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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 375394

Sequoyah East Nursing Center, Llc

54 federal citations on record , and 10 federal enforcement actions totaling $134,213.

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Record summary

Federal record · Q1 2026
54
Total citations
44
Last 3 years
1
Actual harm+
10
Federal penalties
$134,213
Total fines
1
Overall ★ rating

Most common violation categories here

Care Planning13 Quality of Care11 Resident Rights8 Medication & Pharmacy8 Abuse & Neglect5

Most common F-tags at this facility

F6893 F8803 F6002 F6102 F6372

Citation history

54 on record
SurveyF-TagViolationSeveritySource
Jul 2, 2025F610Respond appropriately to all alleged violations.DComplaint
Jul 2, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 16, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Apr 16, 2025F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard
Apr 16, 2025F758Implement 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.EStandard
Apr 16, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Apr 16, 2025F700Try 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.DStandard
Apr 16, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 16, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 16, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Apr 16, 2025F641Ensure each resident receives an accurate assessment.EStandard
Apr 16, 2025F637Assess the resident when there is a significant change in conditionDStandard
Apr 16, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Apr 16, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Apr 10, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Mar 7, 2024F880Provide and implement an infection prevention and control program.EComplaint
Mar 7, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Mar 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Mar 7, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Mar 7, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Mar 7, 2024F610Respond appropriately to all alleged violations.EComplaint
Mar 7, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Mar 7, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Mar 7, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 7, 2023F881Implement a program that monitors antibiotic use.EStandard
Dec 7, 2023F880Provide and implement an infection prevention and control program.EStandard
Dec 7, 2023F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard
Dec 7, 2023F772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.EStandard
Dec 7, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Dec 7, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Dec 7, 2023F758Implement 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.EStandard
Dec 7, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 7, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 7, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Dec 7, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Dec 7, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Dec 7, 2023F638Assure that each resident’s assessment is updated at least once every 3 months.EStandard
Dec 7, 2023F637Assess the resident when there is a significant change in conditionDStandard
Dec 7, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Dec 7, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard
Oct 9, 2023F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.FComplaint
Oct 9, 2023F578Honor 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.DComplaint
Oct 4, 2023F880Provide and implement an infection prevention and control program.EComplaint
Oct 4, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Oct 21, 2022F760Ensure that residents are free from significant medication errors.EStandard
Oct 21, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
Oct 21, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Oct 21, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Oct 21, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 21, 2022F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Oct 21, 2022F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard
Oct 21, 2022F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard
Oct 21, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EStandard
Oct 21, 2022F578Honor 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.EStandard

Federal enforcement history

Federal regulators have imposed 10 enforcement actions against this facility, including 8 civil money penalties totaling $134,213 and 2 payment-denial actions spanning 62 days.

DateTypeFinePayment denial
Mar 7, 2024Fine$50,381—
Mar 7, 2024Payment Denial—Apr 23, 2024 · 34 days
Feb 20, 2024Fine$4,938—
Feb 12, 2024Fine$4,938—
Jan 22, 2024Fine$14,814—
Dec 11, 2023Fine$13,762—
Oct 4, 2023Payment Denial—Nov 7, 2023 · 28 days
Oct 4, 2023Fine$27,031—
Jun 20, 2023Fine$4,587—
May 30, 2023Fine$13,762—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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