Nursing home
Villa Siena (Skilled Nursing)
1855 Miramonte Avenue, Mountain View, CA 94040 · Map
Non profit - Corporation · 30 certified beds
Villa Siena (Skilled Nursing) is a Medicare-certified nursing home in Mountain View, California. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 6.11 hours per resident per day, above the California average of 4.51. Its most recent inspection on Jul 28, 2025 cited 11 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Villa Siena (Skilled Nursing) compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 6.11 | 4.51 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.60 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.66 | 2.64 | 2.34 | above avg |
| Nursing staff turnover | —% | 38.1% | 46.4% | — |
| Deficiencies cited, last inspection | 11.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the July 28, 2025 inspection was corrected by August 12, 2025
What inspectors found at Villa Siena (Skilled Nursing)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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.
Quality of Life and Care Deficiencies · Jul 28, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 28, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jul 28, 2025 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jul 28, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jul 28, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jul 28, 2025 · Full report (PDF) - Potential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 28, 2025 · Full report (PDF) - Potential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 28, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jul 28, 2025 · Full report (PDF) - Potential for harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Jul 28, 2025 · Full report (PDF) - Potential for harm
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Jul 28, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Apr 22, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1855 Miramonte Avenue
Mountain View, CA 94040 - CMS certification #
- 05A364
- Ownership
- Non profit - Corporation
- Certified beds
- 30
- Avg residents/day
- 29.1
- Provider type
- Medicaid
- First certified
- 1986-09-03
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Villa Siena (Skilled Nursing) using Google Maps.
Other public records
- Website says Nurse 24 hours a day, transportation
- Kitchen 4 inspections by County of Santa Clara Department of Environmental Health since 2024; latest Green (pass) (December 2025)
- Emergency In FEMA's high-risk flood area (Zone AH)
Full public records, with dates and sources
Kitchen inspections
The local health department inspects the kitchen that serves residents. Results are in the agency's own words.
County of Santa Clara Department of Environmental Health: LHCF - Villa Siena
- Dec 17, 2025 (routine inspection): Green (pass).
1 violation
- Warewash facilities: installed/maintained; test strips (Minor). Inspector’s note: Thermal labels for testing high temp dishwasher are not available. [CA] Testing equipment and materials shall be provided at all times to adequately measure the applicable sanitization method used during manual or mechanical warewashing.
- Dec 26, 2024 (routine inspection): Green (pass).
1 violation
- Hot and cold water available (Minor). Inspector’s note: Hot water at three compartment sink measured at 102F. [CA] Hot water shall be supplied at a minimum temperature of at least 120°F measured from the faucet throughout facility except at handwash sinks. Handwashing facilities equipped with a mixing valve that is not readily adjustable at the faucet, ...
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. G (Green): Pass. Y (Yellow): Conditional pass; major violations found, follow-up inspection required. R (Red): Closed; an imminent health hazard was found. Major violation: The county's critical (major) violation flag.
County of Santa Clara Department of Environmental Health: LHCF - Villa Siena Nursing Care
- Dec 17, 2025 (routine inspection): Green (pass).
1 violation
- Warewash facilities: installed/maintained; test strips (Minor). Inspector’s note: Thermal labels for testing high temp dishwasher are not available. [CA] Testing equipment and materials shall be provided at all times to adequately measure the applicable sanitization method used during manual or mechanical warewashing.
- Dec 26, 2024 (routine inspection): Green (pass). No violations listed.
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. G (Green): Pass. Y (Yellow): Conditional pass; major violations found, follow-up inspection required. R (Red): Closed; an imminent health hazard was found. Major violation: The county's critical (major) violation flag.
Care and services
From the community’s website
What Villa Siena (Skilled Nursing) says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Residents can attend daily Mass, participate in educational and social activities, and rely on a 24-hour nursing staff and health management support.
(page, checked Oct 12, 2026) - Provides transportation.
Villa Siena’s Independent Living is perfect for seniors who want to maintain an active, self-directed lifestyle—while enjoying the comfort of meals prepared daily, housekeeping, personal laundry services, and transportation to medical appointments and errands.
(page, checked Oct 12, 2026) - Apartment types named: cottage or villa.
Whether you’re looking for the independence of your own apartment, the support of assisted living, or the attentive care of skilled nursing, Villa Siena offers a continuum of services in a serene, inclusive environment.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- El Camino Health, Mountain View. 0.7 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Grant Cuesta Sub-acute and Rehabilitation Center, Mountain View. 0.5 miles away, straight line.
- Nearest home health agency office
- Grace Community Home Health Inc., Mountain View. 1.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 94040 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Shc Mountain View, Mountain View, 0.9 miles away, straight line (CMS rating 5 of 5 stars)
Shc Wb Mountain View, Mountain View, 0.9 miles away, straight line
Shc North Sunnyvale, Sunnyvale, 3.4 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 28 Medicare hospices tell CMS they serve ZIP code 94040.
Pathways Home Health And Hospice, office in Sunnyvale, 3.2 miles away, straight line (CMS family survey rating 3 of 5 stars)
Kaiser Foundation Hospital Hospice-Santa Clara, office in Santa Clara, 6.6 miles away, straight line (CMS family survey rating 2 of 5 stars)
Universal Hospice Care LLC, office in Menlo Park, 7.3 miles away, straight line - Nearest geriatric medicine practice
- Sutter Bay Medical Foundation, Mountain View. 0.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone AH: 1% annual chance shallow flooding, usually ponding, 1 to 3 feet deep (high risk). This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. Base flood elevation 145 Feet NAVD88. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively moderate, wildfire very low, tornado very low, heat wave relatively low, earthquake very high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| County of Santa Clara Department of Environmental Health kitchen inspections | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Villa Siena (Skilled Nursing) a good nursing home?
CMS gives Villa Siena (Skilled Nursing) an overall rating of 2 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Villa Siena (Skilled Nursing) staffed?
Villa Siena (Skilled Nursing) reports 6.11 total nurse hours per resident per day, compared with the California average of 4.51.
Has Villa Siena (Skilled Nursing) had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does Villa Siena (Skilled Nursing) have?
Villa Siena (Skilled Nursing) is certified for 30 beds.