Four Seasons Health Care Inc
483 4th St SW, Forman, ND 58032 · (701) 724-6211
Non profit - Corporation · 25 certified beds
Four Seasons Health Care Inc has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 5 citations (the North Dakota average is 5.6). It was fined 2 times in the last three years, $107,746 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 19, 2026 found 5 citations. What an inspection citation means
- Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.February 19, 2026 · F0640 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure each resident receives an accurate assessment.February 19, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.February 19, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 19, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.February 19, 2026 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 18 citations.
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.May 19, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 19, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 29, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.September 24, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.October 30, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.October 30, 2024 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.October 30, 2024 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.October 30, 2024 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.October 30, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.October 30, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 30, 2024 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 30, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.October 30, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Post nurse staffing information every day.October 30, 2024 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
- 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.October 30, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.October 30, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Have a plan that describes the process for conducting QAPI and QAA activities.October 30, 2024 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.October 30, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $78,309October 30, 2024
- Fine of $29,437November 8, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | North Dakota average | U.S. average |
|---|---|---|---|
| Total nurse staffing | Not available | 4.42 | 3.86 |
| Registered nurses (RN) | Not available | 0.93 | 0.69 |
| Licensed practical nurses (LPN) | Not available | 0.52 | 0.86 |
| Nurse aides | Not available | 2.97 | 2.32 |
| Total nursing staff turnover | Not available | 48.8% | 45.8% |
About this home
| Ownership | Non profit - Corporation |
| Certified beds | 25 |
| Average residents per day | 23.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Smp Health - Maryhill Enderlin · ★★★★★ 5 out of 5 stars
- St Gerard's Community of Care Hankinson · ★★★★★ 3 out of 5 stars
- Sanford Hillsboro Care Center Hillsboro · ★★★★★ 3 out of 5 stars
- North Dakota Veterans Home Lisbon · ★★★★★ 5 out of 5 stars
- Parkside Lutheran Home Lisbon · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Four Seasons Health Care Inc on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.