Sienna Nursing And Rehabilitation

Inspection history (28)

• April 23, 2026 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2026-04-23 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-04-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-23.GOV

• February 19, 2026 · E

  Citation F0692

  Federal surveyors cited this nursing home on 2026-02-19 under CMS tag F0692 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2026-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-19.GOV

• June 24, 2025 · F

  Citation F0727

  Federal surveyors cited this nursing home on 2025-06-24 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-07-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-24.GOV

• June 24, 2025 · K

  Citation F0600

  Federal surveyors cited this nursing home on 2025-06-24 under CMS tag F0600 (CMS scope/severity K: pattern, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-06-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-24.GOV

• June 24, 2025 · E

  Citation F0657

  Federal surveyors cited this nursing home on 2025-06-24 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2025-06-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-24.GOV

• June 24, 2025 · K

  Citation F0689

  Federal surveyors cited this nursing home on 2025-06-24 under CMS tag F0689 (CMS scope/severity K: pattern, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-06-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-24.GOV

• June 24, 2025 · K

  Citation F0725

  Federal surveyors cited this nursing home on 2025-06-24 under CMS tag F0725 (CMS scope/severity K: pattern, immediate jeopardy) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2025-06-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-24.GOV

• January 23, 2025 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2025-01-23 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-23.GOV

• January 23, 2025 · E

  Citation F0550

  Federal surveyors cited this nursing home on 2025-01-23 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-23.GOV

• January 23, 2025 · D

  Citation F0694

  Federal surveyors cited this nursing home on 2025-01-23 under CMS tag F0694 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide for the safe, appropriate administration of IV fluids for a resident when needed. The deficiency was recorded as corrected on 2025-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-23.GOV

• January 23, 2025 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2025-01-23 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-23.GOV

• September 10, 2024 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2024-09-10 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2024-10-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-10.GOV

• August 13, 2024 · D

  Citation F0755

  Federal surveyors cited this nursing home on 2024-08-13 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2024-09-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-13.GOV

• August 13, 2024 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2024-08-13 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-09-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-13.GOV

• June 21, 2024 · E

  Citation F0867

  Federal surveyors cited this nursing home on 2024-06-21 under CMS tag F0867 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. The deficiency was recorded as corrected on 2024-07-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-21.GOV

• December 13, 2023 · F

  Citation F0908

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0908 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Keep all essential equipment working safely. The deficiency was recorded as corrected on 2024-01-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · E

  Citation F0689

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0689 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-12-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · E

  Citation F0657

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2023-12-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-01-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

• December 13, 2023 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-12-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV

Penalties

Total fines on file: $241,722

Staffing

Latest: 3.08 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Corporation

1. Parent organization: West Wharton County Hospital District

   parent · PAC 7517952047