Sienna Nursing And Rehabilitation
2510 WEST 8TH STREET, Odessa, TX, 79763
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 138 · avg 96 residents/day
- Total nursing staff turnover
- 52.2% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $366,050 total
State licensing & capacity
- License number
- 308651
- Service type
- Medicare/medicaid
- Licensed capacity
- 138 beds
- Bed type breakdown
- 38 Medicare-only · 100 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- June 15, 1977
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Odessa Iii Enterprises, Llc
- Administrator
- Howard Jason Black
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (18 on record)
- Laura Gonzalez
Adp of The Snf · since 2025
- Odessa Iii Enterprises, Llc
Adp of The Snf · since 2025
- Scotty r. Ortega
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Paul Soechting
Managing Control - Governing Body · since 2024
- Sherrie Hardin
Managing Control - Governing Body · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
April 2022 (4 years ago) · acquired from Sienna Nursing And Rehabilitation
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 26)
- F0727·Jun 24, 2025Complaint
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.
- K0725·Jun 24, 2025Complaint
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.
- K0689·Jun 24, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0657·Jun 24, 2025Complaint
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.
- K0600·Jun 24, 2025Complaint
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.
- E0880·Jan 23, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0761·Jan 23, 2025Complaint
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.
- D0694·Jan 23, 2025Complaint
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Federal penalties
By year
- 20251 fine · $366K
Most recent events
- Jun 24, 2025Fine · $366K
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Jan 23, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Sienna Nursing and Rehabilitation is a 138-bed Medicare/Medicaid nursing home in Odessa, Texas, operating at about 70% of licensed capacity. CMS rates it 2 stars overall, with a 1-star health inspection rating and a substantiated finding of resident abuse or neglect within the past 36 months. A single fine of $366,050 — nearly 18 times the Texas median — was assessed within the CMS reporting window. Quality-of-care outcome measures rate 5 stars for both long- and short-stay residents.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — about the middle fifth of Texas nursing homes on this measure. Each resident receives roughly 186 minutes of nursing care per day, about 55 minutes less than at a 4-star-staffing facility in Texas. Of that, approximately 30 minutes comes from a registered nurse, compared to 37 minutes at the 4-star threshold in Texas.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. That finding sits at the core of the 1-star health inspection rating and is distinct from staffing or quality-measure scores.
One fine of $366,050 was assessed in the CMS reporting window. The median fine among Texas nursing homes that received any fine is about $20,700 — this facility's single penalty is roughly 18 times that figure. Approximately 30% of Texas nursing homes have received no fines at all in this period.
One administrator has turned over in the past year. This falls in an elevated range — not as disruptive as two or more departures, but leadership continuity affects how care policies are enforced day to day.
The facility is running at about 69% of its 138 licensed beds, with roughly 96 residents on an average day. At the same time, the 5-star quality-measure ratings for both long- and short-stay residents cover outcomes such as falls, pressure wounds, pain management, and hospital readmissions — those scores are drawn from CMS claims data and represent the top tier in Texas.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Details on the abuse finding
CMS has a substantiated abuse or neglect finding here within the past 36 months — ask what happened, what corrective steps were taken, and how staff are screened and trained now.
Context behind the $366,050 fine
A single CMS fine of $366,050 was assessed — ask what deficiency triggered it and how the facility's response was documented with the state.
Administrator transition and continuity
One administrator left in the past year — ask who is currently in the role, how long they have been in place, and whether department leadership has been stable.
Weekend staffing levels
Reported weekend nursing hours run at about 2.6 minutes per resident per hour — below the weekday figure — so ask how many nurses and aides are on the floor on a Saturday or Sunday.
Why occupancy is notably low
About 42 of 138 licensed beds are unfilled on an average day — ask whether that reflects referral patterns, a planned census strategy, or something else.
How quality scores are maintained
Outcome measures rate 5 stars despite a 1-star inspection rating — ask which specific measures drive the high score and how care plans are reviewed when a resident's condition changes.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.