26
Citations
18
Health Code
8
Life Safety
2
Citation Dates
0
Enforcement Actions

The most recent comprehensive inspection of Sienna Nursing and Rehabilitation occurred on June 10, 2026, 26 violations of state standards were cited.

Findings may include citations from previous inspections. A citation is a rule violation noted by a state surveyor; the tables below show each one and whether the facility has recorded a correction date.

Provider Information

Status
Enforcement Action Pend
Service Type
SNF/NF
County
Ector
Owner
West Wharton County Hospital District
Administrator
Howard Jason Black
Phone
(432) 333-4511
Accepts Medicare
Yes
Accepts Medicaid
Yes
Alzheimer Certification
No
Licensed Since
June 15, 1977
License Expires
April 1, 2028

Findings

26 citations across 2 dates

Health Code

18 citations
DateCorrectedState Violation Cited
4/23/20264/24/2026The facility did not allow residents to see the results of the nursing home's most recent survey.
4/23/20264/24/2026The facility failed to provide necessary contact information for various state agencies and advocacy groups that support the residents.
4/23/20264/24/2026The facility did not make survey results available to residents or did not post a notice of their availability.
4/23/20264/24/2026The facility failed to ensure, based on the comprehensive assessment of the resident, that a resident receives treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices.
4/23/20264/24/2026The facility failed to post the staffing data in a clear and readable format and in a prominent place readily accessible to residents and visitors.
4/23/20264/24/2026The facility failed to establish and maintain an infection control program.
4/23/20264/24/2026The facility failed to designate a registered nurse as the director of nursing for 40 hours per week, except when waived.
4/23/20264/24/2026The facility failed to protect the residents' privacy and maintain confidentiality of his personal and clinical records.
4/23/20264/24/2026The facility failed to provide the resident with the necessary care and services to attain or maintain the highest practicable, physical, mental, and psychosocial well-being consistent with the resident's comprehensive assessment and care plan.
4/23/20264/24/2026The facility failed to hire a full-time qualified social worker.
4/23/20264/24/2026The facility failed to hire a part-time or contracted social worker.
4/23/20264/24/2026The facility failed to make sure that the hired social worker has the required qualifications.
4/23/20264/24/2026The facility failed to keep all important equipment working safely.
4/23/20264/24/2026The facility did not store, cook, and give out food in a safe and clean way.
4/23/20264/24/2026The facility failed to notify a resident's caregivers about changes in his physical and mental health.
4/23/20264/24/2026The facility failed to remove personal identifying information from records sent to the HHSC or anyone else.
4/23/20264/24/2026The facility failed to give each resident enough food and drink that is palatable and properly prepared.
4/23/20264/24/2026The facility did not make sure that residents receive adequate respiratory care (including tracheostomy care and tracheal suctioning).

Life Safety Code

8 citations
DateCorrectedState Violation Cited
6/10/2026PendingThe facility failed to the meet Life Safety Code requirements for an existing Health Care Occupancy.
6/10/2026PendingThe facility failed to meet the National Electrical Code and to follow lighting guidelines in the Lighting Handbook.
6/10/2026PendingThe facility failed to make sure any fenced outside areas that block access to the street meet certain requirements.
6/10/2026PendingThe facility failed to maintain smoke barriers so smoke cannot spread during a fire.
6/10/2026PendingThe facility failed to make sure oxygen cylinders and liquid oxygen are handled and stored correctly.
6/10/2026PendingThe facility failed to formulate, adopt, and enforce smoking policies that also take into account non-smoking residents.
6/10/2026PendingThe facility failed to include procedures for conducting a fire drill on each work shift at least once per quarter with at least one fire drill conducted each month; or the facility failed to fill out the form titled "FIRE DRILL REPORT" for a fire drill conducted.
6/10/2026PendingThe facility failed to have at least two exit gates from the enclosed area that are appropriately located.

Enforcement Actions

0 records
✅
No enforcement actions found
The state has not taken formal action against this license.