Sequoyah Pointe Living Center
Strong Medicare quality ratings; families often praise compassionate end-of-life care. Still worth an in-person visit.
based on 33 Google reviews
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What this means for your family
While some families report positive experiences with end-of-life care and physical therapy, the frequency of reports regarding neglect and hygiene issues is deeply concerning. We strongly advise families to conduct unannounced visits and speak directly with current residents about their daily care experience before making a decision.
Google Reviews
Google Reviews
33 reviews on Google“Sequoyah Pointe Living Center receives highly polarized feedback, with some families praising the compassionate staff and home-like environment, while others report severe neglect. Critical concerns include reports of residents being left in unsanitary conditions, delayed response to call lights, and inconsistent medication management. Prospective families should be aware of these significant discrepancies in care quality and conduct thorough, unannounced visits.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate end-of-life care
- Home-like atmosphere
- Effective physical therapy services
- Professional administrative staff
Concerns
- Neglect and unsanitary conditions (residents left in soiled linens) (mentioned by 5 reviewers)
- Slow or non-existent response to call lights (mentioned by 3 reviewers)
- Medication management errors and missed doses (mentioned by 2 reviewers)
- Understaffing leading to poor resident care (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 35 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about the compassionate end-of-life care and the home-like atmosphere here; how do you ensure residents feel that sense of comfort in their daily routine?
- 2What specific protocols are in place to ensure call lights are answered promptly and that residents' hygiene and linen changes are handled with consistent care?
- 3Can you walk us through your process for medication administration and how the nursing team double-checks for accuracy to prevent any missed doses?
- 4With the recent focus on improving staffing levels, what steps is the facility taking to ensure there are enough caregivers available to assist with personal care and cleanliness?
- 5How does the facility manage medical emergencies or sudden changes in a resident's health during the night or over the weekend?
- 6What kind of daily activities or social engagement opportunities are available to help residents stay active and connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“My mother was in skilled nursing there for 10 days, and the only reason I’m giving them a 2 is that the PT was very good, and several of the nurses were trying. But the overall level of medical care she got there was very lacking.”
“They loved my Sister. They comforted me. They gave me space and time to be with her.”
“First, they forgot to administer medicine to my grandmother so she had to miss out on physical therapy sessions because she was in too much pain, after she tried to remind them, Twice!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
5
measures
2
measures
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents who fell and were seriously hurt
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed 10 complaints triggering inspections, indicating ongoing concerns about care quality, patient safety, and medication management. Recent issues in 2025 include problems with daily care assistance, treatment delivery, and laboratory services, while past complaints involved safety hazards, infection control, and medication oversight. Although the facility has provided correction dates for all deficiencies, the pattern of repeated complaints suggests persistent quality challenges that warrant careful evaluation during visits.
Apr 15, 2025Routine3
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Apr 15, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Jul 31, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jun 7, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Dec 11, 2023Complaint6
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 8, 2022Routine13
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Federal Penalties
Fine
Dec 11, 2023
$52,192
Payment Denial
Dec 11, 2023
17-day denial
Ownership & Operations
Who Operates This Facility
Sequoyah Pointe Living Center
for profit
Chain Affiliation
Conhold
5 facilities nationwide
Chain avg rating: 3.6/5 · Rank 5 of 5 (Worst)
Ownership & Management
Owners
Sullivan, James
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
33 reviews from families & visitors
Official Website
Visit sequoyahpointe.us
Medicare data downloads
Original nursing home datasets
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