Sienna Nursing and Rehabilitation
2510 W 8Th Street, Odessa, TX 79763 · CCN 675928
Abuse icon
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 138
- Avg residents/day
- 95.8
- Phone
- 4323334511
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-23 | 9 | 9.1 | 9.5 | -0.1 better |
| 2 | 2023-12-13 | 9 | 9.4 | 9.8 | -0.4 better |
| 3 | 2022-10-10 | 8 | 8.1 | 9.3 | -0.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 2 |
| Resident rights | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.10 | 52.2% |
| RN staffing (reported) | 0.49 | 40.0% |
| Total nurse staffing (adjusted) | 3.94 | — |
Fines & penalties
- Total fines
- $366,050
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- Facilities in chain
- 149
- Chain avg overall
- 2.70 / 5
Inspection citations (26)4 immediate jeopardy
- KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-24 · Health · corrected 2025-06-25
Immediate jeopardy
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-24 · Health · corrected 2025-06-25
Potential for more than minimal harm
- KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-24 · Health · corrected 2025-06-25
Immediate jeopardy
- KF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-06-24 · Health · corrected 2025-06-25
Immediate jeopardy
- FF0727Have 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.2025-06-24 · Health · corrected 2025-07-15
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-23 · Health · corrected 2025-01-25
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-01-23 · Health · corrected 2025-01-25
Potential for more than minimal harm
- EF0761Ensure 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.2025-01-23 · Health · corrected 2025-01-25
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-01-23 · Health · corrected 2025-01-25
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-09-10 · Health · corrected 2024-10-04
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-08-13 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0761Ensure 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.2024-08-13 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-06-21 · Health · corrected 2024-07-19
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-12-13 · Health · corrected 2023-12-14
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-13 · Health · corrected 2023-12-14
Potential for more than minimal harm
- DF0761Ensure 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.2023-12-13 · Health · corrected 2023-12-14
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-13 · Health · corrected 2024-01-12
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2023-12-13 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-08-09 · Health · corrected 2023-09-07
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-09 · Health · corrected 2023-09-07
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-08-09 · Health · corrected 2023-09-07
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2022-10-10 · Health · corrected 2022-10-20
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-10-10 · Health · corrected 2022-09-19
Immediate jeopardy
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-10-10 · Health · corrected 2022-10-20
Potential for more than minimal harm
- EF0761Ensure 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.2022-10-10 · Health · corrected 2022-10-20
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2022-10-10 · Health · corrected 2022-10-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-04-01 |
| ODESSA III ENTERPRISES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 |
| HUGGINS, LINDA | Individual | CORPORATE DIRECTOR | — | 2022-04-01 |
| WILLIG, ZACHARY | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| THOMPSON, JOHNNY | Individual | CORPORATE OFFICER | — | 2024-01-01 |
Other facilities in Odessa
| Name | Overall | Beds |
|---|---|---|
| Deerings Nursing and Rehabilitation, LP | ★★★★★ | 109 |
| Focused Care at Odessa | ★☆☆☆☆ | 75 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.