Sienna Nursing and Rehabilitation
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-06-24 — IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-06-24 — IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-06-24 — IMMEDIATE JEOPARDY (tag F0725, severity K)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
2022-10-10 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
2.26
state median 2.67
Weekend staffing gap
−19%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.39
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
92%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $241,722 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-06-24 | Fine | $241,722 |
Ownership
Ownership type: For profit - Corporation. Part of the CREATIVE SOLUTIONS IN HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Buena Vida Nursing and Rehab-San Antonio (SAN ANTONIO, TX) —
- MESA VISTA INN HEALTH CENTER (SAN ANTONIO, TX) —
- Mountain View Health & Rehabilitation (El Paso, TX) —
- Vista Hills Health Care Center (El Paso, TX) —
- Pleasant Springs Healthcare Center (Mount Pleasant, TX) —
- AMISTAD NURSING AND REHABILITATION CENTER (UVALDE, TX) —
- HERITAGE AT LONGVIEW HEALTHCARE CENTER (LONGVIEW, TX) —
- MINERAL WELLS NURSING & REHABILITATION (MINERAL WELLS, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-23 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-02-19 | F0692 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-06-24 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2025-06-24 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-06-24 | F0689 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-06-24 | F0725 | Nursing and Physician Services Deficiencies | K | not recorded |
| 2025-06-24 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-01-23 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2025-01-23 | F0694 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-23 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-01-23 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-09-10 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-08-13 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-08-13 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-06-21 | F0867 | Administration Deficiencies | E | not recorded |
| 2023-12-13 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-12-13 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-12-13 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-12-13 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-12-13 | F0908 | Environmental Deficiencies | F | not recorded |
| 2023-08-09 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-08-09 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-08-09 | F0921 | Environmental Deficiencies | E | not recorded |
| 2022-10-10 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2022-10-10 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2022-10-10 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2022-10-10 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2022-10-10 | F0908 | Environmental Deficiencies | E | not recorded |