1020 North County Road West, Odessa, TX 79763 · Ector County · (432) 332-0371
109 certified beds, about 59 residents a day · For profit - Corporation · Medicare and Medicaid since 1994
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675317 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 21, 2026, inspectors cited 5 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 26 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,278 in the last three years; the largest was $8,278, and the latest is dated February 14, 2025.
Nurses and nurse aides worked 2.71 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.
97.9% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Creative Solutions in Healthcare, an affiliated group of 149 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 26 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 7 residents (Resident #1) reviewed for accidents. The facility failed to complete and a two-person gait belt transfer when CNA A and CNA B hooked their arms underneath Resident #1's arms and picked her up from the floor. The facility failed to notify LVN C when CNA A and CNA B found Resident #1 on the floor. This failure could place residents at risk of inadequate supervision and preventable injuries.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure stored foods were properly stored, labeled, and dated. The facility failed to ensure items past the Use by Date (UBD) were discarded. The facility failed to ensure prepared food was discarded after 7 days, according to the facility policy. The facility failed to ensure Dietary Staff wore hair nets correctly when in the kitchen. This failure could affect residents by placing them at risk of food contamination and food-borne illnesses.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each room was designed or equipped to assure full visual privacy for 9 (Rooms 301, 303, 307, 308, 312, 404, 405, 410 and 411) of 48 dual occupancy rooms reviewed for privacy in the facility. The facility failed to ensure that dual occupancy rooms were provided with ceiling suspended curtains, which extended around the bed, to provide total visual privacy for Rooms 301, 303, 307, 308, 312, 404, 405, 410 and 411. This failure could lead to a lack of privacy for residents, allow residents' private medical treatment to be observed by roommates or others, and lead to a decline in psychosocial well-being.
Inspectors wroteBased on interviews and record reviews, the facility failed to complete a comprehensive assessment within 14 days after a significant change in the physical condition for 1 of 2 residents (Resident #7) whose records were reviewed for assessments. The facility failed to complete a Significant Change in Status MDS for Resident #7 after pressure ulcers were identified and a change in behavior. This failure placed residents at risk for not having interventions in place to meet their needs for care assistance and treatments.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that residents with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing and prevent infection for one (Resident #7) of two residents reviewed for pressure ulcers. The facility failed to ensure that dressing changes were completed for Resident #7's pressure ulcers to left heel and right elbow on 5/10/2026, 5/14/2026, 5/16/2026, 5/17/2026, 5/18/2026, and 5/20/2026. This failure could place residents with pressure ulcers at risk for infection, pain, and worsening of the wound.
Inspectors wroteBased on observations, interviews and record review it was determined the facility failed to provide pharmaceutical services that ensured the accurate administering of drugs for 2 of 2 nurse medication carts (hall 3 cart and hall 4 cart ) and 3 of 4 residents (#15, #24 and #56) observed for medications stored and properly labeled. The hall 3 nurse medication cart had one insulin pen that belonged to Resident #15 that that had expired. The hall 4 nurse medication cart had one insulin pen that belonged to Resident #24 and #56 that had expired. This failure could place residents at risk of receiving medications that were expired and not produce the desired effect.
Inspectors wroteBased on record review and interviews the facility failed to ensure that 1 (Resident #1) of 5 residents reviewed for transfer or discharge had the required documentation in the resident's medical record made by the physician for a safe and effective transition of care. The facility discharged Resident #1 on 07/25/2025 without conducting a safe discharge as indicated in the facility's policy and provide an effective transition of care. This failure could put residents at risk for inappropriate discharge from the facility and cause psychological harm due to feelings of anger and sadness.
Inspectors wroteBased on observation, interview, and record review the facility failed treat each resident with respect and dignity in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for two of five residents (Residents #5 and #7) reviewed for treatment with respect and dignity. CNA A and HA B stood while feeding Residents # 5 and #7. RN C was on her phone while monitoring the dining room with residents present. HA B was texting while feeding Resident #5. This failure placed residents at risk of feeling embarrassed, infantilized, dehumanized, or stigmatized due to their need for assisted dining.
Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen. 1. The facility failed to ensure food items in the facility's only dry storage were dated and sealed appropriately. 2. The facility failed to ensure food items in the facility's only walk in freezer were dated and stored appropriately. 3. The facility failed to ensure food items in the facility's only walk in refrigerator were thrown out after use by date, and ensure items were labeled and dated appropriately. 4. The facility failed to ensure personal food items were not stored in the facility's only walk in refrigerator. 5. The facility failed to ensure items were not stored on the ground of the dry food storage. 6. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 (Resident #57 and Resident #214) of 16 residents reviewed for infection prevention and control. The ADON failed to wear PPE when performing wound care for Resident #57 who was on EBP for an indwelling catheter and a Stage 3 pressure ulcer on his coccyx (area at the base of the spine). CNA A and NA B failed to wear PPE when providing incontinent care for Resident #214 who required EBP for a Stage 4 pressure ulcer to her sacrum (lower back between the hip bones). These failures could put residents at risk of acquiring infections, secondary infections, and communicable diseases.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure each resident was provided food prepared in a form designed to meet individual needs for 1 of 1 resident (Residents #213) reviewed for pureed diets. The facility failed to prepare the pureed diet to the consistency required for Resident #213. This failure could place residents at risk of not having nutritional needs met by consuming foods that could cause choking and decreased meal intakes.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from abuse for 3 of 6 residents (Residents #1, #2, #3) reviewed for resident abuse. This was determined to be past noncompliance due to the facility having implementedsctions that corrected the non compliance to the beginning of the inspection. The facility failed to prevent verbal abuse against Resident #3 by LVN B. The facility failed to prevent verbal abuse against Resident #1 by the dietary manager. The facility failed to prevent verbal abuse against Resident #2 by CNA A. These failures could place residents at risk of physical harm, mental anguish, and/or emotional distress. These failures could place residents at risk of physical harm, mental anguish, and/or emotional distress. [...]
Inspectors wroteBased on interview, and record review the facility failed to ensure all alleged violations involving abuse are reported immediately to the Administrator of the facility for 1 of 6 residents (Resident #1) reviewed for abuse. 1. The Activity director failed to immediately report her suspicions of abuse when she heard the Dietary Manager use profanity directed toward Resident # 1. This failure could affect any resident and contribute to further abuse or neglect This was determined to be past noncompliance due to the facility having implemented actions that corrected the non compliance to the beginning of the inspection.
Inspectors wroteBased on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure that expired foods were discarded. This failure could affect residents who received meals prepared meals from the kitchen at risk for food borne illness and cross-contamination.
Inspectors wroteBased on observations, interview and record review the facility failed to residents who are incontinent of bladder received appropriate treatment to prevent urinary tract infections for 2 of 3 residents (Residents #6 and #25) by 1 of 3 nurse aide staff (NA A) reviewed for incontinence care. NA A failed to change her gloves after they became contaminated during incontinent care while assisting Residents #6 and #25. NA A failed to wash or sanitize her hands prior to putting on gloves and after removing them during incontinent care while assisting Residents #6 and #25 These failures could place residents at risk for not receiving nursing services by adequately trained and certified aides and could result in a decline in health and infection.
Inspectors wroteBased on observation, interview and record review the facility failed to provide pharmaceutical services, including procedures that ensure the accurate administering of all drugs to meet the needs of the residents, for 2 of 9 Residents (Resident #42, Resident #25) inspected for medication reconciliation and failed to ensure medications were documented when given. LVN B did not document the administration of a controlled medication on the individual controlled medication records after administering medication for Resident #42 and Resident #25. This failure could place residents at risk of under dose, overdose, and drug diversion.
Inspectors wroteBased on observation, interview and record review the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 3 residents (Resident #6 and Resident #25) reviewed for infection control. CNA A failed to change her gloves after they became contaminated during incontinent care while assisting Residents #6 and #25. CNA A failed to wash or sanitize her hands prior to putting on gloves and after removing them during incontinent care while assisting Residents #6 and #25 This failure could place resident's at risk for cross contamination and the spread of infection.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from abuse for 2 of 6 residents (Resident #31 and #48) reviewed for resident abuse. The facility failed to prevent verbal abuse against Resident #31 and Resident #48 by CNA C. This failure could place residents at risk of physical harm, mental anguish, and/or emotional distress.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all controlled drugs and biologicals were stored in separately locked and permanently affixed compartments for 1 of 2 medication rooms (Med room [ROOM NUMBER]) reviewed for labeling/storage of drugs and biologicals. The facility failed to ensure controlled drugs were stored and separately locked and in permanently affixed compartments. These failures could place the residents at risk of drug diversion and access to medications.
Inspectors wroteBased on interview and record review, the facility failed to inform the resident/RP of a significant change in the resident's physical status or a need to alter treatment for one (Resident #5) of 10 residents reviewed for resident and RP rights. The facility failed to notify Resident #5's RP of coccyx pressure wound worsened post hospital visit. This failure could place residents at risk for health information not being communicated in order for treatment decisions to be made.
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure medical records, in accordance with accepted professional standards and practices, were maintained on each resident that were accurately documented for 1 of 10 residents (Resident #6) reviewed for medical records. The facility failed to ensure Resident #6's electronic records accurately documented emesis assessment. This failure could place residents at risk of not receiving potential needed services.
Inspectors wroteBased on the observations, interviews, and record reviews, the facility failed to ensure that the residents environment remained free of accidents hazards as was possible and each resident receives adequate supervision to prevent accidents for 1 (Resident #2) of 6 residents reviewed for cigarette lighters and 1 (Resident #1) of 3 residents reviewed for elopement accidents. - The facility failed to ensure Resident #2 had his cigarette lighter in his room. - The facility changed the door pad locks and failed to test them which led to Resident #1 having an elopement. This failure could place residents at risk of fire and elopements.
Inspectors wroteBased on observation, interview and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for 1 of 3 residents (Resident #4) reviewed for care of assessments. The facility failed to perform an assessment for safety and use of a motorized wheelchair for Resident #4. This failure could place residents at risk of diminished quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow an implemented comprehensive person-centered care plan that included measurable objectives and time frames to meet the residents medical and nursing needs to attain or maintain the residents highest practicable physical, mental, and psychosocial well-being for 1 of 6 residents (Resident #2) reviewed for care plans in that: The facility failed to follow and implement a comprehensive person-centered care plan for Resident #1 in which the resident had a cigarette lighter in his room. This failure could place residents in the facility at risk of not receiving the necessary care or services and having personalized plans followed that address their needs.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a resident who needs respiratory care is provided such care, consistent with professional standards of practice for 1 (Resident #1) of 2 residents observed for oxygen management. The facility failed to ensure Resident #1 had a physician's order for oxygen use. The facility failed to ensure Resident #1 had an oxygen sign posted outside of her bedroom. These failures could place residents on oxygen therapy at risk of receiving incorrect or inadequate oxygen support, decline in health, and may be exposed to potential flammability.
Inspectors wroteBased on observation, interview and record review, the facility failed to store all drugs in locked compartments for 1 resident (Residents #2) of 4 reviewed for medication administration in that: - Resident #2 had medication in a medication cup that he saved in his room to have tested to see if it was his correct medication in his drawer. This failure could result in a decline in health due to incorrect medication administration and inaccurate count of controlled medications.
11 fire safety citations on file: 8 on May 21, 2026, 1 on March 20, 2025, 2 on February 15, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| February 14, 2025 | Fine | $8,278 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.71 | 3.39 | 3.86 |
| Registered nurses | 0.53 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.21 | 2.98 | 3.42 |
| Nurse aides | 1.55 | ||
| Licensed practical nurses | 0.63 | ||
| Nursing staff turnover (share who left in a year) | 97.9% | 55.3% | 45.8% |
| Registered nurse turnover | 100.0% | 54.6% | 42.9% |
| Administrators who left | 3 |
CMS expects 4.61 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.91 on weekdays and 2.21 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.86 in April to June 2025 to 2.71 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.71 | 0.53 | 2.91 | 2.21 | 0.0% | 0 of 90 | 59 |
| Oct to Dec 2025 | 2.81 | 0.48 | 2.93 | 2.51 | 0.0% | 0 of 92 | 53 |
| Jul to Sep 2025 | 3.10 | 0.67 | 3.24 | 2.75 | 0.0% | 0 of 92 | 52 |
| Apr to Jun 2025 | 2.86 | 0.58 | 3.03 | 2.43 | 0.0% | 0 of 91 | 57 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.8 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.7 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.1 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.3 | 9.6 | 15.4 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Deerings Nursing and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (40.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
40.9% this home
No different from the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 26 eligible stays.
11.2% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 32 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 21 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 14 residents counted.
4.2% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 24 residents counted.
3.4% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 24 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 5 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: ODESSA II ENTERPRISES LLC. CMS links this home to Creative Solutions in Healthcare, a group of 149 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Huggins, Linda | W-2 managing employee | Individual | 02/01/2020 | |
| Creative Solutions in Healthcare Inc | Operational/managerial control | Organization | 02/01/2020 | |
| Blake, Gary | Operational/managerial control | Individual | 02/01/2020 | |
| Blake, Malisa | Operational/managerial control | Individual | 02/01/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.