Skilled nursing · Mountain View, CA

Villa Siena

1855 MIRAMONTE AVENUE, Mountain View, CA 94040

3 / 5CMS 30 bedsCapacity Apr 2026Inspected

PALMELLE

Below median

Federal · State

Serious issues

The Palmelle read

Worth a closer look. Villa Siena carries a Palmelle Clarity Score of 30 out of 100, derived from federal CMS Care Compare data plus California state records. Health inspection rating sits at 3-star, staffing at 5-star, quality measures at 1-star. Long-stay antipsychotic prescribing is at 21.4 percent, above the 14 percent national median. Long-stay sedative prescribing is at 10.9 percent, below the 15 percent national median. RN coverage is 0.66 hours per resident per day. Nurse turnover 22 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, California DPH

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In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

No federal fines

Zero fines on record in the last 36 months.

Stable nursing staff

This

22.0%

National

53%

Lower turnover than national median — residents see the same caregivers more consistently.

Worth asking about

Reported staffing levels questioned

CMS payroll data and self-reported staffing don't match. Ask the administrator about staffing levels by shift.

Physical restraint use

This

8.0%

National

1.1%

Above national median. Should be rare — ask about what alternatives are tried first.

Falls with major injury

This

7.1%

National

1.6%

Above national median. Ask about fall-prevention protocols and individual risk assessment.

Urinary tract infection rate

Above national median. Often paired with catheter use — ask about hydration support and hygiene practices.

Decline in mobility

Above national median. Ask about activity programs, physical therapy frequency, and resident engagement.

Federal CMS + California state data

The full inspection record.

Federal CMS ratings

Overall★★★★★3 / 5

Health inspection★★★★★3 / 5

Staffing★★★★★5 / 5

Quality measures★★★★★1 / 5

Staffing

RN hours per resident, daily

This

0.66

Nat

0.78

Total nurse hours / resident, daily

This

6.12

Nat

3.62

Annual nurse turnover

This

22%

Nat

53%

Annual RN turnover

This

20%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

21.4%

Nat

14%

Sedative / sleep med

This

10.9%

Nat

15%

Physical restraint

This

8.0%

Nat

1.1%

Falls with major injury

This

7.1%

Nat

1.6%

Penalties & status

No abuse iconNot special focusInspection currentZero federal fines (36mo)

Identity & licensing

CMS ID05A364

OwnershipNon profit - Corporation

ChainIndependent

Beds30

Avg residents29

CA licenseOn file · #220000432

Citations · last 36 months

Flagged by CMS data
This facility reports 5.0-star staffing levels but resident outcomes are only 1.0 stars. High staffing ratings with poor resident outcomes suggest the staffing numbers may not reflect the quality of care residents actually receive.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Physical restraint rate is 8.0% — physical restraint of long-stay residents should be very rare (national average is well under 1%). High physical-restraint rates often correlate with staffing problems being addressed with bed rails and chair restraints rather than personnel.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Falls with major injury rate is 7.1% — above the national median of about 3%. A spike usually means call lights aren't getting answered fast enough or the facility is short on aides during transfer-heavy hours like mealtimes. Worth asking how long the call-light response window is during evening shifts.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Long-stay urinary tract infection rate is 8.9% — above the national median of about 2%. UTIs in elders cause confusion that gets misread as dementia progression. Often correlates with catheter overuse and understaffing. Worth asking how the facility tracks and prevents recurrent UTIs.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Mobility-decline rate is 40.0% — meaning that share of long-stay residents lost ability to move between measurements (above the national median of about 17%). High decline suggests no PT/OT program or no daily walking — residents are being allowed to become bed-bound. Worth asking what the rehab and activities calendar actually looks like.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Annual nursing staff turnover is 22% — well below the industry average of 50-60%. The same caregivers are coming back week after week, which means residents see familiar faces who know their preferences and history. Continuity of care is one of the biggest invisible quality signals.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, California DPH · Last reconciled May 16, 2026

State record

California licensing.

License number

220000432

County

Santa Clara

Source: California Department of Health · last scraped 2026-05-05

Questions families ask

Common questions.

What is the CMS rating for Villa Siena?

Villa Siena has an overall CMS Care Compare rating of 3 out of 5 stars. It scores 3 of 5 on health inspection, 5 of 5 on staffing, and 1 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Villa Siena been cited for resident harm?

CMS data flagged 6 concerns on the latest reconcile. The full record for Villa Siena appears in the record section above.

Does Villa Siena use antipsychotic medications?

21.4 percent of long-stay residents at Villa Siena are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is near the national median at 10.9 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Villa Siena's Palmelle Clarity Score?

Villa Siena has a Palmelle Clarity Score of 30 out of 100, putting it below the national median. The score is a composite of federal CMS and California state inspection data. Higher is better.

How can I tour or contact Villa Siena?

Villa Siena is located at 1855 MIRAMONTE AVENUE, Mountain View, CA 94040. Phone: (650) 961-6484. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Villa Siena a special focus facility?

Villa Siena is not currently on the federal Special Focus Facility list, has no abuse icon on file, and no federal fines in the last 36 months.

What does F-689 mean on Villa Siena's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Villa Siena has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Villa Siena compare to other Mountain View skilled nursing facilities?

Villa Siena holds a Palmelle Clarity Score of 30. Browse the full Mountain View directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at Villa Siena?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on Villa Siena and two other facilities on your shortlist.

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