Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Vian Nursing & Rehab, Llc during CMS and state inspections, most recent first.
A deficiency was cited due to the facility's failure to keep an area free from accident hazards and to provide adequate supervision to prevent accidents. The report notes that safety standards were not met and supervision was lacking, but does not provide further details about the individuals involved.
The facility did not provide estimated costs for skilled services on CMS-10055 forms when Medicare coverage was ending, instead marking the cost section as 'Pending' for three residents. The MDS Coordinator did not obtain cost information from the contracted billing service or corporate office, and the DON confirmed that this omission prevented residents and their representatives from making informed decisions about continuing skilled services.
A resident with dementia and dysphagia did not receive prescribed Jevity 1.5 tube feedings at breakfast and lunch, despite documentation indicating the feedings were given. Review of records and camera footage confirmed the required feedings were not administered, resulting in substantiated neglect.
A resident with dementia and dysphagia did not receive required tube feedings, and a CMA falsely documented that the feedings were provided. The facility's investigation relied on video and records but did not include interviews with other staff or residents, contrary to policy.
A resident's admission MDS assessment was not completed within the required 14-day period. Review of the electronic health record showed the assessment was still in progress past the deadline, and the MDS Coordinator confirmed the delay during an interview.
The facility failed to follow their abuse prevention policy by not obtaining criminal background checks for a CNA and not reporting an allegation of abuse within the required two-hour timeframe. The BOM accepted an agency screening not from the state of Oklahoma, and the CNA had never been fingerprinted. Additionally, an allegation of abuse was reported late, as confirmed by the administrator and DON.
The facility failed to report an allegation of abuse within the required two-hour timeframe. A resident with multiple diagnoses and requiring significant assistance had an abuse allegation reported to the DON during breakfast and to the administrator around 8:30 a.m., but the report was not sent to OSDH until 1:27 p.m., exceeding the mandated reporting period.
Failure to Maintain Safe Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified in the facility's failure to ensure that an area was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, and supervision was insufficient to prevent potential or actual accidents. Specific actions or omissions by staff or management that led to this deficiency are not detailed in the report. No additional information about the residents involved, their medical history, or their condition at the time of the deficiency is provided in the report.
Failure to Provide Estimated Costs on CMS-10055 Forms
Penalty
Summary
The facility failed to provide residents with an estimated cost of skilled services on the CMS-10055 form when Medicare coverage was ending. For three residents reviewed, the section of the form requiring an estimated cost was left incomplete, with the word 'Pending' written instead of an actual amount. This omission occurred despite the requirement to inform residents of their potential financial liability for services not covered by Medicare or Medicaid. Interviews with the MDS Coordinator revealed that the facility relied on a contracted billing service and did not have direct access to the pricing information needed to complete the forms. The MDS Coordinator did not attempt to obtain the necessary cost estimates from the billing service or corporate headquarters. The DON acknowledged that the lack of estimated costs prevented residents and their representatives from making fully informed decisions about whether to continue skilled services that might not be covered.
Failure to Administer Prescribed Supplemental Feedings
Penalty
Summary
A resident with dementia and dysphagia had a physician order requiring administration of Jevity 1.5 nutritional supplement via bolus feeding if the resident consumed 50% or less of a meal. On a specified date, a certified medication aide (CMA) failed to administer the prescribed breakfast and lunch tube feedings to the resident, despite documenting that the feedings had been given. Review of records and camera footage confirmed that the CMA did not enter the resident's room after breakfast or lunch to provide the required supplemental feedings. The facility substantiated the neglect allegation based on these findings.
Failure to Thoroughly Investigate Allegation of Neglect
Penalty
Summary
The facility failed to thoroughly investigate an allegation of neglect involving a resident with dementia and dysphagia who required tube feedings if they consumed less than 50% of their meal. An incident report documented that a certified medication aide (CMA) did not administer the resident's breakfast and lunch tube feedings but falsely documented that the feedings had been given. Although the CMA was suspended and later terminated based on video evidence and record review, the facility's investigation did not include interviews with other staff or residents as required by facility policy. The administrator confirmed that no such interviews were conducted during the investigation.
Failure to Complete Admission MDS Assessment Within Required Timeframe
Penalty
Summary
The facility failed to complete an admission Minimum Data Set (MDS) assessment within the required 14-day timeframe for one of five sampled residents. According to the admission record, the resident was admitted on a specified date, but review of the electronic health record showed that the admission MDS assessment was still in progress and had not been finalized within the mandated period. During an interview, the MDS Coordinator confirmed that the assessment should have been completed within 14 days and acknowledged that it had not been done in the required timeframe.
Failure to Follow Abuse Prevention Policy and Timely Reporting
Penalty
Summary
The facility failed to follow their abuse prevention policy by not obtaining criminal background checks and not reporting an allegation of abuse within the required two-hour timeframe. Specifically, the facility's policy required background and criminal checks to be initiated within two days of an offer of employment and completed prior to employment. However, a review of five employee files revealed that one CNA did not have a clearance letter from the state of Oklahoma. The BOM admitted to accepting the screening from the agency, which was not from the state of Oklahoma, and the OK screen office confirmed that the CNA had never been fingerprinted and was not current in the system. The administrator acknowledged that the BOM had performed background checks on agency staff in the past but failed to do so for this particular CNA. Additionally, the facility's policy required allegations of abuse to be reported within two hours if they involved abuse or resulted in serious bodily injury. A review of the OSDH 283 form indicated that an allegation was reported at 1:27 p.m., which was not within the two-hour timeframe. The administrator confirmed that the allegation was not reported within the required timeframe, and the DON stated that the allegation was reported to them during breakfast and subsequently reported to the administrator around 8:30 a.m.
Failure to Timely Report Allegation of Abuse
Penalty
Summary
The facility failed to ensure all allegations of abuse were reported within two hours of the reported incident for one resident. The facility's policy required immediate reporting within two hours for allegations involving abuse or serious bodily injury. The resident involved had diagnoses of malnutrition, rheumatoid arthritis, anxiety disorder, and depression, and required substantial to maximal assistance with most ADLs. The allegation was reported to the DON during breakfast and subsequently to the administrator around 8:30 a.m. However, the report was not sent to the OSDH until 1:27 p.m., exceeding the two-hour reporting requirement. Both the administrator and the DON acknowledged the delay in reporting the incident within the required timeframe.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 11 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Vian
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Community Health Care Of Gore | 8.7 mi | ★★★★★ | 0 | 0 |
| Sequoyah Manor, Llc | 10.9 mi | ★★★★★ | 1 | 0 |
| Countryside Estates | 16.9 mi | ★★★★★ | 0 | 0 |
| Stigler Nursing & Rehab | 18.6 mi | ★★★★★ | 10 | 0 |
| Fort Gibson Care & Rehab Center | 25.9 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.