The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2024 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
FOUR SEASONS HEALTH CARE INC
FORMAN, ND · Medicare-certified · 33 beds
Needs attention
Non-profit
2 of 5 overall
Four Seasons Health Care Inc in Forman, ND has a 2 out of 5 overall star rating, with 2 stars for health inspections, 3 stars for staffing, and 3 stars for quality measures. Reported nurse staffing is 4.06 hours per resident per day, just below the federal benchmark of 4.1, and the facility had $78,309 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.0631 hrs/resident/day
Quality measures
Last inspection: February 19, 2026Penalties, last 24 months: $78,309recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0631.
Staffing detail
- Registered nurses
- 0.78
- Licensed practical nurses
- 0.42
- Nurse aides
- 2.87
- Weekend nursing
- 3.08
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 73%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
53.4%Steady
Residents with a fall causing major injury
3.2%Improving
Residents with pressure ulcers (bedsores)
3.2%Improving
Residents with a urinary tract infection
1.1%Worsening
Residents who lost too much weight
1.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
21.2%Steady
Residents whose ability to walk got worse
21.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
16.1%Worsening
Residents with a long-term catheter
1.1%Steady
Residents with new or worsening incontinence
29.5%Worsening
Residents with depressive symptoms
1.1%Worsening
Long-stay residents given the seasonal flu vaccine
96.4%Steady
Long-stay residents given the pneumonia vaccine
97.8%Steady
Short-stay residents given the pneumonia vaccine
83.9%Steady
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to encode each resident’s assessment data and send it to the state on time. Cited February 2026 — widespread issue, potential for harm.
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F-Tag 640 — 42 CFR §483.20 — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited October 2024 — widespread issue, potential for harm.
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F-Tag 865 — 42 CFR §483.75 — S/S: F
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited October 2024 — limited pattern, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $78,309 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $115,484 in total fines.
- $78,309
Federal fine
Oct 30, 2024
- $29,437
Federal fine
Nov 8, 2023
- $7,738
Federal fine
Aug 30, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 24.7 residents on an average day (75% of 33 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.