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305 North Thornton Vian, OK 74962 · Sequoyah County
CMS certification number 375433 · See this home on Medicare Care Compare
Is Vian Nursing & Rehab a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Vian Nursing & Rehab as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Oklahoma average of 2.7.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.57 hours per resident per day at Vian Nursing & Rehab, above the Oklahoma median of 3.73 (US median: 3.72). About 0.19 of those hours are from registered nurses. On weekends it falls to 3.94 hours, 14% below its all-week average. 50.7% of nursing staff left within a year (Oklahoma median 53.8%).
About this nursing home
Paying for care at Vian Nursing & Rehab: Medicare and Medicaid
Vian Nursing & Rehab is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Oklahoma's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 24, 2025 and found 4 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 22 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 22 citations at Vian Nursing & Rehab across 5 inspection dates, 8 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on July 18, 2025. The most common areas cited were freedom from abuse, neglect, and exploitation (7) and quality of life and care (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, July 18, 2025). 7 citations were under CMS's abuse, neglect and exploitation rules.
July 18, 2025 · 1 citation · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 24, 2025 · 6 citations · includes complaint inspection
EGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DRespond appropriately to all alleged violations.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DImplement 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.
March 21, 2024 · 2 citations · includes complaint inspection
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
December 21, 2023 · 11 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EImplement a program that monitors antibiotic use.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DEnsure each resident receives an accurate assessment.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DPost nurse staffing information every day.
DEnsure that residents are free from significant medication errors.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
August 8, 2022 · 2 citations
EProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide 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.
Questions to ask on a tour of Vian Nursing & Rehab
- Inspectors cited the home at the actual-harm level on July 18, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 24, 2025. How are staff trained, and how are concerns reported?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The home averages about 41% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $8,278 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 18, 2025 | Fine | $8,278 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 3/5 | 2/5 |
| August 2026 | 3/5 | 3/5 | 3/5 | 2/5 |
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Location
Hospitals near Vian Nursing & Rehab
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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10.4 mi
Sequoyah Memorial Hospital SallisawEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 4m for patients treated and sent home
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18.8 mi
Haskell Regional Hospital, INC StiglerEmergency roomMedian ER visit 2h 0m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.