Sienna Nursing and Rehabilitation
2510 W 8th Street · Odessa, TX · 79763 · 4323334511
138 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$241,722 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
97% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.08 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 2.55 | ≈ weekday level |
| Nursing turnover / year | 97% | median 45% |
| Fines (3-yr window) | 1 · $241,722 |
Inspection citations (28 in the current record)
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Potential for harm · D April 23, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 24, 2026 · Infection Control
-
Potential for harm · E February 19, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected February 20, 2026 · Quality of Life and Care
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Immediate jeopardy · K June 24, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K June 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 25, 2025 · Quality of Life and Care
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Immediate jeopardy · K June 24, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected June 25, 2025 · Nursing and Physician Services
-
Potential for harm · E June 24, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · F June 24, 2025 · found via complaint
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.
Corrected July 15, 2025 · Nursing and Physician Services
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Potential for harm · E January 23, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 25, 2025 · Resident Rights
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Potential for harm · D January 23, 2025 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected January 25, 2025 · Quality of Life and Care
-
Potential for harm · E January 23, 2025 · found via complaint
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.
Corrected January 25, 2025 · Pharmacy Service
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Potential for harm · E January 23, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 25, 2025 · Infection Control
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Potential for harm · D September 10, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 13, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 16, 2024 · Pharmacy Service
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Potential for harm · D August 13, 2024 · found via complaint
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.
Corrected September 16, 2024 · Pharmacy Service
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Potential for harm · E June 21, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected July 19, 2024 · Administration
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Potential for harm · E December 13, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 14, 2023 · Resident Assessment and Care Planning
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Potential for harm · E December 13, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 14, 2023 · Quality of Life and Care
-
Potential for harm · D December 13, 2023
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.
Corrected December 14, 2023 · Pharmacy Service
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Potential for harm · F December 13, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 12, 2024 · Nutrition and Dietary
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Potential for harm · F December 13, 2023
Keep all essential equipment working safely.
Corrected January 12, 2024 · Environmental
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Potential for harm · D August 9, 2023 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 7, 2023 · Quality of Life and Care
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Potential for harm · E August 9, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 7, 2023 · Nutrition and Dietary
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Potential for harm · E August 9, 2023 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 7, 2023 · Environmental
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Immediate jeopardy · J October 10, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 19, 2022 · Quality of Life and Care
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Potential for harm · E October 10, 2022
Provide activities to meet all resident's needs.
Corrected October 20, 2022 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 24, 2025 | Fine | $241,722 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675928 · certified since September 3, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.