Skilled nursing facility · CMS certification number 366331

SIENNA SKILLED NURSING & REHABILITATION

WINTERSVILLE, Ohio · Medicare and Medicaid

Certified beds, as filed in Care Compare: 88

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 6 June 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$9,688,403	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$1,001,023	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,689,426	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,390,196	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,299,230	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,347	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,315,577	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,315,577 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	32,208	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,451	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	17,183	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	9,350	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	28,984	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	91	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	86	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	240	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	417	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	199.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	69.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1428566, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 April 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$9,748,437	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$199,661	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,548,776	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,583,387	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,965,389	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,719	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,970,108	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,970,108 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,700	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	384	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.26	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	188.95	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	72.14	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1420717, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 March 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$7,825,513	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$126,690	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,698,823	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,720,476	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$978,347	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$584,300	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,562,647	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,562,647 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,034	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	262	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.49	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	231.24	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	95.55	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375393, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 October 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$7,585,857	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$232,353	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,353,504	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,051,011	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$302,493	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$667,851	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$970,344	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $970,344 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,814	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	269	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.87	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	169.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	95.96	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366923, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 January 2023.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$7,948,007	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$328,923	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,619,084	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,879,005	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$740,079	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$396,168	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,136,247	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,136,247 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,698	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	362	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	121.64	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	76.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1340549, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 February 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$9,248,029	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,736,326	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,511,703	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,858,280	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$653,423	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$26,719	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$680,142	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $680,142 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,283	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	427	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	155.16	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	68.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1280615, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 February 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$9,716,552	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,265,859	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,450,693	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,500,723	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$949,970	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$30,093	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$980,063	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $980,063 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,475	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	410	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.74	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	129.69	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	69.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1251618, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 November 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$9,836,803	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,446,631	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,390,172	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,393,805	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$996,367	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,863	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,009,230	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,009,230 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,069	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	321	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	197.34	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	93.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1213754, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 October 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$8,058,237	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,301,546	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,756,691	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,280,461	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$476,230	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,806	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$478,036	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $478,036 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,793	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	366	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	164.77	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	81.4	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1177317, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 December 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$8,683,509	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,134,476	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,549,033	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,263,252	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$285,781	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,034	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$287,815	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $287,815 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,417	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	328	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	170.68	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	92.73	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1148953, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 May 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$8,390,614	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,885,390	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,505,224	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,098,986	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$406,238	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,858	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$410,096	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $410,096 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,776	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	289	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	182.59	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	106.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1123722, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 February 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$7,892,557	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,442,032	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,450,525	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,141,108	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$309,417	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,709	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$311,126	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $311,126 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,696	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	238	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	60.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	246.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	124.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1086403, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 July 2012

Cost report for 1 January 2012 to 31 July 2012 — a reporting period of 212 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 5 November 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$4,900,397	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$896,141	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,004,256	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,165,338	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$161,082	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$120	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$160,962	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$160,962 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,497	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	70	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,891.17	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	249.96	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1049504, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 June 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$9,099,053	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,551,198	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,547,855	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,842,085	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$705,770	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,062	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$706,832	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $706,832 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,758	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	124	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,708.57	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	248.05	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1032510, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 August 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$7,372,648	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,807,915	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$564,733	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $564,733 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,432	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	227	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.44	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	255.82	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	134.06	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 431397, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 February 2011.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$7,337,869	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,777,591	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$560,278	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $560,278 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,025	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	191	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.16	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	265.11	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	146.73	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 393922, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 October 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$7,611,488	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,227,648	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,383,840	CMS-2540-96 worksheet G300000 line 500 column 100
Total other expenses	$233,738	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $1,150,102 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,645	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	204	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.55	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	364.8	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	150.22	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 357799, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 February 2008.

None of these figures is carried on this report.

CMS report record 302852, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 10 October 2006 to 31 December 2006 — a reporting period of 82 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 24 January 2008.

None of these figures is carried on this report.

CMS report record 300807, read from the public cost report file SNFFY2007.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
BUNNER, MICHAEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/20/2022
CONTINUING HEALTHCARE SOLUTIONS INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/17/2026
HUGHEY, TRACY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/15/2013
KAUFFMAN, KEVIN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2024
MALLETT, CHRISTOPHER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/20/2022
PALMER, AMY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/15/2025
PARSONS, BENJAMIN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/20/2022
SPRENGER, MARK	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/20/2022
SPRENGER, TIMOTHY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/20/2022
BUNNER, MICHAEL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 08/01/2012
MALLETT, CHRISTOPHER	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 08/01/2012
PARSONS, BENJAMIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 08/01/2012
SPRENGER, MARK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 08/01/2012
SPRENGER, TIMOTHY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 08/01/2012
HUGHEY, TRACY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2026
KAUFFMAN, KEVIN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 08/01/2024
CONTINUING HEALTHCARE SOLUTIONS INC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 08/23/2012
CONTINUING HEALTHCARE SOLUTIONS INC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/23/2012
KAUFFMAN, KEVIN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2024
MILLER, MICHAEL	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2026

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SIENNA SKILLED NURSING & REHABILITATION, INC. (enrollment ID O20121022000249).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
CONTINUING HEALTHCARE SOLUTIONS INC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	5/11/2012	Private equity company: No Real estate investment trust: No Holding company: No
MICHAEL MILLER	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	1/1/2026	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AMY PALMER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/15/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BENJAMIN J PARSONS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/20/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHRISTOPHER MALLETT	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/20/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CONTINUING HEALTHCARE SOLUTIONS INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/17/2026	Private equity company: No Real estate investment trust: No Holding company: No
KEVIN J KAUFFMAN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK SPRENGER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/20/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL BUNNER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/20/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TIMOTHY S SPRENGER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/20/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TRACY HUGHEY	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/15/2013	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/11/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BENJAMIN J PARSONS	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHRISTOPHER MALLETT	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK SPRENGER	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL BUNNER	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TIMOTHY S SPRENGER	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEVIN J KAUFFMAN	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TRACY HUGHEY	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2026	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CONTINUING HEALTHCARE SOLUTIONS INC	Organization	DIRECT OWNERSHIP INTEREST	100	8/23/2012	Private equity company: No Real estate investment trust: No Holding company: No
CONTINUING HEALTHCARE SOLUTIONS INC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	8/23/2012	Private equity company: No Real estate investment trust: No Holding company: No
KEVIN J KAUFFMAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL MILLER	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2026	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: AMY PALMER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AMY PALMER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 May 2026: CHRISTOPHER MALLETT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CHRISTOPHER MALLETT no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: BENJAMIN J PARSONS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: BENJAMIN J PARSONS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: BENJAMIN J PARSONS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MARK SPRENGER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MARK SPRENGER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MICHAEL BUNNER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MICHAEL BUNNER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: TIMOTHY S SPRENGER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: TIMOTHY S SPRENGER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CHRISTOPHER MALLETT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: BENJAMIN J PARSONS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MARK SPRENGER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MICHAEL BUNNER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: TIMOTHY S SPRENGER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CHRISTOPHER MALLETT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: BENJAMIN J PARSONS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MARK SPRENGER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MICHAEL BUNNER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: TIMOTHY S SPRENGER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MICHAEL MILLER appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MICHAEL MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: KEVIN J KAUFFMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: KEVIN J KAUFFMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: KEVIN J KAUFFMAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CONTINUING HEALTHCARE SOLUTIONS INC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CONTINUING HEALTHCARE SOLUTIONS INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: TRACY HUGHEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: TRACY HUGHEY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: AMY PALMER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
31 October 2022: CHRISTOPHER MALLETT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: BENJAMIN J PARSONS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: FRANCIS MURPHY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: FRANCIS MURPHY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: FRANCIS MURPHY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: MARK SPRENGER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: MICHAEL BUNNER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: TIMOTHY S SPRENGER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: RENEE FORESTER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ADAM VETTER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ADAM VETTER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ADAM VETTER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: BENJAMIN J PARSONS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv

Recent changes on this record

1 July 2026: AMY PALMER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AMY PALMER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 May 2026: CHRISTOPHER MALLETT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CHRISTOPHER MALLETT no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: BENJAMIN J PARSONS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: BENJAMIN J PARSONS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: BENJAMIN J PARSONS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MARK SPRENGER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MARK SPRENGER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MICHAEL BUNNER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MICHAEL BUNNER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: TIMOTHY S SPRENGER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: TIMOTHY S SPRENGER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CHRISTOPHER MALLETT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: BENJAMIN J PARSONS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MARK SPRENGER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MICHAEL BUNNER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: TIMOTHY S SPRENGER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CHRISTOPHER MALLETT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: BENJAMIN J PARSONS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MARK SPRENGER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MICHAEL BUNNER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: TIMOTHY S SPRENGER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MICHAEL MILLER appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MICHAEL MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: KEVIN J KAUFFMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: KEVIN J KAUFFMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: KEVIN J KAUFFMAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CONTINUING HEALTHCARE SOLUTIONS INC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CONTINUING HEALTHCARE SOLUTIONS INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: TRACY HUGHEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: TRACY HUGHEY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: AMY PALMER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
6 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
8 April 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
21 March 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
19 October 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
19 January 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
31 October 2022: CHRISTOPHER MALLETT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	11 August 2025	11 August 2025	20	4
2	30 November 2023	30 November 2023	15	3
3	24 February 2022	24 February 2022	5	6

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

40 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
9 February 2026	Health	F 0573	Resident Rights Deficiencies	Let each resident or the resident's legal representative access or purchase copies of all the resident's records.	D	Yes	Deficient, Provider has date of correction	13 March 2026
9 February 2026	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	Yes	Deficient, Provider has date of correction	13 March 2026
9 February 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	13 March 2026
9 February 2026	Health	F 0761	Pharmacy Service Deficiencies	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.	E	Yes	Deficient, Provider has date of correction	13 March 2026
9 February 2026	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	F	Yes	Deficient, Provider has date of correction	13 March 2026
9 February 2026	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	13 March 2026
17 November 2025	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	Yes	Deficient, Provider has date of correction	18 November 2025
11 August 2025	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	No	Deficient, Provider has date of correction	10 September 2025
11 August 2025	Health	F 0569	Resident Rights Deficiencies	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.	D	No	Deficient, Provider has date of correction	10 September 2025
11 August 2025	Health	F 0570	Resident Rights Deficiencies	Assure the security of all personal funds of residents deposited with the facility.	E	No	Deficient, Provider has date of correction	10 September 2025
11 August 2025	Health	F 0584	Resident Rights Deficiencies	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.	D	No	Deficient, Provider has date of correction	10 September 2025
11 August 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	10 September 2025
11 August 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	10 September 2025
11 August 2025	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	No	Deficient, Provider has date of correction	10 September 2025
11 August 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	10 September 2025
11 August 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	10 September 2025
11 August 2025	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	10 September 2025
11 August 2025	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	E	No	Deficient, Provider has date of correction	10 September 2025
11 August 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	10 September 2025
11 August 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	10 September 2025
28 April 2025	Health	F 0687	Quality of Life and Care Deficiencies	Provide appropriate foot care.	D	Yes	Deficient, Provider has date of correction	6 May 2025
28 April 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	6 May 2025
28 April 2025	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	G	Yes	Deficient, Provider has date of correction	6 May 2025
28 April 2025	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	Yes	Deficient, Provider has date of correction	6 May 2025
28 April 2025	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	Yes	Deficient, Provider has date of correction	6 May 2025
20 March 2025	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	F	Yes	Deficient, Provider has date of correction	7 April 2025
20 March 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	Yes	Deficient, Provider has date of correction	7 April 2025
21 February 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	Yes	Deficient, Provider has date of correction	14 March 2024
30 November 2023	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	19 January 2024
30 November 2023	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	19 January 2024
30 November 2023	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D	No	Deficient, Provider has date of correction	19 January 2024
30 November 2023	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	19 January 2024
30 November 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	19 January 2024
30 November 2023	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E	No	Deficient, Provider has date of correction	19 January 2024
30 November 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	19 January 2024
30 November 2023	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	19 January 2024
24 February 2022	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	18 March 2022
24 February 2022	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	18 March 2022
24 February 2022	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	No	Deficient, Provider has date of correction	18 March 2022
24 February 2022	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	18 March 2022

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	SIENNA SKILLED NURSING & REHABILITATION, INC.
Date First Approved to Provide Medicare and Medicaid Services	2006-10-10
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Jefferson
Telephone Number	7402645245
Chain Name	CONTINUING HEALTHCARE SOLUTIONS
Chain ID	159
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Both
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	88
Average Number of Residents per Day	81.5
Overall Rating	1
Health Inspection Rating	1
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	1
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on SIENNA SKILLED NURSING & REHABILITATION: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: AMY PALMER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for SIENNA SKILLED NURSING & REHABILITATION

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Ohio at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 366331.