Among nursing homes in California, Siena Skilled Nursing And Rehabilitation Center stands out with an A grade and a score of 87 out of 100. It ranks in the 85th percentile statewide, reflecting consistently high performance across CMS quality metrics.
Staffing at Siena Skilled Nursing And Rehabilitation Center is near the national average, with 3.94 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 16 deficiencies at Siena Skilled Nursing And Rehabilitation Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.94 | 3.8 | Average |
| Registered Nurses (RN) | 0.76 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 1.20 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.98 | 2.4 | Below Average |
| Weekend Total Nursing | 3.55 | 3.8 | Average |
| Weekend RN Hours | 0.60 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0658 Severity EEnsure services provided by the nursing facility meet professional standards of quality.Aug 13, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0697 Severity EProvide safe, appropriate pain management for a resident who requires such services.Aug 13, 2025 · Quality of Life and Care Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Aug 13, 2025 · Pharmacy Service Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiAug 13, 2025 · Pharmacy Service Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Aug 13, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.8% | 4.5% | Better |
| Falls with major injury | 4.2% | 3.0% | Worse |
| On antipsychotic medication | 23.4% | 14.5% | Worse |
| Urinary tract infections | 1.5% | 2.5% | Better |
| ADL decline (daily activities) | 6.5% | 14.0% | Better |
| Excessive weight loss | 6.3% | 7.5% | Better |
| New/worsened incontinence | 6.5% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $4,194
How This Grade Was Calculated
This facility's grade of A is based on a score of 87 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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