Siena Skilled Nursing & Rehabilitation Center: Staffing, Turnover, and Inspection Record
Siena Skilled Nursing & Rehabilitation Center is a 107-bed for-profit nursing home in Auburn, California, part of Generations Healthcare. In the CMS August 2026 release it reported 2.06 nurse aide hours per resident per day, 22% below the California average of 2.65, and 34.8% nursing staff turnover (California average 36.7%).
Siena Skilled Nursing & Rehabilitation Center
11600 Education StreetAuburn, CA 95603
Placer County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Siena Skilled Nursing & Rehabilitation Center, nurse aides logged 2.06 hours per resident per day, 22% below the California average. With about 90 residents a day, that works out to roughly 186 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.06 | 2.65 | 2.32 |
| Licensed practical nurses | 1.18 | 1.20 | 0.86 |
| Registered nurses | 0.79 | 0.67 | 0.69 |
| All nursing staff | 4.03 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.57 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
34.8% of nursing staff at Siena Skilled Nursing & Rehabilitation Center left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 47.1%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 14, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (California average 15.7). CMS lists 1 fine totaling $4,194 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 6, 2023 | Fine | $4,194 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Siena Skilled Nursing & Rehabilitation Center holds 5 of 5 overall; the California average is 3.2.
About Siena Skilled Nursing & Rehabilitation Center
- Ownership: For profit - Limited Liability company
- Chain: Generations Healthcare, 27 homes
- Legal name: GHC of Auburn LLC
- Medicare and Medicaid certified since: Oct 8, 1999
- Councils: resident council
- Area: urban
Nursing homes near Siena Skilled Nursing & Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Auburn Oaks Care Center Auburn | 0.1 | 99 | 2.42 | 4.16 | 46.9% | 5 | None |
| Westview Healthcare Center Auburn · abuse citation | 0.8 | 205 | 2.27 | 3.75 | 38.3% | 2 | None |
| Auburn Ravine Healthcare Center Auburn | 3.1 | 59 | 2.49 | 3.98 | 48.5% | 5 | None |
| Rock Creek Care Center Auburn | 4.1 | 84 | 2.39 | 4.08 | 46.7% | 5 | None |
| Lincoln Meadows Care Center Lincoln | 11.4 | 97 | 2.32 | 4.10 | 35.8% | 5 | None |
| Oak Ridge Healthcare Center Roseville | 16.3 | 67 | 2.47 | 4.15 | 29.2% | 4 | None |
| Roseville Point Health & Wellness Center Roseville · abuse citation | 16.6 | 98 | 2.45 | 4.83 | — | 2 | $4,587 |
| Roseville Care Center Roseville · abuse citation | 17.1 | 210 | 2.19 | 3.94 | 37.6% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.