Vian Nursing & Rehab, LLC

305 North Thornton · Vian, OK · 74962 · 9187735258

133 certified beds For profit - Limited Liability company

The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

RN staffing in the bottom 10% nationally

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

Score breakdown

Inspection record 30% of score 53
Serious harm & abuse 20% 94
Staffing 20% 60
Federal penalties 15% 75
Trend 10% 66
Context 5% 100

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

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day4.363.48 min · 4.1 strong
RN hours / resident-day0.180.55–0.75
Weekend hours / resident-day3.78≈ weekday level
Nursing turnover / year52%median 45%
Fines (3-yr window)1 · $12,735

Inspection citations (22 in the current record)

  • Actual harm · G July 18, 2025 · found via complaint

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

    Corrected August 25, 2025 · Quality of Life and Care

  • Potential for harm · E April 24, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected June 18, 2025 · Resident Rights

  • Potential for harm · E April 24, 2025

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

    Corrected June 18, 2025 · Resident Rights

  • Potential for harm · D April 24, 2025

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected June 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 24, 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 June 18, 2025 · Pharmacy Service

  • Potential for harm · E April 24, 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 June 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 24, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected June 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 21, 2024 · found via complaint

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

    Corrected May 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 21, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 21, 2023

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected February 15, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 21, 2023

    Ensure each resident receives an accurate assessment.

    Corrected February 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 21, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 15, 2024 · Quality of Life and Care

  • Potential for harm · D December 21, 2023

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected February 15, 2024 · Quality of Life and Care

  • Potential for harm · D December 21, 2023

    Post nurse staffing information every day.

    Corrected February 15, 2024 · Nursing and Physician Services

  • Potential for harm · D December 21, 2023

    Ensure that residents are free from significant medication errors.

    Corrected February 15, 2024 · Pharmacy Service

  • Potential for harm · D December 21, 2023

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected February 15, 2024 · Administration

  • Potential for harm · F December 21, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 15, 2024 · Nutrition and Dietary

  • Potential for harm · D December 21, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 15, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 21, 2023 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected February 15, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E December 21, 2023 · found via complaint

    Implement a program that monitors antibiotic use.

    Corrected February 15, 2024 · Infection Control

  • Potential for harm · D August 8, 2022

    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.

    Corrected October 5, 2022 · Quality of Life and Care

  • Potential for harm · E August 8, 2022

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected October 5, 2022 · Quality of Life and Care

Federal penalties

DateTypeAmount / length
July 18, 2025Fine$12,735

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 375433 · certified since May 22, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.