Four Seasons Rehabilitation & Care

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

43.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 40 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 41.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 29 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 122 beds and averages 52.9 residents a day — about 43% occupied, or roughly 69 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.30 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.29 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.33 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.82 hrs/resident/day on weekends vs 3.49 on weekdays — 19% thinner on weekends. RN hours go from 0.32 to 0.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

• Potential for harm · Ecited before2025-05-15 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure the physician responded to monthly medication regimen reviews (MMR) for 3 (#4, 5 and #21) of 5 sampled residents reviewed for unnecessary medications. The administrator identified 42 residents who resided in the facility. Findings: A Medication Monitoring policy, dated 10/01/18, read in parts, For non-Urgent recommendations, the Facility and Attending Physician must address the recommendation(s) in a timely manner that meets the needs of the resident- but no later than their next routine visit to assess the resident- and the Attending Physician should document in the medical record .If the Attending Physician fails to address a recommendation or document a rationale for rejecting a recommendation: The DON, Medical Director or designee should review the incomplete documentation with the Attending Physician. 1. An undated face sheet showed Res #4 had diagnoses which included major depressive disorder and insomnia. A physician order, dated 01/16/23, showed to administer temazepam (hypnotic) 15 mg at bedtime for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-19 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to implement their abuse policy for one (#1) of four residents reviewed for allegations of abuse. The administrator identified four allegations of abuse in the last six months. Findings: The facility policy titled Abuse Investigation and Reporting documented in parts .The Administrator will suspend immediately any employee who has been accused of resident abuse, pending the outcome of the investigation . Resident #1 had diagnoses which included muscle weakness, altered mental status, and anxiety. An incident report, dated 08/06/24, documented an allegation of abuse. The report documented an employee inappropriately touched themselves in the resident's room. The report documented the employee was immediately suspended pending the investigation. An employee timecard, dated 08/06/24, documented CNA #1 clocked in at 2:49 p.m., clocked out at 4:49 p.m., clocked back in at 5:22 p.m., and clocked out again at 11:10 p.m. On 09/19/24 at 11:19 a.m., the administrator reviewed CNA #1's timecard. The administrator stated the timecard had…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-01-29 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure MDS assessment accurately reflected the residents' status related to a GDR which was clinically contraindicated for one (#16) of five residents whose medications were reviewed. The administrator identified 44 residents who resided in the facility. Findings: Res #16 had diagnoses which included schizoaffective disorder, major depressive disorder, and anxiety disorder. A MRR, dated 12/13/23, documented the resident received Risperdal 0.5 mg twice a day for schizoaffective disorder. The MRR documented a request for a GDR. The physician signed the MRR on 01/02/24 and documented the resident was stable at present and did not want a reduction. A quarterly assessment, dated 01/09/24, documented the resident was moderately impaired with cognition and required setup or clean up assistance to partial assistance with ADLS. The assessment documented the resident received an antipsychotic, an antidepressant, and an antianxiety medication. The assessment documented antipsychotic's were received on a routine basis only and a GDR…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-01-29 · tag F0644 — pattern
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure OHCA was contacted when residents had serious mental illnesses for two (#11 and #29) of two residents reviewed for PASRR assessments. The DON identified 44 residents resided in the facility. Findings: 1. Res #11 was admitted to the facility on [DATE] and had diagnoses which included major depressive disorder. A PASRR level I, dated 04/04/18 did document the resident had diagnosis of serious mental illness. On 08/13/21, the physician diagnosed the resident with schizoaffective disorder. On 01/25/24 at 10:29 a.m., the MDS coordinator stated that the OHCA was not notified of the new diagnosis of schizoaffective disorder. 2. Res #29 was admitted to the facility on [DATE] and had diagnoses which included anxiety disorder and recurrent depressive disorder. A PASRR level I, dated 09/11/18 did document the resident had diagnosis of serious mental illness. On 08/17/21, the physician diagnosed the resident with schizoaffective disorder. On 01/25/24 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-01-29 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interview, the facility failed to update a comprehensive care plan for three (#8, 11, and #29) of three sampled residents reviewed for revision of care plans. The facility failed to update care plans related to: a. pressure ulcers for Res #8, b. bed rails and low air mattress for Res #11, and c. schizoaffective disorder for Res #29. The administrator identified 44 residents who resided at the facility. Findings 1. Resident #8 was admitted on [DATE] with diagnoses of multiple sclerosis, overactive bladder, chronic pain, chronic kidney disease, and diabetes mellitus type II. A revised care plan, dated 09/18/23, documented skin was intact and without evidence of redness, irritation, maceration, or open areas. The care plan also documented the resident was at risk for pressure ulcers. A significant change assessment, dated 12/11/23, documented the resident was moderately impaired with cognition and required extensive assistance with most ADLs. The assessment also documented the resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-01-29 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure a resident received the necessary services to maintain their scheduled baths for one (#16) of one sampled residents for assistance with bathing. The administrator identified 44 residents who resided in the facility. Findings: Res #16 had diagnoses which included myotonic muscular dystrophy, lack of coordination, muscle weakness, schizoaffective disorder, and major depressive disorder. A physician order, dated 03/25/22, documented nail care to be provided on bath days Monday, Wednesdays, and Fridays on the three to eleven shift. A care plan, last revised on 10/09/23, documented the resident required the assistance of one for bathing. A quarterly assessment, dated 01/09/24, documented the resident was moderately impaired with cognition and required setup or clean up assistance to partial assistance with most ADLs. The assessment documented the resident required substantial to maximal assistance with bathing. The resident was scheduled for thirteen baths in December 2023. The bathing sheets were reviewed and documented…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-01-29 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to maintain proper catheter bag placement to prevent urine back flow for one (#2) of one resident who was reviewed for catheters. The DON identified five residents who had catheters. Findings: The form titled Catheter Care, Urinary documented .The purpose of this procedure is to prevent urinary catheter-associated complications, including urinary tract infections .Position the drainage bag lower than the bladder at all times to prevent urine from flowing back into the urinary bladder . The resident was admitted with diagnoses which included retention of urine, urinary incontinence, and history of urinary tract infections. The care plan, dated 08/21/23, documented the resident had a catheter and was at risk for infections. The goal was for the resident to remain free from infection times 90 days. The approach was to maintain the catheter tubing below the level of the bladder. The quarterly assessment, dated 11/07/23, documented the resident was moderately impaired cognitively and required maximum assistance with…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-01-29 · tag F0760 — failed to prevent significant medication errors — pattern
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure significant medication errors did not occur for one (#16) of five residents whose medications were reviewed. The administrator identified 44 residents who resided in the facility. Findings: Res #16 had diagnoses which included type two diabetes mellitus with hyperglycemia, myotonic muscular dystrophy, schizoaffective disorder, and major depressive disorder. A physician order, dated 12/07/21, documented Levemir insulin administer 15 units subcutaneous at bedtime for diabetes mellitus with hyperglycemia. A care plan, last revised 10/09/23, documented the resident was a diabetic and to administer insulin as directed. The care plan documented the staff wound monitor for signs and symptoms of hyperglycemia. The care plan documented the staff would notify the physician of a FSBS less than 60 or greater than 400. A physician order, dated 12/14/23 Novolin R FlexPen (insulin regular human) insulin pen administer five units subcutaneous with meals for diabetes mellitus with other diabetic ophthalmic complication at 6:00 a.m.,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-01-29 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to follow the menu and make changes changes with the dietitian approval for the residents. The dietary manager identified 41 residents received meals prepared by the kitchen. Findings: A policy titled Menu Substitutions documented, .menu will be served as written unless an emergency situation arises .If a specific item is not available, the cook will consult with the Nutrition & Foodservice Manager or consultant RDN/NDTR regarding an appropriate substitution .substitutions will be made in accordance with the Menu Substitution Guide .The dietitian will initial off the Menu Substitution Form after review . On 01/23/24 at 10:30 a.m., the DM stated the menu documented roast beef for the lunch menu, but was rejected by the food purchase company and they substituted pork roast. The DM stated substitutions happened a lot and they would not know until the food order arrived. The DM stated they were unsure who approved the substitutions from the original order, but it as always been that way. On 01/23/24 at 10:31 a m., dietary cook #1…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-01-29 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to store and distribute food in a sanitary manner for the residents. The dietary manager identified 41 residents who received meals from the kitchen and three residents who received nutrition via tube feeding. Findings: The Ice Machines and Ice Storage Chests policy documented .To help prevent contamination of ice machines .a. Limit access to ice machine or ice storage chests/containers to employees only; g. Maintenance department will disassemble the ice machine for deep cleaning monthly or as indicated per manufacture instructions; h. Dietary department will perform weekly sanitizing of the ice bin . On 01/23/24 at 10:15 a.m., a tour of the kitchen was completed. The ice machine located in the resident dining room was unlocked, dirt was observed on the inside and around the outside of the door. Where the ice falls to the ice bin, there was a pink slim when checked. On 01/23/24 at 10:16 a.m., the DM observed the ice machine. The DM stated the ice machine should have been locked and the ice machine was cleaned…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ELMBROOK MANAGEMENT COMPANY — 11 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 13 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 87% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $870K paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OK