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Nursing HomeMedicaid Investigative

Sienna Nursing and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2510 West 8th Street, Odessa, TX 79763138 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 31 Google reviews

5
4
3
2
1
Sienna Nursing and Rehabilitation Nursing Home in Odessa, TX — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Above-median deficiencies (9 vs median 8.0)
  • High staff turnover (52%)

Below average in Texas · Below recommended RN staffing · Below chain average · $366,050 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility is highly regarded for its cleanliness, rehabilitation services, and friendly dining experience. However, because there are serious allegations regarding the quality of dementia care and resident safety, families should perform a thorough in-person inspection and ask specific questions about staff training for memory care and protocols for preventing pressure sores.

Google Reviews

Google Reviews

31 reviews analyzed
Families can expect a clean, well-maintained facility with a highly praised rehabilitation and nursing team that is described as attentive and compassionate. While many reviewers highlight excellent food and a friendly atmosphere, there are serious, critical allegations regarding neglect and lack of specialized training for dementia care that should be investigated.

Quality Themes

Tap a score for details
Food9.0Staff9.0Clean10.0Activities9.0MedsN/AMemory1.0Comms7.0ValueN/A

Strengths

  • Clean and well-maintained facility
  • Attentive and caring nursing staff
  • Effective rehabilitation and therapy services
  • High-quality food and dining

Concerns

  • Allegations of neglect and lack of dementia/Alzheimer's training
  • Difficulty reaching staff via telephone
  • Concerns regarding bed sores and resident injuries

Rating Trends

Tap a year to see what changed

2344.42022(7)4.22023(17)5.02024(5)5.02025(3)1.02026(1)

Distribution

5
26
4
1
3
0
2
0
1
3

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard wonderful things about the quality of the dining experience here; could you tell us more about the daily meal menus?
  • 2Since we are looking for specialized support, what specific training and protocols do your staff members follow for residents with dementia or Alzheimer's?
  • 3How does your nursing team monitor and prevent skin integrity issues, such as bed sores, for residents with limited mobility?
  • 4What is the best way for our family to stay in consistent contact with the nursing staff if we have a quick question during the day?
  • 5Could you walk us through the process for handling medical emergencies or urgent changes in a resident's condition after hours?
  • 6What kind of daily activities or social programs are available to keep residents engaged and active within the community?

Personalized based on this facility's data


Key Review Excerpts

Sienna Nursing and Rehab has provided an outstanding level of care and professionalism. From the wonderful moment you walk in, the facility is exceptionally clean, well-maintained, and organized.

Long-term resident's family · 2025★★★★★

My dad has been in Sienna since 2022 and he has been well taken care of! He had some struggles due to his condition and Sienna took the steps to get him the proper care so that he could settle down.

Long-term resident's family · 2024★★★★★

Rehabilitation team is amazing. Staff is caring, the building is always clean and the food and activity program are amazing!!

Rehab patient's family · 2023★★★★★
Source: 31 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.49hrs
65%
Registered nurses for medical care
Total Nursing
3.08hrs
75%
All nurses + aides combined
Staff Turnover
97%
Lower is better (< 30% = good)
RN Turnover
100%
Lower is better (< 30% = good)

Both 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 · 16 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.9%
Better than Avg
Here
1.9%
US
12.1%
TX
2.5%
Ector
20.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.0%
Better than Avg
Here
4.0%
US
15.4%
TX
9.4%
Ector
5.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
15.3%
TX
14.9%
Ector
12.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Ector
99.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Ector
97.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.6%
Better than Avg
Here
11.6%
US
14.4%
TX
16.1%
Ector
15.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.2%
Mixed vs Avgs
Here
98.2%
US
81.8%
TX
89.2%
Ector
99.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Ector
0.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
1penalties
Above state avg (9.1)
17 complaint-triggered
$366,050 in fines

This facility has concerning patterns with 16 complaint-triggered deficiencies indicating families have filed reports about care problems. The most recurring issues involve nursing staffing levels, medication management, and accident prevention/safety hazards. Recent complaints in 2025 cited serious concerns including abuse protection failures and inadequate nursing coverage, while medication labeling and safety supervision problems persist across multiple surveys, suggesting ongoing systemic issues despite corrections being reported.

Feb 19, 2026Complaint
1
0692ModerateCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Jun 24, 2025Complaint
5
0600SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0689SevereCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0725SevereCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0727ModerateCorrected

Nursing and Physician Services Deficiencies

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.

0657ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Jan 23, 2025Complaint
4
0550ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0761ModerateCorrected

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.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0694MinorCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Jan 23, 2025Routine
4
0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0355ModerateCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Sep 10, 2024Complaint
1
0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Aug 13, 2024Complaint
2
0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761MinorCorrected

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.

Federal Penalties

Fine

Jun 24, 2025

$237,933

Ownership & Operations

Who Operates This Facility

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

ODESSA III ENTERPRISES, LLC

Administrator

HOWARD JASON BLACK

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 77 of 148

Ownership & Management

Key personnel

Bowers, SeanManaging Control - Governing BodyCisneros, AlfredManaging Control - Governing BodyCobb, TravisManaging Control - Governing BodyCooper, StephenManaging Control - Governing BodyHardin, SherrieManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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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