Paradise Care Home
State licensed1615 Miramonte Avenue, Mountain View, CA 94040
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Villa Siena brings personalized assisted living to Mountain View, California, where residents receive attentive care matched to their individual needs. Our supportive environment empowers seniors to maintain independence while accessing help with daily activities, all within a community that feels like home.
Capacity
77 residents
State license
#430708114, Licensed
Location
Mountain View, CA
Status
Listed in a public registry
1855 Miramonte Avenue, Mountain View, California 94040
From the California Department of Social Services, Community Care Licensing Division, which licenses and inspects Villa Siena. Checked October 8, 2026. See the state's record and reports
State inspectors last visited Villa Siena on July 28, 2026.
Since August 2022, California's Community Care Licensing Division has made 4 routine inspections.
Inspectors issued 1 Type A citation. A Type A citation means an immediate risk to residents' health, safety or personal rights.
Across 7,137 licensed communities in California, the average in the state's record is 5.9 citations and 27% have none.
No complaints were investigated in that time.
Last visit
Jul 28, 2026
Routine inspections
4
Type A citations
1
Type B citations
0
| Kind of visit | Visits | Type A | Type B |
|---|---|---|---|
| Routine inspections | 4 | 0 | 0 |
| Complaint investigations | 0 | 0 | 0 |
| Other visits | 0 | 1 | 0 |
Type A: an immediate risk to residents' health, safety or personal rights. Type B: a potential risk if not corrected. Routine inspections on Jul 28, 2026, Jul 29, 2025, Jul 24, 2024, Aug 29, 2022.
Villa Siena includes Villa Siena, a Medicare-certified nursing home at the same address. Everything below is Medicare's record for that nursing home. It does not rate Villa Siena's other levels of care, which the state licenses and inspects separately.
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on July 28, 2025, state inspectors cited 11 health deficiencies (the California average is 15.5).
Nurses and nurse aides spend 6 hours 2 minutes with each resident a day, above the California average of 4 hours 31 minutes.
Medicare has not fined Villa Siena in the last three years.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 6 hours 2 minutesAbove the California average |
| Registered nurse time per resident, per day | 27 minutesBelow the California average |
| Nursing staff who left in the past year | 15%Below the California average |
23 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 28, 2025 · Standard inspection · 11 citations
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure each resident receives an accurate assessment.
Post nurse staffing information every day.
Observe each nurse aide's job performance and give regular training.
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.
April 22, 2024 · Standard inspection · 12 citations
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Ensure each resident receives an accurate assessment.
Provide and implement an infection prevention and control program.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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.
Provide safe and appropriate respiratory care for a resident when needed.
1855 Miramonte AvenueMountain View, CA 94040
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California's Community Care Licensing Division has issued Villa Siena 1 Type A citation and 0 Type B citations since August 2022. Type A means an immediate risk to residents' health, safety or personal rights; Type B means a potential risk if not corrected.
State inspectors last visited on July 28, 2026. Each visit's report is public on the state's facility search.
The state has no complaint investigations on record for Villa Siena since August 2022.
Yes. Villa Siena is a Medicare-certified nursing home on the same campus. Its Medicare record of inspections, staffing and fines is below. That record covers the nursing home only, not Villa Siena's other levels of care.
State inspectors visited on July 28, 2025 and cited 11 health deficiencies. The California average is 15.5.
Nurses and aides spend 6 hours 2 minutes with each resident per day, including 27 minutes from registered nurses. 15% of nursing staff left over the past year.
Medicare's records show no fines against Villa Siena in the last three years.
The national median is around $6,200 per month, though it ranges from roughly $4,500 to $11,800 depending on location, apartment size, and level of care.
Medicare does not cover the room-and-board cost of assisted living. Medicaid may help in many states through waivers, and VA benefits can offset costs for eligible veterans.
Assisted living is for people who need help with daily tasks but are largely independent. Nursing homes (skilled nursing) provide 24-hour medical and rehabilitative care.