Villa Siena
1855 Miramonte Avenue · Mountain View, CA · 94040 · 6509616484
30 certified beds Non profit - Corporation
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 77 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 6.12 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.66 | 0.55–0.75 |
| Weekend hours / resident-day | 5.73 | ≈ weekday level |
| Nursing turnover / year | 22% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (34 in the current record)
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Potential for harm · E July 28, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected August 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 28, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected August 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 28, 2025
Ensure each resident receives an accurate assessment.
Corrected August 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 28, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 28, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 28, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 29, 2025 · Quality of Life and Care
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Potential for harm · F July 28, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected August 11, 2025 · Quality of Life and Care
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Potential for harm · D July 28, 2025
Observe each nurse aide's job performance and give regular training.
Corrected August 12, 2025 · Nursing and Physician Services
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Potential for harm · D July 28, 2025
Post nurse staffing information every day.
Corrected August 1, 2025 · Nursing and Physician Services
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Potential for harm · D July 28, 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 August 11, 2025 · Pharmacy Service
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Potential for harm · E July 28, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 1, 2025 · Nutrition and Dietary
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Potential for harm · E April 22, 2024
Ensure each resident receives an accurate assessment.
Corrected May 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 22, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 22, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 9, 2024 · Quality of Life and Care
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Potential for harm · D April 22, 2024
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected May 9, 2024 · Nursing and Physician Services
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Potential for harm · E April 22, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected May 9, 2024 · Nursing and Physician Services
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Potential for harm · D April 22, 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 May 9, 2024 · Pharmacy Service
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Potential for harm · D April 22, 2024
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 May 9, 2024 · Pharmacy Service
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Potential for harm · E April 22, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 9, 2024 · Nutrition and Dietary
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Potential for harm · D April 22, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected May 9, 2024 · Nutrition and Dietary
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Potential for harm · D April 22, 2024
Provide and implement an infection prevention and control program.
Corrected May 9, 2024 · Infection Control
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Potential for harm · F April 22, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 9, 2024 · Infection Control
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Potential for harm · E April 22, 2024 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected May 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 24, 2023 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected August 25, 2023 · Nursing and Physician Services
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Potential for harm · D December 9, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 8, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 05A364 · certified since September 3, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.