Choctaw County, Oklahoma · Nursing home
Homestead of Hugo
1 of 5 overall from CMS
1001 Heritage Way, Hugo, OK 74743
At a glance
- Overall rating 1 of 5 Below the state average of 2.7
- Nurse time per resident, per day 2.91 hours Below the state average of 3.79
- Nursing staff who left in a year 70.9% Above the state average of 55.5%
- Health citations, last 3 inspection cycles 43 3 at the harm level or above
- Fines in 3 years $33,262 2 fines
- Certified beds in use 38.1% of 124 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Homestead of Hugo is a 124-bed nursing home in Hugo, Oklahoma (Choctaw County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 2.91 nurse staffing hours per resident per day, below the Oklahoma average of 3.79. CMS lists 2 fines totaling $33,262 in the past three years.
- Certified beds
- 124
- Residents per day (average)
- 47.2
- Certified since
- 2005 (21 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Bgm Estate (15 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Homestead of Hugo
Chosen from this home's public data.
- CMS lists 2 fines totaling $33,262 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 8 health deficiencies in the latest inspection cycle (the standard inspection on Jun 10, 2025 plus complaint and infection-control inspections); the Oklahoma average is 6.4. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 70.9%, above the Oklahoma average of 55.5%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Oklahoma average 2.7
- Health inspections 1 of 5 Oklahoma average 2.8
- Staffing 1 of 5 Oklahoma average 2.6
- Quality measures 1 of 5 Oklahoma average 2.8
The vertical line marks the Oklahoma average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 2.91 h Oklahoma average 3.79
- Nurse aides 1.81 h Oklahoma average 2.54
- Licensed practical nurses 0.96 h Oklahoma average 0.92
- Registered nurses 0.14 h Oklahoma average 0.34
- All staff, weekends 2.60 h Oklahoma average 3.44
How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the Oklahoma average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover70.9%
- Oklahoma average55.5%
- Registered nurse turnover80.0%
- Oklahoma average53.6%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Oklahoma and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Oklahoma | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 33.7% | 13.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 2.5% | 3.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% | 1.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 6.7% | 2.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 3.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 11.2% | 4.7% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% | 91.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 29.9% | 13.7% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.5% | 25.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 94.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 8.3% | 4.7% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.7% | 17.1% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 23.8% | 17.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.65 | 2.31 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.93 | 2.96 | 1.78 |
Short-stay residents
| Measure | This home | Oklahoma | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.4% | 75.8% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.8% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% | 74.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 41.0% | 27.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 21.2% | 16.6% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 43 health deficiencies in the three most recent inspection cycles. Of these, 3 were at the immediate jeopardy level; the rest were graded as no actual harm. 14 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Dec 2, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jun 10, 2025 | 8 | 3 |
| Jan 8, 2024 | 19 | 2 |
| Feb 6, 2023 | 16 | 1 |
Oklahoma homes averaged 6.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (43)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Apr 19, 2026)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Apr 19, 2026)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 17, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 17, 2025)
-
EPotential for more than minimal harm, pattern
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 28, 2025)
Show 25 more
-
EPotential for more than minimal harm, pattern
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 28, 2025)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Jun 28, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 28, 2025)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Aug 28, 2024)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 28, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Jun 7, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (May 8, 2024)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (May 8, 2024)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 8, 2024)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 8, 2024)
-
LImmediate jeopardy, widespread
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 7, 2024)
-
FPotential for more than minimal harm, widespread
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 7, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 7, 2024)
-
EPotential for more than minimal harm, pattern
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 7, 2024)
-
EPotential for more than minimal harm, pattern
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 7, 2024)
-
EPotential for more than minimal harm, pattern
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.
Nursing and Physician Services · Deficient, Provider has date of correction (Feb 7, 2024)
-
EPotential for more than minimal harm, pattern
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Feb 7, 2024)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Feb 7, 2024)
-
EPotential for more than minimal harm, pattern
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 7, 2024)
-
EPotential for more than minimal harm, pattern
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · Deficient, Provider has date of correction (Feb 7, 2024)
-
EPotential for more than minimal harm, pattern
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.
Administration · Deficient, Provider has date of correction (Feb 7, 2024)
-
EPotential for more than minimal harm, pattern
Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration · Deficient, Provider has date of correction (Feb 7, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 7, 2024)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Feb 7, 2024)
-
DPotential for more than minimal harm, isolated
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 7, 2024)
Showing the 30 most recent of 43.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Dec 2, 2025 | Fine | $10,361 |
| Jan 8, 2024 | Fine | $22,901 |
Oklahoma homes averaged 0.9 fines and $18,268 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Oklahoma
- Size52 of 283 by certified beds
- Oklahoma average residents per day61.2
- ChainBgm Estate
- Chain average overall rating1.9 of 5
- Resident or family councilResident
- Homes in Choctaw County2
Common questions
What is the CMS star rating for Homestead of Hugo?
Homestead of Hugo has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 1.
How many beds does Homestead of Hugo have?
Homestead of Hugo has 124 certified beds. It averages 47.2 residents per day, about 38.1% of its certified beds.
How much nursing care do residents get at Homestead of Hugo?
The home reports 2.91 hours of nurse staffing per resident per day, including 0.14 hours from registered nurses. The Oklahoma average is 3.79 hours and 0.34 hours from registered nurses.
Has Homestead of Hugo been fined?
Yes. CMS lists 2 fines totaling $33,262 in the past three years.
Does Homestead of Hugo accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Elmbrook of Hugo 100beds 55.4%in use 3.50nurse hours a day
- 1 of 5 Antlers Manor 133beds 26.8%in use 2.87nurse hours a day
- 1 of 5 Choctaw Nation Nursing Home 72beds 34.6%in use 3.07nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Choctaw County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 375492. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.