California › Placer County › Auburn
Siena Skilled Nursing & Rehabilitation Center
11600 Education Street, Auburn, CA 95603
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Siena Skilled Nursing & Rehabilitation Center, in Auburn, California, is certified for 107 beds under for-profit, limited liability company ownership and belongs to the Generations Healthcare chain.
CMS gives it 5 of 5 stars overall, above the California median of 3; the health inspection rating is 4, staffing 5 and quality measures 5.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (7, 5, 6 by cycle, most recent first), none at the actual-harm level. That is 16.8 per 100 beds, fewer than the state median of 51.1.
CMS lists 1 penalty in the period covered: fines totalling $4K.
Reported nurse staffing is 4.0 hours per resident per day (0.8 RN), close to the California median of 4.2; nursing staff turnover is 34.8%.
Compared with county, state and nation
| Measure | This facility | Placer Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 43 | 44 | 28.7 |
| Citations per 100 beds | 16.8 | 40.3 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.8 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 34.8% | 38.3% | 36.4% | 45.8% |
| Fines listed | $4,194 | $0 | $0 | — |
County and state figures are medians across facilities (10 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Aug 2025, 12 Sep 2024.
Severity mix: D ×12 E ×6
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | Past Non-Compliance |
| 3 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 8 Apr 2026 |
| 14 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 3 Sep 2025 |
| 14 Aug 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 3 Sep 2025 |
| 14 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 3 Sep 2025 |
| 14 Aug 2025 | F0761 | 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. | E | Standard survey | 3 Sep 2025 |
| 14 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 3 Sep 2025 |
| 25 Nov 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 25 Nov 2024 |
| 12 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 12 Sep 2024 |
| 12 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 12 Sep 2024 |
| 12 Sep 2024 | F0758 | 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. | D | Standard survey | 12 Sep 2024 |
| 12 Sep 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 12 Sep 2024 |
| 21 Nov 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 7 Dec 2023 |
| 21 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 7 Dec 2023 |
| 13 Oct 2022 | F0761 | 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. | E | Standard survey | 10 Nov 2022 |
| 13 Oct 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 10 Nov 2022 |
| 13 Oct 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Nov 2022 |
| 13 Oct 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 10 Nov 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 6 Nov 2023 | Fine | $4,194 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 34.8%, RNs 47.1%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.8% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.7% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.1% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.9% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Ghc Of Auburn Llc. Chain: Generations Healthcare (27 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bmo Bank National Association | 5% or greater security interest | NOT APPLICABLE | 08/10/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Placer County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Auburn Oaks Care Center | Auburn | 99 | 5 | 4 | 3 | 43 | 43.4 | — | 15 Apr 2026 |
| Auburn Ravine Healthcare Center | Auburn | 59 | 5 | 4 | 3 | 31 | 52.5 | — | 18 Dec 2025 |
| Lincoln Meadows Care Center | Lincoln | 97 | 5 | 4 | 4 | 46 | 47.4 | — | 21 May 2026 |
| Pine Creek Care Center | Roseville | 99 | 5 | 4 | 2 | 25 | 25.3 | — | 9 Feb 2026 |
| Rock Creek Care Center | Auburn | 84 | 5 | 4 | 4 | 33 | 39.3 | — | 15 Apr 2026 |
| Oak Ridge Healthcare Center | Roseville | 67 | 4 | 3 | 4 | 27 | 40.3 | — | 8 Jun 2026 |
| Roseville Care Centerabuse icon | Roseville | 210 | 3 | 2 | 3 | 47 | 22.4 | — | 3 Mar 2026 |
| Roseville Point Health & Wellness Centerabuse icon | Roseville | 98 | 2 | 2 | 4 | 86 | 87.8 | $5K | 2 Jul 2026 |
All 10 facilities in Placer County
Questions and answers
How many deficiencies has Siena Skilled Nursing & Rehabilitation Center been cited for?
18 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Siena Skilled Nursing & Rehabilitation Center been fined?
Yes. CMS lists fines totalling $4K in the period covered.
How does staffing at Siena Skilled Nursing & Rehabilitation Center compare?
Reported total nurse staffing is 4.0 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Siena Skilled Nursing & Rehabilitation Center?
It is part of the Generations Healthcare chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Siena Skilled Nursing & Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 4 Mar 2026; the most recent standard health survey was 14 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.