FOUR SEASONS HEALTH CARE INC
FORMAN, ND · 33 beds · Non profit - Other
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
Violation Timeline
December 28, 2025
2 deficiencyiesQuality 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.
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 deficiencyiesFreedom 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.
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 deficiencyiesResident 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.
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.
Resident Assessment and Care Planning Deficiencies
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Ensure each resident receives an accurate assessment.
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.
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.
Resident Assessment and Care Planning Deficiencies
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Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
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.
Nursing and Physician Services Deficiencies
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Post nurse staffing information every day.
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.
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.
Administration Deficiencies
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Have a plan that describes the process for conducting QAPI and QAA activities.
Infection Control Deficiencies
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Provide and implement an infection prevention and control program.
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.
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.
Staffing
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
Ownership
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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