Siena Skilled Nursing & Rehabilitation Center
11600 Education Street · Auburn, CA · 95603 · 5308890707
107 certified beds For profit - Limited Liability company Chain: Generations Healthcare
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.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
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.