Nursing home

Villa Siena

1855 Miramonte Avenue, Mountain View, CA 94040

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle11
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$0
Beds30

Inspection findings

Inspectors recorded 33 findings in the last three inspection cycles.

33 No harm, but a risk of harm

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Jul 28, 2025Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: Aug 1, 2025
Jul 28, 2025Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
isolated
Corrected: Aug 11, 2025
Jul 28, 2025Nursing and physician servicesPost nurse staffing information every day. (F0732)No harm, but a risk of harm
isolated
Corrected: Aug 1, 2025
Jul 28, 2025Nursing and physician servicesObserve each nurse aide's job performance and give regular training. (F0730)No harm, but a risk of harm
isolated
Corrected: Aug 12, 2025
Jul 28, 2025Quality of life and careTry 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. (F0700)No harm, but a risk of harm
widespread
Corrected: Aug 11, 2025
Jul 28, 2025Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
pattern
Corrected: Jul 29, 2025
Jul 28, 2025Resident assessment and care planningDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657)No harm, but a risk of harm
pattern
Corrected: Aug 11, 2025
Jul 28, 2025Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
pattern
Corrected: Aug 11, 2025
Jul 28, 2025Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
pattern
Corrected: Aug 12, 2025
Jul 28, 2025Abuse, neglect and exploitationPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (F0605)No harm, but a risk of harm
pattern
Corrected: Aug 11, 2025
Jul 28, 2025Abuse, neglect and exploitationEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment. (F0604)No harm, but a risk of harm
pattern
Corrected: Aug 11, 2025
Apr 22, 2024Infection controlDevelop and implement policies and procedures for flu and pneumonia vaccinations. (F0883)No harm, but a risk of harm
widespread
Corrected: May 9, 2024
Apr 22, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: May 9, 2024
Apr 22, 2024Food and nutritionHave a policy regarding use and storage of foods brought to residents by family and other visitors. (F0813)No harm, but a risk of harm
isolated
Corrected: May 9, 2024
Apr 22, 2024Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: May 9, 2024
Apr 22, 2024Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
isolated
Corrected: May 9, 2024
Apr 22, 2024Pharmacy and medicationsImplement 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. (F0758)No harm, but a risk of harm
isolated
Corrected: May 9, 2024
Apr 22, 2024Nursing and physician servicesHave 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. (F0727)No harm, but a risk of harm
pattern
Corrected: May 9, 2024
Apr 22, 2024Nursing and physician servicesEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (F0711)No harm, but a risk of harm
isolated
Corrected: May 9, 2024
Apr 22, 2024Quality of life and careProvide safe and appropriate respiratory care for a resident when needed. (F0695)No harm, but a risk of harm
isolated
Corrected: May 9, 2024
Apr 22, 2024Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated
Corrected: May 9, 2024
Apr 22, 2024Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
pattern
Corrected: May 9, 2024
Apr 22, 2024Abuse, neglect and exploitationEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment. (F0604)No harm, but a risk of harm
pattern · from a complaint
Corrected: May 9, 2024
Dec 9, 2022Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Jan 8, 2023
Dec 9, 2022AdministrationElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. (F0851)No harm, but a risk of harm
isolated
Corrected: Jan 8, 2023
Dec 9, 2022Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: Jan 8, 2023
Dec 9, 2022Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
isolated
Corrected: Jan 8, 2023
Dec 9, 2022Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated
Corrected: Jan 8, 2023
Dec 9, 2022Nursing and physician servicesPost nurse staffing information every day. (F0732)No harm, but a risk of harm
isolated
Corrected: Jan 8, 2023
Dec 9, 2022Nursing and physician servicesHave 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. (F0727)No harm, but a risk of harm
isolated
Corrected: Jan 8, 2023
Dec 9, 2022Nursing and physician servicesEnsure that the resident and his/her doctor meet face-to-face at all required visits. (F0712)No harm, but a risk of harm
isolated
Corrected: Jan 8, 2023
Dec 9, 2022Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated
Corrected: Jan 8, 2023
Dec 9, 2022Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: Jan 8, 2023

Fines and payment denials

No federal fines or payment denials in the last three years.

Staffing

Nurse staff hours per resident per day5.65California median: 4.27
Registered nurse hours per resident per day0.26California median: 0.52
Nurse staff hours on weekends5.38California median: 3.85
Nursing staff who left within a year22.7%California median: 36.0%

About this home

Beds30
Residents per day, average29.8
OwnershipNon-profit, corporation
Legal business nameLegal Business Name Not Available
In Medicare/Medicaid sinceSep 3, 1986

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov

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