Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
ELMBROOK OF HUGO
HUGO, OK · 100 certified beds · Last Life Safety survey May 6, 2025
CMS Certification Number 375390 · first certified November 2000
Ownership
Operated by ELMBROOK MANAGEMENT COMPANY · For profit - Individual
- Ownership changed September 1, 2022 (change of ownership)from BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA, INC
Position within OK
8 citations — more than 47% 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
The latest survey found 2 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Past the typical window (June 2026 to September 2026). Most OK facilities have been surveyed by January 2027. This facility’s last Life Safety survey was May 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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How that compares
Compared with the median facility in OK, and nationally. Surveyors differ markedly between states, so the OK figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 8 |
| Median facility in OK | 8 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| July 15, 2022 | 6 |
| December 7, 2023 | 0 |
| May 6, 2025 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | 1 | 2022-07-15 |
| K-0293 | Have properly located and lighted "Exit" signs. | 1 | 2025-05-06 |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 1 | 2022-07-15 |
| K-0300 | Meet other general requirements that are deficient. | 1 | 2022-07-15 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2025-05-06 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2022-07-15 |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 1 | 2022-07-15 |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | 1 | 2022-07-15 |
What the citations cover
- Smoke Deficiencies 3
- Egress Deficiencies 3
- Gas, Vacuum, and Electrical Systems Deficiencies 1
- Services Deficiencies 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 3 |
| Egress Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
May 6, 2025 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (June 19, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (June 19, 2025) |
July 15, 2022 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (August 24, 2022) |
| K-0300 | Meet other general requirements that are deficient. | Deficient, Provider has date of correction (August 26, 2022) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (August 24, 2022) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (August 24, 2022) |
| K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Deficient, Provider has date of correction (August 24, 2022) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has date of correction (August 24, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.