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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.