Vian Nursing & Rehab, LLC
305 North Thornton, Vian, OK 74962 · Sequoyah County · (918) 773-5258
133 certified beds, about 56 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2003
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375433 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 24, 2025, inspectors cited 6 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
Of 22 health citations since August 2022, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,278 in the last three years; the largest was $8,278, and the latest is dated July 18, 2025.
Nurses and nurse aides worked 4.40 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.18 of those hours.
48.6% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
208/22
1112/23
203/24
604/25
107/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 22 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
15D
5E
1F
Potential for minimal harm
0A
0B
0C
July 18, 2025Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident was not burned by a hot drink for 1 (#1) of 4 sampled residents reviewed for accident hazards related to hot drinks. The administrator identified 53 residents resided at the facility.
April 24, 2025Standard inspection, Complaint inspection · 6 citations
- E Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and interview, the facility failed to ensure form CMS-10055 included an estimated cost of skilled services the resident would need to pay in the absence of Medicare coverage for 3 (#31, 37, and #60) of 3 sampled residents reviewed for beneficiary notices. MDS Coordinator #1 stated nine residents had been discharged from skilled nursing services between 10/21/24 and 04/21/25.
- E Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident received prescribed supplemental feedings for 1 (#50) of 1 sampled resident reviewed for neglect. The administrator reported the facility census was 56.
- E Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents were provided with a written notice of transfer prior to being transferred to a hospital for 2 (#1 and #21) of 2 sampled residents reviewed for hospitalizations. The DON stated 52 residents were transferred to a hospital between 10/23/24 and 04/23/25.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review and interview, the facility failed to thoroughly investigate an allegation of neglect for 1 (#50) of 2 sampled residents reviewed for neglect. The administrator reported the facility census was 56.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review and interview, the facility failed to ensure an admission MDS assessment was completed within 14 days of admission for 1 (#110) of 5 sampled residents reviewed for MDS assessments. The administrator reported the facility census was 56.
- D 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.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident was not prescribed and administered an antipsychotic medication for the diagnosis of dementia for 1 (#44) of 5 sampled residents reviewed for unnecessary medications. The ADON stated 11 residents at the facility were prescribed antipsychotic medications.
March 21, 2024Complaint inspection · 2 citations
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review and interview, the facility failed to follow their abuse prevention policy by not obtaining criminal background checks and reporting an allegation of abuse with the two hours time frame. The DON identified 50 residents resided in the facility.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed to ensure all allegations of abuse were reported within two hours of the reported incident for one (Res #1) of four residents sampled for abuse. The DON identified 50 residents residing in the facility.
December 21, 2023Standard inspection, Complaint inspection · 11 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety. The administrator identified 44 residents resided in the facility.
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review and interview, the facility failed to consistently monitor antibiotic use for two (#10 and #22) of three sampled residents whose medications were reviewed. The facility failed to evaluate the need for antibiotics prior to ordering and administering antibiotics. The ADON identified 44 residents resided in the facility.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure to remove a lab buddy restraint every two hours for one (#6) of one resident reviewed for restraints. The ADON identified 44 residents resided in the facility.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed to ensure misappropriation of resident's property was reported to the required agencies within the required timeframe for one (#3) of one sampled resident whose financial records were reviewed. The administrator identified 44 residents who resided in the facility
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review and interview, the facility failed to ensure a thorough investigation was completed regarding misappropriation of resident's property for one (#3) of one sampled resident whose financial records were reviewed. The administrator identified 44 residents who resided in the facility
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure MDS assessments accurately reflected the residents' status for one (#13) related to physician contraindication of a GDR and for one (#18) related to a physician prescribed weight loss regimen of 12 residents whose assessments were reviewed. The administrator identified 44 residents resided in the facility.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure wound assessments were completed to include the location of the wound for one (#45) of two resident whose pressure ulcers were reviewed and failed to follow infection control practices during wound care treatment for two (#13 and #45) of two residents reviewed for pressure ulcers. The administrator identified 44 residents resided in the facility.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation and interview, the facility failed to ensure infection control practices were followed to help prevent urinary tract infections for one (#45) of one resident reviewed for catheters. The administrator identified 44 residents resided in the facility.
- D Post nurse staffing information every day.
Inspectors wroteBased on observation and interview, the facility failed to document and make accessible to all residents and daily staffing information. The administrator identified 44 residents resided in the facility.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure significant medication errors did not occur for one (#13) of five residents whose medications were reviewed. The administrator identified 44 residents resided in the facility.
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on record review and interview, the facility failed to ensure lab tests were collected as ordered for one (#13) of five sampled residents reviewed for lab services. The administrator identified 44 residents resided in the facility.
August 8, 2022Standard inspection · 2 citations
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review and interview, the facility failed to perform complete post dialysis assessments for one (#49) of one sampled residents who was reviewed for dialysis. The Resident Census and Conditions of Residents form documented two residents received dialysis.
- D 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.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure residents with limited range of motion received services to prevent further limitation for one (#23) of two sampled residents who were reviewed for range of motion. The DON identified 12 residents who had limited range of motion.
Fire safety inspections
10 fire safety citations on file: 2 on April 24, 2025, 3 on December 21, 2023, 5 on August 8, 2022.
Every fire safety citation10 citations
- F Properly provide smoke detection systems in areas open to corridors.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F Have simulated fire drills held at unexpected times.
- E Provide properly protected cooking facilities.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have exits that are accessible at all times.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 18, 2025 | Fine | $8,278 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Oklahoma | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.40 | 3.79 | 3.86 |
| Registered nurses | 0.18 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.80 | 3.44 | 3.42 |
| Nurse aides | 3.36 | ||
| Licensed practical nurses | 0.86 | ||
| Nursing staff turnover (share who left in a year) | 48.6% | 55.5% | 45.8% |
| Registered nurse turnover | not reported | 53.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.15 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.64 on weekdays and 3.80 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.45 in April to June 2025 to 4.40 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.40 | 0.18 | 4.64 | 3.80 | 11.7% | 0 of 90 | 56 |
| Oct to Dec 2025 | 4.36 | 0.18 | 4.59 | 3.78 | 2.9% | 1 of 92 | 57 |
| Jul to Sep 2025 | 4.48 | 0.24 | 4.74 | 3.81 | 0.5% | 0 of 92 | 55 |
| Apr to Jun 2025 | 4.45 | 0.25 | 4.77 | 3.65 | 1.1% | 2 of 91 | 58 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oklahoma, Jan to Mar 2026 | 3.79 | 0.32 | 3.94 | 3.42 | 2.2% | 1.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Oklahoma
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Oklahoma, all employers | |||
| CNAs (nursing assistants) | $17.27 | $15.82 to $18.39 | 19,410 |
| LPNs and LVNs | $28.04 | $24.06 to $29.84 | 11,540 |
| Registered nurses | $39.87 | $37.19 to $47.55 | 38,270 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Oklahoma | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.9 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 6.0 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 7.8 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.9 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.7 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.1 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.6 | 17.5 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 3.0 | 1.8 |
Owners and operators
Legal business name: VIAN NURSING & REHAB LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Montgomery, Schuyler | 5% or greater direct ownership interest | Individual | 50% | 05/06/2009 |
| Montgomery, Bobbie | 5% or greater indirect ownership interest | Individual | 50% | 05/12/2009 |
| Farris, Alison | Operational/managerial control | Individual | 08/20/2018 | |
| Montgomery, Schuyler | Operational/managerial control | Individual | 05/06/2009 | |
| Farris, Alison | Adp of the SNF | Individual | 08/20/2018 | |
| Sullivan, Cary | Adp of the SNF | Individual | 12/08/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 7 problems in this area, most recently on April 24, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on July 18, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 24, 2025: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 24, 2025: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
Other nursing homes nearby
- Community Health Care of Gore Gore, 8.7 mi · 1 of 5 stars · 50 citations
- Sequoyah Manor, LLC Sallisaw, 10.9 mi · 1 of 5 stars · 62 citations
- Countryside Estates Warner, 16.9 mi · 2 of 5 stars · 16 citations
- Stigler Nursing & Rehab Stigler, 18.6 mi · 2 of 5 stars · 23 citations
Oklahoma contacts for a concern about a nursing home
These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oklahoma State Department of Health, Long Term Care Service, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oklahoma Long-Term Care Ombudsman, Office of the Attorney General, 1-800-211-2116. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: OSDH Long Term Care Surveys search, where Oklahoma publishes its own records on licensed homes.
Common questions
- What is Vian Nursing & Rehab, LLC's Medicare star rating?
- CMS rates Vian Nursing & Rehab, LLC 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Vian Nursing & Rehab, LLC get at its last inspection?
- 6 health deficiencies at the standard inspection on April 24, 2025. The Oklahoma average is 6.4.
- Has Vian Nursing & Rehab, LLC been fined?
- Yes. CMS lists 1 fine totaling $8,278 in the last three years.
- Does Vian Nursing & Rehab, LLC accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Vian Nursing & Rehab, LLC?
- CMS lists 6 owners and managers. Legal business name: VIAN NURSING & REHAB LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.