Federal inspection record · CMS data as of October 1, 2026
Sequoyah East Nursing Center, LLC
701 South Taylor Road, Roland, OK · (918) 427-7401
- Certified beds
- 80
- Residents per day
- 47
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 8, 2001
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oklahoma.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oklahoma homes
Sequoyah East Nursing Center, LLC carries 120 inspection points. That is fewer than 10% of Oklahoma's 281 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oklahoma: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–36 pts
- 3★ 36–55 pts
- 2★ 55–95 pts
- 1★ over 95 pts
Bars show every rated home in Oklahoma by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
54 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning13E
- E
Ensure each resident receives an accurate assessment.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Assess the resident when there is a significant change in condition
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Assess the resident when there is a significant change in condition
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care10F
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure 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.
- F
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
Resident Rights8E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor 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.
- E
Honor 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.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Honor 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.
Pharmacy Service8E
- E
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
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.
- E
Ensure 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
- E
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation5E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Infection Control5E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
Administration3F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- F
Conduct 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.
- E
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Nursing and Physician Services1D
- D
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.
Inspection history
2025-04-16
12 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2023-12-07
18 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (5 deficiencies)
2022-10-21
24 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 44 min of nursing staff time a day, 13 min of it from a registered nurse.
This home
3 h 44 min
Oklahoma average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$88,833 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-07 | Fine | $50,381 |
| 2024-03-07 | Payment Denial · 34 day denial | $0 |
| 2024-02-20 | Fine | $4,938 |
| 2024-02-12 | Fine | $4,938 |
| 2024-01-22 | Fine | $14,814 |
| 2023-12-11 | Fine | $13,762 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.6 pts worse | 3.8 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days5.1 pts worse | 7.9 | 2.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine20.1 pts worse | 71.2% | 91.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine10.1 pts worse | 84.6% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts worse | 6.3% | 4.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.4 pts better | 0.0% | 3.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts worse | 4.1% | 3.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.6 pts worse | 34.6% | 26.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.1 pts better | 12.7% | 17.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.8 pts worse | 16.8% | 13.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.5 pts worse | 24.1% | 13.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.4 pts worse | 4.1% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection8.6 pts worse | 11.3% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.9 pts better | 12.5% | 16.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts worse | 6.0% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine40.1 pts worse | 36.4% | 76.5% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication5.6 pts worse | 7.4% | 1.8% | 1.5% |
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Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Delores O Mitchell Rvoc Tr | 5% Or Greater Direct Ownership Interest · Organization | 13% | 3 facilities |
| Bivin, Julie | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 2 facilities |
| Vandelinder, William | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 3 facilities |
| Yowell, Lynn | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 2 facilities |
| Johnson, Deanna | 5% Or Greater Indirect Ownership Interest · Individual | 7% | 2 facilities |
| Leikam, Jo Anne | 5% Or Greater Indirect Ownership Interest · Individual | 7% | 2 facilities |
| Ronk, Virginia | 5% Or Greater Indirect Ownership Interest · Individual | 7% | 2 facilities |
| Cheek, Bennie | Adp Of The SNF · Individual | 0% | 3 facilities |
| Ryan, John | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Ryan, John | Adp Of The SNF · Individual | 0% | 4 facilities |
| Sequoyah East Nursing Center LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Sequoyah East Nursing Center LLC. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Sequoyah House Inc | Adp Of The SNF · Organization | 0% | 2 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Egress2F
- B
Install emergency lighting that can last at least 1 1/2 hours.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems1E
- E
Have power receptacles that are properly grounded.
Miscellaneous1C
- C
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Riverside Health Services
Arkoma, OK
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 16 min
- Fines
- $89,918
-
The Blossoms At Fort Smith Rehab & Nursing Center
Fort Smith, AR · The Blossoms Rehab & Nursing Center
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 22 min
- Fines
- $0
-
Legacy Health And Rehabilitation Center
Fort Smith, AR · Nhs Management
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 26 min
- Fines
- $0