The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
SEQUOYAH EAST NURSING CENTER, LLC
ROLAND, OK · Medicare-certified · 80 beds
Needs attention
For-profit
1 of 5 overall
1-star overall: SEQUOYAH EAST NURSING CENTER, LLC has the lowest overall rating, with 1-star health inspection, 2-star staffing and quality ratings, and reported nurse staffing below the federal benchmark (3.87 vs 4.1 hours per resident per day). It had $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.8651 hrs/resident/day
Quality measures
Last inspection: July 2, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8651.
Staffing detail
- Registered nurses
- 0.21
- Licensed practical nurses
- 1.16
- Nurse aides
- 2.49
- Weekend nursing
- 3.64
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
21.7%0%Improving
Residents with a fall causing major injury
8.3%6.2%Improving
Residents with pressure ulcers (bedsores)
1.7%7.5%Worsening
Residents with a urinary tract infection
6.5%20.8%Worsening
Residents who lost too much weight
0%5.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.5%19.4%Improving
Residents whose ability to walk got worse
—14.9%—
Long-stay residents on antianxiety or sleep medication
52.8%35.9%Improving
Short-stay residents newly given an antipsychotic
—3.3%—
Residents with a long-term catheter
7.1%2.6%Improving
Residents with new or worsening incontinence
21.9%11.9%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—94%—
Long-stay residents given the pneumonia vaccine
64.6%72.9%Improving
Short-stay residents given the seasonal flu vaccine
—25.9%—
Short-stay residents given the pneumonia vaccine
—37.5%—
What the inspectors found
The home failed to submit complete and accurate staffing information based on verifiable records. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 838 — 42 CFR §483.70 — S/S: F
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 8 fines · $134,213 in total fines · 2 payment denials.
- 34 days
Medicare/Medicaid payment denial
Mar 7, 2024
- $50,381
Federal fine
Mar 7, 2024
- $4,938
Federal fine
Feb 20, 2024
- $4,938
Federal fine
Feb 12, 2024
- $14,814
Federal fine
Jan 22, 2024
- $13,762
Federal fine
Dec 11, 2023
- 28 days
Medicare/Medicaid payment denial
Oct 4, 2023
- $27,031
Federal fine
Oct 4, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 47.5 residents on an average day (59% of 80 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 25 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.