The nursing home failed to protect residents from abuse and neglect by others. Cited June 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Sienna Nursing and Rehabilitation
Odessa, TX · Medicare-certified · 138 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Sienna Nursing and Rehabilitation (Odessa, TX) has an overall rating of 1 out of 5 stars, with very low staffing and a staffing rating of 1 star; reported nurse staffing is 2.91 hours per resident per day versus the 4.1-hour federal benchmark. It also has a recent federal penalty and $241,722 in fines over the last 24 months, while its health inspection rating is 2 stars and quality measures rating is 4 stars.
Facility ratings
Health inspections
Staffing
2.9137 hrs/resident/day
Quality measures
Last inspection: April 23, 2026Penalties, last 24 months: $241,722recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9137.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 0.53
- Nurse aides
- 1.88
- Weekend nursing
- 2.45
Hours per resident per day.
Total staff turnover: 92%
Registered nurse turnover: 91%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
3.2%4.7%Worsening
Residents with a fall causing major injury
5.7%5.7%No change
Residents with pressure ulcers (bedsores)
9.6%2.4%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.7%3.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4%20%Worsening
Residents whose ability to walk got worse
1.9%11.1%Worsening
Long-stay residents on antianxiety or sleep medication
12.8%16.7%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
10.1%15.7%Worsening
Residents with depressive symptoms
0%4.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
96.9%100%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited June 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: K
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $241,722 was recorded.
- PENALTY
A federal fine of $237,933 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $241,722 in total fines.
- $241,722
Federal fine
Jun 24, 2025
Operator & ownership
Recent ownership change · Apr 1, 2022
Now operated by West Wharton County Hospital District, previously Odessa Iii Enterprises, LLC.
- Ownership
- For profit - Corporation
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.2 stars avg
- Occupancy
- 89.7 residents on an average day (65% of 138 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.