Villa Siena
Nursing Home Facility
1855 Miramonte Avenue, Mountain View, CA 94040

Villa Siena is a senior care community located in Mountain View, CA. It provides assisted living, nursing home care, and senior living for older adults in the Mountain View area. To learn more or schedule a tour, call (650) 961-6484.
With 77 beds, Villa Siena is one of the larger communities in the area, senior care communities in Mountain View average about 59 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 95% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 1 star for staffing against 3 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in July 2025 and recorded 11 deficiencies.
Residents receive about 6.0 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Communities in Mountain View average about 4.8 hours. Nursing staff turnover over the past year was about 15%.
The community is located in Santa Clara County, CA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 34 problems at Villa Siena. None of them caused harm to a resident. 2 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, widespread
Quality of Life and Care
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.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Show 3 more
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Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
Observe each nurse aide's job performance and give regular training.
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Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
Post nurse staffing information every day.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Villa Siena offers assisted living, nursing home care, and senior living.
Facility details
- Organization type Non profit - Corporation
- Beds / units 77
- Occupancy 95%
- Nursing hours per resident/day 6.0
- Annual staff turnover 15%
- Last health inspection July 2025
Resident & family reviews
No one has shared a review of Villa Siena yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.