NursingHomes.us
StatesRankingsCompare
NursingHomes.us

Independent nursing-home comparison using official CMS data. Not affiliated with the U.S. government.

Browse

  • All States
  • Rankings
  • Compare
  • Guides

Data

  • Nursing Home Chains
  • Inspection Codes
  • Data Sources

About

  • About Us
  • Contact
  • Privacy Policy
  • Terms of Use
© 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 580327017246211WebsiteGoogle Maps
5.0on Google(1 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
4/5
Beds
25
certified
3 fine(s) totaling $115,484

How Four Seasons Health Care INC Compares in North Dakota

Facility results compared with averages for CMS-certified nursing homes in North Dakota. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
ND average
3.2/5
Below state average
Health inspection rating
1/5
ND average
2.9/5
Below state average
Staffing rating
1/5
ND average
4.2/5
Below state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the North Dakota average of 3.2/5.
Its 1/5 health inspection rating is below the North Dakota average of 2.9/5.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
15
deficiency citations
Inspected Oct 30, 2024
Most recent cycle
9
deficiency citations
Inspected Feb 19, 2026
The most recent cycle recorded 6 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$11,019/mo
North Dakota median
Private Room
$11,932/mo
North Dakota median
Sargent County 65+
866
22.6% of county
County Population
3,828
Sargent County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Four Seasons Health Care INC is a 1-star Medicare and Medicaid certified nursing home in Forman, North Dakota with 25 certified beds. It has been operating since 1991. Its overall CMS rating is 1 out of 5.

Beds
25
Avg Residents/Day
23.3
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
May 1, 1991
Sprinklers
Yes
Council
Resident
County
Sargent
Last Inspection
Feb 19, 2026
Deficiencies (Cycle 1)
9
Weighted Score
79.5
Infection Citations
0

Deficiency Citations (29)

F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: May 19, 2026Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: May 19, 2026Corrected: NoCycle: 1
F0640Potential for Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 19, 2026Corrected: 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: Feb 19, 2026Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Feb 19, 2026Corrected: NoCycle: 1
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
F0600Potential for Harm

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
F0684Actual Harm

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

Survey: Oct 30, 2024Corrected: NoCycle: 2
F0865Potential for Harm

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

Survey: Oct 30, 2024Corrected: NoCycle: 2
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: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Oct 30, 2024Corrected: NoCycle: 2
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: 2
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: 2
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: 2
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: 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: Oct 30, 2024Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Oct 30, 2024Corrected: NoCycle: 2
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: 2
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: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 30, 2024Corrected: NoCycle: 2
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Oct 30, 2024Corrected: NoCycle: 2
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: 3
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: 3
F0658Potential for Harm

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

Survey: Nov 8, 2023Corrected: NoCycle: 3
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Nov 8, 2023Corrected: NoCycle: 3
F0684Potential for Harm

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

Survey: Nov 8, 2023Corrected: NoCycle: 3
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
Total Fines
$115,484
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineAug 30, 2023
$7,738
FineNov 8, 2023
$29,437
FineOct 30, 2024
$78,309

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

Nurse Aide0.00 hrs
National avg: 2.32 hrs
LPN0.00 hrs
National avg: 0.86 hrs
RN0.00 hrs
National avg: 0.69 hrs
Total Nursing0.00 hrs
National avg: 3.86 hrs
Weekend Total0.00 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
Administrators Left
0

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

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
KLEINGARTNER, ANDREAW-2 MANAGING EMPLOYEEIndividualN/ADec 2, 2014
LANG, SONYAW-2 MANAGING EMPLOYEEIndividualN/ADec 2, 2014
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

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Four Seasons Health Care INC and nearby alternatives.

All North Dakota facilities
Four Seasons Health Care INC
Forman, NDCurrent facility
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $115,484
North Dakota Veterans Home
Lisbon, ND21.5 mi
CMS
5/5
Health
5/5
Staffing
5/5
Recorded fines: $32,128
Good Samaritan Society - Oakes
Oakes, ND21.7 miAbuse flag
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $8,281
Parkside Lutheran Home
Lisbon, ND23.6 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: None
St Gerard's Community of Care
Hankinson, ND35.3 mi
CMS
3/5
Health
2/5
Staffing
5/5
Recorded fines: $48,233
St Rose Care Center
Lamoure, ND35.8 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
Smp Health - Maryhill
Enderlin, ND36.3 mi
CMS
5/5
Health
5/5
Staffing
5/5
Recorded fines: $10,036
FacilityDistanceCMSHealthStaffingRecorded fines
Four Seasons Health Care INC
Forman, ND · Current facility
—1/51/51/5$115,484
North Dakota Veterans Home
Lisbon, ND
21.5 mi5/55/55/5$32,128
Good Samaritan Society - Oakes
Oakes, ND
21.7 mi2/52/54/5$8,281
Parkside Lutheran Home
Lisbon, ND
23.6 mi1/52/51/5None recorded
St Gerard's Community of Care
Hankinson, ND
35.3 mi3/52/55/5$48,233
St Rose Care Center
Lamoure, ND
35.8 mi3/53/52/5None recorded
Smp Health - Maryhill
Enderlin, ND
36.3 mi5/55/55/5$10,036

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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 1/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Four Seasons Health Care INC cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in North Dakota is $11,019/month for a semi-private room and $11,932/month for a private room (Genworth/CareScout 2024). Four Seasons Health Care INC participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Four Seasons Health Care INC had any health inspection violations?▾
Four Seasons Health Care INC had 9 deficiency citations in its most recent health inspection (Feb 19, 2026). The current CMS dataset records 3 fine(s) totaling $115,484.
What are the staffing levels at Four Seasons Health Care INC?▾
Four Seasons Health Care INC provides 0.00 total nursing staff hours per resident per day, including 0.00 RN hours, 0.00 LPN hours, and 0.00 nurse aide hours.
How many beds does Four Seasons Health Care INC have?▾
Four Seasons Health Care INC has 25 certified beds with an average of 23.3 residents per day, resulting in approximately 93% occupancy. The facility is Non profit - Corporation owned.
Are there other nursing homes near Four Seasons Health Care INC?▾
Yes. This page lists 6 nearby nursing homes in North Dakota. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Four Seasons Health Care INC?▾
On Google Maps, Four Seasons Health Care INC has a rating of 5.0 out of 5 based on 1 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.