Sequoyah Manor, Sallisaw, Oklahoma

62
Citations from health inspectionsOklahoma average: 23 a home: 3
Residents harmed or put in dangerOklahoma average: 1.1 a home: $33,270
Fines from the federal governmentOklahoma average: $18,268 a home: 1 out of 5
Overall rating in starsOklahoma average: 2.7

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Seven inspection visits produced 62 citations. Residents were in immediate danger in one finding. Residents were found hurt in two cases. Federal fines came to $33,270 (two fines). Once, Medicare stopped paying for new admissions.

A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

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Quick Look at the Record

The home's overall star rating: 1 out of 5
Rating for health inspections: 1 out of 5
Rating for staffing: 1 out of 5
Rating for quality of care: 2 out of 5
Nurse time for each resident: Not sent to CMS
Time from registered nurses: Not sent to CMS
Nursing staff who left during one year: Not sent to CMS
Beds that are certified: 162
Ownership: Limited Liability company (for profit)
Chain: This home is not part of a chain
Street address: 615 East Redwood, Sallisaw, Oklahoma 74955
County: Sequoyah

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

One citation dated Jan. 14, 2026

F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.

Two citations dated March 18, 2025

F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

13 citations dated Dec. 19, 2024

F909 Regular Safety Checks of Beds and Rails: risk of harm, no one found hurt, one or a few residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, one or a few residents.
F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, a pattern, several residents.
F700 Safe Use of Bed Rails: risk of harm, no one found hurt, one or a few residents.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: immediate danger to residents, a pattern, several residents.
F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, a pattern, several residents.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

One citation dated Nov. 13, 2024

F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Three citations dated Sept. 11, 2024

F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

22 citations dated Sept. 1, 2023

F909 Regular Safety Checks of Beds and Rails: risk of harm, no one found hurt, a pattern, several residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, a pattern, several residents.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F802 Enough Kitchen Support Staff: risk of harm, no one found hurt, a pattern, several residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, a pattern, several residents.
F757 Unnecessary Drugs: risk of harm, no one found hurt, a pattern, several residents.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F700 Safe Use of Bed Rails: risk of harm, no one found hurt, a pattern, several residents.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, a pattern, several residents.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents.
F578 The Right to Refuse Treatment: risk of harm, no one found hurt, a pattern, several residents.
F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.

20 citations dated Sept. 1, 2022

F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents.
F802 Enough Kitchen Support Staff: risk of harm, no one found hurt, widespread.
F800 Nutritious, Tasty, Balanced Meals: risk of harm, no one found hurt, a pattern, several residents.
F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, a pattern, several residents.
F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, a pattern, several residents.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents.
F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents.
F692 Enough Food and Fluids: risk of harm, no one found hurt, a pattern, several residents.
F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents.
F678 CPR and Basic Life Support: risk of harm, no one found hurt, a pattern, several residents.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents.
F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, a pattern, several residents.
F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, a pattern, several residents.
F578 The Right to Refuse Treatment: risk of harm, no one found hurt, a pattern, several residents.
F568 Properly Manage Resident Money Held by Facility: risk of harm, no one found hurt, a pattern, several residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.

Payment Denials and Fines

Date	Penalty	Amount
March 18, 2025	Fine	$9,110
Nov. 13, 2024	Fine	$24,160
Nov. 13, 2024	Payment denial for new admissions	one day

Ownership and Management of the Home

The home is run by Sequoyah Manor LLC (operational or managerial control).
The direct 13% owner is Delores O Mitchell Rvoc Tr.
The direct owner is Sequoyah House Inc..

Six people with an ownership stake are also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 375173. Other homes in Oklahoma.