Overall sentiment across the reviews is mixed but leans positive on the facility’s environment and many staff members, with a notable minority reporting serious care and operational problems. A large number of reviewers emphasize the physical attributes of Siena Gardens — multiple comments describe it as beautiful, well-decorated, clean, and home-like, sometimes compared to a high-end hotel. Private rooms and upgraded bathrooms are repeatedly praised. The facility’s upkeep and décor, along with family-friendly touches (one reviewer mentioned free Starbucks for families/residents/employees), are consistent positive themes.
Staff performance is portrayed in two very different lights. Many reviewers describe staff as friendly, kind, attentive, and helpful — with nursing teams and therapy/PT staff singled out for praise. Several reviews note personalized care for long-term residents, and some families report administrators who are available and supportive. Conversely, a distinct set of reviews describes neglectful behavior: aides characterized as unhelpful, poor accountability, and instances of administration being unresponsive. These negative accounts include concrete and serious incidents (see below) and create a pattern of inconsistency in caregiving quality depending on the reviewer’s experience.
Care quality and safety show the sharpest divide. Positive accounts describe excellent care and attentive nursing, but multiple reviewers report severe lapses: residents left in wet diapers, no showers for extended periods, missed meals, beginnings of bedsores, and residents left in bed without appropriate follow-up. There are also reports that the rehab process did not adequately prepare a resident for walking, and conflicting accounts about the availability of weekend physical therapy. These safety and neglect reports are significant because they allege actual harm or risk to residents rather than mere dissatisfaction.
Therapy and rehabilitation are another mixed area. Numerous reviewers praise an excellent therapy department and outstanding PT staff, often citing positive outcomes or helpful teams. At the same time, other reviews complain of delayed physical therapy, inadequate rehab results, and confusion about Medicare coverage or payment for services. This suggests variability in the rehab experience — some residents receive timely, effective therapy while others experience delays or unmet expectations, occasionally tied to insurance/Medicare issues.
Dining and accommodations receive split feedback. Several reviewers compliment specific meals (delicious chicken, perfectly fried fish, well-balanced meals) and note special activities centered on food (banana split event). Dietary staff are praised in some accounts. Yet several other reviews strongly criticize the food — calling it terrible, inconsistent, cold, or inedible for some residents. Beds are another recurring negative: while rooms and bathrooms are described as beautiful, multiple reviewers note that beds are uncomfortable or poor quality.
Management, communication, and operational issues are frequently mentioned as sources of frustration. Some reviewers report an accessible administrator and responsive staff, but others recount that phones are rarely answered, promised equipment (for example, a bedside potty) was not delivered, social services did not follow through, and administration was unresponsive to complaints. Insurance and Medicare complications are specifically indicated as causes of stress and unmet expectations for rehab or coverage of services.
Activities and community life are generally positive: reviewers mention movies, bingo, trunk-or-treat events with neighborhood kids, and other opportunities for social engagement. These elements contribute to the facility’s family-friendly and community-oriented reputation in many reviews.
In sum, the reviews paint Siena Gardens as a physically attractive, well-maintained facility with many caring and competent staff members and a strong therapy program for many residents. At the same time, there is a non-trivial pattern of serious care lapses, communication failures, inconsistent food and bedding quality, and insurance/authorization problems. The combined picture is one of significant variability in the resident experience: many families report excellent care and a warm environment, while others report neglect and operational failures that could cause harm. Prospective residents and families should weigh the consistent positives around environment and some staff teams against the concrete complaints of neglect, and when possible seek specific assurances about care plans, staff responsiveness, therapy scheduling, skin and hygiene protocols, and how administrative/insurance issues will be handled.
