing & Rehabilitation had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does Sienna Hills Nursing & Rehabilitation have?
Sienna Hills Nursing & Rehabilitation is certified for 43 beds.