Four Seasons Health Care Inc
483 4TH ST SW, Forman, ND 58032
Forman, North Dakota · CMS verdict
Four Seasons Health Care Inc holds a 1 of 5 CMS overall star rating - below the North Dakota state average of 3.2, reflecting below-average quality on the federal five-star scale.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Four Seasons Health Care Inc in Forman, North Dakota holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 25 of 100 (grade F). The 33-bed facility operates where a semi-private nursing-home room in North Dakota runs a median of $11,528 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lower star tercile)
This facility's 1/5 CMS overall rating sits in the lower U.S. star tercile (≤2/5). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 25 is built
Each segment is a dimension's weighted points toward the score, summing to 25.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Four Seasons Health Care Inc's lower-tercile CMS stars
Quality ratings
Four Seasons Health Care Inc holds a CMS overall quality rating of 1 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (1/5), staffing (3/5), and quality measures (2/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Forman, North Dakota, this facility operates 33 certified beds with an average daily census of roughly 23 residents - an occupancy rate of about 70%. The facility is classified under non profit - other ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 70% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (34 total). CMS has levied 5 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Four Seasons Health Care Inc's lower-tercile stars compare to North Dakota
CMS five-star sub-ratings (0–5) for this facility against the North Dakota facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = North Dakota state average. Higher is better on all four CMS measures.
Where Four Seasons Health Care Inc ranks in North Dakota
Among the 72 CMS-rated nursing homes in North Dakota, Four Seasons Health Care Inc’s 1-star overall rating is higher than 0% of them. The bars show how all North Dakota homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
14 North Dakota homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 33 |
| Residents | 23 |
| Ownership | Non profit - Other |
| County | Sargent |
| Penalties | 5 |
| Deficiencies | 34 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Four Seasons Health Care Inc? ▾
1 out of 5 stars is Four Seasons Health Care Inc's current CMS overall rating, built from a health inspection rating of 1/5, a staffing rating of 3/5, and a quality measures rating of 2/5.
How much does a nursing home cost per month in North Dakota? ▾
In North Dakota, a semi-private nursing home room runs a median $11,528/month ($138,335/year) per the CareScout 2025 survey; private rooms average $12,304/month.
What services does Four Seasons Health Care Inc offer? ▾
Four Seasons Health Care Inc is a skilled nursing facility with 33 beds with approximately 23 current residents. It operates under non profit - other ownership. The facility has recorded 34 deficiencies and 5 penalties in CMS inspections.
Does Four Seasons Health Care Inc have any deficiencies or penalties? ▾
Four Seasons Health Care Inc has multiple deficiencies (34 total) and 5 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in North Dakota? ▾
In North Dakota, alternatives include assisted living ($4,729/mo), home health aides ($6,483/mo), and adult day care ($5,525/mo).
Keep reading
Also see the North Dakota elder-care overview and highest-rated states. Provider ID: 355103.
Read our methodology - how this data is sourced, computed, and verified.