All states › California › Auburn › Siena Skilled Nursing & Rehabilitation Center
11600 Education Street Auburn, CA 95603 · Placer County
All 5 nursing homes in Auburn, CA (5 take Medicaid)
CMS certification number 555744 · See this home on Medicare Care Compare
Is Siena Skilled Nursing & Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Siena Skilled Nursing & Rehabilitation Center as of October 2026.
CMS rates it 5 out of 5 stars overall, above the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.05 hours per resident per day at Siena Skilled Nursing & Rehabilitation Center, below the California median of 4.27 (US median: 3.72). About 0.80 of those hours are from registered nurses. On weekends it falls to 3.62 hours, 11% below its all-week average. 36% of nursing staff left within a year (California median 36%).
About this nursing home
Paying for care at Siena Skilled Nursing & Rehabilitation Center: Medicare and Medicaid
Siena Skilled Nursing & Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 14, 2025 and found 5 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 18 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 18 citations at Siena Skilled Nursing & Rehabilitation Center across 7 inspection dates, 5 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 18 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (5) and resident assessment and care planning (5). The most serious was cited under the CMS rule to "ensure services provided by the nursing facility meet professional standards of quality" (tag F0658, level E, August 14, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
March 4, 2026 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
March 3, 2026 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
August 14, 2025 · 5 citations
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide safe, appropriate pain management for a resident who requires such services.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure 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.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
November 25, 2024 · 1 citation · includes complaint inspection
DEnsure each resident receives an accurate assessment.
September 12, 2024 · 4 citations
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide safe and appropriate respiratory care for a resident when needed.
DImplement 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.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
November 21, 2023 · 2 citations · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
October 13, 2022 · 4 citations
EEnsure 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.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Siena Skilled Nursing & Rehabilitation Center
- CMS cited the home under its abuse and neglect rules on March 4, 2026. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $4,194 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Nov 6, 2023 | Fine | $4,194 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 4/5 | 5/5 | 4/5 |
| August 2026 | 5/5 | 4/5 | 5/5 | 5/5 |
Add this rating badge to your websiteFree. Shows Siena Skilled Nursing & Rehabilitation Center's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Siena Skilled Nursing & Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
0.5 mi
Sutter Auburn Faith Hospital AuburnEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 14m for patients treated and sent home
-
14.4 mi
Sutter Roseville Medical Center RosevilleEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 46m for patients treated and sent home
- 15.6 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Siena Skilled Nursing & Rehabilitation Center › All nursing homes in Auburn ›
Compare Siena Skilled Nursing & Rehabilitation Center with the 3 closest homes side by side ›
Other Generations Healthcare nursing homes in California
- Lawton Skilled Nursing & Rehabilitation Center · San Francisco · 5 stars
- Plum Tree Care Center · San Jose · 5 stars
- Stanford Court Skilled Nursing & Rehab Center · Santee · 5 stars
- Pleasanton Nursing and Rehabilitation Center · Pleasanton · 5 stars
- Kearny Mesa Convalescent and Nursing Home · San Diego · 5 stars
- Lompoc Skilled Nursing & Rehabilitation Center · Lompoc · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 27 Generations Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.