71.9/100
Above average
6125 N Main Street, Dayton, OH 45415
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
1 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
Nursing staff turnover of 62%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: February 18, 2026 (6 months ago).
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Part of EXCEPTIONAL LIVING CENTERS, which operates 10 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| PETERS, AMANDA | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| SINGH, SHACHI | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| WATTS, WALTER | Individual | CORPORATE OFFICER | — |
| CAMPBELL, BRENDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| CAMPBELL, BRENDA | Individual | ADP OF THE SNF | — |
| PETERS, AMANDA | Individual | ADP OF THE SNF | — |
| SINGH, SHACHI | Individual | ADP OF THE SNF | — |
| WATTS, WALTER | Individual | ADP OF THE SNF | — |
| LEXINGTON HEALTH MANAGEMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| WATTS, AMY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| WATTS, WALTER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| MEDICAL REHABILITATION CENTERS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
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Siena Woods Care Center holds an ElderGrade of B (71.9 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.88 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 1 of the 34 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Siena Woods Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.