66.5/100
Average
Four Seasons Health Care Inc
483 4Th St Sw, Forman, ND 58032
- Certified beds
- 25
- Occupancy
- 93%
- Ownership
- Non-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$107,746 in federal fines
CMS has fined this facility across 2 penalty action(s).
Our read on Four Seasons Health Care Inc
Four Seasons Health Care in Forman runs 25 beds under nonprofit ownership, and its last inspection on February 19, 2026 turned up 29 deficiencies, two of them serious enough to cause harm or put residents in immediate jeopardy, plus one tied to abuse. The staffing picture is thin even by rural North Dakota standards, and three fines totaling $115,484 have accumulated on the current record. What keeps the quality measure rating afloat is clinical performance on paper, things like hospitalization and medication metrics, but strong outcomes data can't offset a building where the hands-on care and the oversight have both raised red flags. If you're considering this one, ask directly what changed after February.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
15/30Nursing hours per resident per day, adjusted for how sick the residents are.
- →No staffing hours reported, scored neutral
Staff stability
7.5/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →No turnover figure reported, scored neutral
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
2/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$107,746 in federal fines across 2 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: February 19, 2026 (8 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Four Seasons Health Care Inc
What is the ElderGrade for Four Seasons Health Care Inc? +
Four Seasons Health Care Inc holds an ElderGrade of C (66.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Four Seasons Health Care Inc? +
This facility has not reported staffing hours to CMS in the current data release.
Has Four Seasons Health Care Inc been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Four Seasons Health Care Inc accept Medicaid? +
Yes, Four Seasons Health Care Inc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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