Hugo, OK

Homestead of Hugo

1-star overall rating with 1-star inspections with $38,841 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1001 Heritage Way, Hugo, OK

(580) 326-7771

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

124

Certified beds

Average residents

53

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Bgm Estate

Operator or chain grouping

Approved since

2005-11-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

15 facilities

Chain averages 2 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.42

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

0.60

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.56

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

3.58

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

1.02

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

2.99

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.35

Weekend registered nurse coverage · state 0.29 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.55

CMS adjusted RN staffing hours

Adjusted total hours

4.70

CMS adjusted total nurse staffing hours

Case-mix index

1.04

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

50%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,654

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

29.13

Composite VBP score used to determine payment impact.

Payment multiplier

0.9853

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.02

Baseline 21.36% · Performance 20.96% · Measure score 1.02 · Achievement 1.02 · Improvement 0.41

Healthcare-associated infections

5.95

Baseline 10.76% · Performance 7.05% · Measure score 5.95 · Achievement 2.64 · Improvement 5.95

Total nurse turnover

2.23

Baseline 46.43% · Performance 54.55% · Measure score 2.23 · Achievement 2.23 · Improvement 0

Adjusted total nurse staffing

2.46

Baseline 3.29 hours · Performance 3.78 hours · Measure score 2.46 · Achievement 2.46 · Improvement 1.45

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.79%
10.72%
0.1 pts worse
No Different than the National Rate · Eligible stays 65 · Observed rate 10.77% · Lower 95% interval 7.1%
Discharge to community 37.02%
50.57%
13.5 pts worse
Worse than the National Rate · Eligible stays 53 · Observed rate 28.3% · Lower 95% interval 26.98%
Medicare spending per beneficiary 1.51
1.02
0.5 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 55 · Denominator 55
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 55
Discharge self-care score 74.19%
53.69%
20.5 pts better
Numerator 23 · Denominator 31
Discharge mobility score 54.84%
50.94%
3.9 pts better
Numerator 17 · Denominator 31
Pressure ulcers or injuries, new or worsened 3.64%
2.29%
1.4 pts worse
Numerator 2 · Denominator 55 · Adjusted rate 3.43%
Healthcare-associated infections requiring hospitalization 7.05%
7.12%
0.1 pts better
No Different than the National Rate · Eligible stays 34 · Observed rate 5.88% · Lower 95% interval 3.5%
Staff COVID-19 vaccination coverage 67.31%
8.2%
59.1 pts better
Numerator 35 · Denominator 52
Staff flu vaccination coverage 0%
42%
42 pts worse
Numerator 0 · Denominator 98
Discharge function score 64.52%
56.45%
8.1 pts better
Numerator 20 · Denominator 31
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 22 · Denominator 22
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 6.25%
25.2%
18.9 pts worse
Numerator 2 · Denominator 32

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.3
2.3
1 pts worse
1.9
1.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.6 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 3.7
2.9
0.8 pts worse
1.8
1.9 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 3.2 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.5%
90.3%
8.2 pts better
93.4%
5.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 95.9% · Q2 98.1% · Q3 100.0% · Q4 100.0% · 4Q avg 98.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.6%
5.4 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 7.3%
4.5%
2.8 pts worse
3.3%
4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 7.7% · Q3 9.4% · Q4 9.6% · 4Q avg 7.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
3.3%
3.3 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 2.6%
3.6%
1 pts better
5.4%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 2.2% · Q3 2.0% · Q4 2.0% · 4Q avg 2.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.1%
25.3%
8.2 pts better
19.6%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 16.3% · Q3 13.5% · Q4 15.7% · 4Q avg 17.1%
Percentage of long-stay residents who received an antipsychotic medication 24.0%
18.6%
5.4 pts worse
16.7%
7.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 20.9% · Q3 28.9% · Q4 22.5% · 4Q avg 24.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 35.9%
15.5%
20.4 pts worse
16.3%
19.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q3 24.1% · Q4 32.8% · 4Q avg 35.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 33.5%
14.1%
19.4 pts worse
14.9%
18.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 32.6% · Q2 39.6% · Q3 18.0% · Q4 44.0% · 4Q avg 33.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.3%
2.1%
0.8 pts better
1.0%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.8% · Q3 1.6% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.0%
2.8%
0.2 pts worse
1.7%
1.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.9% · Q4 5.9% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.2%
17.8%
4.6 pts better
19.8%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 16.0% · Q3 18.0% · Q4 5.1% · 4Q avg 13.2%
Percentage of long-stay residents with pressure ulcers 7.6%
5.1%
2.5 pts worse
5.1%
2.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 7.5% · Q3 14.5% · Q4 4.7% · 4Q avg 7.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.5%
75.0%
22.5 pts better
81.7%
15.8 pts better
Short Stay · 2024Q4-2025Q3 · Q2 100.0% · 4Q avg 97.5%
Percentage of short-stay residents who had an outpatient emergency department visit 21.4%
17.1%
4.3 pts worse
12.0%
9.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 21.4% · Observed 23.7% · Expected 12.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.9%
1.9 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
74.0%
26 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 45.2%
27.0%
18.2 pts worse
23.9%
21.3 pts worse
Short Stay · 20240701-20250630 · Adjusted 45.2% · Observed 44.7% · Expected 23.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-10 · Fire 2025-06-10

6 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-01-08 · Fire 2024-01-08

26 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2023-02-06 · Fire 2023-02-06

12 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-10

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2025-07-09

E · Potential for more than minimal harm 2025-06-10

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-07-09

D · Potential for more than minimal harm 2025-06-10

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2025-07-09

F · Potential for more than minimal harm 2024-01-08

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-05-20

E · Potential for more than minimal harm 2024-01-08

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2024-05-20

F · Potential for more than minimal harm 2023-02-06

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-03-10

Inspection history

Recent health citations

J · Immediate jeopardy 2025-12-02

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-12-17

D · Potential for more than minimal harm 2025-12-02

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-12-17

E · Potential for more than minimal harm 2025-06-10

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2025-06-28

E · Potential for more than minimal harm 2025-06-10

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-06-28

D · Potential for more than minimal harm 2025-06-10

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2025-06-28

D · Potential for more than minimal harm 2025-06-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-06-28

F · Potential for more than minimal harm 2024-08-15

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-08-28

D · Potential for more than minimal harm 2024-08-15

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-08-28

D · Potential for more than minimal harm 2024-05-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-04-10

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-08

E · Potential for more than minimal harm 2024-04-10

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-05-08

D · Potential for more than minimal harm 2024-04-10

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-05-08

D · Potential for more than minimal harm 2024-04-10

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-05-08

L · Immediate jeopardy 2024-01-08

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-08

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-08

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-02-07

E · Potential for more than minimal harm 2024-01-08

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2024-02-07

E · Potential for more than minimal harm 2024-01-08

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-02-07

E · Potential for more than minimal harm 2024-01-08

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-02-07

E · Potential for more than minimal harm 2024-01-08

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-02-07

E · Potential for more than minimal harm 2024-01-08

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-02-07

E · Potential for more than minimal harm 2024-01-08

F801 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2024-02-07

E · Potential for more than minimal harm 2024-01-08

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-02-07

E · Potential for more than minimal harm 2024-01-08

F838 · Administration Deficiencies

Health

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.

Corrected 2024-02-07

E · Potential for more than minimal harm 2024-01-08

F850 · Administration Deficiencies

Health

Hire a qualified full-time social worker in a facility with more than 120 beds.

Corrected 2024-02-07

E · Potential for more than minimal harm 2024-01-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-07

D · Potential for more than minimal harm 2024-01-08

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2024-02-07

D · Potential for more than minimal harm 2024-01-08

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-02-07

D · Potential for more than minimal harm 2024-01-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-02-07

D · Potential for more than minimal harm 2024-01-08

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-02-07

D · Potential for more than minimal harm 2024-01-08

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-02-07

D · Potential for more than minimal harm 2024-01-08

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2024-02-07

D · Potential for more than minimal harm 2023-11-16

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-11-16

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-12-08

E · Potential for more than minimal harm 2023-05-31

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2023-06-30

J · Immediate jeopardy 2023-05-03

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-05-16

E · Potential for more than minimal harm 2023-05-03

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-05-16

J · Immediate jeopardy 2023-02-06

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-03-10

E · Potential for more than minimal harm 2023-02-06

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-05-16

E · Potential for more than minimal harm 2023-02-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-03-10

E · Potential for more than minimal harm 2023-02-06

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-05-16

E · Potential for more than minimal harm 2023-02-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-03-10

D · Potential for more than minimal harm 2023-02-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-03-10

D · Potential for more than minimal harm 2023-02-06

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-03-10

Penalties and ownership

What sits behind the stars

$15,940 2025-12-02

Fine

Fine · fine $15,940

Fine

$22,901 2024-01-08

Fine

Fine · fine $22,901

Fine

Ownership

Gilbert Green Family Investments LLC

5% Or Greater Direct Ownership Interest · Organization

38% 3 facilities 2011-09-18
Bgm Estate LLC

5% Or Greater Direct Ownership Interest · Organization

19% 12 facilities 2020-12-28
Delores O Mitchell Rvoc Tr

5% Or Greater Direct Ownership Interest · Organization

19% 3 facilities 2020-12-20
Chance, Gwendolyn

5% Or Greater Direct Ownership Interest · Individual

13% 2 facilities 2020-12-28
Belt, Miranda

Corporate Officer · Individual

0% 11 facilities 2024-12-09
Chance, Gwendolyn

Operational/Managerial Control · Individual

0% 2 facilities 2020-12-28
Pitts, Jaci

Corporate Officer · Individual

0% 11 facilities 2024-12-09

Nearby options

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Elmbrook Of Hugo

Hugo, OK

2-star overall rating with 2-star inspections with abuse icon flag with $49,641 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
4 / 5
Fines
$49,641
#2

Antlers Manor

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4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

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#3

Choctaw Nation Nursing Home

Antlers, OK

1-star overall rating with 1-star inspections with $38,532 in total fines with 22 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
2 / 5
Fines
$38,532

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