CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Sienna Hills Nursing and Rehabilitation
View the most recent health deficiencies and inspection results for Sienna Hills Nursing and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Sienna Hills Nursing and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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. | Health | 2025-04-02 | 2025-04-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-02 | 2025-04-17 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2025-02-06 | 2025-03-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-02-06 | 2025-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-06 | 2025-03-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-02-06 | 2025-03-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-06 | 2025-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-06 | 2025-03-27 | N |
| Provide activities to meet all resident's needs. | Health | 2025-02-06 | 2025-03-27 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-02-06 | 2025-03-27 | N |
| 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. | Health | 2025-02-06 | 2025-03-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-02-06 | 2025-03-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-06 | 2025-03-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-02-06 | 2025-03-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-02-06 | 2025-03-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2025-02-20 | 2025-03-27 | Y |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-02-20 | 2025-03-27 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-02-06 | 2025-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-06 | 2025-03-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-02-06 | 2025-03-27 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-02-06 | 2025-03-27 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-18 | 2023-10-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-30 | 2023-09-07 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-12-01 | 2022-12-16 | N |
| Provide activities to meet all resident's needs. | Health | 2022-12-01 | 2022-12-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-12-01 | 2022-12-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-01 | 2022-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-01 | 2022-12-16 | N |
| Dispose of garbage and refuse properly. | Health | 2022-12-01 | 2022-12-16 | N |
| Keep all essential equipment working safely. | Health | 2022-12-01 | 2022-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-01 | 2022-12-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-12-01 | 2022-12-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-01 | 2022-12-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-01 | 2022-12-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-01 | 2022-12-16 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-12-01 | 2022-12-16 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-03-05 | 2020-07-31 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-03-05 | 2020-04-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-05 | 2020-04-17 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-03-05 | 2020-04-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-05 | 2020-04-17 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2020-03-05 | 2020-04-17 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-03-05 | 2020-04-17 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-03-05 | 2020-04-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-03-05 | 2020-04-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-03-05 | 2020-04-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-05 | 2020-04-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-05 | 2020-04-17 | N |
| 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. | Health | 2020-03-05 | 2020-04-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-05 | 2020-04-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-05 | 2020-04-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-03-05 | 2020-04-17 | N |
| Have a properly installed and maintained dumbwaiter or escalator. | Fire Safety | 2020-03-05 | 2020-04-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-05 | 2020-04-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-05 | 2020-04-17 | N |