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Siena Woods Care Center

6125 N Main Street, Dayton, OH 45415 · Montgomery County · (937) 278-8211

99 certified beds, about 87 residents a day · For profit - Corporation · Medicare and Medicaid since 1990

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365819 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 18, 2026, inspectors cited 13 health deficiencies (the Ohio average is 10.5, the national average 9.2).

Of 34 health citations since November 2019, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.88 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.70 of those hours.

62.4% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Exceptional Living Centers, an affiliated group of 10 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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 34 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
27D
3E
1F
Potential for minimal harm
0A
1B
1C
February 18, 2026Standard inspection, Complaint inspection · 13 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on observations, policy review, interviews and records reviews, the facility failed to label and date foods stored in resident designated refrigerators and failed to ensure temperatures were obtained daily for the resident designated refrigerators. This had the potential to affect all residents on Unit 400, except Resident #14 who received no food by mouth, and all residents on the Rehabilitation Unit and the Secured Care Unit. The facility total census was 91.
  2. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on observation, record review, and staff interview, the facility failed to ensure the interdisciplinary team determined whether a resident was clinically appropriate to self-administer their own medications prior to allowing a resident to self-administer. This affected one (Resident #11) of four residents reviewed for medication administration. The facility census was 91.
  3. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on interview and record review, the facility failed to provide residents with an Skilled Nursing Facility Advanced Beneficiary Notice on Non-coverage (SNF ABN) when their skilled services ended, had skilled days remaining and remained in the facility. This affected two (#31 and #67) of three residents reviewed for beneficiary notices. The facility census was 91.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on resident and staff interviews, observation, record review, and policy review, the facility failed to implement Resident #9's care plan interventions for quarter side rails for the resident's bed and develop a mood care plan for Resident #10. The facility census was 91.
  5. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on record review, policy review, resident and staff interviews, the facility failed to hold quarterly care conferences for the residents. This affected one (#65) of two residents reviewed for care conferences. The facility census was 91.
  6. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on observations, policy review, record review and, staff and resident interviews the facility failed to provide residents, who required assistance with activities of daily living (ADL), timely assistance with incontinence care and personal hygiene. This affected two (#45 and #65) of two residents reviewed for ADLs. The facility census was 91.
  7. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on record review, policy review, and resident and staff interviews, the facility failed to ensure activities were offered and or provided for Resident #65. This affected one (#65) of two residents reviewed for activities. The facility census was 91.
  8. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on observation, resident and staff interview, and record review, the facility failed to ensure a resident who had a history of falls had their fall interventions in place. This affected one (Resident #9) of five residents reviewed for accidents. The facility census was 91.
  9. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on observation, staff interview and record review, the facility failed to ensure the medication error rate was less than five percent (%). There were six medication errors out of 25 opportunities resulting in a 24% medication error rate. This affected two (#5 and #84) of four residents observed for medication administration. The facility census was 91.
  10. D
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
    F808 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on observations, interviews, policy review, and records reviews, the facility failed to ensure residents received their therapeutic diets as physician ordered. This affected two (#17 and #68) of three residents reviewed for therapeutic diets. The facility total census was 91.
  11. D
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on observations, resident and staff interviews, policy review and records reviews, the facility failed to ensure the residents received their adaptive feeding equipment with meals as physician ordered. This affected three (#10, #57, and #79) of three residents reviewed for adaptive equipment. The facility census was 91.
  12. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on observations, staff interviews, policy review, review of Centers for Disease Control and Prevention (CDC) guidance, and record review, the facility failed to ensure staff were following Enhanced Barrier Precautions (EBP) for high contact care activities with the residents. This affected three (#65, #77, and #84) of three residents reviewed for EBP precautions. The facility census was 91.
  13. B
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to ensure garbage and refuse was properly placed inside lidded garbage containers. This had the potential to affect 88 residents. Resident #14, #79, and #103 were on nothing by mouth. The facility census was 91.
April 23, 2025Complaint inspection, Infection control · 3 citations
  1. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 12, 2025
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a thorough assessment of a pressure ulcer was completed upon discovery. This affected one (#25) of three residents reviewed for wounds. The facility census was 82.
  2. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · infection control inspection · Corrected (the home has a date of correction) May 12, 2025
    Inspectors wroteBased on observation, medical record review, resident and staff interview, and policy review, the facility failed to ensure medications were secured in a safe manner. This affected one (#33) of three residents reviewed for medications. The facility census was 82.
  3. D
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · infection control inspection · Corrected (the home has a date of correction) May 12, 2025
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure residents received food in a form to meet individual needs. This affected one (#101) of three residents reviewed for dietary status. The facility census was 82.
January 8, 2025Complaint inspection · 1 citation
  1. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 20, 2025
    Inspectors wroteBased on medical record review, staff interviews and review of the Influenza Vaccine Report, the facility failed to offer the annual influenza vaccines to residents. This affected three (#47, #14 and #39) out of three residents reviewed for influenza vaccines and had the potential to affected 80 out of 82 residents residing in the facility, the facility identified two (#16 and #79) residents who were not eligible for the influenza vaccine. The facility census was 82.
October 24, 2024Complaint inspection · 1 citation
  1. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 6, 2024
    Inspectors wroteBased on medical record review, staff interviews and policy review, the facility failed to ensure medications were administered as physician ordered. This affected four (#47, #66, #80, and #91) out of four residents reviewed for medication administration. Facility census was 93.
September 26, 2024Complaint inspection · 3 citations
  1. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 6, 2024
    Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to initiate treatment for a pressure ulcer in a timely manner. This affected one (#08) of three residents reviewed for wound care and treatment. The facility census was 81.
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 6, 2024
    Inspectors wroteBased on medical record review, observation, staff interview, and facility policy, the facility failed to provide timely incontinence care. This affected one (#53) of three residents reviewed for incontinence care. The facility census was 81. Findings Included: Review of medical record for Resident #53 revealed an admission date 11/02/23. Diagnosis included dementia, psychotic mood disturbance, and anxiety. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #53 was severely cognitively impaired, required partial to moderate assistance for meals, and substantial to maximal assistance for personal hygiene and oral hygiene. Resident #53 was dependent for transfers, bathing, toileting, dressing upper and lower body, and placing shoes on and off. [...]
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 6, 2024
    Inspectors wroteBased on medical record review, observation, staff interview, and policy review, the facility failed to follow infection control precautions when providing wound care. This affected one (#53) of three residents reviewed for wound care. The facility census was 81.
January 11, 2024Standard inspection · 2 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) February 5, 2024
    Inspectors wroteBased on medical record review, observations, staff and physician interviews, policy review, and review of the National Pressure Injury Advisory Panel (NPIAP), the facility failed to ensure interventions were implemented to prevent the development of pressure ulcers for a resident identified at high risk for skin breakdown. The resulted in Actual Harm when Resident #26, who was cognitively impaired, at risk for pressure ulcer development and dependent on staff for turning and repositioning developed an unstageable deep tissue injury to the right heel on 10/02/23 which worsened to a Stage IV pressure ulcer and developed a Stage III pressure ulcer to the sacrum on 12/14/23 due to inadequate and ineffective pressure ulcer prevention/interventions being in place. This affected one (#26) of five reviewed for pressure ulcers. Facility census was 79.
  2. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 5, 2024
    Inspectors wroteBased on medical record review, observations, staff and family interviews, and review of facility policy, the facility failed to provide podiatry services to a resident. This affected one (#70) of three reviewed for activities of daily living (ADL's). The census was 79.
November 14, 2019Standard inspection · 11 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 30, 2019
    Inspectors wroteBased on record review, staff interview and policy review, the facility failed to monitor the water supply to ensure the water could not be contaminated with the Legionella bacterium. This had the potential to affect all 92 residents in the facility.
  2. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 30, 2019
    Inspectors wroteBased on record review and staff interview; the facility failed to ensure advanced directives being stored in the hard chart and electronic health record (EHR) were consistent. This affected three (#26, #40, and #49) of 25 residents reviewed for consistency of advanced directives. The census was 92.
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 30, 2019
    Inspectors wroteBased on record review and staff interview, the facility failed to ensure Minimum Data Set (MDS) assessments were coded accurately to reflect the resident's current status. This affected four (Residents #3, #53, #58 and #71) of 22 resident MDS reviews completed. The facility census was 92.
  4. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 30, 2019
    Inspectors wroteBased record review and staff interview, the facility failed to ensure a Preadmission Screen and Resident Review (PASARR) was accurate upon admission to the facility. This affected one (Resident #71) of three residents reviewed for PASARR assessments. The facility census was 92.
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 30, 2019
    Inspectors wroteBased on record review, staff interview and policy review, the facility failed to ensure laboratory tests were completed as ordered per the physician. This affected one (Resident #34) of one resident reviewed for dialysis. The facility census was 92.
  6. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 30, 2019
    Inspectors wroteBased on medical record review and staff interview the facility failed to ensure the physcian addressed pharmacy recommendations. This affected one Resident (#3) of five residents reviewed for unnecessary medications. The census was 92.
  7. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 30, 2019
    Inspectors wroteBased on record review and staff interview, the facility failed to monitor a resident's weights as ordered by the physician. This affected one (Resident #24) of five residents reviewed for unnecessary medications. The facility census was 92.
  8. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 30, 2019
    Inspectors wroteBased on record review, staff interview, and review of Medscape (online medical resource), the facility failed to ensure an appropriate diagnosis for use of an anti-psychotic medication. This affected one (Resident #58) of five residents reviewed for unnecessary medications. The census was 92.
  9. D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 30, 2019
    Inspectors wroteBased on record review and interview, the facility failed to ensure that after an inadequate blood sample was obtained for a laboratory test, a second blood draw was completed timely. This affected one (Resident #34) of one resident reviewed for dialysis. The facility census was 92.
  10. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 30, 2019
    Inspectors wroteBased on resident record review and interview, the facility failed to provided dental services in a timely manner. This affected one (Resident #66) of three resident reviewed for dental services. The census was 92.
  11. C
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    F576 · Resident Rights · No actual harm, potential for minimal harm, widespread · deficient, provider has December 19, 2019
    Inspectors wroteBased on resident and staff interview and record review, the facility failed to deliver mail to residents on Saturday. This had the potential to affect all residents residing at the facility. The census was 92.

Fire safety inspections

10 fire safety citations on file: 1 on February 18, 2026, 4 on January 11, 2024, 5 on November 14, 2019.

Every fire safety citation10 citations
  1. F
    Have simulated fire drills held at unexpected times.
    K 712 · February 18, 2026 · Corrected (the home has a date of correction)
  2. F
    Have an alternate power supply for its alarm system.
    K 344 · January 11, 2024 · Corrected (the home has a date of correction)
  3. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 11, 2024 · Corrected (the home has a date of correction)
  4. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · January 11, 2024 · Corrected (the home has a date of correction)
  5. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · January 11, 2024 · Corrected (the home has a date of correction)
  6. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · November 14, 2019 · Corrected (the home has a date of correction)
  7. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · November 14, 2019 · Corrected (the home has a date of correction)
  8. E
    Have exits that are accessible at all times.
    K 271 · November 14, 2019 · Corrected (the home has a date of correction)
  9. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · November 14, 2019 · Corrected (the home has a date of correction)
  10. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · November 14, 2019 · Corrected (the home has a date of correction)

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.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)3.883.693.86
Registered nurses0.700.640.69
All nursing staff on weekends3.393.283.42
Nurse aides2.15
Licensed practical nurses1.02
Nursing staff turnover (share who left in a year)62.4%48.7%45.8%
Registered nurse turnover57.1%43.9%42.9%
Administrators who left2

CMS expects 3.81 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 4.07 on weekdays and 3.39 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.81 in April to June 2025 to 3.88 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.880.704.073.39 1.5%0 of 9087
Oct to Dec 20253.890.624.103.35 1.5%0 of 9290
Jul to Sep 20254.100.614.343.50 0.7%0 of 9287
Apr to Jun 20253.810.584.053.20 2.2%0 of 9186
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%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.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.25.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.43.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.31.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
8.06.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.73.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.18.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.224.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
0.012.912.0

Owners and operators

Legal business name: SIENA WOODS CARE CENTER. CMS links this home to Exceptional Living Centers, a group of 10 nursing homes averaging 2.7 stars overall.

NameRoleTypeShareSince
Medical Rehabilitation Centers, LLC5% or greater direct ownership interestOrganization100%02/01/2023
Lexington Health Management LLC5% or greater indirect ownership interestOrganization02/01/2023
Watts, Amy5% or greater indirect ownership interestIndividual02/01/2023
Watts, Walter5% or greater indirect ownership interestIndividual02/01/2023
Peters, AmandaManaging control - governing bodyIndividual02/01/2023
Singh, ShachiManaging control - governing bodyIndividual02/01/2023
Watts, WalterCorporate officerIndividual02/01/2023
Campbell, BrendaOperational/managerial controlIndividual02/01/2023
Campbell, BrendaAdp of the SNFIndividual02/01/2023
Peters, AmandaAdp of the SNFIndividual04/28/2025
Singh, ShachiAdp of the SNFIndividual02/01/2023
Watts, WalterAdp of the SNFIndividual02/01/2023

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on February 18, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on February 18, 2026: "Ensure medication error rates are not 5 percent or greater."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on February 18, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on February 18, 2026: "Allow residents to self-administer drugs if determined clinically appropriate."
  5. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Common questions

What is Siena Woods Care Center's Medicare star rating?
CMS rates Siena Woods Care Center 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Siena Woods Care Center get at its last inspection?
13 health deficiencies at the standard inspection on February 18, 2026. The Ohio average is 10.5.
Has Siena Woods Care Center been fined?
CMS lists no fines in the last three years.
Does Siena Woods Care Center 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 Woods Care Center?
CMS lists 12 owners and managers, and links the home to Exceptional Living Centers. Legal business name: SIENA WOODS CARE CENTER.

Sources

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