With a score of 6/100, Four Seasons Health Care Inc ranks in the bottom tier of North Dakota nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Four Seasons Health Care Inc is near the national average, with 3.89 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 34 deficiencies at Four Seasons Health Care Inc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.89 | 3.8 | Average |
| Registered Nurses (RN) | 0.78 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.36 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.75 | 2.4 | Above Average |
| Weekend Total Nursing | 2.93 | 3.8 | Below Average |
| Weekend RN Hours | 0.62 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Dec 28, 2025 · Quality of Life and Care Deficiencies
- Tag 0600 Severity JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Sep 23, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0684 Severity GProvide appropriate treatment and care according to orders, resident’s preferences and goals.Oct 29, 2024 · Quality of Life and Care Deficiencies
- Tag 0865 Severity FHave a plan that describes the process for conducting QAPI and QAA activities.Oct 29, 2024 · Administration Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dOct 29, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.1% | 4.5% | Average |
| Falls with major injury | 4.1% | 3.0% | Worse |
| On antipsychotic medication | 49.4% | 14.5% | Worse |
| Urinary tract infections | 1.1% | 2.5% | Better |
| ADL decline (daily activities) | 20.7% | 14.0% | Worse |
| Excessive weight loss | 4.4% | 7.5% | Better |
| New/worsened incontinence | 25.6% | 45.0% | Better |
⚠️ Penalties & Fines
5 penalties recorded by CMS
Total fines: $319,259
How This Grade Was Calculated
This facility's grade of F is based on a score of 6 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in North Dakota
- F
- F
- FST CATHERINES LIVING CENTERWAHPETON
- DTIOGA MEDICAL CENTER LTCTIOGA
- FMARIAN MANOR HEALTHCARE CENTERGLEN ULLIN