Homestead of Hugo
1001 Heritage Way, Hugo, OK 74743 · Choctaw County · (580) 326-7771
124 certified beds, about 47 residents a day · For profit - Corporation · Medicare and Medicaid since 2005
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375492 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 10, 2025, inspectors cited 4 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
Of 43 health citations since February 2023, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 2 fines totaling $33,262 in the last three years; the largest was $22,901, and the latest is dated December 2, 2025.
Nurses and nurse aides worked 2.91 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.14 of those hours.
70.9% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
CMS links it to Bgm Estate, an affiliated group of 15 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 43 health citations on file.
February 18, 2026Complaint inspection · 2 citations
- F Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on record review and interview, the facility failed to ensure an RN was in the facility at least eight consecutive hours a day, seven days a week. The administrator identified 55 residents resided in the facility.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on record review and interview, the facility failed to ensure sufficient staff were provided on a 24-hour basis to meet the needs of the residents in accordance with resident plans of care. The administrator identified 55 residents resided in the facility.
December 2, 2025Complaint inspection · 2 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteOn 11/24/25 an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure hazardous chemicals were secured away from wandering residents located in the memory care unit. Upon observation of the memory care unit there were three rooms found to be unlocked/unsecured with hazardous chemicals. A clean linen closet, a soiled linen closet, and a whirlpool/shower room with a cabinet in the unlocked whirlpool/shower room: with three unsecured bottles of cleaner, degreaser, and bleach products, unsecured personal products as shaving cream, disinfectant cleaner, and other personal care items. On 11/24/25 at 4:14 p.m., the OSDH verified the existence of the IJ situation. On 11/24/25 at 4:27 p.m., the administrator was notified of the IJ situation and the IJ template was read in full to the administrator. [...]
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed to ensure an allegation of abuse, neglect, exploitation, or mistreatment was reported immediately to the OSDH, but no later than two hours after the allegation for 1 (#4) of 3 sampled residents reviewed for abuse. The administrator identified five allegations of abuse from 06/01/25 through 12/01/25.
June 10, 2025Standard inspection, Complaint inspection · 4 citations
- E Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review and interview, the facility failed to ensure comprehensive assessments were completed within 14 days of admission for 2 (#3 and #61) of 6 sampled residents reviewed for comprehensive assessments. The administrator identified 51 residents resided in the facility.
- E Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on record review and interview, the facility failed to transmit MDS assessments data to CMS in the required timeframe for 3 (#9, 49, 52, and #61) of 6 sampled residents reviewed for MDS assessments. The administrator identified 51 residents resided in the facility.
- D 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.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure accurate code status was documented for a resident with a DNR for 1 (#17) of 24 sampled residents whose advance directive were reviewed. The administrator identified 51 residents resided in the facility.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interview, the facility failed to ensure the initiation of a comprehensive care plan for 1 (#61) of 6 sampled residents reviewed for care plans. The administrator identified 51 residents resided in the facility.
August 15, 2024Complaint inspection · 2 citations
- F Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on record review and interview, the facility failed to have sufficient direct care staffing levels for May through July which had the potential to affect all residents. The Resident Current Status Report, dated 08/13/24, documented a census of 47 residents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interview, the facility failed to develop a diabetes care plan for one (#2) of three residents whose care plans were reivewed. The Resident Current Status Report, dated 08/13/24, documented a census of 47 residents.
May 30, 2024Complaint inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview, the facility failed to ensure staff washed or sanitized their hands and change gloves as needed during the cleaning of a residents' perineal area to prevent potential infection for one (#1) of three sampled residents reviewed for increased assistance with activities of daily living. The administrator reported 52 residents resided in the facility. A facility policy titled, Infection Control - Prevention and Control Program dated 03/2012, read in part, The intent of the program is to assure the home develops, implements, and maintains an Infection Prevention and Control in order to prevent, recognize, and control, to the extent possible, the onset and spread of infection within the facility. Resident #1 had diagnoses which included Alzheimer's Disease and muscle wasting and atrophy. [...]
April 10, 2024Complaint inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure: a. infection control policy were implemented in the kitchen. b. food was distributed in a sanitary manner. The administrator identified 50 residents who received meals from the kitchen.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on record review and interview, the facility failed to provide a sufficient number of staff to ensure residents received the needed care and services for two (#2, and #4) of four residents reviewed for staffing. The administrator identified 50 resident residing in the facility.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review and interview, the facility failed to provide bathing to residents as scheduled for two (#2 and #4) of four residents reviewed for bathing. The administrator identified 50 resident residing in the facility.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure double portions were provided for one (#2) of four residents who were reviewed for nutrition. The administrator identified 15 residents who had weight loss.
January 8, 2024Standard inspection · 19 citations
- L Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteOn 01/04/24 at 3:00 p.m., an Immediate Jeopardy situation was determined to be in existence related to the facility's failure to follow their abuse policy and ensure background screenings were completed for 7 of 46 employees. On 01/04/24 at 3:05 p.m., the Oklahoma State Department of Health verified the existence of the Immediate Jeopardy situation. On 01/04/24 at 3:10 p.m. the administrator was notified of the IJ situation. On 01/04/24 at 5:31 p.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The plan of removal documented: Completion Date 01/04/24 at 7:00 p.m. The Administrator will be educated over the telephone by the Regional Director on employee background checks. The Business Office Manager's employment will be terminated immediately. Currently in progress: [...]
- F Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure resident assessments were transmitted to CMS within the required timeframes. The administrator identified 41 residents who resided in the facility.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on record review, observation, and interview the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety. The administrator identified 39 residents who receive their meals from the kitchen.
- E Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on interview and record review, the facility failed to ensure quarterly resident assessment were completed within the required timeframe for 12 (#5, 6, 23, 26, 30, 31, 35, 36, 37, 39, 42 and #44) of 15 sampled residents whose resident assessments were reviewed. The administrator identified 41 residents who resided in the facility.
- E PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wrote2. Res #39 had diagnoses which included delusional disorders, anxiety disorders, and dementia. A care plan, dated 12/01/21, documented the resident was at risk for adverse consequences related to receiving antipsychotic medication to treat delusional disorder and dementia with behaviors. A PASRR I, dated 08/29/22, documented the resident had a serious mental illness. The PASRR documented a PASRR II was not needed this stay per administrator. A quarterly assessment, dated 11/26/23, documented the resident was intact with cognition and required supervision with most ADLS. The assessment documented the resident received an antipsychotic and an antianxiety medication. On 01/04/24 at 8:30 a.m., the administrator stated they did not make medical decisions and that the PASRR was completed by the last DON. [...]
- E Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on record review and interview, the facility failed to ensure there was RN coverage eight hours daily, seven days a week and failed to ensure a DON was employed. The administrator identified 41 residents who resided in the facility.
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review, and interview, the facility failed to provide MRRs for twelve months for five (#1, 6, 27, 39, and #41) out of five residents reviewed for unnecessary medications. The administrator identified 41 residents resided in the facility.
- E Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure unnecessary psychotropic medications were not administered for one (#39) of five sampled residents reviewed for unnecessary medication. The administrator identified 41 residents resided in the facility.
- E Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a dietary manager was hired for the facility. The administrator identified 39 residents who received meals from the kitchen.
- E Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on record review, observation, and interview, the facility failed to have an effective administration to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. The facility failed to: a. ensure DNR forms were dated and signed; b. ensure background checks were completed for new hires; c. ensure an annual resident assessment was completed within the required timeframe.; d. ensure quarterly assessments were completed within the required timeframe; e. ensure resident assessments were transmitted to CMS within the required timeframes; f. ensure MDS assessments were accurate; g. ensure a level II PASRR referral was made to the Oklahoma Health Care Authority; h. ensure a resident received services to prevent an ADL decline; i. [...]
- E Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteBased on record review and interview, the facility failed to ensure a facility assessment was updated annually. The administrator identified 41 residents resided in the facility.
- E Hire a qualified full-time social worker in a facility with more than 120 beds.
Inspectors wroteBased on record review and interview, the facility failed to employ the services of a qualified social worker on a full times basis. The administrator identified 41 resident resided in the facility.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure equipment was sanitized between residents. The administrator identified 41 residents who resided in the facility.
- D 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.
Inspectors wroteBased on record review and interview, the facility failed to ensure DNR forms were dated and signed appropriately for two (#27 and #98) of 16 residents who were reviewed for advance directive/DNR status. The administrator identified 41 residents who resided in the facility.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review and interview, the facility failed to ensure an annual resident assessment was completed within the required timeframe for one (#8) of 15 sampled residents whose resident assessments were reviewed. The administrator identified 41 residents who resided in the facility.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview the facility failed to ensure MDS assessments accurately reflect the resident's status related to GDR attempts for one (#39) of five residents reviewed for unnecessary medications. The administrator identified 41 residents resided in the facility.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident received services to prevent an ADL decline for one (#13) of two residents who were reviewed for ADL decline. The administrator identified one resident with an ADL decline in the past three months.
- D Post nurse staffing information every day.
Inspectors wroteBased on observation, interview, and record review, the facility failed to document, retain and make accessible to all residents and guests the required daily staffing information. The administrator identified 41 residents who resided in the facility.
- D Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure menus were followed for one of one meal service observed. The administrator identified 39 resident who receive their meals from the facility kitchen.
November 16, 2023Complaint inspection · 2 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident received the necessary services to maintain grooming and personal hygiene for one (#1) of four residents sampled for assistance with bathing. The administrator stated 44 residents lived in the facility.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident with wounds received the necessary assessments, treatments, and services for one (#1) of three residents reviewed for pressure ulcers and other wounds. The administrator stated 44 residents lived in the facility.
February 6, 2023Standard inspection · 7 citations
- J Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteOn [DATE] an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure Res #51's physician was notified for a change in condition. On [DATE] at 2:00 p.m., the Oklahoma State Department of Health was notified and verified the existence of the IJ situation. On [DATE] at 2:20 p.m., the Administrator was notified of the IJ situation. On [DATE] at 5:23 p.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The facility's plan of removal, dated [DATE] at 5:23 p.m., read in parts, .All staff will be educated with a sign in sheet that are currently working in the facility. Any remaining staff that aren't at the facility will be called and educated over the telephone. Employee name and time of call will be documented. Resident Change of Condition-Physician Notification Policy. [...]
- E Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interview, the facility failed to notify the physician of a change in condition for one (#51) of three residents whose records were reviewed for a change in condition. The Resident Census and Conditions of Residents report, dated [DATE], documented a census of 53 residents.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review, observation, and interview, the facility failed to provide showers for two (#40 and #45) of three residents reviewed for showers. The Resident Census and Conditions of Residents, dated 01/30/23, documented six residents were dependent for bathing.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on record review and interview, the facility failed to provide sufficient staff to care for the needs of the residents. The Resident Census and Conditions of Residents, dated 01/30/23, documented a census of 53 residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure food was prepared and stored in a sanitary manner. The Resident Census and Conditions of Residents report, dated 01/30/23, documented 51 residents received meals from the kitchen.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure resident assessments were accurate regarding weight loss for one (#30) of one resident reviewed for weight loss. The DON identified five residents who had weight loss in the last six months.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interview, the facility failed to revise a care plan with fall interventions for one (#30) of one resident reviewed for falls. The DON identified 15 residents who had falls in the last six months.
Fire safety inspections
6 fire safety citations on file: 3 on June 10, 2025, 2 on January 8, 2024, 1 on February 6, 2023.
Every fire safety citation6 citations
- F Have power receptacles that are properly grounded.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have an alternate power supply for its alarm system.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| December 2, 2025 | Fine | $10,361 |
| January 8, 2024 | Fine | $22,901 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Oklahoma | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.91 | 3.79 | 3.86 |
| Registered nurses | 0.14 | 0.34 | 0.69 |
| All nursing staff on weekends | 2.60 | 3.44 | 3.42 |
| Nurse aides | 1.81 | ||
| Licensed practical nurses | 0.96 | ||
| Nursing staff turnover (share who left in a year) | 70.9% | 55.5% | 45.8% |
| Registered nurse turnover | 80.0% | 53.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.16 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.04 on weekdays and 2.60 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.64 in April to June 2025 to 2.91 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.91 | 0.14 | 3.04 | 2.60 | 0.0% | 19 of 90 | 47 |
| Oct to Dec 2025 | 2.39 | 0.25 | 2.49 | 2.12 | 0.0% | 6 of 92 | 59 |
| Jul to Sep 2025 | 3.58 | 0.42 | 3.81 | 2.99 | 0.0% | 0 of 92 | 53 |
| Apr to Jun 2025 | 3.64 | 0.34 | 3.92 | 2.94 | 0.0% | 3 of 91 | 54 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oklahoma, Jan to Mar 2026 | 3.79 | 0.32 | 3.94 | 3.42 | 2.2% | 1.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Oklahoma | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 33.7 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 6.7 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 11.2 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 29.9 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.3 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.8 | 17.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 41.0 | 27.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.2 | 16.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 3.0 | 1.8 |
Owners and operators
Legal business name: HOMESTEAD OF HUGO LLC. CMS links this home to Bgm Estate, a group of 15 nursing homes averaging 1.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bgm Estate LLC | 5% or greater direct ownership interest | Organization | 19% | 12/28/2020 |
| Delores O Mitchell Rvoc Tr | 5% or greater direct ownership interest | Organization | 19% | 12/20/2020 |
| Gilbert Green Family Investments LLC | 5% or greater direct ownership interest | Organization | 38% | 09/18/2011 |
| Chance, Gwendolyn | 5% or greater direct ownership interest | Individual | 13% | 12/28/2020 |
| Belt, Miranda | Corporate officer | Individual | 12/09/2024 | |
| Pitts, Jaci | Corporate officer | Individual | 12/09/2024 | |
| Chance, Gwendolyn | Operational/managerial control | Individual | 12/28/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 11 problems in this area, most recently on June 10, 2025: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on December 2, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 7 problems in this area, most recently on February 18, 2026: "Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on April 10, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.60 hours per resident per day, below the Oklahoma average of 3.44.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Elmbrook of Hugo Hugo, 2.6 mi · 2 of 5 stars · 18 citations
- Antlers Manor Antlers, 17.9 mi · 1 of 5 stars · 18 citations
- Choctaw Nation Nursing Home Antlers, 18.7 mi · 1 of 5 stars · 30 citations
- Stillhouse Rehabilitation and Healthcare Center Paris, 21.4 mi · 2 of 5 stars · 46 citations
- Avir at Paris Paris, 21.5 mi · 5 of 5 stars · 37 citations
- Brentwood Terrace Healthcare and Rehabilitation Paris, 21.9 mi · 1 of 5 stars · 39 citations
- Heritage House at Paris Rehab & Nursing Paris, 22.7 mi · 2 of 5 stars · 46 citations
- Legend Healthcare and Rehabilitation - Paris Paris, 23.6 mi · 3 of 5 stars · 43 citations
Oklahoma contacts for a concern about a nursing home
These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oklahoma State Department of Health, Long Term Care Service, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oklahoma Long-Term Care Ombudsman, Office of the Attorney General, 1-800-211-2116. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: OSDH Long Term Care Surveys search, where Oklahoma publishes its own records on licensed homes.
Common questions
- What is Homestead of Hugo's Medicare star rating?
- CMS rates Homestead of Hugo 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Homestead of Hugo get at its last inspection?
- 4 health deficiencies at the standard inspection on June 10, 2025. The Oklahoma average is 6.4.
- Has Homestead of Hugo been fined?
- Yes. CMS lists 2 fines totaling $33,262 in the last three years.
- Does Homestead of Hugo accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Homestead of Hugo?
- CMS lists 7 owners and managers, and links the home to Bgm Estate. Legal business name: HOMESTEAD OF HUGO LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.