Sequoyah County, Oklahoma · Nursing home
Vian Nursing & Rehab, LLC
3 of 5 overall from CMS
305 North Thornton, Vian, OK 74962
At a glance
- Overall rating 3 of 5 Above the state average of 2.7
- Nurse time per resident, per day 4.40 hours Above the state average of 3.79
- Nursing staff who left in a year 48.6% Below the state average of 55.5%
- Health citations, last 3 inspection cycles 22 1 at the harm level or above
- Fines in 3 years $8,278 1 fine
- Certified beds in use 41.9% of 133 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Vian Nursing & Rehab, LLC is a 133-bed nursing home in Vian, Oklahoma (Sequoyah County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 4.40 nurse staffing hours per resident per day, above the Oklahoma average of 3.79. CMS lists 1 fine totaling $8,278 in the past three years.
- Certified beds
- 133
- Residents per day (average)
- 55.7
- Certified since
- 2003 (23 yrs)
For profit - Limited Liability company Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Vian Nursing & Rehab, LLC
Chosen from this home's public data.
- CMS lists 1 fine totaling $8,278 in the past three years. What changed after the most recent one?Penalties in CMS data
- Reported nurse staffing is 3.80 hours per resident on weekends against 4.40 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 41.9% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Oklahoma average 2.7
- Health inspections 3 of 5 Oklahoma average 2.8
- Staffing 3 of 5 Oklahoma average 2.6
- Quality measures 2 of 5 Oklahoma average 2.8
The vertical line marks the Oklahoma average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.40 h Oklahoma average 3.79
- Nurse aides 3.36 h Oklahoma average 2.54
- Licensed practical nurses 0.86 h Oklahoma average 0.92
- Registered nurses 0.18 h Oklahoma average 0.34
- All staff, weekends 3.80 h Oklahoma average 3.44
How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the Oklahoma average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover48.6%
- Oklahoma average55.5%
- Registered nurse turnoverNot reported
- Oklahoma average53.6%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Oklahoma and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Oklahoma | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 18.9% | 13.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 8.2% | 3.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 6.0% | 1.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 7.8% | 2.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 1.5% | 3.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% | 4.7% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 91.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 21.7% | 13.7% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.8% | 25.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 94.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 9.1% | 4.7% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.6% | 17.1% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 20.6% | 17.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.92 | 2.31 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.41 | 2.96 | 1.78 |
Short-stay residents
| Measure | This home | Oklahoma | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% | 75.8% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% | 1.8% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.6% | 74.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 27.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 16.6% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 22 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 8 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 18, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 24, 2025 | 6 | 2 |
| Dec 21, 2023 | 12 | 3 |
| Aug 8, 2022 | 4 | 5 |
Oklahoma homes averaged 6.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (22)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 25, 2025)
-
EPotential for more than minimal harm, pattern
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Jun 18, 2025)
-
EPotential for more than minimal harm, pattern
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 18, 2025)
-
EPotential for more than minimal harm, pattern
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Jun 18, 2025)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 18, 2025)
Show 17 more
-
DPotential for more than minimal harm, isolated
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 18, 2025)
-
DPotential for more than minimal harm, isolated
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service · Deficient, Provider has date of correction (Jun 18, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 10, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 10, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 15, 2024)
-
EPotential for more than minimal harm, pattern
Implement a program that monitors antibiotic use.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Feb 15, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 15, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 15, 2024)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 15, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 15, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 15, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 15, 2024)
-
DPotential for more than minimal harm, isolated
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (Feb 15, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Feb 15, 2024)
-
DPotential for more than minimal harm, isolated
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration · Deficient, Provider has date of correction (Feb 15, 2024)
-
EPotential for more than minimal harm, pattern
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 5, 2022)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 5, 2022)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jul 18, 2025 | Fine | $8,278 |
Oklahoma homes averaged 0.9 fines and $18,268 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Oklahoma
- Size35 of 283 by certified beds
- Oklahoma average residents per day61.2
- ChainNone listed
- Resident or family councilResident
- Homes in Sequoyah County4
Common questions
What is the CMS star rating for Vian Nursing & Rehab, LLC?
Vian Nursing & Rehab, LLC has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 3 and quality measures is 2.
How many beds does Vian Nursing & Rehab, LLC have?
Vian Nursing & Rehab, LLC has 133 certified beds. It averages 55.7 residents per day, about 41.9% of its certified beds.
How much nursing care do residents get at Vian Nursing & Rehab, LLC?
The home reports 4.40 hours of nurse staffing per resident per day, including 0.18 hours from registered nurses. The Oklahoma average is 3.79 hours and 0.34 hours from registered nurses.
Has Vian Nursing & Rehab, LLC been fined?
Yes. CMS lists 1 fine totaling $8,278 in the past three years.
Does Vian Nursing & Rehab, LLC accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Community Health Care of Gore 70beds 65.9%in use 4.19nurse hours a day
- 1 of 5 Sequoyah Manor, LLC 162beds 50.6%in use –nurse hours a day
- 2 of 5 Countryside Estates 111beds 70.3%in use 4.83nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Sequoyah County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 375433. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.