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.
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.