Federal inspection record · CMS data as of October 1, 2026
Siena Skilled Nursing & Rehabilitation Center
11600 Education Street, Auburn, CA · (530) 889-0707
- CMS high-performer trophy
- Certified beds
- 107
- Residents per day
- 93
- Ownership
- For-Profit
- Chain
- Generations Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 8, 1999
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Siena Skilled Nursing & Rehabilitation Center carries 41 inspection points. That is fewer than 84% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care5E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning5E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service4E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- D
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.
- E
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.
Resident Rights2D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2025-08-14
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-09-12
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2022-10-13
6 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 3 min of nursing staff time a day, 48 min of it from a registered nurse.
This home
4 h 3 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 42% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$4,194 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-11-06 | Fine | $4,194 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts worse | 3.3 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse | 2.6 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts worse | 4.0% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.8 pts better | 3.8% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.2 pts worse | 5.3% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.2 pts better | 7.5% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.5 pts better | 5.8% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.8 pts better | 6.1% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.4 pts better | 5.8% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.4% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 1.1% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts better | 4.6% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.3 pts better | 0.0% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.9 pts better | 99.5% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.5 pts worse | 18.6% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.3% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.5 pts better | 98.6% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.5 pts worse | 27.1% | 22.6% | 23.4% |
·
Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bmo Bank, N.a. | 5% Or Greater Security Interest · Organization | 0% | 25 facilities |
| Mastrocola, Lois | W-2 Managing Employee · Individual | 0% | 27 facilities |
| Mastrocola, Lois | Corporate Officer · Individual | 0% | 27 facilities |
| Olds, Thomas | Corporate Officer · Individual | 0% | 27 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4D
- D
Inspect, test, and maintain automatic sprinkler systems.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
Egress2E
- E
Have properly located and lighted "Exit" signs.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Gas, Vacuum, and Electrical Systems1D
- D
Ensure proper usage of power strips and extension cords.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
Construction1D
- D
Use approved construction type or materials.
·
Other homes nearby
-
Auburn Oaks Care Center
Auburn, CA · Pacs Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 59 min
- Fines
- $0
-
Westview Healthcare Center
Auburn, CA · Pacs Group · Abuse icon
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 59 min
- Fines
- $0
-
Auburn Ravine Healthcare Center
Auburn, CA · Cypress Healthcare Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 4 min
- Fines
- $0