Below average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Homestead Of Hugo during CMS and state inspections, most recent first.
The facility did not ensure or document consistent RN coverage for at least eight consecutive hours daily for its resident population. Review of RN time records over several months showed eight-hour RN coverage only on scattered dates, rather than every day. The interim DON, who was considered the primary RN coverage Monday through Friday, did not complete time sheets or otherwise record their hours in the building. The administrator confirmed reliance on the interim DON for daily RN coverage but was unable to provide documentation verifying that the required RN presence was maintained.
The facility failed over multiple consecutive months to provide sufficient nursing staff on a 24-hour basis to meet resident care needs, as shown by Quality of Care Monthly Reports documenting repeated shortfalls in required direct care staffing hours on day, evening, and night shifts. For each of three months reviewed, numerous specific days were identified where required staffing hours were not met on one or more shifts. The administrator acknowledged awareness of ongoing staffing shortages, reported relying on existing staff to cover open shifts, and confirmed that agency staff or other external staffing sources were not used to address these persistent gaps.
Hazardous chemicals, including disinfectants, cleaners, and personal care items labeled to be kept out of reach of children, were found unsecured in multiple unlocked rooms within the memory care unit. A resident with severe cognitive impairment and dementia was observed accessing an unlocked closet containing these chemicals. Staff interviews revealed that doors and cabinets meant to secure hazardous items were not consistently locked, keys were missing or left accessible, and there was no formal policy in place for chemical storage.
An allegation of financial abuse by a family member involving a resident with severe cognitive and behavioral impairments was not reported to the OSDH within the required two-hour window. The incident was reported several days late, and the administrator could not provide a reason for the delay.
Several MDS assessments for multiple residents were either not submitted or were submitted late to CMS, despite being completed on time or remaining incomplete past the required deadlines. The MDS coordinator confirmed the delays and late submissions during interviews, as verified by CMS Submission Reports.
The facility experienced significant staffing shortages from May through July, affecting both day and evening shifts. The Quality of Care Monthly Report highlighted multiple days with insufficient staffing hours, impacting the care of all residents. The administrator acknowledged the challenges and reported efforts to recruit more staff.
A facility failed to develop a diabetes care plan for a resident with diabetes, despite having physician's orders for insulin administration and documented high blood sugar levels. The resident's comprehensive care plan lacked a focus on diabetes management, which was acknowledged as an oversight by the DON and administrator.
A resident with Alzheimer's and muscle wasting received perineal care from two staff members who failed to change gloves or sanitize hands during the process. The staff handled soiled items and touched the resident and bedding with contaminated gloves, violating infection control procedures. The Regional RN confirmed the staff's failure to follow proper protocols.
The facility failed to implement infection control policies in the kitchen and ensure food was distributed in a sanitary manner. A staff member worked while sick, and during meal service, improper handling of utensils and wet serving trays were observed. The Dietary Manager acknowledged these lapses in protocol.
The facility failed to provide sufficient staff, resulting in inadequate care for two residents who did not receive scheduled showers. One resident with psoriasis and malnutrition missed multiple showers, while another with hemiplegia and muscle weakness also missed scheduled showers. Staffing shortages were acknowledged by the DON.
The facility failed to provide scheduled bathing to two residents, one with psoriasis and malnutrition and another with hemiplegia and muscle weakness. Documentation revealed missed showers and refusals, with CNAs citing rushed schedules and staffing issues. The DON confirmed the deficiency.
The facility failed to provide double portions for a resident with moderate protein calorie malnutrition, despite a physician's order. The resident reported feeling hungry, and observations confirmed that double portions were not served. The DON was unaware of the order.
Failure to Ensure and Document Consistent RN Coverage
Penalty
Summary
The facility failed to ensure an RN was present in the facility for at least eight consecutive hours a day, seven days a week, for a census of 55 residents. Review of RN time summary sheets from November 2025 through February 2026 showed that eight consecutive hours of RN coverage were documented only on specific, scattered dates within those months, and not consistently throughout the entire period. The interim DON/corporate RN reported they had been serving as the interim DON since the end of October 2025 and were considered the RN coverage for eight consecutive hours per day Monday through Friday, but acknowledged they did not complete time summary sheets or otherwise document their days and times worked in the facility as RN coverage. The administrator confirmed that the interim DON/corporate RN was considered the facility’s eight-hour-a-day RN coverage but stated they could not provide documentation to support that this required RN coverage was actually provided.
Ongoing Failure to Meet Required Direct Care Staffing Hours Across All Shifts
Penalty
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.
Unsecured Hazardous Chemicals Accessible to Wandering Residents in Memory Care Unit
Penalty
Summary
The facility failed to ensure that hazardous chemicals were secured and inaccessible to residents who wander, particularly in the memory care unit. Surveyors observed three rooms— a clean linen closet, a soiled linen closet, and a whirlpool/shower room— all found unlocked and containing unsecured hazardous chemicals such as disinfectant cleaner, all-purpose cleaner, degreaser, bleach, hand sanitizer, and personal care items labeled to be kept out of reach of children. Keys to these storage areas were found hanging nearby or missing, and staff interviews confirmed that the doors were supposed to be locked but were not, with one LPN noting that a resident had previously taken the key and that keys could not be located. Staff also reported that the cabinet in the shower room had not been locked for approximately one month. A resident with severe cognitive impairment and a diagnosis of dementia was observed wandering and opening the unlocked clean linen closet containing hazardous chemicals. The administrator acknowledged that there was no formal policy regarding chemical storage and assumed it was understood that doors should be locked. The deficiency was identified for 10 of 26 wandering residents in the memory care unit, with 12 rooms in the facility identified as storing hazardous chemicals.
Removal Plan
- Locks on the clean linen room and dirty room have been locked.
- Padlock on the shower cabinet has been replaced.
- Facility has been checked for chemicals.
- Keys to these rooms will be on a separate key chain locked in the Medication Cart.
- In person and telephone in-services were begun on all employees about chemical storage.
- Monitoring will be conducted.
Failure to Timely Report Alleged Abuse to Authorities
Penalty
Summary
The facility failed to ensure that an allegation of abuse, neglect, exploitation, or mistreatment was reported immediately to the Oklahoma State Department of Health (OSDH), as required by regulation. Specifically, an allegation of financial abuse by a family member involving a resident with major depressive disorder, psychotic features, dementia, and behavioral disturbances was not reported to the OSDH within the mandated two-hour timeframe. Documentation showed the incident was reported several days after the initial allegation. The administrator acknowledged that all allegations should be reported within two hours but was unable to explain the delay in this case.
Failure to Timely Transmit MDS Assessment Data
Penalty
Summary
The facility failed to transmit Minimum Data Set (MDS) assessment data to the Centers for Medicare & Medicaid Services (CMS) within the required timeframe for several residents. Specifically, quarterly and annual assessments for three residents were completed but not submitted by the required deadlines, as confirmed by both record review and staff interview. Additionally, one resident's assessment remained incomplete past the due date and was subsequently submitted late. CMS Submission Reports confirmed the late submissions for all affected residents. The MDS coordinator acknowledged the missed deadlines for each case during interviews.
Staffing Shortages Affect Resident Care
Penalty
Summary
The facility failed to maintain sufficient direct care staffing levels from May through July, which had the potential to affect all residents. The Quality of Care Monthly Report documented multiple days where staffing levels were below the required amount. In May, the day shift was short on several days, with shortages ranging from 3.85 to 11.44 hours, and the evening shift was short on three occasions, with shortages ranging from 7.12 to 9.21 hours. In June, the day shift experienced shortages on six days, with the most significant being 25.16 hours short, while the evening shift was short on eight days, with the largest shortage being 15.33 hours. In July, the day shift was short on five days, with the most significant shortage being 19.84 hours, and the evening shift was short on three days, with the largest shortage being 14.14 hours. The administrator acknowledged the staffing challenges and reported ongoing efforts to acquire more staff.
Failure to Develop Diabetes Care Plan
Penalty
Summary
The facility failed to develop a diabetes care plan for a resident with a diagnosis of diabetes. The resident had physician's orders for Novolin R insulin on a sliding scale, with specific instructions for insulin administration based on blood sugar levels. The resident's blood sugar log documented blood sugars above 400 on 14 occasions. Despite these documented instances, the resident's comprehensive care plan did not include a focus on diabetes management. The Director of Nursing (DON) and the administrator acknowledged the absence of a diabetes care plan for the resident, stating it must have been overlooked.
Inadequate Infection Control During Perineal Care
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices during the provision of perineal care to a resident diagnosed with Alzheimer's Disease and muscle wasting and atrophy. During an observation, two staff members, CNA #3 and Employee #1, were seen transferring the resident from a wheelchair to a bed while wearing gloves. They proceeded to provide perineal care without changing their gloves after removing the resident's pants and dirty briefs. Employee #1 cleaned the resident's vaginal and anal areas with the same gloves and then placed a new brief on the resident, touching various parts of the resident's body and rearranging the bedding, including the pillow, with the contaminated gloves. Employee #1 was also observed touching their face with the same gloved hand used for cleaning the resident's perineal area. The staff members did not change their gloves or sanitize their hands during the care process, and there were no spare gloves available in the room. When questioned, CNA #3 admitted to forgetting to bring a trash bag for the dirty items and acknowledged that they had not changed gloves after handling potentially soiled items. Employee #1 also admitted that they should have changed their gloves. RN #2, the Regional RN, confirmed that the staff members should have cleaned their hands before providing care and after handling dirty items, indicating a failure to follow infection control procedures.
Infection Control and Food Sanitation Deficiencies
Penalty
Summary
The facility failed to implement infection control policies in the kitchen and ensure food was distributed in a sanitary manner. An undated facility policy required employees to report symptoms of illness such as diarrhea and vomiting, and to be excluded or restricted from work if symptomatic. On 03/16/24, DA #1 worked while sick and was involved in passing meals to residents until DA #2 arrived to relieve them. Despite the policy, the Dietary Manager (DM) allowed DA #1 to continue working until relief arrived. Cook #2 confirmed that a sick staff member was present in the kitchen and was vomiting, but was eventually sent home after the DM was contacted. During meal service on 04/09/24, Cook #2 was observed touching the rims of glasses and the eating end of silverware with bare hands. Additionally, serving trays were wet, and Cook #1 was seen handling a can of tomato juice and returning to serve meals without changing gloves or washing hands. The DM acknowledged that kitchen staff should not touch eating areas of utensils or glasses, and should not handle dirty items and then serve food without changing gloves. The DM also stated that trays should be air-dried completely before use.
Staffing Deficiency Leading to Inadequate Resident Care
Penalty
Summary
The facility failed to provide a sufficient number of staff to ensure residents received the needed care and services. Resident #2, who had diagnoses including psoriasis, skin changes, and moderate protein calorie malnutrition, required assistance with bathing. Despite being scheduled for showers on specific days, the resident received only four showers out of 13 opportunities in March 2024, with multiple refusals and missing documentation. In April 2024, there was no documentation of the resident receiving a shower on their scheduled days. The resident reported not receiving a requested shower on April 7th, and the shower sheets lacked proper documentation for several days. Resident #4, diagnosed with hemiplegia, hemiparesis, muscle weakness, and lack of coordination, was dependent on assistance for bathing. The resident did not receive showers on their scheduled days in March 2024. Interviews with CNAs revealed that they often had to rush to complete showers and sometimes failed to document them. The facility's daily staffing hours sheets showed that staffing requirements were not met on multiple days in February and March 2024. The Director of Nursing acknowledged the staffing challenges, citing issues with CNAs not showing up for work or leaving the facility.
Failure to Provide Scheduled Bathing to Residents
Penalty
Summary
The facility failed to provide scheduled bathing to two residents, leading to a deficiency in care. Resident #2, who had diagnoses including psoriasis, skin changes, and moderate protein calorie malnutrition, required assistance with bathing. Despite being scheduled for showers on Mondays, Wednesdays, and Fridays, the resident only received four showers out of 13 opportunities in March 2024, with eight refusals documented and no documentation for the remaining days. In April 2024, there was no documentation of the resident receiving a shower on any of the scheduled days up to the 10th, including the day the resident specifically requested a shower. Resident #4, diagnosed with hemiplegia, hemiparesis, muscle weakness, and lack of coordination, was dependent on assistance for bathing. The resident did not receive showers on their scheduled days in March 2024. Interviews with CNAs revealed that showers were often rushed, sometimes not documented, and occasionally not completed due to staffing constraints. The DON confirmed that the showers were not completed as scheduled based on the documentation reviewed.
Failure to Provide Double Portions for Malnourished Resident
Penalty
Summary
The facility failed to ensure double portions were provided for a resident diagnosed with moderate protein calorie malnutrition. Despite a physician's order dated 08/02/23 for a regular diet with double portions, the resident's meal card did not reflect this requirement. On 04/09/24, the resident expressed dissatisfaction with the food quality and reported feeling hungry for a month. Observations during the lunch meal service revealed that the kitchen ran out of taco meat and did not serve double portions to any resident. Cook #1 confirmed that no residents received double portions, and the DON was unaware of the order for double portions for the resident.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Hugo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Elmbrook Of Hugo | 2.6 mi | ★★★★★ | 0 | 0 |
| Antlers Manor | 17.9 mi | ★★★★★ | 0 | 0 |
| Choctaw Nation Nursing Home | 18.7 mi | ★★★★★ | 0 | 0 |
| Stillhouse Rehabilitation And Healthcare Center | 21.4 mi | ★★★★★ | 0 | 0 |
| Avir At Paris | 21.5 mi | ★★★★★ | 5 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release June 2026) and official state health department websites.