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Nursing homeFAID #13764

Siena Skilled Nursing & Rehabilitation Center

11600 EDUCATION STREET, AUBURN, CA, 95603

(530) 889-0707

lifegen.net/locations/siena-skilled-nursing-rehabilitation-center

107 licensed beds

CMS rates Siena Skilled Nursing & Rehabilitation Center 5 out of 5 overall. Federal inspectors issued 27 citations across 10 inspections in the last three years, with $4,194 in fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall4/5 health inspections5/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Siena Skilled Nursing & Rehabilitation Center

Address

11600 Education Street

Auburn, CA 95603

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Public record summary

What we can show you for free.

Bed capacity

107

CMS facility ID

555744

Care type

Nursing home

County

Placer

Facility name

Siena Skilled Nursing & Rehabilitation Center

Street address

11600 EDUCATION STREET

City / state / ZIP

Auburn, CA 95603

Phone

(530) 889-0707

Website

lifegen.net/locations/siena-skilled-nursing-rehabilitation-center

About this facility — Siena Skilled Nursing & Rehabilitation Center

Siena Skilled Nursing & Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Auburn, California. It is licensed for 107 beds — close to the median for skilled nursing facilities in California (98 beds).

It is one of 28 senior care facilities in Auburn and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Generations Healthcare, a group of 27 facilities on this site.

Federal inspectors have cited Siena Skilled Nursing & Rehabilitation Center 27 times across 10 inspections in the last three years, and CMS has imposed $4,194 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Generations Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Bmo Bank, N.a.

Security-interest holder — since 2023

Mastrocola, Lois

Managing employee · Officer — since 2017

Olds, Thomas

Officer — since 2017

Regulatory standing

Federal court records

2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1999-10-08

CMS overall rating

5 of 5 stars

Health deficiencies

7 at the last standard inspection

Federal fines

$4,194 total

Last standard inspection

2025-08-14

Nurse staffing

4.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$543 per day (≈ $16,510/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

5% Medicaid · 10% Medicare · 85% private/other

Occupancy

84% (fiscal year 2023)

Vs. state median

6% above the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

107

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily 8:00 AM – 8:00 PM

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.

2026-03-04Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2026-03-03Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-04-08

8 earlier / fire-safety inspections (25 citations)

2025-08-14Health inspection5 citations

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-09-03

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-09-03

F-0697

E · No harm found

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-09-03

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-09-03

F-0761

E · No harm found

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.

Corrected 2025-09-03

2024-11-25Health inspectionComplaint-triggered1 citation

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2024-11-25

2024-09-12Health inspection4 citations

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-09-12

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-09-12

F-0758

D · No harm found

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.

Corrected 2024-09-12

F-0919

D · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-09-12

2023-11-21Health inspectionComplaint-triggered2 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-12-07

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-12-07

2022-10-13Health inspection4 citations

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-11-10

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-11-10

F-0761

E · No harm found

Corrected 2022-11-10

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-11-10

2025-08-14Fire-safety inspection4 citations

K-0293

E · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2025-08-25

K-0345

C · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-08-19

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-25

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-08-25

2024-09-12Fire-safety inspection2 citations

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-16

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-09-16

2022-10-13Fire-safety inspection3 citations

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2022-11-01

K-0223

D · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2022-11-01

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-01

Federal penalties

2023-11-06Fine$4,194

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 555744.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 5% of nursing homes in the state

State median: 65

Federal fines, 3 years

$4,194

More than 61% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

4.1

Higher than 30% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

36%

Higher than 50% of nursing homes in the state

State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the California average on 11 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	5.8%	10.2%	13.5%	Better than state
Lose too much weight	5.3%	4.1%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.4%	0.7%	0.7%	Better than state
With a urinary tract infection	1.1%	1.2%	1.5%	Better than state
Have depressive symptoms	3.8%	7.6%	13.5%	Better than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	4.0%	1.6%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	98.7%	93.7%	Near state average
Ability to walk independently worsened	6.1%	8.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	7.5%	13.7%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9%	95.3%	Near state average
With pressure ulcers	0.0%	4.3%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	4.6%	9.8%	18.3%	Better than state
Received an antipsychotic medication	5.8%	12.3%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	3.32	2.21	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	2.55	1.50	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.5%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	0.3%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	98.6%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	27.1%	22.6%	23.4%	Worse than state
Had an outpatient emergency department visit	18.6%	11.1%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.
F-0684 2 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0761 2 inspections. 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.
F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
File a complaint: 844-538-8766 · Online
Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Sutter Auburn Faith Hospital, about 0.5 miles. CMS rating 5 of 5.
Kaiser Foundation Hospital - Roseville, about 15 miles. CMS rating 4 of 5.
Mercy Hospital of Folsom, about 19 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Auburn Oaks Care Center, Auburn, about 0.1 miles. CMS rating 5 of 5.
Oakwood Village, Auburn, about 0.2 miles. 22 state visits on record.
Emeritus At Emerald Hills, Auburn, about 0.2 miles. 28 state visits on record.
Auburn Valley Senior Living, Auburn, about 0.7 miles. 5 state visits on record.
Westview Healthcare Center, Auburn, about 0.8 miles. CMS rating 2 of 5.

Visitor reviews

What people say on Google.

4.4105 ratings on Google

★★★★★Roy Arriola · 2026-07-17 · via Google
“Siena Skilled Nursing & Rehabilitation Center I just left the facility and I’m honestly impressed with how well kept everything is both inside and outside. The building, the grounds, and the common areas are all clean, organized, and clearly cared for. The staff were extremely professional, friendly, and welcoming from the moment I walked in. You can feel the positive energy in the environment.…”

★GoRDo! · 2026-03-29 · via Google
“If I had to sum my loved one’s experience up in one word, I’d say “pathetic.” If it were two words, I’d say “pathetically awful.” Substandard care but really bad on weekends. The emergency red “help” button? Be prepared to wait 15-20 minutes for assistance. Of course that’s after staff suggested it takes time for new residents/patients to adjust as they think it takes longer than it really does…”

★★★★★Tori Barton · 2026-05-12 · via Google
“A pleasant place with young active nursing staff eager to help. Manager went above and beyond to bring clothes before the family had time to. There was no yelling patients or foul smells as I've heard about at other facilities. Follow up visiting is a quick scan with their "advanced entry" recognition system. I loved all the fresh flowers around the facility and staff that were beyond friendly, he…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

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Civil & criminal lawsuits

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Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

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