Siena Skilled Nursing & Rehabilitation Center Complaints, Violations and Inspection Records
Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.
- California State BarVerify license
- ConsultationFree, confidential, no fee unless we win
- Reviewed byThomas Wallin, Young & Wallin
What the public record shows
If you are looking into Siena Skilled Nursing & Rehabilitation Center in Auburn, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. It includes 3 citations in the state's two most serious classes, class A and class AA.
Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:
- CMS overall rating: 5 of 5 stars. The health inspection rating, the most independent of the three categories, is 4 of 5.
- California state citations: 11 on record, including 1 class AA, 2 class A, and 8 class B, with $112,600 in assessed penalties.
- Staffing: 4.03 nursing hours per resident per day; registered nurse turnover 47.1%.
- Most recent standard inspection: 5 deficiencies cited on August 14, 2025. The most recent inspection since then was on March 4, 2026: 1 deficiency cited in the complaint inspection.
- Federal enforcement: 1 federal fine totaling $4,194 in the reported period.
- Ownership: Ghc of Auburn LLC, for-profit, part of Generations Healthcare (27 facilities nationally).
Siena Skilled Nursing & Rehabilitation Center ratings and staffing
Siena Skilled Nursing & Rehabilitation Center is located at 11600 Education Street in Auburn, Placer County. It is a for-profit facility operated by Ghc of Auburn LLC, part of Generations Healthcare, with 107 certified beds and an average of 90.1 residents a day. It accepts Medicare and Medicaid.
CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:
- Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
- Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
- Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.
For Siena Skilled Nursing & Rehabilitation Center, those scores are: health inspections 4 of 5, staffing 5 of 5, quality measures 5 of 5.
Staffing. Siena Skilled Nursing & Rehabilitation Center reports 4.03 total nursing hours per resident per day, of which 0.79 are registered nurse hours. Over the reporting year, 34.8% of the nursing staff left. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.
How this home compares in the public record
CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The county and California figures beside each number are the averages across those same published records.
These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
Federal inspection findings and penalties
Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.
March 4, 2026, complaint inspection
1 deficiency cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)
March 3, 2026, complaint inspection
1 deficiency cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
August 14, 2025, standard inspection
5 deficiencies cited. Surveyors cited the facility for ensure services provided by the nursing facility meet professional standards of quality, provide safe, appropriate pain management for a resident who requires such services, and provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
- F0697Provide safe, appropriate pain management for a resident who requires such services. (scope and severity E)
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity E)
- F0761Ensure 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. (scope and severity E)
- F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
November 25, 2024, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure each resident receives an accurate assessment.
- F0641Ensure each resident receives an accurate assessment. (scope and severity D)
September 12, 2024, standard inspection
4 deficiencies cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, provide safe and appropriate respiratory care for a resident when needed, and 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.
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity E)
- F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
- F0758Implement 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. (scope and severity D)
- F0919Make sure that a working call system is available in each resident's bathroom and bathing area. (scope and severity D)
November 21, 2023, complaint inspection
2 deficiencies cited. Surveyors cited the facility for immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident and develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
October 13, 2022, standard inspection
4 deficiencies cited. Surveyors cited the facility for 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, provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights, and provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F0761Ensure 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. (scope and severity E)
- F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (scope and severity D)
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
- F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)
Penalties. Over the reported period, Siena Skilled Nursing & Rehabilitation Center received 1 federal fine totaling $4,194. Fines are imposed when a facility is cited for a serious violation or fails to correct a prior deficiency in time.
California state citations
California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.
State records show 11 citations against Siena Skilled Nursing & Rehabilitation Center between October 26, 2001 and June 17, 2019: 1 class AA, 2 class A, and 8 class B, with $112,600 in assessed penalties. 3 of these actions were connected to a resident's death.
- June 17, 2019, class A, Patient Care. $15,000 penalty. Appealed. Death-related.
- March 7, 2012, class B, Patient Care. $1,000 penalty.
- September 14, 2007, class B, Patient Care. $1,000 penalty.
- January 27, 2004, class B, Patient Care. $1,000 penalty.
- July 28, 2003, class B, Medication. $1,000 penalty. Appealed.
- July 28, 2003, class AA, Patient Care. $40,000 penalty. Appealed. Death-related.
- July 3, 2003, class B, Patient Care. $1,000 penalty.
- April 10, 2003, class B, Patient Care. $1,000 penalty.
- October 2, 2002, class B, Patient Care. $800 penalty.
- December 14, 2001, class A, Patient Care. $50,000 penalty. Appealed. Death-related.
- October 26, 2001, class B, Patient Care. $800 penalty.
Across Placer County's 10 certified facilities, the average is about 11.3 state citations per facility. Siena Skilled Nursing & Rehabilitation Center's 11 is close to that average.
A citation marked "Appealed." is under appeal, so it is not a final determination. A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.
Other nursing homes in Auburn
Families comparing options in Auburn often look at these facilities as well. Each link opens that facility's full public record:
- Westview Healthcare Center, 2 stars, 24 state citations
- Auburn Oaks Care Center, 5 stars, 20 state citations
- Rock Creek Care Center, 5 stars, 7 state citations
- Auburn Ravine Healthcare Center, 5 stars, 1 state citation
See every facility in the Placer County nursing home directory.
Other nursing homes in Placer County
These are other nursing homes in Placer County, listed by how close each home's ZIP code is to the ZIP code for Siena Skilled Nursing & Rehabilitation Center. The public record gives a street address but no coordinates, so distance is not measured; homes in the same ZIP code appear first. No rating or inspection figure is used to order this list.
- Auburn Oaks Care Center, Auburn
- Auburn Ravine Healthcare Center, Auburn
- Rock Creek Care Center, Auburn
- Westview Healthcare Center, Auburn
- Lincoln Meadows Care Center, Lincoln
This list is drawn from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). It is ordered by location only and is not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
What to do if you are worried about care at this facility
You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at Siena Skilled Nursing & Rehabilitation Center, you can take these steps:
Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.
File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the Placer County licensing district office.
Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. Placer County's ombudsman program can be reached at (916) 376-8910. This is often the fastest first step when the issue is care quality rather than an emergency.
For the full walkthrough, see How to report nursing home abuse in California.
Injuries that most often signal neglect
The injuries below are the ones most often at issue in California nursing home cases. Any one of them at Siena Skilled Nursing & Rehabilitation Center is a reason to ask what the facility's own records show:
- Bedsores and pressure ulcers, especially a wound that reached stage 3 or 4
- Falls and fractures in a resident who was supposed to be supervised
- Wandering and elopement from a building that was not secured
- Dehydration and malnutrition
- Sepsis and untreated infections
- Medication errors
- Wrongful death, when neglect contributed to a resident's passing
Nursing home abuse claims in Placer County
If a loved one was harmed at Siena Skilled Nursing & Rehabilitation Center, these pages explain how Placer County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:
- Placer County bedsore lawyer
- Placer County nursing home neglect lawyer
- Placer County nursing home fall lawyer
- Placer County nursing home wrongful death lawyer
You can also compare every home in the Placer County nursing home directory.
Are There Lawsuits Against Siena Skilled Nursing & Rehabilitation Center?
This page reports federal and state inspection, complaint and enforcement records for Siena Skilled Nursing & Rehabilitation Center. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for Placer County are searchable through the Placer County Superior Court's online case records. If your family member was injured at Siena Skilled Nursing & Rehabilitation Center, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.
Frequently asked questions
- Is Siena Skilled Nursing & Rehabilitation Center a good nursing home?
- CMS gives Siena Skilled Nursing & Rehabilitation Center an overall rating of 5 of 5 stars, with a health inspection rating of 4 of 5 based on in-person state surveys. California has issued 11 state citations against the facility, including 3 in the state's two most serious classes, class A and class AA. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
- What should I do if my loved one was injured at Siena Skilled Nursing & Rehabilitation Center?
- Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the Placer County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
- Has Siena Skilled Nursing & Rehabilitation Center been fined or cited for serious violations?
- Public records show 1 federal fine totaling $4,194 and 11 California state citations with $112,600 in state penalties, including 1 class AA citation.
- How many state citations does Siena Skilled Nursing & Rehabilitation Center have?
- The California Department of Public Health has issued 11 citations against Siena Skilled Nursing & Rehabilitation Center in Auburn between October 26, 2001 and June 17, 2019: 1 class AA, 2 class A, and 8 class B, with $112,600 in assessed penalties.
- How do I report a problem at Siena Skilled Nursing & Rehabilitation Center?
- File a complaint with CDPH through its Cal Health Find system, or contact the Placer County Long-Term Care Ombudsman at (916) 376-8910. In an emergency, call Adult Protective Services or 911.
If your loved one was harmed
We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).
If your loved one was harmed at Siena Skilled Nursing & Rehabilitation Center, talk to our Placer County nursing home abuse lawyers. We handle cases in Auburn and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.
Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.
Free Case Evaluation
Confidential. No obligation. Available 24/7.
Sources
- Centers for Medicare & Medicaid Services, Care Compare: Siena Skilled Nursing & Rehabilitation Center provider record, CCN 555744. Ratings, staffing, and federal deficiency data processed August 1, 2026.
- CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
- California Department of Public Health, Cal Health Find: Siena Skilled Nursing & Rehabilitation Center state license record, FACID 030001605, license 30000670.
- California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.
Disclaimer
The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of Siena Skilled Nursing & Rehabilitation Center in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with Siena Skilled Nursing & Rehabilitation Center, and neither the facility nor any government agency endorses this page.