The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Four Seasons Health Care Center
Registered name: FOUR SEASONS HEALTH CARE INC
FORMAN, ND · Medicare-certified · 25 beds
Needs attention
Non-profit
Data as of July 1, 2026
1 of 5 overall
Four Seasons Health Care Center in Forman, ND has an overall 1-star rating, with 1-star health inspection and staffing ratings but a 4-star quality measures rating. It has had $78,309 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: May 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 not reported.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—53.5%—
Residents with a fall causing major injury
4.5%4.2%No change
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%4.8%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—25%—
Residents whose ability to walk got worse
—20.3%—
Long-stay residents on antianxiety or sleep medication
13.6%9.5%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
8.9%29.5%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.4%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—83.3%—
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.
View the original federal record
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.
View the original federal record
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.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
Recent history
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- 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
- 23.3 residents on an average day (93% of 25 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.