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No fines or payment denials in the published 3-year window.
1212 Four Seasons Drive, Durant, OK 74701 (opens Google Maps) · Bryan County · (580) 677-9911· 122 certified beds · avg 53 residents/day · certified since Sep 1, 1995 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: ELMBROOK MANAGEMENT COMPANY (11 facilities, chain avg rating 3.4★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 1/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Showing the latest 3 of 25 inspection findings. Open the full record below to read every finding.
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. F-0756
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 F-0607
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 15, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0756 |
| Sep 19, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0607 |
| Jan 29, 2024 | E · Potential for more than minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Jan 29, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0644 |
| Jan 29, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0657 |
| Jan 29, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0677 |
| Jan 29, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0690 |
| Jan 29, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0760 |
| Jan 29, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0803 |
| Jan 29, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Jan 29, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0582 |
| Jan 29, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0610 |
| Jan 29, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0637 |
| Jan 29, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0655 |
| Jan 29, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Jan 29, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jan 29, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Jan 29, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide timely, quality laboratory tests to meet residents' needs. · F-0770 |
| Jan 29, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0909 |
| Oct 11, 2023 | E · Potential for more than minimal harm, pattern | The facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583 |
| Oct 11, 2023 | E · Potential for more than minimal harm, pattern | 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 · F-0677 |
| Oct 11, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692 |
| Oct 28, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0657 |
| Oct 28, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Oct 28, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
Citations from standard inspections decreased between the last two inspection cycles (17 → 1).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | E |
| 2023 | 3 | 0 | E |
| 2024 | 18 | 0 | E |
| 2025 | 1 | 0 | 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.30 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Four Seasons Rehabilitation & Care. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 13 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Elmbrook Management Company — 11 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 10 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 375238.
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