Vivian Healthcare Center
912 South Pecan Street, Vivian, LA 71082 · Caddo County · (318) 375-2203
95 certified beds, about 56 residents a day · For profit - Corporation · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 195325 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 11, 2026, inspectors cited 3 health deficiencies (the Louisiana average is 6.4, the national average 9.2).
None of its 10 health citations since February 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.04 hours per resident per day, against 3.76 across Louisiana and 3.86 nationally. Registered nurses accounted for 0.25 of those hours.
30.6% of nursing staff left within the year CMS measured (Louisiana average 47.6%).
CMS links it to Nexion Health, an affiliated group of 51 nursing homes.
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.
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 10 health citations on file.
May 11, 2026Standard inspection · 3 citations
- 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.
Inspectors wroteBased on record review and an interview the facility failed to inform and provide written information to residents or resident's representative concerning the right to formulate an Advance Directive for 5 (#4, #5, #10, #36, and #53) of 5 residents reviewed for Advanced Directives.
- E Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure 3 (#9, #13, and #53) of 5 residents reviewed for unnecessary medications were free from chemical restraints by failing to: ensure Resident #9's GDR recommendations were implemented andensure Residents' (#9, #13, and #53) orders for PRN psychotropic medications did not exceed 14 days without a rational.
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record reviews and interviews, the facility failed to: 1. Provide written notice to residents and/or their RP which specified the reason for transfer, effective date, location and statement of the resident's appeal rights and duration of the bed hold for 3 (#6, #10, and #56) of 3 residents reviewed for hospitalizations, and 2. Update the emergency transfer log (Notice of Discharge to the Ombudsman) for 2 (#6 and #10) of 3 residents reviewed for hospitalizations.
March 19, 2025Standard inspection · 3 citations
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record reviews, observations, and interviews the facility failed to ensure a plan of care had been developed for 4 (#13, #37, #50, #52) of 8 (#13, #18, #32, #37, #38, #50, #52, #168) residents reviewed for accidents. The facility failed to ensure a plan of care for side rail assist bars had been developed for Residents #13, #37, #50, and #52.
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review, observation, and interviews, the facility failed to ensure that a resident who required dialysis received services consistent with professional standards of practice for 1 (#37) of 1 resident reviewed for dialysis by failing to assess Resident #37 upon return to the facility from dialysis treatment.
- 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.
Inspectors wroteBased on record review, observation, and an interview, the facility failed to ensure correct use of bed rails as evidence by failing to obtain a written a physician order for side rail assist bars, obtain an informed consent from resident or resident's responsible party prior to installation, and ensure a care plan was initiated with a focus for side rail assist bars for 1 (#168) out of 8 (#13, #18, #32, #37, #38, #50, #52, and #168) residents investigated for accidents.
September 25, 2024Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record reviews and interviews the facility failed to ensure the resident's physician and RP (Responsible Party) were notified of a change in condition for 1 (#1) of 3 (#1, #2, and #3) sampled residents reviewed for resident rights. The facility failed to notify Resident #1's physician and RP when Resident #1 was involved in an investigational incident.
February 21, 2024Standard inspection · 3 citations
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews and record reviews the facility failed to ensure necessary care and services were provided in accordance with accepted professional standards of practice for 2 (#37, #54) of 2 (#37 and #54) residents reviewed for respiratory care. The facility failed to ensure equipment was assembled correctly by not having a humidifier bottle attached to the oxygen concentrators.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interviews, the facility failed to ensure MDS (Minimum Data Set) assessments were accurate for 1 (#58) out of 29 sampled residents reviewed. The facility failed to enter an accurate discharge status for Resident #58.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record reviews and an interview, the facility failed to develop and implement a comprehensive person-centered care plan for 1 (#54) of 21 (#1, #4, #6, #8, #14, #16, #17, #18, #24, #27, #28, #37, #39, #41, #44, #46, #49, #53, #54, #58 and #59) sampled resident's care plans reviewed. The facility failed to monitor resident #54's oxygen saturation level every shift as ordered by the physician/NP (nurse practitioner). The facility failed to have a physician order for oxygen therapy.
Fire safety inspections
12 fire safety citations on file: 5 on May 11, 2026, 1 on March 19, 2025, 6 on February 21, 2024.
Every fire safety citation12 citations
- F Install corridor and hallway doors that block smoke.
- E Have properly located and lighted "Exit" signs.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Install an approved automatic sprinkler system.
- D Meet requirements for the use of electrical equipment.
- D Ensure proper usage of power strips and extension cords.
- C Install smoke barrier doors that can resist smoke for at least 20 minutes.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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 | Louisiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.04 | 3.76 | 3.86 |
| Registered nurses | 0.25 | 0.31 | 0.69 |
| All nursing staff on weekends | 2.66 | 3.21 | 3.42 |
| Nurse aides | 1.78 | ||
| Licensed practical nurses | 1.01 | ||
| Nursing staff turnover (share who left in a year) | 30.6% | 47.6% | 45.8% |
| Registered nurse turnover | 40.0% | 41.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.26 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 3.20 on weekdays and 2.66 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.96 in April to June 2025 to 3.04 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 | 3.04 | 0.25 | 3.20 | 2.66 | 0.0% | 0 of 90 | 56 |
| Oct to Dec 2025 | 3.09 | 0.24 | 3.25 | 2.67 | 0.0% | 0 of 92 | 59 |
| Jul to Sep 2025 | 3.28 | 0.25 | 3.49 | 2.76 | 0.0% | 0 of 92 | 58 |
| Apr to Jun 2025 | 2.96 | 0.22 | 3.11 | 2.59 | 0.0% | 0 of 91 | 59 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Louisiana, Jan to Mar 2026 | 3.64 | 0.26 | 3.86 | 3.10 | 3.6% | 0.9% 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 Louisiana
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Louisiana, all employers | |||
| CNAs (nursing assistants) | $14.67 | $13.97 to $16.87 | 20,690 |
| LPNs and LVNs | $27.63 | $23.87 to $29.43 | 17,600 |
| Registered nurses | $38.57 | $33.19 to $45.00 | 48,970 |
| 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 | Louisiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 23.1 | 17.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.2 | 1.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.6 | 3.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.0 | 17.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 5.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.6 | 22.7 | 15.4 |
Owners and operators
Legal business name: NEXION HEALTH AT VIVIAN, INC.. CMS links this home to Nexion Health, a group of 51 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nexion Health of Ohi Inc | 5% or greater direct ownership interest | Organization | 100% | 09/14/2005 |
| Nexion Health Leasing, Inc. | 5% or greater indirect ownership interest | Organization | 01/15/2002 | |
| Nexion Health, Inc. | 5% or greater indirect ownership interest | Organization | 01/15/2002 | |
| Bolt, Bretton | 5% or greater indirect ownership interest | Individual | 01/15/2002 | |
| Kirley, Francis | 5% or greater indirect ownership interest | Individual | 01/15/2002 | |
| Riner, Martha | W-2 managing employee | Individual | 09/04/2017 | |
| Williams, Ami | W-2 managing employee | Individual | 12/23/2021 | |
| Herdrich, William | Corporate director | Individual | 02/01/2012 | |
| Kirley, Francis | Corporate director | Individual | 01/15/2002 | |
| Lee, Brian | Corporate director | Individual | 02/01/2012 | |
| Reid, John | Corporate director | Individual | 12/03/2018 | |
| Riner, Meera | Corporate director | Individual | 02/01/2012 | |
| Kirley, Francis | Corporate officer | Individual | 01/15/2002 | |
| Lee, Brian | Corporate officer | Individual | 02/01/2012 | |
| Riner, Meera | Corporate officer | Individual | 02/01/2012 | |
| Nexion Health, Inc. | Operational/managerial control | Organization | 01/15/2002 | |
| Bolt, Bretton | Operational/managerial control | Individual | 01/15/2002 | |
| Herdrich, William | Operational/managerial control | Individual | 02/01/2012 | |
| Kirley, Francis | Operational/managerial control | Individual | 10/27/2002 | |
| Lee, Brian | Operational/managerial control | Individual | 02/01/2012 | |
| Riner, Martha | Operational/managerial control | Individual | 09/04/2017 | |
| Riner, Meera | Operational/managerial control | Individual | 02/01/2012 | |
| Williams, Ami | Operational/managerial control | Individual | 12/23/2021 |
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 do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on May 11, 2026: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on March 19, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on March 19, 2025: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on May 11, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.66 hours per resident per day, below the Louisiana average of 3.21.
Other nursing homes nearby
- Golden Villa Atlanta, 19.7 mi · 2 of 5 stars · 43 citations
- Rose Haven Retreat Atlanta, 19.8 mi · 4 of 5 stars · 27 citations
- Avir at Jefferson Jefferson, 22.6 mi · 2 of 5 stars · 44 citations
- Old Brownlee Community Care Center Bossier City, 23.8 mi · 5 of 5 stars · 8 citations
- Cypress Point Nursing & Rehabilitation Center Bossier City, 24.6 mi · 4 of 5 stars · 9 citations
- Focused Care at Linden Linden, 24.9 mi · 1 of 5 stars · 62 citations
Louisiana contacts for a concern about a nursing home
These are the official offices in Louisiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Louisiana Department of Health, Health Standards Section, Nursing Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Louisiana Long-Term Care Ombudsman Program, Governor's Office of Elderly Affairs, (866) 632-0922. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Vivian Healthcare Center's Medicare star rating?
- CMS rates Vivian Healthcare Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Vivian Healthcare Center get at its last inspection?
- 3 health deficiencies at the standard inspection on May 11, 2026. The Louisiana average is 6.4.
- Has Vivian Healthcare Center been fined?
- CMS lists no fines in the last three years.
- Does Vivian Healthcare Center 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 Vivian Healthcare Center?
- CMS lists 23 owners and managers, and links the home to Nexion Health. Legal business name: NEXION HEALTH AT VIVIAN, INC..
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.