Four Seasons Health Care INC
Nursing Home · Forman, ND
CMS certification number355103
Contact & location
483 4TH ST SWForman, ND 58032
Sargent County
- Phone
- (701) 724-6211
- ZIP code
- 58032 – all care providers
Facility details
- Certified beds
- 25
- Residents per day
- 23.3 (93% occupied)
- Ownership
- Non profit - Corporation
- Legal name
- Four Seasons Healthcare Center INC
- Medicare certified since
- May 1, 1991
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- —
- Registered nurses (RN)
- —
- Licensed practical nurses
- —
- Nurse aides
- —
- Weekend total
- —
- Nursing staff turnover
- —
- RN turnover
- —
Inspections
- Last standard inspection
- February 19, 2026
- Health deficiencies (last cycle)
- 9.0 (state 5.7 · U.S. 9.3)
- From complaints
- 4
- Citations on record (3 years)
- 29 health · 5 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-22 |
| 2026-05-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-22 |
| 2026-02-19 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-04-06 |
| 2026-02-19 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-06 |
| 2026-02-19 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-06 |
| 2026-02-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-06 |
| 2026-02-19 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-13 |
| 2025-12-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-28 |
| 2025-09-24 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-25 |
| 2024-10-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-12-12 |
| 2024-10-30 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-10-30 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-10-30 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-14 |
| 2024-10-30 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-10-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-10-30 | 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. F0625 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-10-30 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-10-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-10-30 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-10-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-10-30 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-10-30 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-14 |
| 2024-10-30 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies · complaint inspection |
C No actual harm, potential for minimal harm |
Corrected 2024-12-12 |
| 2023-11-08 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-19 |
| 2023-11-08 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-13 |
| 2023-11-08 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-13 |
| 2023-11-08 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-13 |
| 2023-11-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-13 |
| 2023-08-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-08-15 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $115,484 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-10-30 | Fine | $78,309 |
| 2023-11-08 | Fine | $29,437 |
| 2023-08-30 | Fine | $7,738 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Ellefson, Patty (individual) | Corporate Officer · NOT APPLICABLE | |
| Johnson, Deborah (individual) | Corporate Officer · NOT APPLICABLE | |
| Martinson, David (individual) | Corporate Officer · NOT APPLICABLE | |
| McLean, Steven (individual) | Corporate Officer · NOT APPLICABLE | |
| Rockswold, Jason (individual) | Corporate Officer · NOT APPLICABLE | |
| Schlecht, Nathan (individual) | Corporate Officer · NOT APPLICABLE | |
| Woytassek, Mary Kay (individual) | Corporate Officer · NOT APPLICABLE | |
| Kleingartner, Andrea (individual) | W-2 Managing Employee · NOT APPLICABLE | |
| Lang, Sonya (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Four Seasons Health Care INC?
Four Seasons Health Care INC has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in North Dakota.
How many beds does Four Seasons Health Care INC have?
It has 25 certified beds and cares for about 23 residents per day.
Has Four Seasons Health Care INC been fined?
Yes. CMS lists 3 penalties totaling $115,484 in the last three years.
What is the phone number of Four Seasons Health Care INC?
(701) 724-6211. The facility is located at 483 4TH ST SW, Forman, ND 58032.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.