Villa Siena
Mountain View, California · CCN 05A364
14 surveys since 2011. The first finding at harm level was recorded in 2016.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 89
- Surveys
- 14
- Harm or worse
- 1
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 30
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Santa Clara
- Medicare-certified since
- 1986
CMS ratings
- Overall
- 1
- Health inspection
- 3
- Staffing
- 1
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 71 not-for-profit facilities with fewer than 66 beds in California.
Last survey on record
Jul 28, 2025
469 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 6.04 | 4.85 |
| Registered-nurse hours per resident day | 0.45 | — |
| Annual nurse turnover | 15.2% | 28.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1955.9% | E1338.2% | F25.9% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7613×
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.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F6042×
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- F6412×
Ensure each resident receives an accurate assessment.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
In the surveyor’s words
From the most serious findings on record at Villa Siena, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF700Jul 28, 2025
Based on observation, interview, and record review, the facility failed to ensure the proper use of side or bed rails (SR/BR, adjustable rigid bars attached to the side of the bed) for 30 out of 30 residents when:1.There was no documentation that indicated the facility conducted an accurate routine bed inspection following the Food and Drug Administration (FDA, a federal agency within the U.S. Department of Health and Human Services responsible for protecting public health by ensuring the safety, efficacy [the power to produce a desired result], and security of human and animal drugs, biological products [substances derived from living organisms and used in medicine for prevention, diagnosis, or treatment], medical devices, our nation's food supply, cosmetics, and products that emit… […]
- No harm, potential for more than minimal, widespreadF883Apr 22, 2024
Based on interview and record review, the facility failed to follow their policies for influenza vaccine (known as flu shot, immunization against infection by influenza viruses) and pneumococcal vaccine (vaccine to prevent bacterial pneumonia [infection of the lungs]) when the facility did not offer pneumococcal vaccinations and influenza vaccinations in accordance with the current Centers for Disease Control and Prevention (CDC) recommendations to 22 of 29 residents (Residents 2, 3, 5, 6, 7, 9, 10, 11, 12, 13, 14, 15, 16, 18, 20, 21, 23, 24, 25, 26, 27, and 181). This failure had the potential to put the residents at risk of acquiring pneumococcal and influenza infections. Findings: 1. […]
- No harm, potential for more than minimal, patternF604Jul 28, 2025
Based on interview and record review, the facility failed to ensure monitoring for safety, comfort, skin integrity, and continued need of the use of physical restraints (devices or techniques used to limit a person's movement or access to their body to ensure safety or manage behavior) were provided for two of three residents (Resident 10 and 28). This failure had the potential to adversely affect the safety and wellbeing of the residents.Review of Resident 10's admission record, indicated Resident 10 was admitted to the facility on [DATE] with diagnoses including Parkinson's disease (a progressive neurological disorder that affects movement) with dyskinesia (abnormal, involuntary movements), psychotic disorder with hallucinations (a mental illness where a person experiences… […]
- No harm, potential for more than minimal, patternF605Jul 28, 2025
Based on observation, interview, and record review, the facility failed to ensure 1 out of 5 sampled residents (Resident 29) was free from unnecessary psychotropic medication (drug that affects brain activities associated with mental processes and behavior) when Resident 29 received:1. PRN (as-needed) lorazepam (medication to treat agitation or anxiety) 9 times for a condition not as prescribed and without documented evidence of attempted behavioral (or non-pharmacological) interventions prior to its use; and2. PRN lorazepam order for 90 days but it was transcribed as 120 days.These failures resulted in unnecessary psychotropic medication for Resident 29 who received medication outside of the prescribed indication, without attempted behavioral interventions, and longer than prescribed.1. […]
- No harm, potential for more than minimal, patternF641Jul 28, 2025
Based on observation, interview, and record review, the facility failed to accurately reflect the status of residents in the assessment for 11 (Residents 26, 19, 6, 17, 18, 29, 22, 4, 14, 15, and 7) of 15 residents (residents who used side or bed rails [SR/BR, adjustable rigid bars attached to the side of the bed]) when the Minimum Data Set (MDS - a federally mandated resident assessment tool) assessment for Residents 26, 19, 6, 17, 18, 29, 22, 4, 14, 15, and 7 was coded they used SR/BRs as restraints.This failure increased the potential for inaccurate care to be provided for Residents 26, 19, 6, 17, 18, 29, 22, 4, 14, 15, and 7.For Resident 19:Review of Resident 19's Bed Rail assessment dated [DATE], it indicated the use of SR/BRs to serve as an enabler to promote independence.Review of… […]
Read 21 findings in full →The most serious and the most recent: 21 of 89 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 28, 2025Standard11 findings
- Apr 22, 2024Standard and complaint12 findings
- Aug 24, 2023Complaint1 finding
- Dec 9, 2022Standard10 findings
- Feb 6, 2020Standard6 findings
- May 14, 2019Complaint1 finding
- Mar 15, 2018Standard3 findings
- Apr 18, 2017Standard2 findings
Show the 6 earlier surveys
- Jun 21, 2016Standard14 findings · 1 harm
- Jun 24, 2015Standard8 findings
- Jun 17, 2014Standard7 findings
- Jun 27, 2013—3 findings
- Jun 1, 2012—5 findings
- May 11, 2011—6 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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