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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeNorth DakotaFour Seasons Health Care INC

Four Seasons Health Care INC

483 4th St Sw, Forman, ND 580327017246211
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
3/5
Quality
2/5
Beds
33
certified
This facility has been flagged for abuse.
Special Focus Facility: SFF Candidate
5 fine(s) totaling $319,259

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 33 certified beds with an average of 22.8 residents per day (69% occupancy)

• Last health inspection found 16 deficiencies (inspected Oct 30, 2024)

• Has been fined a total of $319,259 across 5 fine(s)

• Total nursing staff: 3.89 hours per resident per day

• Staff turnover rate: 57.7% (high)

Four Seasons Health Care INC is a 1-star Medicare and Medicaid certified nursing home in Forman, North Dakota with 33 certified beds. It has been operating since 1991. The facility scored below average compared to North Dakota facilities.

Beds
33
Avg Residents/Day
22.8
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
May 1, 1991
Sprinklers
Yes
Council
Resident
County
Sargent
Last Inspection
Oct 30, 2024
Deficiencies (Cycle 1)
16
Weighted Score
213.3
Infection Citations
0

Deficiency Citations (34)

F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Dec 29, 2025Corrected: NoCycle: 1
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Sep 24, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Oct 30, 2024Corrected: NoCycle: 1
F0625Potential for Harm

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.

Survey: Oct 30, 2024Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Oct 30, 2024Corrected: NoCycle: 1
F0644Potential for Harm

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

Survey: Oct 30, 2024Corrected: NoCycle: 1
F0657Potential for Harm

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

Survey: Oct 30, 2024Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Oct 30, 2024Corrected: NoCycle: 1
F0684Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Oct 30, 2024Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Oct 30, 2024Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Oct 30, 2024Corrected: NoCycle: 1
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Oct 30, 2024Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Oct 30, 2024Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 30, 2024Corrected: NoCycle: 1
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Oct 30, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 30, 2024Corrected: NoCycle: 1
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Nov 8, 2023Corrected: NoCycle: 2
F0657Potential for Harm

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

Survey: Nov 8, 2023Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Nov 8, 2023Corrected: NoCycle: 2
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Nov 8, 2023Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Nov 8, 2023Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Aug 30, 2023Corrected: NoCycle: 3
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Mar 27, 2023Corrected: NoCycle: 3
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 27, 2023Corrected: NoCycle: 3
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Sep 14, 2022Corrected: NoCycle: 3
F0578Potential for Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Sep 14, 2022Corrected: NoCycle: 3
F0582Minimal Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Sep 14, 2022Corrected: NoCycle: 3
F0644Potential for Harm

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

Survey: Sep 14, 2022Corrected: NoCycle: 3
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Sep 14, 2022Corrected: NoCycle: 3
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Sep 14, 2022Corrected: NoCycle: 3

+ 4 more deficiencies

Total Fines
$319,259
Number of Fines
5
Payment Denials
0
Total Penalties
5

Penalty History

FineAug 30, 2023
$7,738
FineMar 27, 2023
$20,075
FineNov 8, 2023
$29,437
FineOct 30, 2024
$78,309
FineSep 24, 2025
$183,700

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.75 hrs
National avg: 2.35 hrs
LPN0.36 hrs
National avg: 0.86 hrs
RN0.78 hrs
National avg: 0.68 hrs
Total Nursing3.89 hrs
National avg: 3.89 hrs
Weekend Total2.93 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
57.7%
RN Turnover
100.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Other
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
ELLEFSON, PATTYCORPORATE OFFICERIndividualN/AJul 1, 2014
JOHNSON, DEBORAHCORPORATE OFFICERIndividualN/AJul 1, 2014
MARTINSON, DAVIDCORPORATE OFFICERIndividualN/AJul 1, 2014
MCLEAN, STEVENCORPORATE OFFICERIndividualN/AJul 1, 2014
ROCKSWOLD, JASONCORPORATE OFFICERIndividualN/AJul 1, 2014
SCHLECHT, NATHANCORPORATE OFFICERIndividualN/AJul 1, 2014
WOYTASSEK, MARY KAYCORPORATE OFFICERIndividualN/AJul 1, 2014
KLEINGARTNER, ANDREAW-2 MANAGING EMPLOYEEIndividualN/ADec 2, 2014
LANG, SONYAW-2 MANAGING EMPLOYEEIndividualN/ADec 2, 2014

Frequently Asked Questions

What is the CMS rating for Four Seasons Health Care INC?▾
Four Seasons Health Care INC has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 3/5, and quality measures rating of 2/5. This facility is rated below average.
Has Four Seasons Health Care INC had any health inspection violations?▾
Four Seasons Health Care INC had 16 deficiency citations in its most recent health inspection (Oct 30, 2024). The facility has been fined a total of $319,259 across 5 fine(s).
What are the staffing levels at Four Seasons Health Care INC?▾
Four Seasons Health Care INC provides 3.89 total nursing staff hours per resident per day, including 0.78 RN hours, 0.36 LPN hours, and 2.75 nurse aide hours. The total staff turnover rate is 57.7%.
How many beds does Four Seasons Health Care INC have?▾
Four Seasons Health Care INC has 33 certified beds with an average of 22.8 residents per day, resulting in approximately 69% occupancy. The facility is Non profit - Other owned.