| Sienna Extended Care & Rehab | |
| 9221 Harmony Drive, Midwest City, Oklahoma 73130 | |
| (405) 869-0700 | |
| Name | Sienna Extended Care & Rehab |
|---|---|
| Location | 9221 Harmony Drive, Midwest City, Oklahoma |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 100 |
| Occupancy Rate | 82.3% |
| Medicare ID (CCN) | 375534 |
| Legal Business Name | Sienna Extended Care & Rehab LLC |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1780810119 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Sienna Extended Care & Rehab LLC |
| Address | 9221 Harmony Dr, Midwest City, OK 73130 |
| Phone Number | 918-489-2397 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.36 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.11 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.92 | 0.86 |
| Nurse aide hours per resident per day | 2.33 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.95 | 3.42 |
| RN hours per resident per day on the weekend | 0.12 | 0.48 |
| Physical therapist hours per resident per day | 0.03 | 0.07 |
| Total nursing staff turnover | Not available: no valid staffing data was submitted | 45.8% |
| Registered nurse turnover | Not available: no valid staffing data was submitted | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 21, 2025 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by May 30, 2025 |
| Apr 21, 2025 | Assure the security of all personal funds of residents deposited with the facility. F0570, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by May 30, 2025 |
| Apr 21, 2025 | 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. F0585, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by May 30, 2025 |
| Apr 21, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 30, 2025 |
| Apr 21, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by May 30, 2025 |
| Apr 21, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 30, 2025 |
| Apr 21, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 30, 2025 |
| Apr 21, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 30, 2025 |
| Apr 21, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 30, 2025 |
| Apr 21, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 30, 2025 |
| Apr 21, 2025 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by May 30, 2025 |
| Apr 21, 2025 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F0943, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by May 30, 2025 |
| Feb 8, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Feb 29, 2024 |
| Dec 21, 2023 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jan 22, 2024 |
| Dec 21, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jan 22, 2024 |
| Dec 21, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Feb 16, 2024 |
| Dec 21, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jan 22, 2024 |
| Oct 13, 2023 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. F0568, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Oct 14, 2023 |
| Oct 13, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Oct 14, 2023 |
| Oct 13, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, pattern | Corrected by Oct 14, 2023 |
| Jan 10, 2023 | Protect each resident from the wrongful use of the resident's belongings or money. F0602, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Immediate jeopardy, pattern | Corrected by Feb 13, 2023 |
| Jan 10, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Feb 13, 2023 |
| Jan 10, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Feb 13, 2023 |
| Jan 10, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Feb 13, 2023 |
| Jan 10, 2023 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Feb 13, 2023 |
| Jan 10, 2023 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770, Administration, Standard inspection | Potential for harm, pattern | Corrected by Feb 13, 2023 |
| Jan 10, 2023 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Standard inspection | Potential for harm, pattern | Corrected by Feb 13, 2023 |
| Jan 10, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Feb 13, 2023 |
| Jan 10, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 13, 2023 |
| Jan 10, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 13, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.16 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.03 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.85 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.93 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.48 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.38 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.28 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.92 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.73 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 2.73 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.71 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 69.7 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.91 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 10.7 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.91 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 10.71 | 15.38 |
Cross Timbers Nursing and Rehabilitation Location: 1400 Buena Vista Avenue, Midwest City, Oklahoma 73110 Phone: (405) 251-9988 |
Emerald Care Center Midwest Location: 2900 Parklawn Drive, Midwest City, Oklahoma 73110 Phone: (405) 737-6601 |
Midwest City Post Acute & Rehab Location: 8200 National Avenue, Midwest City, Oklahoma 73110 Phone: (405) 737-8200 |