Elder Care Record

Oklahoma › Sequoyah County › Roland

Sequoyah East Nursing Center, LLC

701 South Taylor Road, Roland, OK 74954

CCN 375394 · For-profit, limited liability company · 80 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 80 beds, Sequoyah East Nursing Center, LLC serves Roland in Sequoyah County, Oklahoma and has taken Medicare and Medicaid residents since 2001.

CMS gives it 1 of 5 stars overall, below the Oklahoma median of 2; the health inspection rating is 1, staffing 2 and quality measures 1.

Inspectors recorded 54 health deficiencies across the three most recent survey cycles (12, 18, 24 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 67.5 per 100 beds, more than the state median of 21.2.

CMS lists 8 penalties in the period covered: fines totalling $116K and 2 payment denials.

Reported nurse staffing is 3.6 hours per resident per day (0.2 RN), close to the Oklahoma median of 3.7.

54health deficiencies, 3 survey cycles1 at actual harm or worse
$116Kfines listed by CMS8 penalties in period
3.6nurse hours per resident per daystate median 3.7
59%occupancy (residents ÷ beds)48 residents a day

Compared with county, state and nation

MeasureThis facilitySequoyah Co. medianOklahoma medianUS average
Overall star rating1123.0
Health citations, 3 cycles54542028.7
Citations per 100 beds67.567.521.226.8
Total nurse hours per resident day3.64.23.73.9
RN hours per resident day0.20.20.30.7
Nursing staff turnover—48.6%55.3%45.8%
Fines listed$115,864$33,270$4,017—

County and state figures are medians across facilities (4 in the county, 283 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)12
Cycle 218
Cycle 324

Dark bar: this facility. Grey bar: Oklahoma average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Apr 2025, 7 Dec 2023.

Severity mix: G ×1 D ×24 E ×26 F ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
2 Jul 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation22 Aug 2025
2 Jul 2025F0610Respond appropriately to all alleged violations.DComplaint investigation22 Aug 2025
16 Apr 2025F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey30 May 2025
16 Apr 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey30 May 2025
16 Apr 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey30 May 2025
16 Apr 2025F0641Ensure each resident receives an accurate assessment.EStandard survey30 May 2025
16 Apr 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey30 May 2025
16 Apr 2025F0758Implement 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.EStandard survey30 May 2025
16 Apr 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey30 May 2025
16 Apr 2025F0637Assess the resident when there is a significant change in conditionDStandard survey30 May 2025
16 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey30 May 2025
16 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey30 May 2025
16 Apr 2025F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard survey30 May 2025
16 Apr 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey30 May 2025
10 Apr 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation27 May 2024
7 Mar 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation11 Apr 2024
7 Mar 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint investigation18 Apr 2024
7 Mar 2024F0610Respond appropriately to all alleged violations.EComplaint investigation19 Apr 2024
7 Mar 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint investigation11 Apr 2024
7 Mar 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation26 Apr 2024
7 Mar 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation4 Apr 2024
7 Mar 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation19 Apr 2024
7 Mar 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation11 Apr 2024
7 Mar 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint investigation4 Apr 2024
7 Dec 2023F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard survey2 Feb 2024
7 Dec 2023F0638Assure that each resident’s assessment is updated at least once every 3 months.EStandard survey2 Feb 2024
7 Dec 2023F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey2 Feb 2024
7 Dec 2023F0758Implement 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.EStandard survey2 Feb 2024
7 Dec 2023F0761Ensure 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.EStandard survey2 Feb 2024
7 Dec 2023F0772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.EStandard survey2 Feb 2024
7 Dec 2023F0880Provide and implement an infection prevention and control program.EStandard survey2 Feb 2024
7 Dec 2023F0881Implement a program that monitors antibiotic use.EStandard survey2 Feb 2024
7 Dec 2023F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey2 Feb 2024
7 Dec 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey2 Feb 2024
7 Dec 2023F0637Assess the resident when there is a significant change in conditionDStandard survey2 Feb 2024
7 Dec 2023F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey2 Feb 2024
7 Dec 2023F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey2 Feb 2024
7 Dec 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey2 Feb 2024
7 Dec 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey2 Feb 2024
7 Dec 2023F0759Ensure medication error rates are not 5 percent or greater.DStandard survey2 Feb 2024
9 Oct 2023F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.FComplaint investigation5 Dec 2023
9 Oct 2023F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DComplaint investigation5 Dec 2023
4 Oct 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation17 Nov 2023
4 Oct 2023F0880Provide and implement an infection prevention and control program.EComplaint investigation17 Nov 2023
21 Oct 2022F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard survey1 Dec 2022
21 Oct 2022F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EStandard survey1 Dec 2022
21 Oct 2022F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard survey1 Dec 2022
21 Oct 2022F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard survey1 Dec 2022
21 Oct 2022F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey1 Dec 2022
21 Oct 2022F0760Ensure that residents are free from significant medication errors.EStandard survey1 Dec 2022
21 Oct 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey1 Dec 2022
21 Oct 2022F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey1 Dec 2022
21 Oct 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey1 Dec 2022
21 Oct 2022F0692Provide enough food/fluids to maintain a resident's health.DStandard survey1 Dec 2022

Penalties

DateTypeAmountDetail
7 Mar 2024Payment denial—34 days
7 Mar 2024Fine$50,381
20 Feb 2024Fine$4,938
12 Feb 2024Fine$4,938
22 Jan 2024Fine$14,814
11 Dec 2023Fine$13,762
4 Oct 2023Payment denial—28 days
4 Oct 2023Fine$27,031

Staffing

Total nursing3.61 h
Nurse aides2.25 h
LPN1.17 h
RN0.18 h
Weekend total3.4 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Oklahoma average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityOklahoma medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay24.0%12.1%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.7%1.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay11.2%1.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay8.3%4.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay8.3%0.6%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay17.6%11.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.9%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay15.4%14.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Sequoyah East Nursing Center Llc..

OrganisationRole in the CMS recordInterestSince
Delores O Mitchell Rvoc Tr5% or greater direct ownership interest13%10/31/2024
Sequoyah East Nursing Center LLC.Operational/managerial controlNOT APPLICABLE02/01/2002
Sequoyah East Nursing Center LLC.Adp of the snfNOT APPLICABLE01/30/2025
Sequoyah House IncAdp of the snfNOT APPLICABLE02/01/2002

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Sequoyah County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Vian Nursing & Rehab, LLCVian1333332216.5$8K18 Jul 2025
Community Health Care of Goreabuse iconSFF CandidateGore701125071.4$24K11 Jun 2026
Sequoyah Manor, LLCabuse iconSFF CandidateSallisaw1621116238.3$33K14 Jan 2026

All 4 facilities in Sequoyah County

Questions and answers

How many deficiencies has Sequoyah East Nursing Center, LLC been cited for?

54 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Oklahoma median is 20 per facility.

Has Sequoyah East Nursing Center, LLC been fined?

Yes. CMS lists fines totalling $116K in the period covered, plus 2 payment denials.

How does staffing at Sequoyah East Nursing Center, LLC compare?

Reported total nurse staffing is 3.6 hours per resident per day against a Oklahoma median of 3.7 and a national average of 3.9.

Who operates Sequoyah East Nursing Center, LLC?

Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Delores O Mitchell Rvoc Tr and Sequoyah East Nursing Center LLC.. Individual owners and managers are not listed on this site.

When was Sequoyah East Nursing Center, LLC last inspected?

The most recent survey or investigation in the CMS record is dated 2 Jul 2025; the most recent standard health survey was 16 Apr 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.