• CMS rates this facility 1/5 stars (below average)
• Has 40 certified beds with an average of 32.2 residents per day (81% occupancy)
• Last health inspection found 8 deficiencies (inspected Sep 4, 2025)
• Has been fined a total of $71,991 across 3 fine(s)
• Total nursing staff: 4.72 hours per resident per day
• Staff turnover rate: 67.3% (high)
Western Horizons Care Center is a 1-star Medicare and Medicaid certified nursing home in Hettinger, North Dakota with 40 certified beds. It has been operating since 1978. The facility scored below average compared to North Dakota facilities.
Keep residents' personal and medical records private and confidential.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Provide and implement an infection prevention and control program.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Allow residents to self-administer drugs if determined clinically appropriate.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Ensure each resident receives an accurate assessment.
PASARR screening for Mental disorders or Intellectual Disabilities
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide care or services that was trauma informed and/or culturally competent.
Provide routine and 24-hour emergency dental care for each resident.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Assess the resident when there is a significant change in condition
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure services provided by the nursing facility meet professional standards of quality.
+ 4 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| RANUM, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 18, 2024 |
| STADHEIM, NATHAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 19, 2024 |
| UECKER, MALLORY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 18, 2024 |
| ERICKSON, DANIEL | CORPORATE DIRECTOR | Individual | N/A | Nov 4, 2024 |
| FINK, TODD | CORPORATE DIRECTOR | Individual | N/A | Oct 1, 2018 |
| MELLMER, HEIDI | CORPORATE DIRECTOR | Individual | N/A | Nov 4, 2024 |
| SKOGEN, SETH | CORPORATE DIRECTOR | Individual | N/A | Oct 1, 2017 |
| VLIEM, KATHY | CORPORATE DIRECTOR | Individual | N/A | Oct 1, 2016 |
| WICKSTROM, LAURIE | CORPORATE DIRECTOR | Individual | N/A | Sep 25, 2019 |
| FREELAND, ALYSON | CORPORATE OFFICER | Individual | N/A | Oct 3, 2022 |
| STADHEIM, NATHAN | CORPORATE OFFICER | Individual | N/A | Sep 17, 2012 |
| RANUM, JOSHUA | CONTRACTED MANAGING EMPLOYEE | Individual | N/A | Jul 1, 2003 |
| STADHEIM, NATHAN | W-2 MANAGING EMPLOYEE | Individual | N/A | Sep 17, 2012 |
| UECKER, MALLORY | W-2 MANAGING EMPLOYEE | Individual | N/A | Oct 16, 2024 |