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B
Good

FOUR SEASONS HEALTH CARE INC

483 4TH ST SW · FORMAN, ND 58032

7017246211 · Non profit - Other

33 beds22.8 residents35 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A
Very Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

FOUR SEASONS HEALTH CARE INC receives an overall staffing grade of B (Good). With 3.889 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.01 HPRD below the national average.

Weekend staffing drops significantly — dropping 31.08% compared to weekdays. The facility uses a moderate level of agency staff (10.27% of hours), suggesting some reliance on temporary workers.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️Weekend staffing drops 31.08% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.
📊Staffing levels are highly variable day to day (consistency score: 0.8843). This means the care experience can be very different depending on the day.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.889hrs/resident/day▼ 0.01
CMS benchmark: 3.48
RN HPRD
0.7842hrs/resident/day▲ 0.10
Recommended: 0.75
Weekend Drop-off
31.08%
4.2635 weekday → 2.9382 weekend
⚠ Significant weekend reduction
Agency Staff
10.27%
0.33% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9955hrs/resident/day
Direct care aides
LPN HPRD
0.3581hrs/resident/day
Licensed practical nurses
Consistency
0.8843std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Sargent County Average+0.00 HPRD
3.89
03.89 HPRD
vs. North Dakota State Average-0.54 HPRD
4.43
03.89 HPRD
vs. National Average-0.01 HPRD
3.90
03.89 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
FOUR SEASONS HEALTH CARE INC ★
FORMAN · This facility
—
B
3.8890.7842★☆☆☆☆
NORTH DAKOTA VETERANS HOME
LISBON
21.5 mi
A
4.77361.0778★★★★☆
GOOD SAMARITAN SOCIETY - OAKES
OAKES
21.7 mi
B
3.60481.0661★★☆☆☆
PARKSIDE LUTHERAN HOME
LISBON
23.6 mi
B
4.14710.5568★★★☆☆
ST GERARD'S COMMUNITY OF CARE
HANKINSON
35.2 mi
A
4.87490.9929★★★☆☆
ST ROSE CARE CENTER
LAMOURE
35.8 mi
C
3.42940.6174★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
34
Total Deficiencies
$319,259
Fines Assessed
Dec 29, 2025Health
1 deficiency cited
▼
Sep 24, 2025Health
1 deficiency cited· Includes actual harm
▼
Oct 30, 2024Health
14 deficiencies cited· Includes actual harm
▼
Nov 8, 2023Health
5 deficiencies cited
▼
Aug 30, 2023Health
1 deficiency cited· Includes actual harm
▼
Mar 27, 2023Health
2 deficiencies cited· Includes actual harm
▼
Sep 14, 2022Health
10 deficiencies cited· Includes actual harm
▼

Penalty History

Sep 24, 2025Fine
$183,700
Oct 30, 2024Fine
$78,309
Nov 8, 2023Fine
$29,437
Aug 30, 2023Fine
$7,738
Mar 27, 2023Fine
$20,075
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.