Four Seasons Health Care is a small non-profit nursing home located in Forman, North Dakota. This nursing home was awarded an overall grade of B-, which is a middle of the pack score. Based on our assessment, this place likely wouldn't be a bad choice. The best part of this facility's report card is is its inspection score. Inspection grades are discussed in the next section.
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Four Seasons Health Care
- Nursing Home
- Assisted Living
Updated Nov 1, 2023 by Nick Reese
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- No Resident Council
- No Family Council
- Non profit - Other
- Offers Inpatient Rehab
Specialized Services
- Personal Care
- Medication Management
- Home Making
- Transportation
- Medical Transportation
- Speech Therapy
- Occupational Therapy
- Physical Therapy
- Respiratory Therapy
- Nutritional Counseling
- Recreational Therapy
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Awards
Registered Staff Hours
Facility Inspections
This nursing home earned a solid overall grade as described above, but we really wanted to point out its nearly flawless government inspection reports in recent years. We gave them an impressive grade of A- in this category. Inspection scores are based on several items located in the a nursing home's recent inspection reports. Nursing homes that receive favorable grades in this area tend to have very few deficiencies on those reports. Most importantly, these places generally do not have any severe deficiencies which are associated with risks to patient safety. While this facility had some deficiencies on its report, none were major deficiencies based on CMS' deficiency scale. A couple relatively minor dings are not necessarily something to panic about.
Nurse Quality
This facility also excelled in nursing, where it received an B+. Our nursing score is primarily tied to a facility's nurse staffing. This particular nursing home provided 0.4 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This facility performed well in this area. Avoiding major falls is typically a good indicator that a facility has reliable quality controls in place. Major falls can frequently be avoided if more nurses aids and better safety protocols are in place.
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Short-term Care Quality
The third area we looked at is short-term care. In that area, we awarded this facility a B+. It actually fared better than most nursing homes in this area. In calculating our short-term care scores, we scrutinize a facility's levels of skilled nursing services, which includes registered nurses, physical therapists respiratory therapists and other types of therapists. This area is typically a fair assessment of the facility's ability to rehabilitate patients. Fortunately, it appear that this nursing home employs registered nurses. Not every nursing home employs these skilled professionals. However, according to the data they provided, it does not look like the facility employs physical therapists. Lastly, we assessed the percentage of patients that were able to return home from this nursing home. We found that 0 percent of this facility's patients were able to return home.
Long-term Care Quality
The final area we analyzed was long-term care, turned out to be this nursing home's least impressive area. We awarded this nursing home a D in this area. This really was one of just a couple of weak links in a quality report card. Facilities that do not fare well in long-term care typically are not as well-staffed and are lagging in some of the areas of routine healthcare services we assessed. In addition to considering the quantity of care provided by nurses aids and other staff, we also looked at the number of residents vaccinated against pneumonia. This facility vaccinated 89.090904 percent of its residents. This is several points below what we expected. Surprisingly, this nursing home was actually able to limit hospitalizations. With just 0.01 hospitalizations per one thousand long-term resident days, this nursing home had less hospitalizations than the average nursing home. This was its best score in this category.
Rating Over Time
Compared to national and state averages across all facilities.
Four Seasons Health Care Quality Metrics
Minimizes Pressure Ulcers
In Four Seasons Health Care, 10.14% of Patients had Pressure Ulcers
This datapoint is an indication of the percent of long-term patients that suffered from new or worsened pressure ulcers. Many experts believe that pressure ulcers are a solid measure of nursing care quality.
Minimizes Serious Falls
In Four Seasons Health Care, 3.64% of Patients had Serious Falls
This is the percent of patients who suffered from a fall resulting in severe injury.
Minimizes Urinary Tract Infections
In Four Seasons Health Care, 2.78% of Patients had UTIs
This metric tells you the percentage of long-term stay residents who experienced urinary tract infections. Although more infections may reflect poorly on a nursing home's cleanliness, it can be problematic to compare between facilities due to nursing homes having varying reporting standards.
Appropriately Uses Anti-Psychotic Medication
In Four Seasons Health Care, 26.92% of Patients use Anti-Psychotic Medication
This tells you the percentage of patients who were prescribed antipsychotic drugs. Antipsychotic drugs are administered to residents for many medical conditions, including Alzheimer's or other dementias. Tragically, in some cases, increased usage of these drugs may mean that a facility is using these drugs to subdue residents.
Appropriately Uses Anti-Anxiety Medication
In Four Seasons Health Care, 13.73% of Patients use Anti-Anxiety Medication
This is the percentage of residents given antianxiety drugs. Antianxiety drugs are administered to residents suffering from depression or anxiety.
Managing Depression Among Residents
In Four Seasons Health Care, 0.94% of Patients
This is the percent of patients demonstrating symptoms of depression. Higher levels of depression may imply a less hospitable environment.
Appropriate Vaccine Usage
In Four Seasons Health Care, 92.2% of Patients
Measures the percent of long-term care patients who were vaccinated against pneumonia and flu.
Residents Maintain Autonomy
In Four Seasons Health Care, 8.82% of Patients
This is the percentage of residents that required additional assistance with activities of daily living over time. Higher levels of needing for assistance with ADL's could be a sign of deterioration of a resident's well-being.
Ability to Keep Residents Mobile
In Four Seasons Health Care, 4.01% of Residents
This is a measure of the percentage of long-term care residents who retained mobility levels.
Hospitalizations
In Four Seasons Health Care, 0.01 Hospitalizations per 1,000 resident days
This datapoint is a measure of the number of times residents are hospitalized per 1,000 days of patient care.
Short-term Care: Rehospitalizations
In Four Seasons Health Care, 4.01% of Residents Rehospitalized
This is the number of rehospitalizations per thousand days of short-term care.