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
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-day | 3.87 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.21 | 0.55–0.75 |
| Weekend hours / resident-day | 3.64 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 7 · $120,451 |
Inspection citations (54 in the current record)
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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
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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
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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
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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
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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
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Potential for harm · E April 16, 2025
Ensure each resident receives an accurate assessment.
Corrected May 30, 2025 · Resident Assessment and Care Planning
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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
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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
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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
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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
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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
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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
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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
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Potential for harm · E April 16, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 30, 2025 · Infection Control
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
| Date | Type | Amount / length |
|---|---|---|
| March 7, 2024 | Fine | $50,381 |
| March 7, 2024 | Payment Denial | 34 days |
| February 20, 2024 | Fine | $4,938 |
| February 12, 2024 | Fine | $4,938 |
| January 22, 2024 | Fine | $14,814 |
| December 11, 2023 | Fine | $13,762 |
| October 4, 2023 | Fine | $27,031 |
| October 4, 2023 | Payment Denial | 28 days |
| June 20, 2023 | Fine | $4,587 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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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.