All citations for Sienna Hills Nursing & Rehabilitation

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 Hills Nursing & Rehabilitation

Last standard health inspection on record

February 6, 2025

Showing 1 to 20 of 20 citations

  1. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

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

    Fire safety citation K-0225, Egress Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    A waiver was granted (July 31, 2020).

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

    Have a properly installed and maintained dumbwaiter or escalator.

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

    Fire safety citation K-0532, Services Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of October 18, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

  12. 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.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

    Plan the resident's discharge to meet the resident's goals and needs.

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

    Health citation F-0660, Resident Assessment and Care Planning Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

    Honor each resident's preferences, choices, values and beliefs.

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

    Health citation F-0675, Quality of Life and Care Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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

    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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 5, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2020).

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.