Texas › Ector County › Odessa
Sienna Nursing and Rehabilitation
2510 West 8th Street, Odessa, TX 79763
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Sienna Nursing and Rehabilitation, in Odessa, Texas, is certified for 138 beds under for-profit, corporation ownership and belongs to the Creative Solutions In Healthcare chain.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 37 health deficiencies across the three most recent survey cycles (16, 12, 9 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 26.8 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $242K.
Reported nurse staffing is 2.9 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 92.3%.
Compared with county, state and nation
| Measure | This facility | Ector Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 37 | 28 | 25 | 28.7 |
| Citations per 100 beds | 26.8 | 26.8 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 92.3% | 92.3% | 52.1% | 45.8% |
| Fines listed | $241,722 | $8,724 | $16,801 | — |
County and state figures are medians across facilities (6 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Apr 2026, 23 Jan 2025.
Severity mix: K ×3 D ×11 E ×16 F ×4 B ×2 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 23 Apr 2026 | F0727 | 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. | F | Standard survey | 24 Apr 2026 |
| 23 Apr 2026 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 24 Apr 2026 |
| 23 Apr 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 24 Apr 2026 |
| 23 Apr 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 24 Apr 2026 |
| 23 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 24 Apr 2026 |
| 23 Apr 2026 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Standard survey | 24 Apr 2026 |
| 23 Apr 2026 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 24 Apr 2026 |
| 23 Apr 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 24 Apr 2026 |
| 23 Apr 2026 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 24 Apr 2026 |
| 23 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 24 Apr 2026 |
| 23 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 24 Apr 2026 |
| 23 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 24 Apr 2026 |
| 23 Apr 2026 | F0732 | Post nurse staffing information every day. | C | Standard survey | 24 Apr 2026 |
| 23 Apr 2026 | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | B | Standard survey | 24 Apr 2026 |
| 23 Apr 2026 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B | Standard survey | 24 Apr 2026 |
| 19 Feb 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 20 Feb 2026 |
| 24 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 25 Jun 2025 |
| 24 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 25 Jun 2025 |
| 24 Jun 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | K | Complaint investigation | 25 Jun 2025 |
| 24 Jun 2025 | F0727 | 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. | F | Complaint investigation | 15 Jul 2025 |
| 24 Jun 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 25 Jun 2025 |
| 23 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 25 Jan 2025 |
| 23 Jan 2025 | F0761 | 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. | E | Complaint investigation | 25 Jan 2025 |
| 23 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 25 Jan 2025 |
| 23 Jan 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint investigation | 25 Jan 2025 |
| 10 Sep 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 4 Oct 2024 |
| 13 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 16 Sep 2024 |
| 13 Aug 2024 | F0761 | 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. | D | Complaint investigation | 16 Sep 2024 |
| 21 Jun 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint investigation | 19 Jul 2024 |
| 13 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Jan 2024 |
| 13 Dec 2023 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 12 Jan 2024 |
| 13 Dec 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 14 Dec 2023 |
| 13 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 14 Dec 2023 |
| 13 Dec 2023 | F0761 | 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. | D | Standard survey | 14 Dec 2023 |
| 9 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 7 Sep 2023 |
| 9 Aug 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 7 Sep 2023 |
| 9 Aug 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 7 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 24 Jun 2025 | Fine | $241,722 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 92.3%, RNs 90.9%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.0% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.4% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: West Wharton County Hospital District. Chain: Creative Solutions In Healthcare (149 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Ector County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Parks Health Center | Odessa | 90 | 4 | 4 | 3 | 15 | 16.7 | — | 15 Jan 2026 |
| Buena Vida Nursing & Rehab Odessa | Odessa | 117 | 3 | 3 | 1 | 16 | 13.7 | $9K | 18 Jun 2026 |
| Deerings Nursing and Rehabilitation | Odessa | 109 | 3 | 4 | 1 | 31 | 28.4 | $8K | 25 Jun 2026 |
| Focused Care At Odessa | Odessa | 75 | 2 | 3 | 1 | 28 | 37.3 | — | 27 May 2026 |
| Madison Medical Resort | Odessa | 124 | 2 | 3 | 1 | 9 | 7.3 | $32K | 2 Apr 2026 |
All 6 facilities in Ector County
Questions and answers
How many deficiencies has Sienna Nursing and Rehabilitation been cited for?
37 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Sienna Nursing and Rehabilitation been fined?
Yes. CMS lists fines totalling $242K in the period covered.
How does staffing at Sienna Nursing and Rehabilitation compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Sienna Nursing and Rehabilitation?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Sienna Nursing and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 23 Apr 2026; the most recent standard health survey was 23 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.