Buena Vida Nursing & Rehab Odessa
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 73 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $8,724 in fines
What this means for your family
This facility offers an impressive rehabilitation gym and has undergone recent renovations that improve the physical environment. However, families should exercise extreme caution and closely monitor medication logs and call-light responsiveness, as multiple recent reviews highlight dangerous lapses in nursing communication and resident supervision.
Google Reviews
Google Reviews
73 reviews analyzed“Families looking for rehabilitation services may find the well-equipped gym and physical therapy team impressive. However, there are serious, recurring allegations regarding neglect, poor communication between shifts, and inadequate monitoring of residents with dementia or medical needs.”
Quality Themes
Tap a score for detailsStrengths
- Excellent rehabilitation and physical therapy services
- Clean and recently remodeled facility
- Compassionate hospice and long-term care support
- Friendly and professional therapy staff
Concerns
- Inadequate monitoring and safety risks for dementia patients (mentioned by 2 reviewers)
- Poor communication between nursing shifts and medication errors (mentioned by 2 reviewers)
- Issues with hygiene and unpleasant facility odors (mentioned by 2 reviewers)
- Unprofessional behavior or verbal aggression from management/staff (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses highly standardized, template-based responses that follow a nearly identical structure for every review. While they acknowledge the reviewer by name, they fail to address the specific allegations (such as 911 calls, dietary issues, or patient abandonment) and instead rely on a repetitive script.
Questions for Your Tour
- 1We've heard great things about your physical therapy team; could you tell us more about how the rehab process works for new residents?
- 2How do you ensure that important medical updates and medication changes are communicated clearly between nursing shifts?
- 3What specific safety measures and monitoring protocols are in place to support residents with dementia or memory care needs?
- 4Could you describe the dining experience and how you work to ensure meal quality and variety for everyone?
- 5What is your process for managing hygiene and maintaining a fresh, clean environment throughout the facility?
- 6In the event of a medical emergency during the night, what is the immediate protocol for resident care?
Personalized based on this facility's data
Key Review Excerpts
“The rehab gym is AMAZING, spacious and well equipped. They have a strong rehab to home program.”
“I can not express enough thanks regarding the care my father received as a long term resident. The health team is professional, supportive and excellent in all aspects.”
“The call lights do not work and it’s the night shift usually. I called 911 this evening to get help and am still waiting. No one to help me.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
1
measures
4
measures
Residents with depression symptoms
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents who lost too much weight
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints triggering nearly half of the 24 deficiencies found across 8 surveys, indicating ongoing concerns about care quality. The facility has persistent problems with accident hazard prevention, infection control, medication management, and fire safety that have recurred across multiple surveys despite correction claims. While all deficiencies show provider correction dates, the repeated patterns suggest systemic issues that families should investigate thoroughly before placement.
Nov 20, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 6, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Aug 8, 2025Complaint2
Pharmacy Service Deficiencies
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 8, 2025Routine4
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 6, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 27, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Apr 6, 2025
$8,724
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
ODESSA I ENTERPRISES, LLC
SILVIA CASAS
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 113 of 148 (Worst)
Ownership & Management
Owners
West Wharton County Hospital District
Owner · Organization
West Wharton County Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
73 reviews from families & visitors
Official Website
Visit buenavidanursing.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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