Federal inspection record · CMS data as of October 1, 2026
Sienna Nursing and Rehabilitation
2510 West 8th Street, Odessa, TX · (432) 333-4511
- Certified beds
- 138
- Residents per day
- 93
- Ownership
- For-Profit
- Chain
- Creative Solutions In Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 3, 2002
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Sienna Nursing and Rehabilitation carries 174.5 inspection points. That is fewer than 14% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
34 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Everything else, by area of care
Resident Rights6E
- E
Keep residents' personal and medical records private and confidential.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- B
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
- B
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care6E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service4E
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
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.
Nursing and Physician Services3F
- F
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.
- C
Post nurse staffing information every day.
- F
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.
Nutrition and Dietary3F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning3E
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Administration2E
- E
Hire a qualified full-time social worker in a facility with more than 120 beds.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Environmental2F
- E
Keep all essential equipment working safely.
- F
Keep all essential equipment working safely.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-04-23
16 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2025-01-23
9 health deficiencies · 4 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2023-12-13
9 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 56 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
2 h 56 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 63% of nursing staff and 64% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$243,724 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-24 | Fine | $243,724 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 2.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.7 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts worse | 4.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.6 pts worse | 4.9% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts worse | 4.9% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.4 pts worse | 18.2% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.3 pts better | 4.5% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.7 pts better | 8.2% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1 pts worse | 16.8% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 0.6% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.2 pts worse | 12.7% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts better | 3.6% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts worse | 13.8% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better | 100.0% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.5 pts better | 25.0% | 25.5% | 23.4% |
·
Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Blake, Gary | Operational/Managerial Control · Individual | 0% | 139 facilities |
| Blake, Gary | Adp Of The SNF · Individual | 0% | 139 facilities |
| Blake, Malisa | Operational/Managerial Control · Individual | 0% | 139 facilities |
| Bowers, Sean | Managing Control - Governing Body · Individual | 0% | 40 facilities |
| Cisneros, Alfred | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Cobb, Travis | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Cooper, Stephen | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Gonzalez, Laura | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hardin, Sherrie | Managing Control - Governing Body · Individual | 0% | 40 facilities |
| Huggins, Linda | Corporate Director · Individual | 0% | 138 facilities |
| Kerzee, Richard | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Korenek, Patricia | Managing Control - Governing Body · Individual | 0% | 40 facilities |
| Odessa Iii Enterprises, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Odessa Iii Enterprises, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ortega, Scotty | Adp Of The SNF · Individual | 0% | 4 facilities |
| Soechting, Paul | Managing Control - Governing Body · Individual | 0% | 39 facilities |
| Strack, Joe | Managing Control - Governing Body · Individual | 0% | 40 facilities |
| Thompson, Johnny | Corporate Officer · Individual | 0% | 79 facilities |
| Willig, Zachary | Corporate Director · Individual | 0% | 84 facilities |
·
Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services4E
- E
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress3F
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1E
- E
Have proper medical gas storage and administration areas.
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Other homes nearby
-
Focused Care at Odessa
Odessa, TX · Focused Post Acute Care Partners
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 57 min
- Fines
- $0
-
Buena Vida Nursing & Rehab Odessa
Odessa, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 58 min
- Fines
- $8,724
-
Deerings Nursing and Rehabilitation
Odessa, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 37 min
- Fines
- $8,278