Villa Siena

Name: Villa Siena
Address: 1855 MIRAMONTE AVENUE, Mountain View, CA, 94040, US
Telephone: 6509616484

1855 Miramonte Avenue, Mountain View, CA 94040 · Santa Clara County · 30 certified beds · avg 29 residents/day · certified since Sep 3, 1986

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

6.57

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (34)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jul 28, 2025	F · Potential for harm, facility-wide	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jul 28, 2025	E · Potential for harm, repeated	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Jul 28, 2025	E · Potential for harm, repeated	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Jul 28, 2025	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 28, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 28, 2025	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jul 28, 2025	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 28, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 28, 2025	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Jul 28, 2025	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Jul 28, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 22, 2024	F · Potential for harm, facility-wide	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Apr 22, 2024	E · Potential for harm, repeated	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint
Apr 22, 2024	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 22, 2024	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Apr 22, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 22, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 22, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Apr 22, 2024	D · Potential for harm, one-off	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
Apr 22, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Apr 22, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 22, 2024	D · Potential for harm, one-off	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Apr 22, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 24, 2023	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Dec 9, 2022	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 9, 2022	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 9, 2022	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Dec 9, 2022	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Dec 9, 2022	D · Potential for harm, one-off	The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule.
Dec 9, 2022	D · Potential for harm, one-off	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Dec 9, 2022	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Dec 9, 2022	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Dec 9, 2022	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 9, 2022	D · Potential for harm, one-off	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (12 → 11).

Year	Citations	Worst severity that year
2022	10	E
2023	1	D
2024	12	F
2025	11	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	6.57	4.31	3.95	top 3% in California; top 2% in the U.S.
Registered Nurse hours	0.49	0.61	0.69	top 47% in California; bottom 37% in the U.S.
Weekend total nurse staffing	6.32	3.90	3.50	top 2% in California; top 1% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.40	0.51	0.48	top 44% in California; top 48% in the U.S.
Total nursing staff turnover (%)	15.2	36.7	45.8	top 3% in California; top 1% in the U.S.
RN turnover (%)	0.0	38.1	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 6.04, RN 0.45, weekend 5.81. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Camino Ridge Post-Acute	0.5 mi	Mountain View, CA	★☆☆☆☆	1/5
Mountain View Healthcare Center	0.7 mi	Mountain View, CA	★★★☆☆	2/5
Los Altos Post-Acute	1.2 mi	Los Altos, CA	★★★☆☆	3/5
The Terraces at Los Altos Health Facility	2.1 mi	Los Altos, CA	★★★★☆	3/5
Sunnyvale Post-Acute Center	2.2 mi	Sunnyvale, CA	★☆☆☆☆	1/5
Idylwood Care Center	2.2 mi	Sunnyvale, CA	★★★★★	4/5
Health Care Ctr at the Forum at Rancho San Antonio	2.4 mi	Cupertino, CA	★★★★☆	2/5
Sunnyvale Gardens Post Acute	3.5 mi	Sunnyvale, CA	★★★☆☆	2/5
Sunny View Manor	3.6 mi	Cupertino, CA	★★★★★	4/5
Cupertino Healthcare & Wellness Center	4.0 mi	Cupertino, CA	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Mountain View →

Facility data as of CMS processing date 2026-08-01. CCN 05A364.

The Care File

Visit checklist — Villa Siena

1855 Miramonte Avenue, Mountain View, CA 94040 · 6509616484

Health inspection rating 3/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 05A364 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)