CCN 355103 · Sargent County, North Dakota
Four Seasons Health Care Inc
483 4th St SW, Forman, ND 58032
Four Seasons Health Care Inc is a 25-bed nonprofit nursing home in Forman, North Dakota, first certified for Medicare or Medicaid in 1991. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 23.3 residents a day, about 93% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 25
- Average residents per day
- 23.3 (93.2% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Four Seasons Healthcare Center Inc
- Certified since
- May 1, 1991
- Chain or affiliated group
- None listed by CMS
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | North Dakota median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 14 at 1, 10 at 2, 15 at 3, 15 at 4, 17 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | not reported | 4.37 | 3.68 |
| RN hours per resident per day | not reported | 0.90 | 0.58 |
| Weekend nurse hours per resident per day | not reported | ||
| Nursing staff turnover | not reported | 50.0% | 44.9% |
| Occupancy (residents / beds) | 93.2% | 94.5% | 85.7% |
| Fines reported by CMS | 2 totaling $107,746 | ||
| Health deficiencies, latest standard survey | 9 (Feb 19, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Four Seasons Health Care Inc does not meet it today: overall rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
CMS lists no 5% owners or managing organizations for this facility in its current ownership file.
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.