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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeNorth DakotaWestern Horizons Care Center

Western Horizons Care Center

1104 Hwy 12, Hettinger, ND 586397015672401
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
1/5
Beds
40
certified
This facility has been flagged for abuse.
3 fine(s) totaling $71,991

Key Findings

• 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.

Beds
40
Avg Residents/Day
32.2
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
May 1, 1978
Sprinklers
Yes
Council
Resident
County
Adams
Last Inspection
Sep 4, 2025
Deficiencies (Cycle 1)
8
Weighted Score
74.0
Infection Citations
0

Deficiency Citations (34)

F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Sep 4, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Sep 4, 2025Corrected: NoCycle: 1
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Sep 4, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 4, 2025Corrected: NoCycle: 1
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Sep 4, 2025Corrected: NoCycle: 1
F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: Sep 4, 2025Corrected: NoCycle: 1
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Sep 4, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Sep 4, 2025Corrected: NoCycle: 1
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 16, 2025Corrected: NoCycle: 2
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Nov 14, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Nov 14, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jun 19, 2024Corrected: NoCycle: 2
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0699Potential for Harm

Provide care or services that was trauma informed and/or culturally competent.

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0790Potential for Harm

Provide routine and 24-hour emergency dental care for each resident.

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Jul 24, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Aug 29, 2023Corrected: NoCycle: 3
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Aug 29, 2023Corrected: NoCycle: 3
F0625Minimal Harm

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.

Survey: Aug 29, 2023Corrected: NoCycle: 3
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Aug 29, 2023Corrected: NoCycle: 3
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Aug 29, 2023Corrected: NoCycle: 3
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Aug 29, 2023Corrected: NoCycle: 3

+ 4 more deficiencies

Total Fines
$71,991
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineAug 29, 2023
$18,853
FineSep 4, 2025
$26,540
FineJan 16, 2025
$26,598

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide3.45 hrs
National avg: 2.35 hrs
LPN0.27 hrs
National avg: 0.86 hrs
RN1.01 hrs
National avg: 0.68 hrs
Total Nursing4.72 hrs
National avg: 3.89 hrs
Weekend Total3.91 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
67.3%
RN Turnover
54.5%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (14)

NameRoleTypeOwnership %Since
RANUM, JOSHUAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 18, 2024
STADHEIM, NATHANOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 19, 2024
UECKER, MALLORYOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 18, 2024
ERICKSON, DANIELCORPORATE DIRECTORIndividualN/ANov 4, 2024
FINK, TODDCORPORATE DIRECTORIndividualN/AOct 1, 2018
MELLMER, HEIDICORPORATE DIRECTORIndividualN/ANov 4, 2024
SKOGEN, SETHCORPORATE DIRECTORIndividualN/AOct 1, 2017
VLIEM, KATHYCORPORATE DIRECTORIndividualN/AOct 1, 2016
WICKSTROM, LAURIECORPORATE DIRECTORIndividualN/ASep 25, 2019
FREELAND, ALYSONCORPORATE OFFICERIndividualN/AOct 3, 2022
STADHEIM, NATHANCORPORATE OFFICERIndividualN/ASep 17, 2012
RANUM, JOSHUACONTRACTED MANAGING EMPLOYEEIndividualN/AJul 1, 2003
STADHEIM, NATHANW-2 MANAGING EMPLOYEEIndividualN/ASep 17, 2012
UECKER, MALLORYW-2 MANAGING EMPLOYEEIndividualN/AOct 16, 2024

Frequently Asked Questions

What is the CMS rating for Western Horizons Care Center?▾
Western Horizons Care Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 1/5. This facility is rated below average.
Has Western Horizons Care Center had any health inspection violations?▾
Western Horizons Care Center had 8 deficiency citations in its most recent health inspection (Sep 4, 2025). The facility has been fined a total of $71,991 across 3 fine(s).
What are the staffing levels at Western Horizons Care Center?▾
Western Horizons Care Center provides 4.72 total nursing staff hours per resident per day, including 1.01 RN hours, 0.27 LPN hours, and 3.45 nurse aide hours. The total staff turnover rate is 67.3%.
How many beds does Western Horizons Care Center have?▾
Western Horizons Care Center has 40 certified beds with an average of 32.2 residents per day, resulting in approximately 81% occupancy. The facility is Non profit - Corporation owned.