ElderGrade
C

63.2/100

Average

Four Seasons Rehabilitation & Care

1212 Four Seasons Drive, Durant, OK 74701

CMS 1/5 stars #3 of 5 in Bryan County (580) 677-9911
Certified beds
122
Occupancy
43%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Nursing staff turnover of 60%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

28.2/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -1.8 for 22 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.88 total nurse hours per resident per day (national median 3.77)
  • 0.29 RN hours per resident per day
  • Weekend staffing drops 14% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 60% of nursing staff left in the last year

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.30 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.29 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.82 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 60.40%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 25 citations

Last standard health inspection: May 15, 2025 (1 year ago).

E May 15, 2025 F0756

Pharmacy Service Deficiencies

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

No actual harm, potential for more than minimal harm

D Sep 19, 2024 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

E Jan 29, 2024 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

E Jan 29, 2024 F0644

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

No actual harm, potential for more than minimal harm

E Jan 29, 2024 F0657

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

E Jan 29, 2024 F0677

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

E Jan 29, 2024 F0690

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

No actual harm, potential for more than minimal harm

E Jan 29, 2024 F0760

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of ELMBROOK MANAGEMENT COMPANY, which operates 11 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
COBLE, TOM Individual DIRECT OWNERSHIP INTEREST
COBLE, TOM Individual CORPORATE OFFICER
LODES, JASON Individual CORPORATE OFFICER
ELMBROOK MANAGEMENT COMPANY, INC. Organization OPERATIONAL/MANAGERIAL CONTROL
CASEY, RAYMOND Individual OPERATIONAL/MANAGERIAL CONTROL
COBLE, TOM Individual OPERATIONAL/MANAGERIAL CONTROL
LODES, JASON Individual OPERATIONAL/MANAGERIAL CONTROL
PLUMB, IMRAN Individual OPERATIONAL/MANAGERIAL CONTROL
ELMBROOK MANAGEMENT COMPANY, INC. Organization ADP OF THE SNF
CASEY, RAYMOND Individual ADP OF THE SNF
COBLE, TOM Individual ADP OF THE SNF
LODES, JASON Individual ADP OF THE SNF

What families say

Write a review

No family reviews yet for Four Seasons Rehabilitation & Care. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Four Seasons Rehabilitation & Care

What is the ElderGrade for Four Seasons Rehabilitation & Care? +

Four Seasons Rehabilitation & Care holds an ElderGrade of C (63.2 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Four Seasons Rehabilitation & Care? +

Residents receive an average of 3.30 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Four Seasons Rehabilitation & Care been cited for harming residents? +

No. None of the 25 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Four Seasons Rehabilitation & Care accept Medicaid? +

Yes, Four Seasons Rehabilitation & Care is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.