Four Seasons Health Care

    483 4th St SW, Forman, ND 58032
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    5.00·(1)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      5.0
    • Staff

      5.0
    • Meals

      5.0
    • Amenities

      5.0
    • Value

      5.0

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Four Seasons Health Care

    Four Seasons Health Care is located at 483 4th St SW, Forman, ND, 58032.

    About Four Seasons Health Care

    Four Seasons Health Care sits in Forman, North Dakota, and runs as a not-for-profit with a focus on helping older adults who need long-term nursing care, and what you find here is a Skilled Nursing Facility alongside Villas Assisted Living, so there's a place for different care needs, and the place operates with 32 skilled beds and 5 basic beds, and rooms come in 13 private, 4 single, and 20 double occupancy choices, so folks get some options, now they're certified for both Medicare and Medicaid which offers some peace of mind for people who need those kinds of supports, and you'll see they offer around-the-clock nursing coverage, which means there's always staff available to help, and they've got physical, occupational, and speech therapy, plus they do restorative services, wound care, respiratory therapy, and even peritoneal dialysis for those who need it. Daily life includes housekeeping and laundry help, activities programs, and home-cooked meals, and they make room for church services and hospice care as part of their effort to meet physical, emotional, mental, social, and spiritual needs of the residents, and a team of compassionate and experienced staff work here-people like the Dietary Manager, Certified Nurse Assistants, LPNs, RNs, and other dedicated folks, and you'll see the place is led by a group of officers, directors, trustees, and key employees but there's no board list available. The Villas Assisted Living is right next door, so people who need less help might move there, and you won't find things like pet-friendly spaces or fancy extras like pools or patios mentioned, and there's not much detail given on specific building features, accessibility options, parking, or internet, but the main point is Four Seasons Health Care sticks to providing nursing and supportive care, aiming to give older adults a comfortable, respectful place to live where the staff try hard to help everyone live as fully as they can.

    People often ask...

    Four Seasons Health Care offers skilled nursing.

    The full address for this community is 483 4th St SW, Forman, ND 58032.

    No, Four Seasons Health Care does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In North Dakota, Health & Human Services' Health Facilities unit licenses care facilities and publishes the health and life-safety deficiencies found during inspections.

    License numberBC-four-seasons-healthcare-center-inc-forman
    Facility typeBasic Care Facility

    Inspection Reports

    41

    Reports

    5

    Type A Citations

    0

    Type B Citations

    0

    Complaints

    16

    Years

    29 Dec 2025Inspection
    Found that two residents were transferred with a full-body lift using sling sizes that were not properly sized, risking injury.
    • CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
    24 Sept 2025Inspection
    Identified that one resident experienced nonconsensual sexual contact by another resident and protections to prevent abuse were inadequate.
    • 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    30 Dec 2024Inspection
    Found deficiencies in accuracy of resident assessments and infection control, including incorrect coding of medications in MDS and improper PPE use around COVID-19 cases. The issues led to noncompliance during follow-up and required corrective actions.
    • CFR 483.20(g)Accuracy of Assessments
    • CFR 483.80Infection Prevention & Control
    30 Oct 2024Inspection
    Investigative findings disclosed multiple deficiencies across safety, environment, assessments, care planning, infection control, medication practices, and staffing.
    • CFR 483.10(i)Safe Environment
    • CFR 483.15(d)(1)-(2)Notice of Bed Hold Policy
    • CFR 483.20(g)Accuracy of Assessments
    • CFR 483.20(e)(1)-(2)Coordination
    • CFR 483.21(b)(2)Care Plan Timing and Revision
    • CFR 483.21(b)(3)(i)Services Provided Meet Professional Standards
    • CFR 483.25Quality of Care
    • CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
    • CFR 483.35(a)(1)-(2)Sufficient Nursing Staff
    • CFR 483.35(g)(1)-(4)Posted Nurse Staffing Information
    • CFR 483.45(g)-(h)(1)-(2)Label/Store Drugs and Biologicals
    • CFR 483.60(i)(1)-(2)Food Safety
    • CFR 483.75(a)-(f)(h)(i)QAPI Program/Plan
    • CFR 483.80(a)-(f)Infection Prevention and Control
    29 Oct 2024Life Safety
    Found compliance with emergency preparedness and life safety requirements; no deficiencies were cited.
    04 Dec 2023Inspection
    Found extensive deficiencies in informed consent, medication management, advance directives, grievance handling, transfer/bed-hold processes, care planning, dementia care, activity services, and safety practices. The findings show failures across multiple areas affecting resident rights, health decisions, and safety.
    • 483.10(c)(1)(4)(5)Right to be Informed/Make Treatment Decisions
    • 483.10(c)(7)Resident Self-Administration of Medication
    • 483.10(f)Self-Determination
    • 483.10(c)(6)(8)(g)(12)(i)-(v)Advance Directives
    • 483.10(j)(1)-(4)Grievances
    • 483.15(c)(3)-(6)(8)Notice Before Transfer/Discharge
    • 483.15(d)(1)-(2)Bed-Hold Policy Notice Upon Transfer
    • 483.21(b)(1)(3)Develop/Implement Comprehensive Care Plan
    • 483.24(c)(2)(i)-(D)Qualifications of Activity Professional
    • 483.25Quality of Care
    • 483.25(d)(1)-(2)Free from Accident Hazards/Supervision/Devices
    • 483.25(n)(1)-(4)Bed Rails
    • 483.45(c)(1)-(5)Drug Regimen Review
    • 483.45(e)(1)-(5)Free from Unnecessary Psychotropic Meds/PRN Use
    08 Nov 2023Inspection
    Identified multiple deficiencies in baseline and comprehensive care planning, medication administration, activity programming, and monitoring of residents' changing conditions.
    • CFR 483.21(a)(1)-(3)Baseline Care Plan
    • CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • CFR 483.21(b)(3)Services Provided Meet Professional Standards
    • CFR 483.24(c)(1)Activities
    • CFR 483.25Quality of Care
    06 Nov 2023Life Safety
    Found deficiencies in fire alarm testing/maintenance and emergency power system maintenance, including missing semiannual load voltage tests for fire alarm batteries and not exercising the emergency generator under load for 4 continuous hours in the past 36 months.
    • NFPA 101; NFPA 72; NFPA 70Fire Alarm System - Testing and Maintenance
    • NFPA 99; NFPA 110; NFPA 111; NFPA 70Electrical Systems - Essential Electrical System Maintenance and Testing
    27 Mar 2023Inspection
    Investigated a complaint; found failures to report a potential neglect to state authorities and to ensure proper supervision during lift transfers, creating injury risk.
    • 483.12(b)(5)(i)(A)(B)(c)(1)(4); 483.12(c)Reporting of Alleged Violations
    • 483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
    19 Sept 2022Life Safety
    Identified fire-safety deficiencies, including hazardous-area enclosures not properly separated and smoke barrier doors not self-closing.
    • NFPA 101 19.3.2.1; 19.3.5.9Hazardous Areas - Enclosure
    • NFPA 101 19.3.7.6; 19.3.7.8; 19.3.7.9Subdivision of Building Spaces - Smoke Barrier
    14 Sept 2022Inspection
    Found widespread deficiencies across medication self-administration, advance directives, PASARR coordination, elopement prevention, medication storage, infection control, immunization documentation, and environmental safety.
    • 483.10(c)(7)Resident Self-Admin Meds-Clinically Appropriate (Long Term Care Facilities)
    • 483.10(c)(6)(8)(g)(12)(i)-(v)Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir
    • 483.10(g)(17)(18)(i)-(v)Medicaid/Medicare Coverage/Liability Notice (Long Term Care Facilities)
    • 483.20(e)(1)(2)Coordination of PASARR and Assessments (Long Term Care Facilities)
    • 483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
    • 483.45(f)(1)Free of Medication Errors
    • 483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
    • 483.80(a)(1)(2)(4)(e)(f)Infection Prevention & Control
    • 483.80(d)(3)(i)-(vii)COVID-19 Immunization (Long Term Care Facilities)
    • 483.90(i)Safe/Functional/Sanitary/Comfortable Environ
    22 Sept 2021Inspection
    Identified multiple deficiencies including failure to notify a resident and representative of transfers, missing significant change assessments for hospice patients, inaccurate MDS coding, inadequate oral care, unsafe lift transfers, and missing facility-wide assessment.
    • 42 CFR 483.15Notice Requirements Before Transfer/Discharge
    • 42 CFR 483.20(b)(2)(ii)Comprehensive Assessment After Significant Change
    • 42 CFR 483.20(g)Accuracy of Assessments
    • 42 CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
    • 42 CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
    • 42 CFR 483.70(e)(1)-(3)Facility Assessment
    21 Sept 2021Life Safety
    Identified several deficiencies related to fire safety and electrical systems. The noted issues included unmaintained fire-rated doors, incomplete fire alarm testing, sprinkler system maintenance gaps, lack of GFCI protection, generator maintenance lapses, and unsafe oxygen storage conditions.
    • NFPA 101: 7.2.1.15.2, 7.2.1.15.8, 4.6.12; 18.2.1, 19.2.1, 7.1.10.1Means of Egress - General
    • NFPA 70; NFPA 72; 9.6.1.3; 18.3.4.1; 19.3.4.1Fire Alarm System - Testing and Maintenance
    • NFPA 25, 4.1.4.1; 5.3.1.1.1.6Sprinkler System - Maintenance and Testing
    • NFPA 70; 210.8; 210.8(B); 19.5.1.1; 9.1.2Electrical Systems - Essential Electric System
    • NFPA 99; NFPA 110; NFPA 111; NFPA 70; 8.3.7.1; 8.3.7.2Electrical Systems - Essential Electric System (Emergency Generator)
    • NFPA 99; 5.1.3.3.2; A.5.1.3.3.2(5); 19.3.2.4Gas Equipment - Cylinder and Container Storage
    26 Apr 2021Inspection
    Found incomplete reporting of COVID-19 data to NHSN during a seven-day period. CMS data showed the information was not reported in the required format and frequency.
    • CFR 483.80(g)Reporting - National Health Safety Network
    21 Apr 2021Inspection
    Found no deficiencies. Confirmed compliance with infection control and emergency preparedness requirements.
    28 Oct 2020Inspection
    Concluded that emergency preparedness and infection control requirements were met. No COVID-19 positive residents were present at the time.
    08 Jun 2020Inspection
    Found incomplete reporting of COVID-19 information to NHSN during a seven-day period, potentially impacting resident safety.
    • CFR 483.80(g)COVID-19 reporting to NHSN
    17 Mar 2020Inspection
    Determined no deficiencies found in infection control during a focused COVID-19 survey conducted March 16, 2020.
    18 Dec 2019Inspection
    Identified deficiencies in staffing a qualified dietary manager and in serving meals according to menus. Also found sanitation-related deficiencies in food storage and dishwashing.
    • §483.60(a)(1)-(2)Qualified Dietary Staff
    • §483.60(i)(1)-(2)Food Procurement,Store/Prepare/Serve-Sanitary
    26 Nov 2019Life Safety
    Identified multiple deficiencies related to emergency preparedness and life-safety systems, including lack of annual drills and improper testing/maintenance of emergency lighting, fire alarm, smoke detection, direct-vent fireplaces, drills, and generator.
    • CFR 483.73(d)(2)Testing of emergency plan and drills
    • NFPA 101, 7.9.3.1.1Emergency lighting testing
    • NFPA 70; NFPA 72; NFPA 101 9.6.1.3Fire alarm system testing and maintenance
    • NFPA 72; NFPA 19.3.4.5; 9.6.2.10.1Smoke detection system testing and calibration
    • NFPA 54; NFPA 9.2.2; 9.7.1.1; 9.8Direct-vent gas fireplaces compliance
    • NFPA 101 19.7.1.4-19.7.1.7Fire drills
    • NFPA 110; NFPA 111; NFPA 70Emergency power generator testing
    06 Dec 2018Inspection
    Identified deficiencies in Medicaid/Medicare notices, PASARR coordination, meal service, and dish sanitation, indicating failures to meet several regulatory requirements.
    • §483.10(g)(17)-(18)Medicaid/Medicare Coverage/Liability Notice
    • §483.20(e)(1)-(2)Coordination of PASARR and Assessments
    • §483.60(a)(3); §483.60(b)Sufficient Dietary Support Personnel
    • §483.60(i)(1)-(2)Food safety requirements
    29 Oct 2018Life Safety
    Found multiple life-safety deficiencies across egress, fire protection, emergency lighting, evacuation planning, and emergency power systems.
    • NFPA 80; NFPA 101 7.2.1.15.2Means of Egress - General
    • NFPA 101 7.9.3.1.1; 7.9; 18.2.9.1, 19.2.9.1Emergency Lighting
    • NFPA 101 19.3.2.1; 19.3.5.9Hazardous Areas - Enclosure
    • NFPA 70 760.41(B); NFPA 70 760.41(A)Fire Alarm System - Installation
    • NFPA 25; NFPA 19.7.6, 9.7.5-9.7.8Sprinkler System - Maintenance and Testing
    • NFPA 101 18.7.1.1-18.7.1.3; 18.7.2.1.2; 18.7.2.2; 18.7.2.3; 19.7.1.1-19.7.1.3; 19.7.2.1.2; 19.7.2.2; 19.7.2.3Evacuation and Relocation Plan
    • NFPA 101 19.7.1.4-19.7.1.7Fire Drills
    • NFPA 99 6.4.4.1.1.4; NFPA 110 8.4.1; NFPA 110 8.4.2; NFPA 70 700.10Electrical Systems - Essential Electric System
    07 Dec 2017Inspection
    Found multiple deficiencies across medication management, resident rights, screenings, care planning, hearing support, diet adherence, pharmacy controls, and infection prevention.
    • §483.10(c)(7)Resident Self-Admin Meds-Clinically Approp
    • §483.10(c)(6)-(8)(g)(12)(i)-(v)Request/Refuse/Dscntnue Trmt; Formlte Adv Dir
    • §483.20(k)(1)-(3)PASARR Screening for MD & ID
    • §483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • §483.25(a)(1)-(2)Treatment/Devices to Maintain Hearing/Vision
    • §483.45(b)(2)-(3)Pharmacy Services/Procedures/Pharmacist/Records
    • §483.45(f)Free of Medication Error Rates 5 Percent or More
    • §§483.45(g)-(h)Label/Store Drugs and Biologicals
    • §483.60(d)(3)Food in Form to Meet Individual Needs
    • §483.80(a)-(f)Infection Prevention & Control
    03 Oct 2017Life Safety
    Identified multiple life-safety deficiencies, including emergency lighting failures, untested smoke detectors, sprinkler installation and maintenance issues, missing extinguisher inspections, and compromised smoke barrier integrity.
    • NFPA 101 7.9.3.1.1Emergency Lighting
    • NFPA 72 14.4.5.3; NFPA 72 9.6.2.10.1; NFPA 101 19.3.4.5.2Smoke Detection
    • NFPA 13 8.3.2; NFPA 13 8.3.2.5(10)Sprinkler System - Installation
    • NFPA 25 5.1.1.2; NFPA 25 4.6.12; NFPA 25 9.7.xSprinkler System - Maintenance and Testing
    • NFPA 10 7.2.1.1; NFPA 10 7.2.1.2; NFPA 101 19.3.5.12Portable Fire Extinguishers
    • NFPA 101 8.5; NFPA 101 19.3.7.3; NFPA 8.6.7.1(1)Subdivision of Building Spaces - Smoke Barrier
    03 Nov 2016Inspection
    Found multiple deficiencies in abuse investigation, resident assessment accuracy, antipsychotic medication management, food storage, and infection control.
    • 483.13(c)Develop/Implement Abuse/Neglect, etc Policies
    • 483.20(g)-(j)Assessment Accuracy/Coordination/Certified
    • 483.25(l)Drug Regimen Is Free From Unnecessary Drugs
    • 483.35(i)Food Procure, Store/Prepare/Serve - Sanitary
    • 483.65Infection Control, Prevent Spread, Linens
    19 Sept 2016Life Safety
    Identified life safety deficiencies related to the fire alarm system maintenance and smoke detector placement.
    • NFPA 72; NFPA 70; 9.6.1.4; 9.6.1.7; 19.3.4.1Fire alarm system not tested/maintained per NFPA 72
    • NFPA 72 2-3.5.1; NFPA 101 9.6.1.3; 9.6.2.10.1; 19.3.4.5.1Smoke detectors too close to air diffusers
    18 Nov 2015Inspection
    Found deficiencies related to insulin administration, lift safety transfers, kitchen sanitation, and infection control practices.
    • 483.20(k)(3)(i)SERVICES PROVIDED MEET PROFESSIONAL STANDARDS
    • 483.25(h)FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES
    • 483.35(i)FOOD PROCURE, STORE/PREPARE/SERVE - SANITARY
    • 483.65INFECTION CONTROL, PREVENT SPREAD, LINENS
    09 Sept 2015Life Safety
    Identified failures to maintain smoke barriers and to conduct a day shift fire drill. Unsealed penetrations above cross-corridor smoke barrier doors were observed, and a day shift fire drill was not conducted in the first quarter of 2015.
    • NFPA 101 Life Safety Code standards: 19.3.7.3, 19.3.7.5, 19.1.6.3, 19.1.6.4Smoke barriers not maintained; penetrations not sealed
    • NFPA 101 Life Safety Code 19.7.1.2Fire drills not conducted as required; Day Shift drill missing
    19 Aug 2015Inspection
    Found deficiencies in medication management and resident records, including improper insulin handling and incomplete care plans. Also indicated gaps in assessment documentation and policy updates.
    16 Oct 2014Inspection
    Found deficiencies in food storage/handling and infection control, including improper cooling of leftovers and inadequate hand hygiene.
    • FOOD PROCURE, STORE/PREPARE/SERVE - SANITARY
    • INFECTION CONTROL, PREVENT SPREAD
    15 Sept 2014Life Safety
    The facility had multiple life-safety deficiencies related to exit signage, smoke detector maintenance, and emergency power systems.
    • NFPA 101 Life Safety Code Standard, Section 7.10; 7.10.1.2; 19.2.10.1Exit signage not properly identifying exits
    • NFPA 101 Life Safety Code Standard (9.6.1.3); NFPA 25Smoke detectors maintenance/testing and backflow testing
    • NFPA 101 Life Safety Code StandardSmoke detector outside Resident Room B1
    • NFPA 110; NFPA 99Emergency generator maintenance and power system standards
    31 Oct 2013Inspection
    Identified failure to develop a comprehensive care plan for one resident, including depression management, based on record review and interviews.
    • 483.20(d), 483.20(k)(1)Develop Comprehensive Care Plans
    25 Sept 2013Life Safety
    Investigated deficiencies in life-safety systems; fire alarm and sprinkler systems were not properly maintained and a locking device was placed on a fire alarm circuit breaker.
    • NFPA 101 Life Safety Code StandardFire alarm system maintenance and operation
    • NFPA 101 Life Safety Code StandardFire alarm circuit breaker locking device
    • NFPA 101 Life Safety Code Standard; NFPA 13, NFPA 25Fire sprinkler system maintenance and testing
    08 Nov 2012Inspection
    Investigated a complaint and identified multiple deficiencies in resident rights notification, care documentation, sanitation practices, and medication management.
    • Type A483.10(b)(5)-(10); 483.10(b)(1)Resident rights and notices of rights, services and charges
    • Type ALocation of CAA information in medical records (CAA: Comprehensive Assessments/Adverse Actions)
    • Type AMedication administration and monitoring
    • Type AContinued from page 12 – resident care and documentation
    • Type ASanitation and cleaning procedures
    17 Sept 2012Life Safety
    Concluded compliance with NFPA 101 Life Safety Code; no deficiencies were cited.
    05 Jan 2012Inspection
    An investigation found deficiencies involving residents’ dignity and respect, safety and supervision, food handling, and infection control.
    • 483.15(a)DIGNITY AND RESPECT OF INDIVIDUALITY
    • HAZARDS/SUPERVISION/DEVICES
    • 483.60FOOD STORAGE/PREPARATION/SERVICE - SANITARY
    • 483.65INFECTION CONTROL, PREVENT SPREAD, LINENS
    18 Oct 2011Life Safety
    Identified life-safety deficiencies included unsealed holes in the storage room ceiling, nonfunctional battery backup emergency lighting in the boiler room, and improper separation for transferring oxygen.
    • NFPA 99; Compressed Gas Association; 8.6.2.5.2Hazardous areas/SMOKE passage protection
    • NFPA 101 Life Safety Code Standard 7.9.19.2.9.1Emergency lighting
    • NFPA 101 Life Safety Code StandardTransferring of oxygen
    02 Feb 2011Inspection
    Investigated the residents' activities program and found it did not meet residents' interests or needs for several residents.
    • 483.15(f)(1)Activities meet interests/needs of each resident
    28 Dec 2010Life Safety
    Verified compliance with NFPA 101 Life Safety Code during the 12/28/2010 survey.
    01 Mar 2010Life Safety
    Investigated noncompliance with NFPA 96; the cooking area fire-extinguishing system was not inspected or serviced every six months, with records showing inspections only in February 2009 and September 2009.
    • NFPA 96, Standard for Ventilation Control and Fire Protection of Commercial Cooking OperationsNFPA 96 – Fire-extinguishing system for commercial cooking operations
    06 Jan 2010Inspection
    Identified deficiencies in notifying residents of their rights and services, in staff treatment of residents, and in completing resident assessments.
    • 483.10(b)(5)-(10), 483.10(b)(1) Notice of Rights and ServicesNotice of rights and services
    • 483.13(c)(1)(ii)-(iii), (c)(2)-(4) STAFF TREATMENT OF RESIDENTSStaff treatment of residents
    • 483.20(g)-(i) RESIDENT ASSESSMENTResident assessment

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    Mirador Living is not affiliated with the owner or operator(s) of Four Seasons Health Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact Four Seasons Health Care directly. There is no cost for this service. We are compensated by the community you select.

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