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Four Seasons Health Care Inc: Staffing, Turnover, and Inspection Record

Four Seasons Health Care Inc is a 25-bed nonprofit nursing home in Forman, North Dakota. In the CMS August 2026 release it reported no usable nurse aide staffing figure.

Certified for Medicare and Medicaid · CMS number 355103

Four Seasons Health Care Inc

483 4th St SW
Forman, ND 58032
Sargent County
Aide hours per resident a day
—
North Dakota average 2.97
Nursing staff turnover
—
North Dakota average 48.8%
Certified beds
25
about 23 residents a day
Fines, last 3 years
3
$115,484 total

CMS Care Compare, August 2026 release

How many staff hours residents get

CMS reports staffing as hours per resident per day, from the payroll records each home submits. Four Seasons Health Care Inc has no usable nurse aide figure in this release.

CMS note: The facility did not submit staffing data. The facility did not submit staffing data.

Staff hours per resident per day at Four Seasons Health Care Inc, North Dakota average, and US average
Hours per resident per dayThis homeNorth Dakota avgUS avg
Nurse aides (CNAs)—2.972.32
Licensed practical nurses—0.520.86
Registered nurses—0.930.69
All nursing staff—4.423.86
All nursing staff, weekends—3.803.42

CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.

Staff turnover

CMS publishes no nursing staff turnover figure for Four Seasons Health Care Inc in this release.

CMS note: Staffing data not submitted or not valid for calculating turnover.

Nursing staff turnover
—
North Dakota 48.8% · US 45.8%
Registered nurse turnover
—
North Dakota 40.3% · US 42.9%
Administrators who left
—
North Dakota average 0.2

Inspections and penalties

State inspectors last completed a standard health inspection on Feb 19, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (North Dakota average 5.7). CMS lists 3 fines totaling $115,484 in the last three years.

Health deficiencies, latest cycle
9
From complaints
4
Infection-control citations
—
Payment denials, 3 years
0
Fines and payment denials at Four Seasons Health Care Inc, last three years
Inspection datePenaltyAmount or length
Oct 30, 2024Fine$78,309
Nov 8, 2023Fine$29,437
Aug 30, 2023Fine$7,738

CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.

CMS star ratings

CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Four Seasons Health Care Inc holds 1 of 5 overall; the North Dakota average is 3.2.

Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5

About Four Seasons Health Care Inc

  • Ownership: Non profit - Corporation
  • Legal name: Four Seasons Healthcare Center Inc
  • Medicare and Medicaid certified since: May 1, 1991
  • Councils: resident council
  • Area: rural

Nursing homes near Four Seasons Health Care Inc

The closest homes by distance, with the same CMS figures. Select a column to sort.

Nursing homes near Four Seasons Health Care Inc. Column headers sort the table.
North Dakota Veterans Home
Lisbon
21.5523.455.0732.9%5$9,620
Good Samaritan Society - Oakes
Oakes · abuse citation
21.7461.933.2350.0%2$8,281
Wheatcrest Hills Healthcare Center
Britton
22.4601.902.6932.4%3$37,553
Parkside Lutheran Home
Lisbon · many days without an RN
23.6403.144.44—1None
St Gerard's Community of Care
Hankinson
35.3343.184.6734.2%3$48,233
St Rose Care Center
Lamoure
35.8362.033.3682.1%3None
SMP Health - Maryhill
Enderlin
36.3423.134.1131.1%5$10,036
Tekakwitha Living Center
Sisseton
41.3401.552.67—2$37,079

Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.

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← All nursing homes in North Dakota

Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.