Siena Gardens Rehabilitation & Transitional Care
1055 State Route 125, Cincinnati, OH 45245 · Clermont County · (513) 449-3900
99 certified beds, about 95 residents a day · For profit - Individual · Medicare and Medicaid since 2018
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366469 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 16, 2025, inspectors cited 1 health deficiency (the Ohio average is 10.5, the national average 9.2).
None of its 11 health citations since October 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.39 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.89 of those hours.
27.0% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Foundations Health Solutions, an affiliated group of 64 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
September 16, 2025Standard inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interview, medical record review, and review of facility policy, the facility failed to report an allegation of verbal abuse to the state survey agency (SSA). This affected one (#66) of two residents reviewed for abuse. The facility census was 93.
October 6, 2022Standard inspection · 2 citations
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on facility personnel record review and staff interview the facility failed to ensure annual performance reviews were completed. This affected three of four State Tested Nursing Assistants (STNAs) reviewed (STNAs #324, #325 and #397). The facility census was 94.
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on medical record review, staff interview and review of facility policy, the facility failed to ensure physician ordered laboratory (lab) tests were completed as ordered. This affected one Resident (#75) of five residents reviewed for unnecessary medications. The facility census was 94.
October 3, 2019Standard inspection · 8 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on medical record review, staff interview, and review of facility policy the facility failed to timely notify the physician about a resident's weight gain. This affected one (Resident #38) of 16 residents reviewed during the investigative phase of the annual survey. The facility census was 64.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and interview, the facility failed to provide a copy of the transfer and discharge notification to the Ombudsman for a discharge from the facility. This affected one (Resident #61) of three residents reviewed for discharge notification. The facility census was 64.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on record review and interview, the facility failed to ensure a significant change comprehensive assessment was completed within 14 days of a resident being admitted to hospice services. This affected one (Resident #21) of 16 residents reviewed for significant change assessments. The facility census was 64.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's discharge recapitulation summary included the resident's medications. This affected one (Resident #63) of one resident reviewed for a discharge to the community. The facility census was 64.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review and staff interview, the facility failed to obtain weights and blood pressure readings per physician orders. This affected two Residents (#28 and #38) of 16 reviewed during the investigative phase of the survey. The facility census was 64.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, observation, resident interview and staff interview, the facility failed to ensure a resident was provided appropriate assistance during incontinence care to prevent an avoidable fall. This affected one (Resident #56) of seven residents reviewed for falls. The facility census was 64.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review, interview, and review of facility policy the facility failed to ensure the attending physician timely addressed pharmacy recommendations. This affected one (Resident #61) of five residents reviewed for unnecessary medications. The facility census was 64.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's discharge order was accurately documented in the chart. This affected one (Resident #63) of 16 residents reviewed for accurate medical records. The facility census was 64.
Fire safety inspections
7 fire safety citations on file: 1 on September 16, 2025, 5 on October 6, 2022, 1 on October 3, 2019.
Every fire safety citation7 citations
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Have properly located and lighted "Exit" signs.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Ensure proper usage of power strips and extension cords.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.39 | 3.69 | 3.86 |
| Registered nurses | 0.89 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.02 | 3.28 | 3.42 |
| Nurse aides | 2.07 | ||
| Licensed practical nurses | 0.42 | ||
| Nursing staff turnover (share who left in a year) | 27.0% | 48.7% | 45.8% |
| Registered nurse turnover | 17.6% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.24 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.53 on weekdays and 3.02 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.41 in April to June 2025 to 3.39 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.39 | 0.89 | 3.53 | 3.02 | 0.0% | 0 of 90 | 95 |
| Oct to Dec 2025 | 3.48 | 0.85 | 3.62 | 3.12 | 0.0% | 0 of 92 | 93 |
| Jul to Sep 2025 | 3.48 | 0.88 | 3.64 | 3.07 | 0.0% | 0 of 92 | 95 |
| Apr to Jun 2025 | 3.41 | 0.78 | 3.55 | 3.06 | 0.0% | 0 of 91 | 95 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 3.7 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.9 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.5 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.7 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.6 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.5 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.8 | 1.8 |
Owners and operators
Legal business name: ATLAS OHIO PIKE INC. CMS links this home to Foundations Health Solutions, a group of 64 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Colleran, Brian | Corporate director | Individual | 01/01/2019 | |
| Colleran, Brian | Corporate officer | Individual | 01/01/2019 | |
| Krystowski, John | Corporate officer | Individual | 06/01/2018 | |
| Foundations Health Solutions, LLC | Operational/managerial control | Organization | 01/01/2019 | |
| Burnett, Stella | Operational/managerial control | Individual | 10/14/2019 | |
| Colleran, Brian | Operational/managerial control | Individual | 01/01/2019 | |
| Krystowski, John | Operational/managerial control | Individual | 06/01/2018 | |
| Foundations Health Solutions, LLC | Adp of the SNF | Organization | 07/08/2025 | |
| Ali, Asad | Adp of the SNF | Individual | 06/01/2018 | |
| Burnett, Stella | Adp of the SNF | Individual | 10/14/2019 | |
| Colleran, Brian | Adp of the SNF | Individual | 01/01/2019 | |
| Krystowski, John | Adp of the SNF | Individual | 06/01/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on October 3, 2019: "Assess the resident when there is a significant change in condition"
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on October 3, 2019: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on October 3, 2019: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on September 16, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.02 hours per resident per day, below the Ohio average of 3.28.
Other nursing homes nearby
- Atlantes the Cincinnati, 0.4 mi · 5 of 5 stars · 0 citations
- Glen the Cincinnati, 1.8 mi · 5 of 5 stars · 9 citations
- Otterbein Union Township Batavia, 2 mi · 3 of 5 stars · 26 citations
- Eastgate Health Care Center Cincinnati, 2.2 mi · 5 of 5 stars · 12 citations
- Anderson, the Cincinnati, 2.5 mi · 1 of 5 stars · 19 citations
- Forest Hills Healthcare Center. Cincinnati, 3.6 mi · 4 of 5 stars · 29 citations
- Mount Washington Care Center Cincinnati, 4.7 mi · 3 of 5 stars · 37 citations
- Sunrise Nursing Healthcare LLC Amelia, 5.3 mi · 4 of 5 stars · 31 citations
Ohio contacts for a concern about a nursing home
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.
Common questions
- What is Siena Gardens Rehabilitation & Transitional Care's Medicare star rating?
- CMS rates Siena Gardens Rehabilitation & Transitional Care 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Siena Gardens Rehabilitation & Transitional Care get at its last inspection?
- 1 health deficiency at the standard inspection on September 16, 2025. The Ohio average is 10.5.
- Has Siena Gardens Rehabilitation & Transitional Care been fined?
- CMS lists no fines in the last three years.
- Does Siena Gardens Rehabilitation & Transitional Care accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Siena Gardens Rehabilitation & Transitional Care?
- CMS lists 12 owners and managers, and links the home to Foundations Health Solutions. Legal business name: ATLAS OHIO PIKE INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.