Inspection visit
Health inspection
7 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 7 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, record review, and facility policy review the facility failed to ensure Resident #12 had
a physician order for a physical restraint called a Merry Walker. This affected one Resident (#12) of one
Resident (#12) reviewed for physical restraints. The facility census was 34.
Residents Affected - Few
Findings included:
Review of Resident #12's medical record revealed she was initially admitted to the facility on [DATE] with
the diagnoses of mild intellectual disabilities, hyperthyroidism, bipolar, and unspecified dementia.
Review of Resident #12's quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed she
was minimally cognitively impaired, walked in the room, walked in the corridor, and had locomotion off the
unit with supervision and no setup or physical help from staff. Her locomotion on unit required supervision
and setup help only.
Review of Resident #12's physician orders revealed no order for a Merry [NAME] ( an adaptive device
combining a chair and walker which has four wheels and plastic bars surrounding a resident's body so they
can not get free from the device without physical help of staff. The device is for residents who are at risk for
falling and would normally be placed in a wheelchair for mobility. It allows them to stand from the seat and
walk independently from within the bars of the device ).
Review of Resident #12's care plan dated 11/10/22 revealed she was noncompliant with fall interventions
and the safety precaution intervention of a Merry [NAME] for ambulation throughout facility was initiated on
08/16/22.
Observation on 11/28/22 at 3:59 P.M. of Resident #12 walking in facility hallway in a Merry Walker.
Observation on 11/29/22 at 8:30 A.M. of Resident #12 sitting in her Merry [NAME] watching television.
On 11/30/22 at 8:50 A.M. an interview with Licensed Practical Nurse (LPN) #233 revealed Resident #12
does use a Merry [NAME] for ambulation. After reviewing Resident #12's physician orders, LPN #233
verified there was no order for Resident #12 to have a Merry Walker. LPN #233 verified residents should
not be in a Merry [NAME] without an order from the physician.
Review of the facility policy titled, Restraint Guidelines, dated 01/01/16, revealed documentation
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 9
Event ID:
365922
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365922
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/01/2022
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Sienna Hills Nursing & Rehabilitation
73841 Pleasant Grove Road
Adena, OH 43901
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0604
for a restraint should have an order which has been transcribed to the treatment administration record.
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365922
If continuation sheet
Page 2 of 9
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365922
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/01/2022
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Sienna Hills Nursing & Rehabilitation
73841 Pleasant Grove Road
Adena, OH 43901
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0679
Provide activities to meet all resident's needs.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review, observation and interview, the facility failed to provide Resident #25 with activities to meet
their preferences and interests. This affected one Resident (#25) of one Resident reviewed for activities.
The facility census was 34.
Residents Affected - Few
Findings include:
Review of Resident #25's medical record revealed an admission date of 08/23/19 with diagnoses including
dementia, anxiety and depression.
Review of the annual Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed a severely impaired
cognition level. Further review of the MDS assessment indicated Resident #25's activity interests included
independent activities such as television and music.
Review of the Annual Activity assessment, completed on 05/16/22, indicated Resident #25 preferred
independent activities such as 1:1 visits. The assessment further identified Resident #25's favorite activities
included television, people watching and sitting in the dining room observing other residents and activities.
Review of the activity participation records for Resident #25 revealed no evidence of any 1:1 activities
provided, no group activity participation and no evidence of any independent activities.
Observations conducted intermittently throughout the annual survey on 11/28/22 and 11/29/22 revealed
Resident #25 laying in bed without the television on nor any music playing in the room.
Interview with Activity Director (AD) #206 on 11/30/22 at 9:40 A.M. verified no evidence of any activity
participation and no activities provided for Resident #25 on 11/28/22 and 11/29/22.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365922
If continuation sheet
Page 3 of 9
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365922
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/01/2022
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Sienna Hills Nursing & Rehabilitation
73841 Pleasant Grove Road
Adena, OH 43901
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0690
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate
catheter care, and appropriate care to prevent urinary tract infections.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, record review and facility policy review the facility failed to ensure staff used
appropriate hand hygiene when providing incontinence care. This affected one Resident (#24) of one
Resident reviewed for bladder and bowel incontinence. The facility census was 34.
Findings included:
Review of Resident #24's medical record revealed she was admitted to the facility on [DATE] with the
diagnoses of Alzheimer's disease with early onset, essential hypertension, weakness, and hypothyroidism.
Review of Resident #24's quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed she
was rarely or never understood and was severely impaired with cognitive skills for daily decision making.
Review of the Activity for Daily Living (ADL) assistance section revealed she was totally dependent on two
plus persons for physical assistance. The MDS also revealed Resident #24 was always incontinent of
bladder and bowel.
Observation on 11/30/22 at 10:19 A.M. of incontinence care for Resident #24 provided by State Tested
Nursing Assistant (STNA) #231 and STNA #225 revealed both STNA #231 and #225 did not wash their
hands or use hand sanitizer prior to donning (putting on) gloves. Incontinence care was provided using
proper technique. During and after completion of Resident #24's incontinence care, STNA #231 touched
the handle on the bedside drawer twice, the bed controls, the over bed table, a hair brush, and a teddy bear
while wearing the same gloves he had on to provide the incontinence care. After completion of the
incontinence care, both STNA #231 and #225 doffed (removed) their gloves and used hand sanitizer.
On 11/30/22 at 10:25 A.M. an interview with STNA #231 and STNA #225 verified neither one of them
washed their hands or used hand sanitizer prior to donning their gloves. STNA #231 also verified he
touched multiple items in the room with the same gloves he wore to provide incontinence care.
Review of the facility policy titled, Hand Washing Guidelines, undated, revealed hands should be washed
with soap and water or an antiseptic agent used before and after providing routine care and before putting
on gloves.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365922
If continuation sheet
Page 4 of 9
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365922
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/01/2022
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Sienna Hills Nursing & Rehabilitation
73841 Pleasant Grove Road
Adena, OH 43901
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0695
Provide safe and appropriate respiratory care for a resident when needed.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, record review, and facility policy review the facility failed to ensure oxygen was
administered at the correct flow rate. This affected one Resident (#31) of one Resident reviewed for
respiratory care. The facility census was 34.
Residents Affected - Few
Findings included:
Review of Resident #31's medical record revealed he was admitted to the facility on [DATE] with diagnoses
including essential hypertension, hyperlipidemia, and chronic obstructive pulmonary disease (COPD).
Review of Resident #31's quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed
Resident #31 was cognitively independent and did not receive oxygen.
Review of Resident #31's physician order dated 11/25/22 revealed an order to administer oxygen at two
liters per minute via a nasal cannula continuously to keep oxygen saturation above 92%.
Review of Resident #31's oxygen saturations revealed saturations ranging from 92% to 98%.
Review of Resident #31's care plan dated 11/17/22 revealed he was at risk for altered respiratory status
related to the diagnosis of COPD and untreated lung cancer diagnosed in 2018. The goal of this care plan
was Resident #31 would maintain a normal breathing pattern through the next review. One of the
interventions was administer oxygen as ordered.
Observation on 11/28/22 at 10:43 A.M. of Resident #31 lying in bed with his oxygen flow rate set at
two-and-a-half liters per minute via a nasal cannula.
Observation on 11/29/22 at 7:55 A.M. of Resident #31 lying in bed with his oxygen flow rate set at
two-and-a-half liters per minute via a nasal cannula.
On 11/29/22 at 11:02 A.M. an interview with Licensed Practical Nurse (LPN) #233 revealed the drive to
breath for a resident with COPD was a lower oxygen saturation.
Observation on 11/29/22 at 11:05 A.M. of Resident #31's oxygen flow rate with LPN #233 revealed a flow
rate of two-and-a-half liters per minute via a nasal cannula. An interview with LPN #233 at the time revealed
she was not sure what the oxygen should be flowing at and would like to review Resident #31's order for
oxygen.
On 11/29/22 at 11:09 A.M. an interview with LPN #233, revealed the oxygen flow rate for Resident #31 was
not correct based on the order for two liters per minute via nasal cannula and should be lowered.
Review of the facility policy titled, Oxygen Administration, undated, revealed adjust the oxygen delivery
device so that it is comfortable for the resident and the proper flow of oxygen is being administered.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365922
If continuation sheet
Page 5 of 9
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365922
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/01/2022
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Sienna Hills Nursing & Rehabilitation
73841 Pleasant Grove Road
Adena, OH 43901
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0812
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve
food in accordance with professional standards.
Based on observation, interview, facility record review and facility policy review the facility failed to ensure
food was stored and prepared under sanitary conditions. This had the potential to affect all Residents living
in the facility and receiving meals from the kitchen. The were no Residents identified by the facility as
receiving nothing by mouth. The facility census was 34.
Findings included:
1. Observation on 11/28/22 at 8:40 A.M. of meat in a plastic bag floating in water in the staff hand washing
sink. The water was not running in the sink and the sink was plugged to make a pool of water.
On 11/28/22 at 9:00 A.M. an interview with Dietary #213 verified the meat should not be thawed in a pool of
water or in the staff hand washing sink. She reported the staff the evening before forgot to defrost the meat
in the fridge and she was trying to thaw it quickly.
Review of the facility policy titled, Food Handling Guidelines, undated, revealed thawing of frozen meat
should be done in the following manners: under refrigeration at temperature below 41 degrees Fahrenheit,
under potable running water at a temperature of 70 degrees Fahrenheit or below, as part of the
conventional cooking process, or in a microwave only when the food will be immediately transferred to
conventional cooking facilities as port of a continuous cooking process or when the entire, uninterrupted
cooking process takes place in a microwave oven.
2. Observation on 11/28/22 at 8:41 A.M. of both ovens with charred, burned on food evidence the ovens
had not been properly cleaned for some time.
On 11/28/22 at 9:02 A.M. an interview with Dietary #213 verified the ovens were dirty and she wasn't sure
when they were last cleaned.
On 11/29/22 at 10:00 A.M. an interview with Dining Services Director (DSD) #204 verified the ovens were
only cleaned once every three weeks and the ovens were dirty and needed cleaned.
Review of the facility policy titled, Sanitation, undated, revealed ovens were to be free of spills.
3. Observation on 11/28/22 at 8:44 A.M. of Resident Assistant (RA) #228 entering the kitchen and walking
past both hazard tape lines on the floor without her hair covered. She walked over to the steam table area
which had ham, eggs, and hot cereals without coverings. An interview at the time with RA #228 verified she
was not wearing a hair net and had never been told to wear a hairnet or to cover her hair when she was in
the kitchen.
On 11/28/22 at 8:45 A.M. an interview with Dietary #213 revealed all staff were to wear hair covering once
past the second hazard tape line on the floor.
Review of the facility policy titled, Personal Hygiene, undated, revealed hair must be kept clean and kept
restrained with a hair net or cap covering all hair.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365922
If continuation sheet
Page 6 of 9
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365922
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/01/2022
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Sienna Hills Nursing & Rehabilitation
73841 Pleasant Grove Road
Adena, OH 43901
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0812
Level of Harm - Minimal harm
or potential for actual harm
4. Observation on 11/19/22 at 9:30 A.M. of a 106 ounce can of corn with a dent on the edge of the can
compromising the seal. An interview at the time with the DSD #204 revealed cans were checked upon
delivery, and dented cans were supposed to be put in another room to be donated to a local food bank. She
verified the can of corn was dented on the seal and was in the pantry to be used and not with the other
items to be donated.
Residents Affected - Many
Review of the facility policy titled, Receiving, undated, revealed store damaged goods separately from
non-damaged goods.
5. Observation on 11/29/22 at 12:30 P.M. of DSD #204 preparing puree. She pureed enchiladas following
the recipe. DSD #204 then ran the processor through the chemical dishwasher. Once the dishwasher was
done, the processor was placed on the counter to air dry.
Observation on 11/29/22 at 12:55 P.M. of DSD #204 continuing the puree process using the processor she
had run through the dishwasher. The processor was not dry. DSD #204 put rice in the processor and
pureed it following a recipe.
On 11/29/22 at 1:00 P.M. an interview with DSD #204 revealed she did not let the processor completely dry
and should have to prevent potential contamination. She verified that all dishes are to air dry completely
prior to use.
6. Observation on 11/29/22 at 12:35 P.M. of the large can opener with black, crusted food like substance on
the puncture blade. An interview at the time with DSD #204 verified the can opener was dirty and it is not
on the daily cleaning schedule.
Review of the facility policy titled, Sanitation, undated, revealed can openers are to be clean.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365922
If continuation sheet
Page 7 of 9
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365922
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/01/2022
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Sienna Hills Nursing & Rehabilitation
73841 Pleasant Grove Road
Adena, OH 43901
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0814
Dispose of garbage and refuse properly.
Level of Harm - Minimal harm
or potential for actual harm
Based on observation, interview and facility policy review, the facility failed to ensure an outdoor dumpster
lid was completely covering the opening to the dumpster to protect from pest infestation. This had the
potential to affect all 34 Residents living in the facility. The facility census was 34.
Residents Affected - Many
Findings included:
Observation on 11/28/22 at 08:30 A.M. of the outdoor dumpster revealed one fourth of the lid was missing
leaving the refuse open to air and pests.
Observation on 11/29/22 at 12:30 P.M. of the outdoor dumpster revealed one fourth of the lid was missing
leaving the refuse open to air and pests.
On 11/29/22 an interview with Dining Services Director (DSD) #204 revealed the trash dumpster had been
missing part of the lid for a few weeks and the facility probably should have notified the trash company of
the broken lid.
Review of the facility policy titled, Solid Waste Disposal, undated, revealed garbage containers would be
covered at all times.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365922
If continuation sheet
Page 8 of 9
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365922
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/01/2022
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Sienna Hills Nursing & Rehabilitation
73841 Pleasant Grove Road
Adena, OH 43901
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0908
Keep all essential equipment working safely.
Level of Harm - Minimal harm
or potential for actual harm
Based on observation and interview the facility failed to ensure a kitchen oven was maintained in safe
operating condition. This had the potential to affect all 34 Residents living in the facility. The facility census
was 34.
Residents Affected - Many
Findings included:
Observation on 11/28/22 at 8:40 A.M. of the left kitchen oven revealed the door of the oven had a piece of
wood wedged into the top of it. An interview at the time of the observation with Dietary #213 revealed the
oven door did not close properly so the piece of wood was used to wedge the oven door closed.
On 11/29/22 at 10:00 A.M. an interview with Dining Services Director (DSD) #204 revealed the spring in the
left oven door was not working correctly and a company came to fix it but ended up making it worse and the
door would not close all the way. DSD #204 verified the broke oven door and revealed the facility had been
using the piece of wood to wedge the oven door closed for over a week. DSD #204 verified using the piece
of wood on a hot oven was not safe operating condition.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365922
If continuation sheet
Page 9 of 9
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Back to topCitations
7 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F604 - Respect and Dignity
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F679 - Activities
Provide activities to meet all resident's needs.
F690 - Incontinence
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F695 - Respiratory care, including tracheostomy care and tracheal suctioning
Provide safe and appropriate respiratory care for a resident when needed.
F812 - Food safety requirements
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F814 - Food Safety Requirements
Dispose of garbage and refuse properly.
F908 - Maintain all mechanical, electrical, and patient care equipment in safe
Keep all essential equipment working safely.
FAQ · About this visit
Common questions about this visit
What happened during the December 1, 2022 survey of SIENNA HILLS NURSING & REHABILITATION?
This was a inspection survey of SIENNA HILLS NURSING & REHABILITATION on December 1, 2022. The surveyor cited 7 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at SIENNA HILLS NURSING & REHABILITATION on December 1, 2022?
Yes, 7 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.