Nursing homeActive

Villa Siena

1855 Miramonte Avenue, Mountain View, CA 94040650961648430 certified beds · 29 residentsNon profit - CorporationMedicaid
Surveys on file
4
since 2022
Deficiencies
34
0340
Penalties · 3 yrs
none on file
Last survey
2025-07-28
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 3
Staffing 1
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · California Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-07-28Standard0110CMS-2567 (Care Compare)
2024-04-22Standard0120CMS-2567 (Care Compare)
2023-08-24Complaint010CMS-2567 (Care Compare)
2022-12-09Standard0100CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-07-28Standard survey · 11 deficienciesOfficial report
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-11Record 05A364-20250728-F604
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-11Record 05A364-20250728-F605
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-12Record 05A364-20250728-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-11Record 05A364-20250728-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-11Record 05A364-20250728-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-29Record 05A364-20250728-F684
F700Try 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.Scope/severity FStandard
Care planning
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-08-11Record 05A364-20250728-F700
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-12Record 05A364-20250728-F730
F732Post nurse staffing information every day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-01Record 05A364-20250728-F732
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-11Record 05A364-20250728-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-01Record 05A364-20250728-F812
2024-04-22Standard survey · 12 deficienciesOfficial report
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 05A364-20240422-F604
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 05A364-20240422-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 05A364-20240422-F656
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 05A364-20240422-F695
F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 05A364-20240422-F711
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 05A364-20240422-F727
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 05A364-20240422-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 05A364-20240422-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 05A364-20240422-F812
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 05A364-20240422-F813
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 05A364-20240422-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 05A364-20240422-F883
2023-08-24Complaint survey · 1 deficiencyOfficial report
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-25Record 05A364-20230824-F726
2022-12-09Standard survey · 10 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-08Record 05A364-20221209-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-08Record 05A364-20221209-F684
F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-08Record 05A364-20221209-F712
F727Have 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.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-08Record 05A364-20221209-F727
F732Post nurse staffing information every day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-08Record 05A364-20221209-F732
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-08Record 05A364-20221209-F755
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-08Record 05A364-20221209-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-01-08Record 05A364-20221209-F812
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-08Record 05A364-20221209-F851
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-01-08Record 05A364-20221209-F880

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.45
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day6.04
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours5.81
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover15%
Facility
California
National
California 37% · National 46%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityCaliforniaNational
Percentage of long-stay residents with pressure ulcers
lower is better
7.5%4.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
5.3%1.6%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
28.2%12.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
3.6%1.2%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
9.7%0.4%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
23.1%10.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.0%4.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
10.1%13.7%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)

No ownership records in the data we hold from CMS (Provider Enrollment).

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.

No county cost figures on file for Santa Clara.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Camino Ridge Post-Acute
Mountain View
0.5 mi2025-11-172531
Mountain View Healthcare Center
Mountain View
0.7 mi2026-05-290491
Los Altos Post-Acute
Los Altos
1.2 mi2026-06-290210
Health Care Ctr At The Forum At Rancho San Antonio
Cupertino
2.4 mi2026-05-140310
The Terraces At Los Altos Health Facility
Los Altos
2.1 mi2025-08-010260
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01