Federal inspection record · CMS data as of October 1, 2026
Homestead of Hugo
1001 Heritage Way, Hugo, OK · (580) 326-7771
- Certified beds
- 124
- Residents per day
- 45
- Ownership
- For-Profit
- Chain
- Bgm Estate
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 17, 2005
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oklahoma.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oklahoma homes
Homestead of Hugo carries 189 inspection points. That is fewer than 4% of Oklahoma's 281 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oklahoma: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–36 pts
- 3★ 36–55 pts
- 2★ 55–95 pts
- 1★ over 95 pts
Bars show every rated home in Oklahoma by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
43 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
L
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Assessment and Care Planning11F
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nursing and Physician Services7F
- 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.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 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.
- D
Post nurse staffing information every day.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Quality of Life and Care6E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 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.
- 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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights3E
- 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.
- 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.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Administration3E
- E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- 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.
- E
Hire a qualified full-time social worker in a facility with more than 120 beds.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service2E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2025-06-10
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-01-08
19 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2023-02-06
16 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 6 min of nursing staff time a day, 3 min of it from a registered nurse.
This home
3 h 6 min
Oklahoma average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 76% of nursing staff and 100% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$33,262 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-02 | Fine | $10,361 |
| 2024-01-08 | Fine | $22,901 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 2.1 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 2.8 | 2.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.5 pts better | 98.8% | 91.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.4 pts better | 96.1% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury6.5 pts worse | 11.3% | 4.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.5 pts better | 0.9% | 3.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts worse | 3.4% | 3.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.8 pts better | 21.2% | 26.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7 pts worse | 24.8% | 17.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened20.2 pts worse | 33.2% | 13.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased27.4 pts worse | 41.0% | 13.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.3% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.5 pts worse | 5.2% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.8 pts better | 10.6% | 16.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts worse | 6.3% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.8 pts better | 92.3% | 76.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.1 pts worse | 18.8% | 15.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.8 pts better | 0.0% | 1.8% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission19.7 pts worse | 46.5% | 26.8% | 23.4% |
·
Who owns and runs it
7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Gilbert Green Family Investments LLC | 5% Or Greater Direct Ownership Interest · Organization | 38% | 3 facilities |
| Bgm Estate LLC | 5% Or Greater Direct Ownership Interest · Organization | 19% | 12 facilities |
| Delores O Mitchell Rvoc Tr | 5% Or Greater Direct Ownership Interest · Organization | 19% | 3 facilities |
| Chance, Gwendolyn | 5% Or Greater Direct Ownership Interest · Individual | 13% | 2 facilities |
| Belt, Miranda | Corporate Officer · Individual | 0% | 11 facilities |
| Chance, Gwendolyn | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Pitts, Jaci | Corporate Officer · Individual | 0% | 11 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3E
- 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.
- E
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems1F
- F
Have power receptacles that are properly grounded.
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Other homes nearby
-
Elmbrook Of Hugo
Hugo, OK · Elmbrook Management Company · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 25 min
- Fines
- $29,580
-
Antlers Manor
Antlers, OK · Bgm Estate
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 59 min
- Fines
- $13,070
-
Choctaw Nation Nursing Home
Antlers, OK · Bgm Estate
★★★★★- Worst citation, 3 yrs
- H
- Nursing / resident / day
- 3 h
- Fines
- $38,532