North Dakota › Sargent County › Forman
Four Seasons Health Care Inc
483 4th St Sw, Forman, ND 58032
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Four Seasons Health Care Inc, in Forman, North Dakota, is certified for 25 beds under non-profit, corporation ownership.
CMS gives it 1 of 5 stars overall, below the North Dakota median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 29 health deficiencies across the three most recent survey cycles (9, 14, 6 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 116.0 per 100 beds, more than the state median of 27.1.
CMS lists 3 penalties in the period covered: fines totalling $115K.
Compared with county, state and nation
| Measure | This facility | Sargent Co. median | North Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 29 | 29 | 13 | 28.7 |
| Citations per 100 beds | 116.0 | 116.0 | 27.1 | 26.8 |
| Total nurse hours per resident day | — | — | 4.4 | 3.9 |
| RN hours per resident day | — | — | 0.9 | 0.7 |
| Nursing staff turnover | — | — | 50.0% | 45.8% |
| Fines listed | $115,484 | $115,484 | $9,030 | — |
County and state figures are medians across facilities (1 in the county, 72 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Feb 2026, 30 Oct 2024.
Severity mix: G ×2 D ×20 E ×4 F ×2 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 May 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 22 Jun 2026 |
| 19 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 Jun 2026 |
| 19 Feb 2026 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | F | Standard survey | 6 Apr 2026 |
| 19 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Apr 2026 |
| 19 Feb 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 6 Apr 2026 |
| 19 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 6 Apr 2026 |
| 19 Feb 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 13 Apr 2026 |
| 29 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Jan 2026 |
| 24 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 25 Sep 2025 |
| 30 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 12 Dec 2024 |
| 30 Oct 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 12 Dec 2024 |
| 30 Oct 2024 | F0584 | 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. | E | Complaint investigation | 12 Dec 2024 |
| 30 Oct 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 14 Jan 2025 |
| 30 Oct 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 12 Dec 2024 |
| 30 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 12 Dec 2024 |
| 30 Oct 2024 | F0625 | 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. | D | Complaint investigation | 12 Dec 2024 |
| 30 Oct 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 12 Dec 2024 |
| 30 Oct 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 12 Dec 2024 |
| 30 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 12 Dec 2024 |
| 30 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 12 Dec 2024 |
| 30 Oct 2024 | F0761 | 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. | D | Complaint investigation | 12 Dec 2024 |
| 30 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 14 Jan 2025 |
| 30 Oct 2024 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 12 Dec 2024 |
| 8 Nov 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 19 Dec 2023 |
| 8 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 13 Dec 2023 |
| 8 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 13 Dec 2023 |
| 8 Nov 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 13 Dec 2023 |
| 8 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 13 Dec 2023 |
| 30 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 15 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Oct 2024 | Fine | $78,309 | |
| 8 Nov 2023 | Fine | $29,437 | |
| 30 Aug 2023 | Fine | $7,738 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Dakota average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.5% | 19.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 1.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.4% | 2.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 4.7% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 53.5% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Four Seasons Healthcare Center Inc.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Four Seasons Health Care Inc been cited for?
29 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The North Dakota median is 13 per facility.
Has Four Seasons Health Care Inc been fined?
Yes. CMS lists fines totalling $115K in the period covered.
How does staffing at Four Seasons Health Care Inc compare?
CMS does not report staffing hours for this facility.
Who operates Four Seasons Health Care Inc?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Four Seasons Health Care Inc last inspected?
The most recent survey or investigation in the CMS record is dated 19 May 2026; the most recent standard health survey was 19 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.