Nursing home · SNF / NF

Sienna Hills Nursing & Rehabilitation

Federal · CMSActive CMS certificationCCN 365922For profit CMS overall

73841 Pleasant Grove Road, Adena, OH 43901 · Operated by Sienna Hills Nursing & Rehabilitation, Inc · Chain Hillstone Healthcare

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

Avg residents / day

Inspections

Citations

Harm-level

Fines

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 43 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 35.2 CMS, MDS-derived
CMS Certification Number: 365922
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): May 26, 1993
Ownership type: For profit - Corporation
Operator (legal business name): Sienna Hills Nursing & Rehabilitation, Inc
CMS chain: Hillstone Healthcare 9 facilities
Phone: (740) 546-3013
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Apr 2, 2025

Citations

30 health · 24 fire

Harm or worse

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D23	E9	F22
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

Payment denials

Latest

—

Date	Domain	Survey types	Citations	Most severe	Open
Apr 2, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Feb 20, 2025	Fire safety	Fire Safety Complaint	2	Potential harm	—	Open →
Feb 6, 2025	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Feb 6, 2025	Health	Health Standard	9	Potential harm	—	Open →
Oct 18, 2023	Health	Health Complaint	1	Potential harm	—	Open →
Dec 1, 2022	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Dec 1, 2022	Health	Health Standard	7	Potential harm	—	Open →
Mar 5, 2020	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Mar 5, 2020	Health	Health Standard	11	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D23	E9	F22
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 2, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 17, 2025	Complaint
Apr 2, 2025	F-0584	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 · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 17, 2025	Complaint
Feb 20, 2025	K-0500	Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 27, 2025	Complaint
Feb 20, 2025	K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 27, 2025	Complaint
Feb 6, 2025	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 27, 2025
Feb 6, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 27, 2025
Feb 6, 2025	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 27, 2025
Feb 6, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 27, 2025
Feb 6, 2025	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 27, 2025
Feb 6, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 27, 2025
Feb 6, 2025	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 27, 2025
Feb 6, 2025	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 27, 2025
Feb 6, 2025	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 27, 2025
Feb 6, 2025	F-0584	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 27, 2025
Feb 6, 2025	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 27, 2025
Feb 6, 2025	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 27, 2025
Feb 6, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 27, 2025
Feb 6, 2025	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 27, 2025
Feb 6, 2025	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 27, 2025
Feb 6, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 27, 2025
Feb 6, 2025	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 27, 2025
Oct 18, 2023	F-0657	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 · Clinical care	D · Potential harm Isolated	Corrected Oct 31, 2023	Complaint
Dec 1, 2022	K-0222	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. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 16, 2022
Dec 1, 2022	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 16, 2022
Dec 1, 2022	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 16, 2022
Dec 1, 2022	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 16, 2022
Dec 1, 2022	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 16, 2022
Dec 1, 2022	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 16, 2022
Dec 1, 2022	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 16, 2022
Dec 1, 2022	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 16, 2022
Dec 1, 2022	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 16, 2022
Dec 1, 2022	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 16, 2022
Dec 1, 2022	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Dec 16, 2022
Dec 1, 2022	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Dec 16, 2022
Dec 1, 2022	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 16, 2022
Mar 5, 2020	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Apr 17, 2020
Mar 5, 2020	K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Waiver granted Jul 31, 2020
Mar 5, 2020	K-0532	Have a properly installed and maintained dumbwaiter or escalator. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 17, 2020
Mar 5, 2020	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 17, 2020
Mar 5, 2020	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 17, 2020
Mar 5, 2020	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 17, 2020
Mar 5, 2020	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 17, 2020
Mar 5, 2020	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 17, 2020
Mar 5, 2020	F-0584	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 · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 17, 2020
Mar 5, 2020	F-0585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 17, 2020
Mar 5, 2020	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 17, 2020
Mar 5, 2020	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 17, 2020
Mar 5, 2020	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 17, 2020
Mar 5, 2020	F-0657	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 · Clinical care	D · Potential harm Isolated	Corrected Apr 17, 2020
Mar 5, 2020	F-0660	Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 17, 2020
Mar 5, 2020	F-0675	Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 17, 2020
Mar 5, 2020	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 17, 2020
Mar 5, 2020	F-0758	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 17, 2020
Mar 5, 2020	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Apr 17, 2020

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Sienna Hills Nursing & Rehabilitation, Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Hillstone Healthcare

9 facilities in 1 states. CMS chain ID 271.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.8

Ownership disclosures

Disclosures

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Christopher Mallett	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	25%	Jan 1, 2013
Mark Sprenger	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	25%	Jan 1, 2014
Timothy Sprenger	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	25%	Jan 1, 2013
Benjamin Parsons	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	20%	Jan 1, 2013
Michael Bunner	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5%	May 22, 2012

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Christopher Mallett	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	25%	Jan 1, 2013
Mark Sprenger	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	25%	Jan 1, 2014
Timothy Sprenger	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	25%	Jan 1, 2013
Benjamin Parsons	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	20%	Jan 1, 2013
Michael Bunner	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5%	May 22, 2012
Paul Bergsten	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2022
Matthew Dapore	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2022
Michael Bunner	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 22, 2012
Christopher Mallett	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2013
Benjamin Parsons	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2013
Mark Sprenger	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2014
Timothy Sprenger	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2013
Paul Bergsten	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 1, 2022
Michael Bunner	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 22, 2012
Matthew Dapore	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 1, 2022
Christopher Mallett	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2013
Benjamin Parsons	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2013
Mark Sprenger	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2014
Timothy Sprenger	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2013
Benjamin Parsons	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jul 1, 2020

Same chain in Ohio

All 8 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Whitehouse Country Manor 11239 Waterville St, Whitehouse, OH 43571 CCN 365756	90	Jun 4, 2025	531 open	—
River Run Healthcare of Portsmouth 1319 Spring Street, Portsmouth, OH 45662 CCN 365867	25	Aug 13, 2026	281 IJ	—
Pine Ridge Skilled Nursing and Rehab 463 East Pike Street, Morrow, OH 45152 CCN 365878	50	Jun 30, 2026	645 open	—
Crystal Care Center of Franklin Furnace 4734 Gallia Pike, Franklin Furnace, OH 45629 CCN 366003	30	Apr 30, 2026	24	—
Bowerston Hills Nursing & Rehabilitation 9076 Cumberland Road, Bowerston, OH 44695 CCN 366037	25	Apr 29, 2026	25	—
Crystal Care of Coal Grove 813 1/2 Marion Pike, Coal Grove, OH 45638 CCN 366202	57	Sep 11, 2025	331 IJ	$160k
Roselawn Gardens Nursing & Rehabilitation 11999 Klinger Avenue NE, Alliance, OH 44601 CCN 366231	44	Jun 18, 2025	44	—
Colonial Nursing Center of Rockford 201 Buckeye Street, Rockford, OH 45882 CCN 366234	34	Dec 31, 2025	70	—

Coordinates as published by CMS.

Address: 73841 Pleasant Grove Road, Adena, OH 43901
ZIP: 43901
County: Belmont County FIPS 39013
State: Ohio
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Belmont Manor 51999 Guirino Drive, St Clairsville, OH 43950 CCN 366190	9.8 km	57	Mar 3, 2026	40	—
Park Health Center 100 Pine Avenue, St Clairsville, OH 43950 CCN 365975	10.1 km	87	Mar 23, 2026	471 IJ	$17k
Rolling Hills Rehab and Care Ctr 68222 Commercial Drive, Bridgeport, OH 43912 CCN 365559Abuse icon	11 km	75	Jul 13, 2026	861 IJ	$92k
Continuing Healthcare at Forest Hill 100 Reservoir Road, St Clairsville, OH 43950 CCN 365696	11.1 km	88	Apr 2, 2026	582 harm	$27k
Cumberland Pointe Care Center 68637 Bannock Road, St Clairsville, OH 43950 CCN 366177	13.2 km	75	Sep 15, 2025	57	—
Peterson Rehabilitation and Healthcare 20 Homestead Avenue, Wheeling, WV 26003 CCN 515002	15.5 km	150	Jul 1, 2026	793 IJ1 harm	$142k
Country Club Retirement Ctr IV 55801 Conno-Mara Drive, Bellaire, OH 43906 CCN 365699	16.3 km	62	Jun 9, 2026	614 harm	$94k
Continuous Care Center Wheeling Hospital 236 Hullihen Place, Wheeling, WV 26003 CCN 515055	16.6 km	144	Aug 28, 2025	24	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	365922	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	365922	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 365922

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

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Sienna Hills Nursing & Rehabilitation

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Same chain in Ohio

Nearby nursing homes

Sienna Hills Nursing & Rehabilitation

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Same chain in Ohio

Nearby nursing homes