All citations for Villa Siena

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Villa Siena

Last standard health inspection on record

July 28, 2025

Showing 1 to 24 of 24 citations

  1. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Widespread (many residents). CMS level F.

    Health citation F-0883, Infection Control Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

  2. No harm, with potential for more than minimal harm

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

  3. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

  4. No harm, with potential for more than minimal harm

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

  5. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

  6. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

  7. No harm, with potential for more than minimal harm

    Establish procedures for tracking staff and patients during an emergency.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

  8. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

  9. No harm, with potential for more than minimal harm

    Install a fire alarm system that can be heard throughout the facility.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

  10. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

  11. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

  12. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

  13. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

  14. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

  15. No harm, with potential for more than minimal harm

    Provide a written emergency evacuation plan.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

  16. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

  17. No harm, with potential for more than minimal harm

    Ensure that testing and maintenance of electrical equipment is performed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

  18. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

  19. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

  20. No harm, with potential for more than minimal harm

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0711, Nursing and Physician Services Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

  21. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

  22. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

  23. No harm, with potential for more than minimal harm

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0813, Nutrition and Dietary Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

  24. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.