Sienna Nursing and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 31 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.
- 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
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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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.”
“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.”
“Rehabilitation team is amazing. Staff is caring, the building is always clean and the food and activity program are amazing!!”
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 · 16 measures
11
measures
2
measures
3
measures
Residents with depression symptoms
Residents on antipsychotic medication
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents needing more daily help over time
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
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, 2026Complaint1
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Jun 24, 2025Complaint5
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
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, 2025Complaint4
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Jan 23, 2025Routine4
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
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Sep 10, 2024Complaint1
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, 2024Complaint2
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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
West Wharton County Hospital District
for profit
ODESSA III ENTERPRISES, LLC
HOWARD JASON BLACK
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 77 of 148
Ownership & Management
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
31 reviews from families & visitors
Official Website
Visit siennanursing.com
Medicare data downloads
Original nursing home datasets
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