SIENA WOODS CARE CENTER
6125 N MAIN STREET, DAYTON, OH 45415 · CCN 365819
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 99
- Avg residents/day
- 86.6
- Phone
- 9372788211
Inspection history vs Ohio & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Ohio avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-01-11 | 5 | 10.2 | 9.5 | -5.2 better |
| 2 | 2019-11-14 | 16 | 10.7 | 9.8 | +5.3 worse |
| 3 | 2018-10-18 | 15 | 9.9 | 9.3 | +5.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.10 | 59.4% |
| RN staffing (reported) | 0.61 | 66.7% |
| Total nurse staffing (adjusted) | 3.93 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- EXCEPTIONAL LIVING CENTERS
- Facilities in chain
- 10
- Chain avg overall
- 3.20 / 5
Inspection citations (36)2 actual harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-23 · Health · corrected 2025-05-12
Potential for more than minimal harm
- DF0761Ensure 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.2025-04-23 · Health · corrected 2025-05-12
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-04-23 · Health · corrected 2025-05-12
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-01-08 · Health · corrected 2025-01-20
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-24 · Health · corrected 2024-11-06
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-26 · Health · corrected 2024-11-06
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-09-26 · Health · corrected 2024-11-06
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-09-26 · Health · corrected 2024-11-06
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-11 · Health · corrected 2024-02-05
Actual harm
- DF0687Provide appropriate foot care.2024-01-11 · Health · corrected 2024-02-05
Potential for more than minimal harm
- CF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2019-11-14 · Health · corrected 2019-12-19
Potential for minimal harm
- DF0578Honor 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.2019-11-14 · Health · corrected 2019-12-30
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2019-11-14 · Health · corrected 2019-12-30
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2019-11-14 · Health · corrected 2019-12-30
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-11-14 · Health · corrected 2019-12-30
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-11-14 · Health · corrected 2019-12-30
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2019-11-14 · Health · corrected 2019-12-30
Potential for more than minimal harm
- DF0758Implement 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.2019-11-14 · Health · corrected 2019-12-30
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2019-11-14 · Health · corrected 2019-12-30
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2019-11-14 · Health · corrected 2019-12-30
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2019-11-14 · Health · corrected 2019-12-30
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2018-10-18 · Health · corrected 2018-11-19
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2018-10-18 · Health · corrected 2018-11-19
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2018-10-18 · Health · corrected 2018-11-19
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2018-10-18 · Health · corrected 2018-11-19
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2018-10-18 · Health · corrected 2018-11-19
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2018-10-18 · Health · corrected 2018-11-19
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2018-10-18 · Health · corrected 2018-11-19
Actual harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2018-10-18 · Health · corrected 2018-11-19
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2018-10-18 · Health · corrected 2018-11-19
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2018-10-18 · Health · corrected 2018-11-19
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2018-10-18 · Health · corrected 2018-11-19
Potential for more than minimal harm
- FF0761Ensure 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.2018-10-18 · Health · corrected 2018-11-19
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2018-10-18 · Health · corrected 2018-11-19
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2018-10-18 · Health · corrected 2018-11-19
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2018-10-18 · Health · corrected 2018-11-19
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MEDICAL REHABILITATION CENTERS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-02-01 |
| LEXINGTON HEALTH MANAGEMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-02-01 |
| WATTS, AMY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-02-01 |
| WATTS, WALTER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-02-01 |
| CAMPBELL, BRENDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 |
| WATTS, WALTER | Individual | CORPORATE OFFICER | — | 2023-02-01 |
Other facilities in DAYTON
| Name | Overall | Beds |
|---|---|---|
| VIENNA SPRINGS HEALTH CAMPUS | ★★★★★ | 54 |
| BETHANY VILLAGE | ★★★★★ | 252 |
| STONESPRING OF VANDALIA | ★★★★★ | 144 |
| SANCTUARY AT WILMINGTON PLACE | ★★★☆☆ | 63 |
| MARIA JOSEPH LIVING CARE CENTER | ★★★☆☆ | 266 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.