The nursing home failed to provide services that met professional standards of quality. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
Nursing home report
Siena Skilled Nursing & Rehabilitation Center
Auburn, CA · Medicare-certified · 107 beds
In good standing
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
Siena Skilled Nursing & Rehabilitation Center has an overall 5-star rating, with 5-star staffing and quality measures and a 4-star health inspection rating. It reported 4.03 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines in the last 24 months, and its recent inspection cited issues in professional standards, pain management, and pharmaceutical services.
Facility ratings
Health inspections
Staffing
4.0317 hrs/resident/day
Quality measures
Last inspection: March 4, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0317.
Staffing detail
- Registered nurses
- 0.79
- Licensed practical nurses
- 1.18
- Nurse aides
- 2.06
- Weekend nursing
- 3.57
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 47%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—1.9%—
Residents with a fall causing major injury
5.9%4.2%Improving
Residents with pressure ulcers (bedsores)
4.8%0%Improving
Residents with a urinary tract infection
1.5%0%Improving
Residents who lost too much weight
4.8%4.5%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.8%1.5%Improving
Residents whose ability to walk got worse
6%7.5%Worsening
Long-stay residents on antianxiety or sleep medication
6.2%9%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1.5%Worsening
Residents with new or worsening incontinence
11.3%2.6%Improving
Residents with depressive symptoms
0%3.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $4,194 in total fines.
- $4,194
Federal fine
Nov 6, 2023
Operator & ownership
Recent ownership change · Sep 1, 2017
Now operated by Siena Skilled Nursing & Rehabilitation Center, previously Kindred Transitional Care and Rehabilitation-siena.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of GENERATIONS HEALTHCARE · 27 homes · 4.2 stars avg
- Occupancy
- 90.1 residents on an average day (84% of 107 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 26 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.