Sienna Nursing and Rehabilitation: Staffing, Turnover, and Inspection Record
Sienna Nursing and Rehabilitation is a 138-bed for-profit nursing home in Odessa, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.88 nurse aide hours per resident per day, 6% below the Texas average of 2.00, and 92.3% nursing staff turnover (Texas average 55.3%).
Sienna Nursing and Rehabilitation
2510 West 8th StreetOdessa, TX 79763
Ector County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Sienna Nursing and Rehabilitation, nurse aides logged 1.88 hours per resident per day, 6% below the Texas average. With about 90 residents a day, that works out to roughly 169 aide hours a day, or about 21 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.88 | 2.00 | 2.32 |
| Licensed practical nurses | 0.53 | 0.95 | 0.86 |
| Registered nurses | 0.50 | 0.43 | 0.69 |
| All nursing staff | 2.91 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.45 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
92.3% of nursing staff at Sienna Nursing and Rehabilitation left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 90.9%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 23, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 16 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $241,722 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 24, 2025 | Fine | $241,722 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Sienna Nursing and Rehabilitation holds 1 of 5 overall; the Texas average is 2.6.
About Sienna Nursing and Rehabilitation
- Ownership: For profit - Corporation
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: West Wharton County Hospital District
- Medicare and Medicaid certified since: Sep 3, 2002
- Councils: resident council
- Area: urban
Nursing homes near Sienna Nursing and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Focused Care at Odessa Odessa | 0.6 | 75 | 1.96 | 3.06 | 45.9% | 2 | None |
| Buena Vida Nursing & Rehab Odessa Odessa | 4.5 | 117 | 1.60 | 2.52 | 94.2% | 3 | $8,724 |
| Deerings Nursing and Rehabilitation Odessa | 5.4 | 109 | 1.55 | 2.71 | 97.9% | 3 | $8,278 |
| Madison Medical Resort Odessa | 5.5 | 124 | 2.13 | 3.57 | 44.8% | 2 | $32,445 |
| Parks Health Center Odessa | 8.1 | 90 | 2.38 | 3.92 | 66.2% | 4 | None |
| Ashton Medical Lodge Midland | 17.5 | 144 | 2.12 | 3.39 | 49.6% | 2 | $13,397 |
| Mabee Health Care Center Midland | 18.4 | 44 | 2.58 | 3.76 | 83.8% | 4 | None |
| Midland Medical Lodge Midland | 21.4 | 125 | 1.90 | 3.13 | 46.9% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.