Four Seasons Health Care Inc
483 4th St Sw · Forman, ND · 58032 · 7017246211
33 certified beds Non profit - Corporation
Why this verdict
- Federal penalties on record: $78,309 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$78,309 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.06 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.78 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 3 · $115,484 |
Inspection citations (27 in the current record)
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Potential for harm · F February 19, 2026
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected April 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2026
Ensure each resident receives an accurate assessment.
Corrected April 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 6, 2026 · Quality of Life and Care
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Potential for harm · D February 19, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 13, 2026 · Infection Control
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Potential for harm · D December 29, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 28, 2026 · Quality of Life and Care
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Potential for harm · D September 24, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G October 30, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 12, 2024 · Quality of Life and Care
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Potential for harm · E October 30, 2024 · found via complaint
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.
Corrected December 12, 2024 · Resident Rights
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Potential for harm · D October 30, 2024 · found via complaint
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.
Corrected December 12, 2024 · Resident Rights
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Potential for harm · E October 30, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected January 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 30, 2024 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected December 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 30, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 30, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 30, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 12, 2024 · Quality of Life and Care
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Potential for harm · E October 30, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 12, 2024 · Nursing and Physician Services
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Potential for harm · D October 30, 2024 · found via complaint
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.
Corrected December 12, 2024 · Pharmacy Service
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Potential for harm · E October 30, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 12, 2024 · Nutrition and Dietary
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Potential for harm · F October 30, 2024 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected December 12, 2024 · Administration
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Potential for harm · D October 30, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 14, 2025 · Infection Control
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No harm found · C October 30, 2024 · found via complaint
Post nurse staffing information every day.
Corrected December 12, 2024 · Nursing and Physician Services
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Potential for harm · D November 8, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 19, 2023 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 13, 2023 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 13, 2023 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2023
Provide activities to meet all resident's needs.
Corrected December 13, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 30, 2024 | Fine | $78,309 |
| November 8, 2023 | Fine | $29,437 |
| August 30, 2023 | Fine | $7,738 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 355103 · certified since May 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.