Nursing homeActive

Siena Woods Care Center

6125 N Main Street, Dayton, OH 45415937278821199 certified beds · 87 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2019
Deficiencies
34
2311
Penalties · 3 yrs
none on file
Last survey
2026-02-18
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Ohio Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-02-18Standard1120CMS-2567 (Care Compare)
2025-04-23Infection control030CMS-2567 (Care Compare)
2025-01-08Complaint010CMS-2567 (Care Compare)
2024-10-24Complaint010CMS-2567 (Care Compare)
2024-09-26Complaint030CMS-2567 (Care Compare)
2024-01-11Standard011CMS-2567 (Care Compare)
2019-11-14Standard1100CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Ohio Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-02-18Standard survey · 13 deficienciesOfficial report
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 365819-20260218-F554
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 365819-20260218-F582
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 365819-20260218-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 365819-20260218-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 365819-20260218-F677
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 365819-20260218-F679
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 365819-20260218-F689
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 365819-20260218-F759
F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 365819-20260218-F808
F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 365819-20260218-F810
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 365819-20260218-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 365819-20260218-F880
F814Dispose of garbage and refuse properly.Scope/severity BPaperwork
Food & nutrition
Pattern; potential for minimal harm.Corrected 2026-03-31Record 365819-20260218-F814
2025-04-23Infection control survey · 3 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-12Record 365819-20250423-F686
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-12Record 365819-20250423-F761
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-12Record 365819-20250423-F805
2025-01-08Complaint survey · 1 deficiencyOfficial report
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-20Record 365819-20250108-F883
2024-10-24Complaint survey · 1 deficiencyOfficial report
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-06Record 365819-20241024-F755
2024-09-26Complaint survey · 3 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-06Record 365819-20240926-F686
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-06Record 365819-20240926-F690
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-06Record 365819-20240926-F880
2024-01-11Standard survey · 2 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-02-05Record 365819-20240111-F686
F687Provide appropriate foot care.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-05Record 365819-20240111-F687
2019-11-14Standard survey · 11 deficienciesOfficial report
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-30Record 365819-20191114-F578
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-30Record 365819-20191114-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-30Record 365819-20191114-F645
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-30Record 365819-20191114-F684
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-30Record 365819-20191114-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-30Record 365819-20191114-F757
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-30Record 365819-20191114-F758
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-30Record 365819-20191114-F770
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-30Record 365819-20191114-F791
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-12-30Record 365819-20191114-F880
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2019-12-19Record 365819-20191114-F576

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.70
Facility
Ohio
National
Ohio 0.64 · National 0.69
Total nurse hours per resident day3.88
Facility
Ohio
National
Ohio 3.69 · National 3.86
Weekend total nurse hours3.39
Facility
Ohio
National
Ohio 3.28 · National 3.42
Total nursing staff turnover62%
Facility
Ohio
National
Ohio 49% · National 46%
Registered nurse turnover57%
Facility
Ohio
National
Ohio 44% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityOhioNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.7%3.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.4%3.2%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
8.1%8.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%0.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
9.2%5.3%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
10.6%6.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
10.1%25.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Medical Rehabilitation Centers, LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Lexington Health Management LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Watts, Amy
Individual
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Watts, Walter
Individual
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Campbell, Brenda
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Campbell, Brenda
Individual
ADP OF THE SNFNOT APPLICABLE
Peters, Amanda
Individual
ADP OF THE SNFNOT APPLICABLE
Peters, Amanda
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Singh, Shachi
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Singh, Shachi
Individual
ADP OF THE SNFNOT APPLICABLE
Watts, Walter
Individual
ADP OF THE SNFNOT APPLICABLE
Watts, Walter
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Exceptional Living Centers10 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Ohio.

No county cost figures on file for Montgomery.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Aventura At Carriage Inn
Dayton
0.4 mi2026-05-140270
Riverside Nursing And Rehabilitation Center
Dayton
1.6 mi2025-09-020343
Stonespring Of Vandalia
Dayton
1.8 mi2024-08-09080
Maria Joseph Living Care Center
Dayton
1.8 mi2025-09-11030
Arc At Trotwood LLC
Dayton
2.1 mi2026-05-210410
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01