nursing home in Forman, ND
Four Seasons Health Care INC
483 4th St SW, Forman, ND 58032 · (701) 724-6211
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Four Seasons Health Care INC at a glance
Four Seasons Health Care INC is a 25-bed non-profit nursing home in Forman, North Dakota (Sargent County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the North Dakota average of 3.2.
Its most recent standard health inspection (February 19, 2026) found 9 health citations. The North Dakota average is 5.6.
Federal regulators fined it 2 times in the past three years, totaling $107,746.
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 25
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- May 1, 1991
- Resident/family council
- Resident
- County
- Sargent County
- CMS Certification Number
- 355103
Ratings
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 4.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 2.8 / 5 | 3.8 / 5 | Average |
Inspections
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 6 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 72 | 54.1 | 80.6 | Better |
Penalties
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $107,746 | $27,629 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 25 | 68 | 107 | |
| Average residents per day | 23 | 63 | 86 | |
| Occupancy | 93.2% | 91.9% | 80.9% |
Long-stay residents
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.3% | 5.1% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 0% | 4.9% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 53.5% | 22.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.4% | 2.6% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.2% | 1.6% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 19.5% | 19.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 20.3% | 17.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 0% | 5.8% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.1% | 4.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 14.3% | 17.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 26.4% | 24.9% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96.4% | 98.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.8% | 98.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 83.3% | 92.3% | 82% | Average |
Inspection citations
State inspectors cited this home for 28 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 19, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected June 22, 2026 |
| May 19, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 22, 2026 |
| February 19, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected March 6, 2026 |
| February 19, 2026 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected March 25, 2026 |
| February 19, 2026 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected March 25, 2026 |
| February 19, 2026 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | F Potential harm, widespread | Corrected April 6, 2026 |
| February 19, 2026 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected April 13, 2026 |
| February 19, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 6, 2026 |
| February 19, 2026 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected April 6, 2026 |
| February 19, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 6, 2026 |
| December 29, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 28, 2026 |
| September 24, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected September 25, 2025 |
| October 30, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected December 12, 2024 |
| October 30, 2024 Complaint | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | F Potential harm, widespread | Corrected December 12, 2024 |
| October 30, 2024 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected January 14, 2025 |
| October 30, 2024 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected December 12, 2024 |
| October 30, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected December 12, 2024 |
| October 30, 2024 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected December 12, 2024 |
| October 30, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 14, 2025 |
| October 30, 2024 Complaint | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected December 12, 2024 |
| October 30, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected December 12, 2024 |
| October 30, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected December 12, 2024 |
| October 30, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected December 12, 2024 |
| October 30, 2024 Complaint | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected December 12, 2024 |
| October 30, 2024 Complaint | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected December 12, 2024 |
| October 30, 2024 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected December 12, 2024 |
| November 8, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected November 21, 2023 |
| November 8, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected December 6, 2023 |
| November 8, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected December 13, 2023 |
| November 8, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected December 13, 2023 |
| November 8, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected December 13, 2023 |
| November 8, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected December 19, 2023 |
| November 8, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 13, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $107,746 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 30, 2024 | Fine | $78,309 |
| November 8, 2023 | Fine | $29,437 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ELLEFSON, PATTY Individual | corporate officer | NOT APPLICABLE | 07/01/2014 |
| JOHNSON, DEBORAH Individual | corporate officer | NOT APPLICABLE | 07/01/2014 |
| MARTINSON, DAVID Individual | corporate officer | NOT APPLICABLE | 07/01/2014 |
| MCLEAN, STEVEN Individual | corporate officer | NOT APPLICABLE | 07/01/2014 |
| ROCKSWOLD, JASON Individual | corporate officer | NOT APPLICABLE | 07/01/2014 |
| SCHLECHT, NATHAN Individual | corporate officer | NOT APPLICABLE | 07/01/2014 |
| WOYTASSEK, MARY KAY Individual | corporate officer | NOT APPLICABLE | 07/01/2014 |
| KLEINGARTNER, ANDREA Individual | w-2 managing employee | NOT APPLICABLE | 12/02/2014 |
| LANG, SONYA Individual | w-2 managing employee | NOT APPLICABLE | 12/02/2014 |
Other nursing homes near Four Seasons Health Care INC
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★★★★★5Much above averageGood Samaritan Society - Oakes
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- Abuse citation
★★★★★2Below averageWheatcrest Hills Healthcare Center
1311 Vander Horck St, Britton, SD 57430 · 22.4 mi
For-profit · 60 beds · Part of Evergreen Healthcare Group
★★★★★3Average- ★★★★★1Much below average
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St Rose Care Center
315 1st St SE, Lamoure, ND 58458 · 35.8 mi
Non-profit · 36 beds · Part of Benedictine Health System
★★★★★3Average
Frequently asked questions
What is Four Seasons Health Care INC's rating?
Four Seasons Health Care INC has 1 out of 5 stars on the CMS overall star rating. The average for North Dakota nursing homes is 3.2 stars.
How many inspection citations did Four Seasons Health Care INC receive?
Its most recent standard health inspection found 9 citations, compared with a North Dakota average of 5.6. Every citation is listed on this page with its severity.
Does Four Seasons Health Care INC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Four Seasons Health Care INC?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Four Seasons Health Care INC and how do I contact it?
Four Seasons Health Care INC is at 483 4th St SW, Forman, ND 58032. Phone: (701) 724-6211.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.