F0725

E

Ongoing Failure to Meet Required Direct Care Staffing Hours Across All Shifts

Hugo, Oklahoma Survey Completed on 02-18-2026

Penalty

No penalty information released

Summary

The facility failed to ensure sufficient nursing staff were provided on a 24-hour basis to meet the needs of all 55 residents in accordance with their plans of care. Quality of Care Monthly Reports for three consecutive months documented repeated failures to meet required direct care staffing hours across all shifts. In November 2025, the facility did not meet required direct care staffing hours on 18 of 30 days for the day shift, 12 of 30 days for the evening shift, and 6 of 30 days for the night shift, with specific dates identified for each shift. In December 2025, the facility again failed to meet required direct care staffing hours on 22 of 31 days for the day shift, 12 of 31 days for the evening shift, and 5 of 31 days for the night shift, with multiple clusters of consecutive days where staffing requirements were not met.

In January 2026, the Quality of Care Monthly Report showed continued noncompliance, with required direct care staffing hours not met on 14 of 31 days for the day shift, 13 of 31 days for the evening shift, and 17 of 31 days for the night shift, again with specific dates listed for each shift. During an interview on 02/18/26 at 10:30 a.m., the administrator acknowledged awareness of staffing shortages on various shifts over the prior three months. The administrator stated they attempted to address staffing needs by calling current staff for coverage but were not always able to secure sufficient staff, and further stated that the facility did not use agency staff or any other external source to fill staffing gaps.