Vivian Healthcare Center
912 South Pecan Street, Vivian, LA 71082 · Caddo County · 95 certified beds · avg 56 residents/day · certified since Jan 1, 1995
Part of chain: NEXION HEALTH (51 facilities, chain avg rating 2.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 self-reported quality measures.
All citations in the current public record (11)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 11, 2026 | E · Potential for harm, repeated | 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. |
| May 11, 2026 | E · Potential for harm, repeated | 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. |
| May 11, 2026 | E · Potential for harm, repeated | 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). |
| Mar 19, 2025 | E · Potential for harm, repeated | 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. |
| Mar 19, 2025 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Mar 19, 2025 | D · Potential for harm, one-off | 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. |
| Sep 25, 2024 | D · Potential for harm, one-off | 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 |
| Feb 21, 2024 | E · Potential for harm, repeated | 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. |
| Feb 21, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 21, 2024 | D · Potential for harm, one-off | 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. |
| Aug 16, 2023 | E · Potential for harm, repeated | 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 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| 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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| 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, 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. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
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 |
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?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
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 →
Facility data as of CMS processing date 2026-08-01. CCN 195325.