Skilled nursing facilities · North Dakota

Four Seasons Health Care Center

Forman, ND · ~65 workers · 2 years of OSHA Injury Tracking Application data.

F
Failing Safety Record
15.4
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

Four Seasons Health Care Center runs at 237% of its industry's injury rate - far more dangerous than the typical Skilled nursing facilities workplace, earning a grade F.

Four Seasons Health Care Center: 15.4 TCR = 237% of Skilled nursing facilities BLS 6.5 · 2y Form 300A (see methodology below)

Four Seasons Health Care Center safety composite

Four Seasons Health Care Center scores strongest on dart rate (safer than 92% of same-industry peers) and weakest on total case rate (tcr) (safer than 11%), blended into one 0-100 breakdown against same-industry peers. A missing measure drops out and redistributes its weight rather than deflating the score. This is a per-dimension breakdown, distinct from the single letter grade above it (which weights TCR alone against the BLS industry benchmark).

D

49/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 15.38 per 100 workers

Safer than 11% of industry peers

DART rate
A 0 per 100 workers

Safer than 92% of industry peers

Fatalities
D 0

Safer than 51% of industry peers

Benchmarked live against every credibly-rated employer in the same NAICS industry code in the current OSHA extract (a segment must have at least 8 rated peers to benchmark). Not a legal or compliance determination; PlainSafetyScore's own weighting (TCR 40%, DART 35%, fatalities 25%).

TCR Δ

−19.9

2021→2022

Four Seasons Health Care Center injury rate improved

Four Seasons Health Care Center's TCR fell 19.9 from 25.4 in 2021 to 5.4 in 2022. Peak filing year was 2021 at 25.4 TCR. In 2022, DART was 0× this establishment's average TCR (severity share of cases).

2021=25.4 · 2022=5.4

OSHA ITA Form 300A scorecard

Establishment book 623110 · Forman, ND ABOVE-IND · SMALL

Grade F · TCR 15.4 · 237% of ind

  • DART 0.0 DART
  • RANK #66/69
  • PHOTO ST FRANCIS OF BELLIN…
  • BOOK 2y book
  • INJ 9 inj
  • SIZE ~65 FTE

Nearest TCR peer: ST FRANCIS OF BELLINGHAM (0.0 TCR gap)

Read with this employer → · Industry book → · North Dakota employers → · Look up another →

Four Seasons Health Care Center in the TCR neighbourhood

Average Total Case Rate among this establishment and nearest same-industry peers

TCR

What this shows Four Seasons Health Care Center averages 15.4 TCR (237% of the Skilled nursing facilities BLS benchmark).

Source U.S. Department of Labor, OSHA Injury Tracking Application (Form 300A) As of 2026-08-25

Four Seasons Health Care Center TCR series: 2021=25.4 · 2022=5.4 · BLS 6.5

Where Four Seasons Health Care Center falls in its industry

15,252 Skilled nursing facilities establishments

Safer than 11% of graded establishments in this industry, whose median TCR is 6.6.

More dangerous than peersSafer than peers

Narrower to North Dakota alone (the establishments it most directly competes with for workers and contracts): ranked #66 safest of 69 Skilled nursing facilities employers in North Dakota.

Four Seasons Health Care Center (65 employees, TCR 15.4) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6 2×2 strategic matrix plotting 30 entities by Average employees (X) and Total Case Rate (Y), with a crosshair dividing the plot into four quadrants. Larger & higher-riskSmaller & higher-riskLarger & saferSmaller & safer than peers 0100200300400 05101520 Average employees Total Case Rate Four Seasons Health Care Center
Four Seasons Health Care Center (65 employees, TCR 15.4) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

Four Seasons Health Care Center has fewer employees than the Skilled nursing facilities median and a higher injury rate than the industry's median TCR of 6.6. Workforce size and injury rate do not always move together within the same industry -- some of its smaller peers run higher rates than its larger ones, and vice versa.

Year-by-Year Safety Data

Year TCR DART Injuries Illnesses Fatalities
2022 5.4 0.0 2 0 0
2021 25.4 3.6 7 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · ND · Forman

15,252 Skilled nursing facilities employers nationwide with a credible TCR · 1,696 rated employers in North Dakota with headcount on file · 4 cross-state NAT-TCR peers · 4 cross-state NAT-SIZE peers. Closest matches by relationship code are listed below.

Rel Establishment Metric
NAICS-TCR ST FRANCIS OF BELLINGHAM 15.4 TCR
NAICS-TCR Aurora Health and Rehab 15.4 TCR
NAICS-TCR Hamilton Arms Center 15.4 TCR
NAICS-TCR London Health and Rehab 15.4 TCR
STATE-SIZE Continental Resources - Tioga, ND 65 FTE
STATE-SIZE Northern Improvement Company Dickinson 65 FTE
STATE-SIZE HARRIS MACHINE COMPANY 65 FTE
STATE-SIZE Wallwork Truck Center Bismarck 65 FTE
NAT-TCR 210627-Btr-Audubon Sta 15.4 TCR
NAT-TCR UTS014 15.4 TCR
NAT-TCR Gold Medal North 15.4 TCR
NAT-TCR HG431 15.4 TCR
NAT-SIZE Coosa Valley Electric Cooperative 65 FTE
NAT-SIZE City of Effingham 65 FTE
NAT-SIZE Bonanza 65 FTE
NAT-SIZE Coversafe Inc 65 FTE

Rel codes: NAICS-TCR · STATE-SIZE · CITY-NEAR · NAT-TCR/NAT-SIZE cross-state. Read with this employer →

Data Source: OSHA Injury Tracking Application (ITA), mandatory establishment-level injury/illness reports. Grades compare employer Total Case Rate (TCR) to BLS IIF industry benchmarks. Data covers years reported by this establishment: 2022, 2021. This is publicly available government data - not a legal determination of workplace conditions.
Data sourced from official public datasets. See our methodology for details.