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Sienna Extended Care & Rehab

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About Sienna Extended Care & Rehab

General Information

Legal Business NameSienna Extended Care & Rehab LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 4, 2009 (8 years)
Capacity100
Residents85
Percent Occupied85%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Sienna Extended Care & Rehab

Sienna Extended Care & Rehab
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Oklahoma Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

November 21, 2016 - 7 months ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
KSomeImmediate JeopardyComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
ESomePotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
ESomePotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaintGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.

June 10, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
ESomePotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmComplaintKeep residents' personal and medical records private and confidential.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

May 12, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 31 days
HSomeActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
HSomeActual HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
HSomeActual HarmComplaint+InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmComplaint+InspectionProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionDispose of garbage and refuse properly.
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

December 16, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintKeep all essential equipment working safely.

July 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$98,799 fine
---Payment DenialPayment denial for 55 days
HSomeActual HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
HSomeActual HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
ESomePotential for HarmHealth InspectionProvide care for each resident in a way that maintains or improves their quality of life.
ESomePotential for HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.

June 15, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.

March 19, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$18,137 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Sienna Extended Care & Rehab require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 50min
2hr 30min
ReportedExpected
CNA
1hr 25min
40min
ReportedExpected
LPN
30min
1hr 10min
ReportedExpected
RN
4hr 40min
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

61.3%
88.1%
88.1%
88.1%
94.2%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
79.3%
88.5%
95.6%
100.0%
90.0%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
33.3%
50.0%
50.0%
44.0%
33.5%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of low risk long-stay residents who lose control of their bowels or bladder
20.9%
16.3%
20.0%
18.9%
29.9%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who received an antianxiety or hypnotic medication
19.0%
34.2%
13.6%
17.1%
15.1%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents whose ability to move independently worsened
6.9%
5.8%
6.7%
6.8%
20.0%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who received an antipsychotic medication
13.5%
36.1%
11.1%
8.6%
14.5%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents whose need for help with daily activities has increased
5.7%
3.6%
1.8%
3.8%
12.8%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who self-report moderate to severe pain
10.7%
11.5%
11.4%
9.1%
8.3%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who lose too much weight
8.6%
7.5%
3.1%
6.5%
7.4%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
5.9%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who have depressive symptoms
3.6%
1.9%
2.3%
2.3%
6.7%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents with a urinary tract infection
8.6%
5.8%
13.3%
15.9%
5.0%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents experiencing one or more falls with major injury
4.7%
3.1%
1.9%
1.9%
3.4%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.4%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

58.5%
81.0%
95.5%
96.2%
77.5%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
66.5%
71.4%
71.4%
71.4%
71.8%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
75.6%
63.8%
58.9%
64.9%
61.8%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents who made improvements in function
20.1%
20.7%
18.3%
21.0%
24.0%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents who self-report moderate to severe pain
1.1%
1.1%
0.0%
0.6%
2.5%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents who newly received an antipsychotic medication
0.7%
0.3%
1.4%
1.8%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents with pressure ulcers that are new or worsened