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Vivian Healthcare Center
912 South Pecan Street, Vivian, LA 71082 (opens Google Maps) · Caddo County · (318) 375-2203· 95 certified beds · avg 56 residents/day · certified since Jan 1, 1995 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: NEXION HEALTH (51 facilities, chain avg rating 2.2★)
4/5
Health inspection rating (on-site)
inspected May 11, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.58
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 11 inspection findings. Open the full record below to read every finding.
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. F-0578
The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. F-0605
The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). F-0628
View all 11 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 11, 2026 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| May 11, 2026 | E · Potential for more than minimal harm, pattern | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| May 11, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628 |
| Mar 19, 2025 | E · Potential for more than minimal harm, pattern | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Mar 19, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Mar 19, 2025 | D · Potential for more than minimal harm, isolated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700 |
| Sep 25, 2024 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Feb 21, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Feb 21, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Feb 21, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Aug 16, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 4
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0
2026
All citations: 3
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | E |
| 2024 | 4 | 0 | E |
| 2025 | 3 | 0 | E |
| 2026 | 3 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityLouisiana averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.58
Louisiana average: 4.04
U.S. average: 3.95
Registered Nurse hours
This facility: 0.30
Louisiana average: 0.32
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.13
Louisiana average: 3.45
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Louisiana avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.58 | 4.04 | 3.95 | bottom 27% in Louisiana; bottom 41% in the U.S. |
| Registered Nurse hours | 0.30 | 0.32 | 0.69 | top 42% in Louisiana; bottom 9% in the U.S. |
| Weekend total nurse staffing | 3.13 | 3.45 | 3.50 | bottom 34% in Louisiana; bottom 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.20 | 0.48 | top 13% in Louisiana; bottom 23% in the U.S. |
| Total nursing staff turnover (%) | 30.6 | 47.6 | 45.8 | top 10% in Louisiana; top 15% in the U.S. |
| RN turnover (%) | 40.0 | 41.6 | 42.9 | top 45% in Louisiana; top 46% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.04, RN 0.25, weekend 2.66.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.04 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Vivian Healthcare Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bolt, Bretton | Individual | 5% or Greater Indirect Ownership Interest | — | 01/15/2002 |
| Kirley, Francis | Individual | 5% or Greater Indirect Ownership Interest | — | 01/15/2002 |
| Nexion Health Leasing, INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 01/15/2002 |
| Nexion Health of Ohi INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/14/2005 |
| Nexion Health, INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 01/15/2002 |
| Bolt, Bretton | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/15/2002 |
| Herdrich, William | Individual | Corporate Director | NOT APPLICABLE | 02/01/2012 |
| Herdrich, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2012 |
| Kirley, Francis | Individual | Corporate Director | NOT APPLICABLE | 01/15/2002 |
| Kirley, Francis | Individual | Corporate Officer | NOT APPLICABLE | 01/15/2002 |
| Kirley, Francis | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/27/2002 |
| Lee, Brian | Individual | Corporate Director | NOT APPLICABLE | 02/01/2012 |
| Lee, Brian | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2012 |
| Lee, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2012 |
| Nexion Health, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/15/2002 |
| Reid, John | Individual | Corporate Director | NOT APPLICABLE | 12/03/2018 |
| Riner, Martha | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/04/2017 |
| Riner, Martha | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/04/2017 |
| Riner, Meera | Individual | Corporate Director | NOT APPLICABLE | 02/01/2012 |
| Riner, Meera | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2012 |
Showing 20 of 23 parties CMS has on file for this facility; 3 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Nexion Health — 51 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Columbia Rehabilitation and Healthcare Center — Columbia, MS · overall 3/5
- Cornerstone Rehabilitation and Healthcare Center — Corinth, MS · overall 1/5
- Crystal Rehabilitation and Healthcare Center — Greenwood, MS · overall 1/5
- Delta Rehabilitation and Healthcare Center — Cleveland, MS · overall 3/5
- Great Oaks Rehabilitation and Healthcare Center — Byhalia, MS · overall 2/5
- Grenada Rehabilitation and Healthcare Center — Grenada, MS · overall 1/5abuse
- Holly Springs Rehabilitation and Healthcare Center — Holly Springs, MS · overall 1/5
- Indianola Rehabilitation and Healthcare Center — Indianola, MS · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 50 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Louisiana midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 31% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 23 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Golden Villa | 19.7 mi | Atlanta, TX | ★★☆☆☆ | 2/5 | |
| Rose Haven Retreat | 19.8 mi | Atlanta, TX | ★★★★☆ | 4/5 |
Compare this facility with the 2 closest →
Other facilities in the same county
CMS records place this facility in Caddo, LA — 22 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Willis-Knighton Extended Care Center — Shreveport, LA · overall 4/5
- Booker T. Washington Skilled Nursing and Rehabilit — Shreveport, LA · overall 2/5
- Claiborne Healthcare Center — Shreveport, LA · overall 1/5
- Garden Park Nursing & Rehab Ctr, LLC — Shreveport, LA · overall 3/5
- Harmony House Nursing and Rehabilitation Center, I — Shreveport, LA · overall 4/5
- Heritage Manor of Stratmore Nursing & Rehab Ctr — Shreveport, LA · overall 4/5
- Heritage Manor South — Shreveport, LA · overall 4/5
- Heritage Manor West — Shreveport, LA · overall 2/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 195325.