All citations for Sienna Extended Care & Rehab

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Sienna Extended Care & Rehab

Last standard health inspection on record

April 21, 2025

Showing 1 to 25 of 39 citations

  1. Immediate jeopardy to resident health or safety

    Protect each resident from the wrongful use of the resident's belongings or money.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2023).

  2. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of January 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2023).

  3. No harm, with potential for more than minimal harm

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Widespread (many residents). CMS level F.

    Health citation F-0577, Resident Rights Deficiencies. Inspection of April 21, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  4. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of April 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  5. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  6. No harm, with potential for more than minimal harm

    Assure the security of all personal funds of residents deposited with the facility.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0570, Resident Rights Deficiencies. Inspection of April 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  7. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of April 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  8. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of April 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  9. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  10. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of April 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  11. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of April 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  12. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  13. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  14. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of December 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2024).

  15. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of December 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2024).

  16. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 16, 2024).

  17. No harm, with potential for more than minimal harm

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0568, Resident Rights Deficiencies. Inspection of October 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 14, 2023).

  18. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 14, 2023).

  19. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of October 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 14, 2023).

  20. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2023).

  21. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of January 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2023).

  22. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2023).

  23. No harm, with potential for more than minimal harm

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0770, Administration Deficiencies. Inspection of January 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2023).

  24. No harm, with potential for more than minimal harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0835, Administration Deficiencies. Inspection of January 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2023).

  25. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.