Four Seasons Health Care INC

Name: Four Seasons Health Care INC
Address: 483 4TH ST SW, Forman, ND, 58032, US
Telephone: 7017246211

483 4th St SW, Forman, ND 58032 · Sargent County · 25 certified beds · avg 23 residents/day · certified since May 1, 1991

1/5

Health inspection rating (on-site)

Serious findings on record

$115,484

Fines, last 3 years

0.00

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Oct 30, 2024 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Dec 12, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Aug 30, 2023 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Aug 15, 2023 (Past Non-Compliance)

All citations in the current public record (29)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 19, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
May 19, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Feb 19, 2026	F · Potential for harm, facility-wide	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Dec 29, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Sep 24, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Oct 30, 2024	▲ G · Actual harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Oct 30, 2024	F · Potential for harm, facility-wide	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint
Oct 30, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Oct 30, 2024	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Oct 30, 2024	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Oct 30, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Oct 30, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint
Oct 30, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint
Oct 30, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Oct 30, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Oct 30, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Oct 30, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Oct 30, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Oct 30, 2024	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint
Nov 8, 2023	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Nov 8, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Nov 8, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Nov 8, 2023	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Nov 8, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 30, 2023	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (14 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2023	6	1	G ▲
2024	14	1	G ▲
2025	2	0	D
2026	7	0	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

3 fines totaling $115,484.

Date	Type	Amount / length
Oct 30, 2024	Fine	$78,309
Nov 8, 2023	Fine	$29,437
Aug 30, 2023	Fine	$7,738

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	North Dakota avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	0.00	5.15	3.95	—
Registered Nurse hours	0.00	1.09	0.69	—
Weekend total nurse staffing	0.00	4.43	3.50	—
Weekend RN hours (not acuity-adjusted)	0.00	0.59	0.48	—
Total nursing staff turnover (%)	0.0	48.8	45.8	—
RN turnover (%)	0.0	40.3	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Ellefson, Patty	Individual	Corporate Officer	NOT APPLICABLE	07/01/2014
Johnson, Deborah	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
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

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
North Dakota Veterans Home	21.5 mi	Lisbon, ND	★★★★★	5/5
Good Samaritan Society - Oakes	21.7 mi	Oakes, ND	★★☆☆☆	2/5	abuse
Wheatcrest Hills Healthcare Center	22.4 mi	Britton, SD	★★★☆☆	3/5
Parkside Lutheran Home	23.6 mi	Lisbon, ND	★☆☆☆☆	2/5
St Gerard's Community of Care	35.3 mi	Hankinson, ND	★★★☆☆	2/5
St Rose Care Center	35.8 mi	Lamoure, ND	★★★☆☆	3/5
SMP Health - Maryhill	36.3 mi	Enderlin, ND	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Forman →

Facility data as of CMS processing date 2026-08-01. CCN 355103.

The Care File

Visit checklist — Four Seasons Health Care INC

483 4th St SW, Forman, ND 58032 · 7017246211

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $115,484

Most serious findings on record:

▲ Oct 30, 2024 (F-0684, Actual harm, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
▲ Aug 30, 2023 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 355103 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)