Nursing homes › North Dakota › Four Seasons Health Care Inc
483 4Th St Sw, Forman, ND 58032 · 7017246211 · 25 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.
All-time on record: 29 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | 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. | D | complaint | 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. | D | complaint | 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. | F | Health | corrected 2026-04-06 |
| 2026-02-19 | Ensure each resident receives an accurate assessment. | D | Health | 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. | D | Health | corrected 2026-04-06 |
| 2026-02-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2026-04-06 |
| 2026-02-19 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | 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. | D | complaint | 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. | D | complaint | corrected 2025-09-25 |
| 2024-10-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2024-12-12 |
| 2024-10-30 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | complaint | 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. | E | complaint | corrected 2024-12-12 |
| 2024-10-30 | Ensure each resident receives an accurate assessment. | E | complaint | 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. | E | complaint | 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. | E | complaint | 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. | D | complaint | corrected 2024-12-12 |
| 2024-10-30 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | 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. | D | complaint | corrected 2024-12-12 |
| 2024-10-30 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2024-12-12 |
| 2024-10-30 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-01-14 |
| 2024-10-30 | Post nurse staffing information every day. | C | complaint | 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 | D | Health | 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. | D | Health | corrected 2023-12-13 |
| 2023-11-08 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2023-12-13 |
| 2023-11-08 | Provide activities to meet all resident's needs. | D | Health | corrected 2023-12-13 |
| 2023-11-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | 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. | G | complaint | corrected 2023-08-15 |
| Date | Type | Amount |
|---|---|---|
| 2024-10-30 | Fine | $78,309 |
| 2023-11-08 | Fine | $29,437 |
| 2023-08-30 | Fine | $7,738 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ELLEFSON, PATTY | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2014 |
| JOHNSON, DEBORAH | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2014 |
| MARTINSON, DAVID | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2014 |
| MCLEAN, STEVEN | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2014 |
| ROCKSWOLD, JASON | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2014 |
| SCHLECHT, NATHAN | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2014 |
| WOYTASSEK, MARY KAY | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2014 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 355103. Corrections: data@carerecords.org.