CCN 366331 · Jefferson County, Ohio
Sienna Skilled Nursing & Rehabilitation
250 Cadiz Road, Wintersville, OH 43953
Sienna Skilled Nursing & Rehabilitation is a 88-bed for-profit nursing home in Wintersville, Ohio, first certified for Medicare or Medicaid in 2006. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 81.5 residents a day, about 93% of its certified beds. It has an active FHA-insured Section 232 loan: $17.6 million originally, at 5.88%, with $17.5 million outstanding as of September 30, 2026 and maturity in December 2060.
Facility facts
- Certified beds
- 88
- Average residents per day
- 81.5 (92.6% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Sienna Skilled Nursing & Rehabilitation, Inc.
- Certified since
- Oct 10, 2006
- Chain or affiliated group
- Continuing Healthcare Solutions (12 facilities, chain average 2.3 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Ohio median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 118 at 1, 216 at 2, 180 at 3, 190 at 4, 209 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 2.79 | 3.57 | 3.68 |
| RN hours per resident per day | 0.60 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 2.50 | ||
| Nursing staff turnover | 52.7% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 92.6% | 87.2% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 20 (Aug 11, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Sienna Skilled Nursing & Rehabilitation does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Continuing Healthcare Solutions IncOrganization | Operational / Managerial Control | n/a | 08/23/2012 |
| Kauffman, KevinIndividual | Operational / Managerial Control | n/a | 08/01/2024 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Nov 13, 2025 | 223(f) refinance or purchaseHUD project name: Sienna Skilled Nursing & Rehabilitation Center, 88 beds. Lender at endorsement: Vium Capital Mortgage LLC | $17,600,000 | Active: 5.88%, $17,483,442 balanceMatures Dec 1, 2060. Servicer: Vium Capital Mortgage LLC | 04222467 |
| Jul 7, 2016 | 223(f) refinance or purchaseHUD project name: Sienna-Sienna Skilled Nursing, 88 beds. Lender at endorsement: Lancaster Pollard Mtge Co | $7,360,000 | Ended Aug 15, 2022Prepayment | 04222249 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.