All states › Texas › Odessa › Sienna Nursing and Rehabilitation
2510 West 8th Street Odessa, TX 79763 · Ector County
All 6 nursing homes in Odessa, TX (6 take Medicaid)
CMS certification number 675928 · See this home on Medicare Care Compare
Is Sienna Nursing and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Sienna Nursing and Rehabilitation as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.94 hours per resident per day at Sienna Nursing and Rehabilitation, below the Texas median of 3.30 (US median: 3.72). About 0.45 of those hours are from registered nurses. On weekends it falls to 2.53 hours, 14% below its all-week average. 62.8% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Sienna Nursing and Rehabilitation: Medicare and Medicaid
Sienna Nursing and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 23, 2026 and found 14 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 34 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 34 citations at Sienna Nursing and Rehabilitation across 8 inspection dates, 15 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 24, 2025 (complaint inspection). The most common areas cited were quality of life and care (7) and resident rights (6). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, June 24, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
April 23, 2026 · 15 citations · includes complaint inspection
FHave 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.
EKeep residents' personal and medical records private and confidential.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHire a qualified full-time social worker in a facility with more than 120 beds.
EKeep all essential equipment working safely.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DHonor 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.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide and implement an infection prevention and control program.
CPost nurse staffing information every day.
BPost 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.
BAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
February 19, 2026 · 1 citation · includes complaint inspection
EProvide enough food/fluids to maintain a resident's health.
June 24, 2025 · 5 citations, includes immediate jeopardy · includes complaint inspection
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
KProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FHave 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.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
January 23, 2025 · 4 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EEnsure 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.
EProvide and implement an infection prevention and control program.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
September 10, 2024 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
August 13, 2024 · 2 citations · includes complaint inspection
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
June 21, 2024 · 1 citation · includes complaint inspection
ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
December 13, 2023 · 5 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FKeep all essential equipment working safely.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure 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.
Questions to ask on a tour of Sienna Nursing and Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on June 24, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 24, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 62.8% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $243,724 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 24, 2025 | Fine | $243,724 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
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Location
Hospitals near Sienna Nursing and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.6 mi
Medical Center Hospital OdessaEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 30m for patients treated and sent home
-
2.1 mi
Odessa Regional Hospital OdessaEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 33m for patients treated and sent home
- 11.9 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Affiliation comes from CMS's affiliated-entity data, October 2026. All 150 Creative Solutions In Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.