Siena Skilled Nursing & Rehabilitation Center
11600 Education Street · Auburn, CA · 95603 · 5308890707
107 certified beds For profit - Limited Liability company Chain: Generations Healthcare
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.95 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.72 | 0.55–0.75 |
| Weekend hours / resident-day | 3.40 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 1 · $4,194 |
Inspection citations (18 in the current record)
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Potential for harm · D March 4, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 3, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 8, 2026 · Quality of Life and Care
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Potential for harm · E August 14, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 14, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 3, 2025 · Quality of Life and Care
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Potential for harm · E August 14, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected September 3, 2025 · Quality of Life and Care
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Potential for harm · E August 14, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 3, 2025 · Pharmacy Service
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Potential for harm · E August 14, 2025
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.
Corrected September 3, 2025 · Pharmacy Service
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Potential for harm · D November 25, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected November 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 12, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 12, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 12, 2024 · Quality of Life and Care
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Potential for harm · D September 12, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected September 12, 2024 · Pharmacy Service
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Potential for harm · D September 12, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected September 12, 2024 · Environmental
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Potential for harm · D November 21, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 7, 2023 · Resident Rights
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Potential for harm · D November 21, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 7, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 13, 2022
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 10, 2022 · Resident Rights
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Potential for harm · D October 13, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 10, 2022 · Quality of Life and Care
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Potential for harm · E October 13, 2022
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.
Corrected November 10, 2022 · Pharmacy Service
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Potential for harm · D October 13, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 10, 2022 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 6, 2023 | Fine | $4,194 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555744 · certified since October 8, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.