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VILLA SIENA

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VILLA SIENA is a non profit - corporation facility in MOUNTAIN VIEW, CA with 30 certified beds and a 2-star overall CMS rating. The facility has 34 deficiency records on file.

1855 MIRAMONTE AVENUE, MOUNTAIN VIEW, CA 94040

Phone: 6509616484

Overall Rating

2/5

Health Inspection

3/5

Staffing

3/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
05A364
Ownership
Non profit - Corporation
Provider Type
Medicaid
Beds
30
Residents
29
In Hospital
No
County
Santa Clara
Last Inspection
Jul 28, 2025

Staffing Data

RN Hours
0.60 (nat'l avg: 0.68)
LPN Hours
1.85
CNA Hours
3.66
Total Nursing Hours
6.11 (nat'l avg: 3.89)
PT Hours
0.00

What the CMS Record Reveals About VILLA SIENA

VILLA SIENA operates 30 certified beds in MOUNTAIN VIEW, CA with approximately 29 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (3★), and quality measures (1★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 34 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 6.11 total nursing hours per resident day (national average 3.89), with RN coverage at 0.60 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicaid" provider, VILLA SIENA falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (34 most recent)

E — Pattern - Minimal harm Jul 28, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 28, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 11, 2025

D — Isolated - Minimal harm Jul 28, 2025 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 28, 2025 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 12, 2025

F — Widespread - Minimal harm Jul 28, 2025 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 11, 2025

E — Pattern - Minimal harm Jul 28, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 29, 2025

E — Pattern - Minimal harm Jul 28, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 11, 2025

E — Pattern - Minimal harm Jul 28, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 11, 2025

E — Pattern - Minimal harm Jul 28, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 12, 2025

E — Pattern - Minimal harm Jul 28, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 11, 2025

E — Pattern - Minimal harm Jul 28, 2025 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 11, 2025

E — Pattern - Minimal harm Apr 22, 2024 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 9, 2024

F — Widespread - Minimal harm Apr 22, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: May 9, 2024

D — Isolated - Minimal harm Apr 22, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 9, 2024

D — Isolated - Minimal harm Apr 22, 2024 Tag: 0813

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category: Nutrition and Dietary Deficiencies

Corrected: May 9, 2024

E — Pattern - Minimal harm Apr 22, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 9, 2024

D — Isolated - Minimal harm Apr 22, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: May 9, 2024

D — Isolated - Minimal harm Apr 22, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: May 9, 2024

E — Pattern - Minimal harm Apr 22, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: May 9, 2024

D — Isolated - Minimal harm Apr 22, 2024 Tag: 0711

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category: Nursing and Physician Services Deficiencies

Corrected: May 9, 2024

D — Isolated - Minimal harm Apr 22, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: May 9, 2024

D — Isolated - Minimal harm Apr 22, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 9, 2024

E — Pattern - Minimal harm Apr 22, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 9, 2024

D — Isolated - Minimal harm Aug 24, 2023 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 25, 2023

E — Pattern - Minimal harm Dec 9, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 8, 2023

D — Isolated - Minimal harm Dec 9, 2022 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Jan 8, 2023

E — Pattern - Minimal harm Dec 9, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 8, 2023

D — Isolated - Minimal harm Dec 9, 2022 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 8, 2023

D — Isolated - Minimal harm Dec 9, 2022 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jan 8, 2023

D — Isolated - Minimal harm Dec 9, 2022 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 8, 2023

D — Isolated - Minimal harm Dec 9, 2022 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 8, 2023

D — Isolated - Minimal harm Dec 9, 2022 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 8, 2023

D — Isolated - Minimal harm Dec 9, 2022 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 8, 2023

D — Isolated - Minimal harm Dec 9, 2022 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 8, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 23.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 8.9% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 4.1% No
Percentage of long-stay residents who were physically restrained Long Stay 8.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.1% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 40.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 10.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 6.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 21.4% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for VILLA SIENA?
VILLA SIENA has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (1★).
What are the staffing levels at VILLA SIENA?
VILLA SIENA reports 6.11 total nursing hours per resident day (national average: 3.89). RN hours are 0.60 per resident day (national average: 0.68).
How many beds does VILLA SIENA have?
VILLA SIENA has 30 certified beds with approximately 29 residents. The facility is located at 1855 MIRAMONTE AVENUE, MOUNTAIN VIEW, CA 94040.
Does VILLA SIENA have any deficiencies on record?
Yes, VILLA SIENA has 34 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has VILLA SIENA received any fines or penalties?
No, VILLA SIENA has no fines or penalties on record.
Who owns VILLA SIENA?
VILLA SIENA is classified as "Non profit - Corporation" ownership. The facility type is "Medicaid".
When was VILLA SIENA last inspected?
The most recent health inspection for VILLA SIENA was on Jul 28, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for VILLA SIENA?
VILLA SIENA is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial