Four Seasons Rehabilitation & Care

Name: Four Seasons Rehabilitation & Care
Address: 1212 FOUR SEASONS DRIVE, Durant, OK, 74701, US
Telephone: 5806779911

1212 Four Seasons Drive, Durant, OK 74701 · Bryan County · 122 certified beds · avg 53 residents/day · certified since Sep 1, 1995

Part of chain: ELMBROOK MANAGEMENT COMPANY (11 facilities, chain avg rating 3.4★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.88

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (25)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 15, 2025	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Sep 19, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Jan 29, 2024	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 29, 2024	E · Potential for harm, repeated	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Jan 29, 2024	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 29, 2024	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jan 29, 2024	E · Potential for harm, repeated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jan 29, 2024	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jan 29, 2024	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Jan 29, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 29, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Jan 29, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Jan 29, 2024	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jan 29, 2024	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Jan 29, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 29, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 29, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jan 29, 2024	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Jan 29, 2024	D · Potential for harm, one-off	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.
Oct 11, 2023	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Oct 11, 2023	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Oct 11, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Oct 28, 2022	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Oct 28, 2022	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Oct 28, 2022	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (17 → 1).

Year	Citations	Worst severity that year
2022	3	E
2023	3	E
2024	18	E
2025	1	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Oklahoma avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.88	4.58	3.95	bottom 14% in Oklahoma; top 45% in the U.S.
Registered Nurse hours	0.34	0.41	0.69	bottom 40% in Oklahoma; bottom 14% in the U.S.
Weekend total nurse staffing	3.32	4.16	3.50	bottom 10% in Oklahoma; bottom 48% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.20	0.28	0.48	bottom 34% in Oklahoma; bottom 13% in the U.S.
Total nursing staff turnover (%)	60.4	55.5	45.8	bottom 33% in Oklahoma; bottom 16% in the U.S.
RN turnover (%)	66.7	53.6	42.9	bottom 35% in Oklahoma; bottom 15% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.30, RN 0.29, weekend 2.82. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Coble, Tom	Individual	Direct Ownership Interest	NOT APPLICABLE	02/26/2021
Casey, Raymond	Individual	Operational/Managerial Control	NOT APPLICABLE	09/27/2024
Casey, Raymond	Individual	ADP of the SNF	NOT APPLICABLE	09/27/2024
Coble, Tom	Individual	Corporate Officer	NOT APPLICABLE	02/26/2021
Coble, Tom	Individual	Operational/Managerial Control	NOT APPLICABLE	02/26/2021
Coble, Tom	Individual	ADP of the SNF	NOT APPLICABLE	02/26/2021
Elmbrook Management Company, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	02/26/2020
Elmbrook Management Company, INC.	Organization	ADP of the SNF	NOT APPLICABLE	12/30/2025
Lodes, Jason	Individual	Corporate Officer	NOT APPLICABLE	03/06/2023
Lodes, Jason	Individual	Operational/Managerial Control	NOT APPLICABLE	03/06/2023
Lodes, Jason	Individual	ADP of the SNF	NOT APPLICABLE	03/06/2023
Plumb, Imran	Individual	Operational/Managerial Control	NOT APPLICABLE	09/18/2023
Plumb, Imran	Individual	ADP of the SNF	NOT APPLICABLE	09/18/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Oakridge Nursing Center	0.2 mi	Durant, OK	★★☆☆☆	3/5
The King's Daughters & Sons Nursing Home	2.4 mi	Durant, OK	★★★★☆	3/5
Calera Manor	11.1 mi	Calera, OK	★★☆☆☆	3/5
Southern Pointe Living Center	12.9 mi	Colbert, OK	★☆☆☆☆	2/5
The Homestead of Denison	19.0 mi	Denison, TX	★★★☆☆	3/5
Avir at Memorial	19.3 mi	Denison, TX	★☆☆☆☆	2/5
Family Care Center of Kingston	19.6 mi	Kingston, OK	★★★☆☆	4/5

Compare this facility with the 3 closest →

All facilities in Durant →

Facility data as of CMS processing date 2026-08-01. CCN 375238.

The Care File

Visit checklist — Four Seasons Rehabilitation & Care

1212 Four Seasons Drive, Durant, OK 74701 · 5806779911

Health inspection rating 3/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 375238 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)