FOUR SEASONS HEALTH CARE INC

FORMAN, ND · 33 beds · Non profit - Other

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • 1-star health inspection rating (lowest possible)
  • 16 deficiencies — 3.0x the state average
  • 1 citation(s) at the highest severity level — immediate risk to residents
  • 4 citation(s) where residents suffered actual harm
  • $319,259 in fines over 3 years

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
16
3.0x state avg
Deficiencies
$319,259
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

December 28, 2025

2 deficiencyies
F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

September 23, 2025

2 deficiencyies
F0600 Immediate Jeopardy Scope/Severity: J

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0600 Immediate Jeopardy Scope/Severity: J

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

October 29, 2024

16 deficiencyies
F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0641 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0644 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

F0684 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0725 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F0732 No Harm Scope/Severity: C

Nursing and Physician Services Deficiencies

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Post nurse staffing information every day.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0865 Potential Harm Scope/Severity: F

Administration Deficiencies

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Have a plan that describes the process for conducting QAPI and QAA activities.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

See full violation history →

Staffing

0.84
RN hrs/res/day
0.38
LPN hrs/res/day
2.94
CNA hrs/res/day
3.14
Weekend hrs/res/day
58%
Total nurse turnover
100%
RN turnover

A nurse checks on each resident roughly every 5.8 hours on average.

Fines & Penalties

  • Fine Sep 23, 2025
    $183,700
  • Fine Oct 29, 2024
    $78,309
  • Fine Nov 7, 2023
    $29,437
  • Fine Aug 29, 2023
    $7,738
  • Fine Mar 26, 2023
    $20,075
Total $319,259

Ownership

Non profit - Other Independent (not part of a chain)
  • ELLEFSON, PATTY

    CORPORATE OFFICER

    Since since 07/01/2014

    Individual
  • JOHNSON, DEBORAH

    CORPORATE OFFICER

    Since since 07/01/2014

    Individual
  • MARTINSON, DAVID

    CORPORATE OFFICER

    Since since 07/01/2014

    Individual
  • MCLEAN, STEVEN

    CORPORATE OFFICER

    Since since 07/01/2014

    Individual
  • ROCKSWOLD, JASON

    CORPORATE OFFICER

    Since since 07/01/2014

    Individual
  • SCHLECHT, NATHAN

    CORPORATE OFFICER

    Since since 07/01/2014

    Individual
  • WOYTASSEK, MARY KAY

    CORPORATE OFFICER

    Since since 07/01/2014

    Individual
  • KLEINGARTNER, ANDREA

    W-2 MANAGING EMPLOYEE

    Since since 12/02/2014

    Individual
  • LANG, SONYA

    W-2 MANAGING EMPLOYEE

    Since since 12/02/2014

    Individual