Sequoyah East Nursing Center, LLC

701 South Taylor Road · Roland, OK · 74954 · 9184277401

80 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

Red flags

Cited under the freedom-from-abuse rule

Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

RN staffing in the bottom 10% nationally

0.21 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 37
Serious harm & abuse 20% 94
Staffing 20% 58
Federal penalties 15% 0
Trend 10% 81
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.873.48 min · 4.1 strong
RN hours / resident-day0.210.55–0.75
Weekend hours / resident-day3.64≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)7 · $120,451

Inspection citations (54 in the current record)

  • Potential for harm · D July 2, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 2, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 16, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 30, 2025 · Resident Rights

  • Potential for harm · E April 16, 2025

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected May 30, 2025 · Resident Rights

  • Potential for harm · D April 16, 2025

    Assess the resident when there is a significant change in condition

    Corrected May 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E April 16, 2025

    Ensure each resident receives an accurate assessment.

    Corrected May 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E April 16, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected May 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 16, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 16, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 30, 2025 · Quality of Life and Care

  • Potential for harm · D April 16, 2025

    Try 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.

    Corrected May 30, 2025 · Quality of Life and Care

  • Potential for harm · D April 16, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected May 30, 2025 · Pharmacy Service

  • Potential for harm · E April 16, 2025

    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.

    Corrected May 30, 2025 · Pharmacy Service

  • Potential for harm · F April 16, 2025

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected May 30, 2025 · Administration

  • Potential for harm · E April 16, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected May 30, 2025 · Infection Control

  • Potential for harm · D April 10, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 27, 2024 · Resident Assessment and Care Planning

  • Actual harm · G March 7, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 11, 2024 · Quality of Life and Care

  • Potential for harm · D March 7, 2024 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected April 19, 2024 · Resident Rights

  • Potential for harm · D March 7, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected April 11, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 7, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected April 18, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 7, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected April 19, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 7, 2024 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 11, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E March 7, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 26, 2024 · Quality of Life and Care

  • Potential for harm · D March 7, 2024 · found via complaint

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected April 4, 2024 · Nursing and Physician Services

  • Potential for harm · E March 7, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected April 4, 2024 · Infection Control

  • Potential for harm · D December 7, 2023

    Reasonably accommodate the needs and preferences of each resident.

    Corrected February 2, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
March 7, 2024Fine$50,381
March 7, 2024Payment Denial34 days
February 20, 2024Fine$4,938
February 12, 2024Fine$4,938
January 22, 2024Fine$14,814
December 11, 2023Fine$13,762
October 4, 2023Fine$27,031
October 4, 2023Payment Denial28 days
June 20, 2023Fine$4,587

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 375394 · certified since May 8, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.