CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3551032026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Four Seasons Health Care Inc

CMS lists this provider in Forman, ND, with 25 certified beds, an overall rating of 1/5, and 34 citation rows in the current August 2026 release.

483 4Th St Sw · Forman, ND 58032 · Sargent County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds25CMS provider file
Recent citation rows34current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Four Seasons Health Care Inc survey cycles in this release

CMS supplies 3 survey-cycle rows for Four Seasons Health Care Inc in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-02-1992026-02-193
Cycle 22024-10-30142024-10-300
Cycle 32023-11-0862023-11-082
02 / CITATION DETAIL

Four Seasons Health Care Inc citations in the current release

CMS reports 34 citation rows, including 2 with G–L codes and 0 with J–L codes.

2 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-05-19 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction field: Deficient, Provider has date of correction · 2026-06-22 · complaint
2026-05-19 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-06-22 · complaint
2026-02-19 · HEALTHF0640Severity F · widespread; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Correction field: Deficient, Provider has date of correction · 2026-04-06
2026-02-19 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2026-04-06
2026-02-19 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-04-06
2026-02-19 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-04-06
2026-02-19 · HEALTHF0883Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Correction field: Deficient, Provider has date of correction · 2026-04-13
2026-02-19 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2026-03-06
2026-02-19 · FIREK0914Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Correction field: Deficient, Provider has date of correction · 2026-03-25
2026-02-19 · FIREK0921Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Correction field: Deficient, Provider has date of correction · 2026-03-25
2025-12-29 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-01-28 · complaint
2025-09-24 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-09-25 · complaint
2024-10-30 · HEALTHF0584Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-12-12 · complaint
2024-10-30 · HEALTHF0625Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-12-12 · complaint
2024-10-30 · HEALTHF0641Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2025-01-14 · complaint
2024-10-30 · HEALTHF0644Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-12-12 · complaint
2024-10-30 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-12-12 · complaint
2024-10-30 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-12-12 · complaint
2024-10-30 · HEALTHF0684Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-12-12 · complaint
2024-10-30 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-12-12 · complaint
2024-10-30 · HEALTHF0725Severity E · pattern; potential for more than minimal harm

Nursing and Physician Services Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-12-12 · complaint
2024-10-30 · HEALTHF0732Severity C · widespread; potential for minimal harm

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Correction field: Deficient, Provider has date of correction · 2024-12-12 · complaint
2024-10-30 · HEALTHF0761Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-12-12 · complaint
2024-10-30 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-12-12 · complaint
03 / ENFORCEMENT FILE

CMS penalties reported for Four Seasons Health Care Inc

The August 2026 file contains 3 penalty rows and $115,484 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-10-30Fine$78,3090
2023-11-08Fine$29,4370
2023-08-30Fine$7,7380
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Four Seasons Health Care Inc

CMS matched 9 ownership disclosure rows to Four Seasons Health Care Inc; names and roles are reported fields, not independently verified identities.

  • KLEINGARTNER, ANDREAIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 12/02/2014
  • LANG, SONYAIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 12/02/2014
  • ELLEFSON, PATTYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/01/2014
  • JOHNSON, DEBORAHIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/01/2014
  • MARTINSON, DAVIDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/01/2014
  • MCLEAN, STEVENIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/01/2014
  • ROCKSWOLD, JASONIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/01/2014
  • SCHLECHT, NATHANIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/01/2014
  • WOYTASSEK, MARY KAYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/01/2014

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Staffing hours and turnover for Four Seasons Health Care Inc

Total nurse hours and RN hours per resident day are not reported for this provider in the August 2026 CMS release.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours—per resident day
RN hours—per resident day
Weekend nurse hours—per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS

Facilities published near Four Seasons Health Care Inc

No second published facility record in Forman, ND met the local peer rule in this release.

Open the North Dakota ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.