The reviews for Sienna Extended Care & Rehab portray a facility with a strong physical environment and a polarized pattern of care experiences. Multiple reviewers consistently praise the building: it is described as clean, attractive, well-landscaped, and odor-free, with private rooms, indoor/outdoor spaces, and accessible visiting. Therapy services (physical, occupational, and speech) receive frequent positive mention — many families credit the rehab teams with meaningful recovery gains. Likewise, several individual staff members are singled out by name for compassion, helpfulness, and above-and-beyond service in admissions, nursing, therapy, social services, housekeeping, and dining. Activities such as arts and crafts, bingo, and music are noted as beneficial and contribute to a homelike, engaging atmosphere for many residents.
However, an equally strong and recurring theme is significant concern about clinical care and management. A large number of reviews report chronic understaffing, particularly at night and on weekends, leading to long response times for call lights, missed medications, missed baths, and inadequate assistance with eating and toileting. Medication mismanagement is a frequent and serious complaint: meds not pulled or administered, printed schedules not followed, long waits for medication after admission, and even apparent overdosing or incorrect blood thinner dosing in isolated accounts. Several reviewers attribute serious adverse outcomes — infections left untreated, progression to ICU, bedsores, falls with fractures, and in a few cases death — to lapses in nursing care and delays in physician notification. Families report being pressured to sign discharge paperwork, abrupt discharges, or relocations that they characterize as unsafe or deceptive.
Management and communication problems are a dominant negative pattern. Numerous reviewers describe unresponsive administration, difficulty reaching directors or the owner, unanswered phone lines, and a sense that documentation and discharge coordination are mishandled. There are many allegations of rude or demeaning behavior by administrators, reports of retaliation against staff, and perceived profit-driven decisions such as cutting staff that undermine care. Some reviewers recount billing disputes (for example, transportation billed to family despite expectations of billing on discharge), missing or delayed paperwork, and refusal to process refunds. A subset of reviewers specifically urge others to research licensing history and to be wary, citing prior investigations, state citations, or alleged cover-ups.
Dining and housekeeping experiences are mixed. Several families praise meal variety, helpful kitchen staff, and good dining options; others report cold, inedible meals, weekend dietary staff shortages, missed meals, and poor food quality. Cleaning and hygiene reports also vary widely: while many reviewers say the facility and rooms are spotless and well-maintained, others report troubling lapses such as dirty sheets, soiled rooms left for days, vomit not cleaned, and missing laundry or personal items. These inconsistencies often appear linked to staffing levels and shift timing (day shift praised more frequently than night shift by multiple reviewers).
The staff picture is nuanced: many individual nurses, aides, and therapists are described as caring, skilled, and attentive. Specific staff members are identified as exceptional and credited with smoothing transitions, explaining insurance, or providing dignified end-of-life care. Yet the facility also experiences high turnover, use of temporary or inexperienced nurses, and reports that some shifts (notably nights or weekends) are minimally staffed or inadequately supervised. Families repeatedly report a split between compassionate direct caregivers and problematic leadership/administration that fails to support or supervise clinical staff adequately.
Safety concerns and serious incidents are prominent in the negative reviews. Reported problems include ignored alarms for many hours, patients left unattended leading to falls and injuries, neglected wounds or fungal infections, delayed treatment for hospice patients, and allegations of concealed incidents. Several reviews say loved ones were removed from the facility because of safety concerns. These reports, combined with claims of licensing issues and state citations, create a pattern that prospective residents and families should carefully investigate.
In summary, Sienna Extended Care & Rehab shows a starkly divided reputation: a well-kept, attractive facility with capable therapy teams, engaging activities, and many compassionate frontline staff — contrasted with repeated, serious complaints about understaffing, medication and wound-care failures, administrative unresponsiveness, rude management behavior, safety incidents, and inconsistent hygiene and dining. The frequency and severity of negative reports around clinical oversight, communication, and staffing suggest potential systemic issues rather than isolated events. Prospective residents and families should weigh the facility’s strong rehab and environmental positives against the recurrent reports of clinical neglect and management problems. Practical steps before placement would include: verifying current state inspection reports and citations, asking for detailed staffing ratios by shift and weekend coverage, confirming medication and wound-care protocols, meeting nursing leadership, reviewing discharge and billing procedures, and seeking references from recent family members whose loved ones experienced both night and weekend care.
