Four Seasons Health Care Inc

483 4th St SW, Forman, ND 58032

7017246211

55
SilverScorePartial

Based on 6 of 16 dimensions (CMS public data)

Confidence: 80%

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CMS Special Focus Candidate

This facility is being monitored as a Special Focus Facility candidate due to a pattern of quality concerns in recent inspections.

Overview

CCN
355103
Certified Beds
33
Avg Residents/Day
N/A
County
Sargent
Provider Type
Medicare and Medicaid
First Approved
N/A

Staffing

CMS data - May 2026
0.78
RN hrs/resident/day
-16% vs state
4.06
Total nurse hrs/day
-8% vs state
64%
Annual nurse turnover
+30% vs state
Role
This facility
State avg
RN
0.78
0.93
-16% vs state
LPN
0.42
--
CNA
2.87
--
PT
0.01
--
Weekend total: 3.08 hrs/resident/day(24% lower on weekends)

Hours per resident per day (HPRD) from CMS Payroll Based Journal (PBJ) submissions.

Health Inspection Citations

34
Total Citations
1
Severe (J-L)
34
Corrected

Penalties

$319,259
Total fines
5
Total penalties
0
Payment denials
DateTypeAmount
2025-09-24Fine$183,700
2024-10-30Fine$78,309
2023-11-08Fine$29,437
2023-08-30Fine$7,738
2023-03-27Fine$20,075

The neighborhood

Pulling neighborhood data from OpenStreetMap...

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Comparable on size and SilverScore. Independent, third-party data only.

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25
Compliance Record

High compliance risk

29 citations scored7 inspectionsPeers: state (72)vv0.1
Local rank: 30 vs 11 facilities within 50 mi

Ownership

TypeNonprofit
ChainIndependent

4 CMS fines on record totaling $299,184.

Ownership entities

Management
ELLEFSON, PATTY
Officer
MARTINSON, DAVID
Officer
MCLEAN, STEVEN
Officer
ROCKSWOLD, JASON
Officer
SCHLECHT, NATHAN
Officer
+4 more
Source: CMS Ownership dataset · Updated monthly

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