facebook tracking Four Seasons Health Care, Forman ND: CMS Ratings
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Four Seasons Health Care

All states › North Dakota › Forman › Four Seasons Health Care

483 4th St SW Forman, ND 58032 · Sargent County

(701) 724-6211

Accepts Medicare Accepts Medicaid 25 certified beds Non profit

CMS certification number 355103 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Four Seasons Health Care a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Four Seasons Health Care as of October 2026.

CMS rates it 2 out of 5 stars overall, below the North Dakota average of 3.3. Inspectors issued 28 citations in the last three years. CMS imposed 2 penalties, including $107,746 in fines, in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 5.04 hours per resident per day at Four Seasons Health Care, above the North Dakota median of 4.42 (US median: 3.72). About 0.82 of those hours are from registered nurses. On weekends it falls to 3.83 hours, 24% below its all-week average. Ask how weekends are staffed.

Nursing care per resident per day 5.04 hours
Above the North Dakota median of 4.42 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.82 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.83 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover — Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds25
Residents per day 21 About 84% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceMay 1991
Legal business nameFOUR SEASONS HEALTHCARE CENTER INC

Paying for care at Four Seasons Health Care: Medicare and Medicaid

Four Seasons Health Care is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on February 19, 2026 and found 5 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 28 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 28 citations at Four Seasons Health Care across 6 inspection dates, 18 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on October 30, 2024. The most common areas cited were resident assessment and care planning (10) and quality of life and care (7). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level G, October 30, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.

May 19, 2026 · 2 citations · includes complaint inspection

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Jun 22, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jun 22, 2026)

February 19, 2026 · 5 citations

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0640 · Deficient, Provider has date of correction (Apr 6, 2026)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Apr 6, 2026)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Apr 6, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Apr 6, 2026)

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

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Apr 13, 2026)

December 29, 2025 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jan 28, 2026)

September 24, 2025 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Sep 25, 2025)

October 30, 2024 · 14 citations, includes actual harm · includes complaint inspection

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2024)

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

Potential for more than minimal harm · Administration Deficiencies · Tag F0865 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2024)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2024)

EEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Complaint inspection · Deficient, Provider has date of correction (Jan 14, 2025)

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

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2024)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2024)

DNotify 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2024)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Jan 14, 2025)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2024)

November 8, 2023 · 5 citations

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Dec 19, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Dec 13, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Dec 13, 2023)

DProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Dec 13, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Dec 13, 2023)

Questions to ask on a tour of Four Seasons Health Care

  1. Inspectors cited the home at the actual-harm level on October 30, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on September 24, 2025. How are staff trained, and how are concerns reported?
  3. Weekend staffing is 24% below the all-week average. Who is on duty on Saturday nights?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $107,746 in fines.

DateTypeAmount or length
Oct 30, 2024 Fine $78,309
Nov 8, 2023 Fine $29,437

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 4/5 3/5
August 2026 1/5 1/5 1/5 4/5
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Location

Hospitals near Four Seasons Health Care

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

North Dakota Veterans Home Lisbon · 21.5 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 52 beds · Medicaid
Good Samaritan Society - Oakes Oakes · 21.7 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 46 beds · Medicaid
Parkside Lutheran Home Lisbon · 23.6 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 40 beds · Medicaid
St Gerard's Community of Care Hankinson · 35.3 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 34 beds · Medicaid
St Rose Care Center Lamoure · 35.8 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 36 beds · Medicaid

More nursing homes near Four Seasons Health Care ›   All nursing homes in Forman ›

Compare Four Seasons Health Care with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/north-dakota/forman/four-seasons-health-care/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.