Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

BOYCE MANOR NURSING HOME

HOLDENVILLE, OK · 155 certified beds · Last Life Safety survey February 11, 2025

CMS Certification Number 375557 · first certified October 2013

Ownership

Operated by BGM ESTATE · For profit - Limited Liability company

  • Ownership changed December 27, 2020 (change of ownership)from CITY OF HUGO
10
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within OK

10 citations — more than 67% of the 283 certified nursing homes in OK. Compared within OK rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (March 2026 to June 2026). Most OK facilities have been surveyed by October 2026. This facility’s last Life Safety survey was February 2025. Facilities in OK are typically surveyed 14–16 months after the last one (median 15), measured over 277 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 10 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 10 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in OK, and nationally. Surveyors differ markedly between states, so the OK figure is the meaningful one.

This facility10OK median8National median11
Citations on file over three years, compared
MeasureCitations
This facility10
Median facility in OK8
Median facility nationally11

Survey history

Citations at each Life Safety survey
42022-1232023-1232025-02
Citations at each Life Safety survey
Survey dateCitations
December 5, 20224
December 7, 20233
February 11, 20253

Most-cited tags

Most-cited tags at this facility
K-09232K-02931E-00041K-05211K-09121K-03531K-03541K-03441
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0923Have proper medical gas storage and administration areas.22025-02-11
K-0293Have properly located and lighted "Exit" signs.12023-12-07
E-0004Develop and maintain an Emergency Preparedness Program (EP).12022-12-05
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12022-12-05
K-0912Have power receptacles that are properly grounded.12023-12-07
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-12-07
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.12025-02-11
K-0344Have an alternate power supply for its alarm system.12025-02-11

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Smoke Deficiencies 3
  • Services Deficiencies 1
  • Egress Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies3
Smoke Deficiencies3
Services Deficiencies1
Egress Deficiencies1
Miscellaneous Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 11, 2025 — 3 citations

Citations issued on February 11, 2025
TagWhat the surveyor checksStatus
K-0344Have an alternate power supply for its alarm system.Deficient, Provider has date of correction (March 13, 2025)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (March 13, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 13, 2025)

December 7, 2023 — 3 citations

Citations issued on December 7, 2023
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (April 20, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 20, 2024)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (April 20, 2024)

December 5, 2022 — 4 citations

Citations issued on December 5, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (December 23, 2022)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (December 23, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 23, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (December 23, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.