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Board panel recommends revocation of nurse Delia Sienna’s license after finding medication diversion and confidentiality breaches
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Summary
A Connecticut Board of Examiners for Nursing panel unanimously found that registered nurse Delia L. Sienna diverted medications, failed to secure or dispose of medications and breached patient confidentiality, and recommended revocation of her license for consideration by the full board.
A three-member panel of the Connecticut Board of Examiners for Nursing recommended on Oct. 24, 2025, that the license of registered nurse Delia L. Sienna (license E58077, petition no. 2024-1378) be revoked after finding, by a preponderance of the evidence, that she diverted medications from multiple home health patients and failed to maintain medication security and patient confidentiality.
The panel, convened as a fact-finding body of the Board of Examiners for Nursing within the Connecticut Department of Public Health, concluded that the department proved the allegations in the statement of charges. The panel cited testimony from a Drug Enforcement Administration agent, photographic evidence in department exhibits, an affidavit referenced in the record, and admissions by the respondent as the basis for its findings.
The panel found that between approximately August 2020 and Jan. 14, 2025, Sienna provided nursing services to home-health patients while employed by Medical Management Plus LLC and that in or about 2024 she diverted one or more medications from the homes of multiple patients. The panel also found specific instances including an allegation that on or about Dec. 19, 2024, Sienna picked up a patient’s medication from a pharmacy and failed to deliver it to the patient’s home, and that between May 2024 and Jan. 6, 2025, she failed to keep medications secure and failed to properly dispose of medications. The panel found a confidentiality breach in which, on or about Sept. 18, 2024, a relative of the respondent had prescription bottles that identified patient names and dates of birth.
Evidence the panel cited included testimony and a report from DEA agent Pamela Jones (entered as Department Exhibit 4), photographic exhibits (Department Exhibit 8), Department Exhibit 5 (page 30), and an affidavit from a witness identified in the record as Miss Daigle. The transcript records that the respondent admitted to some of the charged conduct, and the panel indicated those admissions supported the findings.
The panel determined that the facts established grounds for disciplinary action under Connecticut General Statutes section 20-99b (including subsection 20-99b(2)), and moved to recommend revocation of Sienna’s registered nurse license. The recommendation to revoke was adopted by unanimous vote of the panel. Earlier in the proceeding the panel voted, also unanimously, to find the department had met its burden of proof on each numbered allegation in the statement of charges.
Panel discussion recorded in the transcript shows members considered alternatives, including suspension with monitoring or retraining, but several panelists said the pattern and duration of misconduct—spanning years in some instances—undermined trustworthiness required for independent home care nursing and warranted revocation. Other panelists raised the respondent’s prior satisfactory work reviews and asked whether retraining or supervised practice might be appropriate; those views were recorded but did not change the panel’s final recommendation.
The panel’s recommendation is advisory to the full Board of Examiners for Nursing; the transcript indicates the panel was to “suggest a remedy for consideration by the entire board.” The record reflects the panel’s unanimous motions and votes to find the allegations proven and to recommend revocation. The board panel closed the record after the vote.
Clarifying details recorded in the hearing include the respondent’s Connecticut registered nurse license number (E58077), petition number 2024-1378, and the time windows attached to specific allegations: approximately Aug. 2020 to Jan. 14, 2025 (employment/provision of home health services), 2024 (diversion from multiple homes), Dec. 19, 2024 (failure to transport a patient’s medication), May 2024 to Jan. 6, 2025 (failure to secure/dispose of medications), and Sept. 18, 2024 (prescription bottles in a relative’s possession). The panel cited Department Exhibits 4, 5 (page 30), and 8 (photographs) and an affidavit by Miss Daigle as parts of the evidentiary record.
The panel’s recommendation now goes to the full Board of Examiners for Nursing for final action; the transcript records that the panel presented its findings and proposed remedy to the full board for consideration.
