Four Seasons Health Care Inc
Four Seasons Health Care Inc Information
| Facility Name | Four Seasons Health Care Inc |
| Location | 483 4th St Sw, Forman, ND 58032 |
| County (SSA Code) | Sargent (400) |
| Phone Number | 701-724-6211 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 37 |
| Average Number of Residents | 35.5 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | FOUR SEASONS HEALTHCARE CENTER INC |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1991-05-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.50889 |
| Reported LPN Staffing Hours per Resident per Day | 0.12646 |
| Reported RN Staffing - Hours per Resident per Day | 1.00038 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.12685 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.63573 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.00721 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.04007 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.65183 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.27761 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.96951 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.90347 |
| Total Weighted Health Survey Score for three cycles | 29.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-18 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 32 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-12-06 |
| Rating cycle 2 - Health Deficiency Score | 32 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-12-07 |
| Rating cycle 3 - Health Deficiency Score | 52 |
| Rating cycle 3 - Total Health Inspection Score | 52 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |