Vivian Healthcare Center
Vivian, Caddo County, Louisiana · CCN 195325 · For-profit (Corporation) · part of Nexion Health (51 facilities, chain average 2.2 stars)
CMS rates Vivian Healthcare Center 4 of 5 overall as of August 2026. 95 certified beds, 56 residents a day on average. 11 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 3 / — of 5 |
Staffing
| Total nurse staffing | 3.04151 hours per resident per day |
|---|---|
| Registered nurses | 0.25091 hours per resident per day |
| Weekend total | 2.65562 hours per resident per day |
| Nursing staff turnover | 30.6% (registered nurses 40%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-11 | Honor 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. Resident Rights Deficiencies · tag F0578 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-18 |
| 2026-05-11 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-18 |
| 2026-05-11 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-18 |
| 2025-03-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-03 |
| 2025-03-19 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-03 |
| 2025-03-19 | Try 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. Quality of Life and Care Deficiencies · tag F0700 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-03 |
| 2024-09-25 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-30 |
| 2024-02-21 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-15 |
| 2024-02-21 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-15 |
| 2024-02-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-15 |
| 2023-08-16 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-08-23 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Nexion Health Of Ohi Inc. Organization | 5% or greater direct ownership interest | 100% | 2005-09-14 |
| Nexion Health Leasing, Inc. Organization | 5% or greater indirect ownership interest | — | 2002-01-15 |
| Nexion Health, Inc. Organization | 5% or greater indirect ownership interest | — | 2002-01-15 |
| Nexion Health, Inc. Organization | operational/managerial control | — | 2002-01-15 |
| Bolt, Bretton Individual | 5% or greater indirect ownership interest | — | 2002-01-15 |
| Kirley, Francis Individual | 5% or greater indirect ownership interest | — | 2002-01-15 |
| Herdrich, William Individual | corporate director | — | 2012-02-01 |
| Kirley, Francis Individual | corporate director | — | 2002-01-15 |
| Lee, Brian Individual | corporate director | — | 2012-02-01 |
| Reid, John Individual | corporate director | — | 2018-12-03 |
| Riner, Meera Individual | corporate director | — | 2012-02-01 |
| Kirley, Francis Individual | corporate officer | — | 2002-01-15 |
| Lee, Brian Individual | corporate officer | — | 2012-02-01 |
| Riner, Meera Individual | corporate officer | — | 2012-02-01 |
| Bolt, Bretton Individual | operational/managerial control | — | 2002-01-15 |
| Herdrich, William Individual | operational/managerial control | — | 2012-02-01 |
| Kirley, Francis Individual | operational/managerial control | — | 2002-10-27 |
| Lee, Brian Individual | operational/managerial control | — | 2012-02-01 |
| Riner, Martha Individual | operational/managerial control | — | 2017-09-04 |
| Riner, Meera Individual | operational/managerial control | — | 2012-02-01 |
| Williams, Ami Individual | operational/managerial control | — | 2021-12-23 |
| Riner, Martha Individual | w-2 managing employee | — | 2017-09-04 |
| Williams, Ami Individual | w-2 managing employee | — | 2021-12-23 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Vivian Healthcare Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Caddo County.