CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in North Dakota. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Western Horizons Care Center is a 1-star Medicare and Medicaid certified nursing home in Hettinger, North Dakota with 31 certified beds. It has been operating since 1978. Its overall CMS rating is 1 out of 5.
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.
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.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
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.
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.
Allow residents to self-administer drugs if determined clinically appropriate.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
+ 5 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 | 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 |
| 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 | 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 |
| RANUM, JOSHUA | TRUSTEE OF THE SNF | Individual | N/A | Jul 1, 2023 |
| RANUM, JOSHUA | ADP OF THE SNF | Individual | N/A | Dec 23, 2024 |
| UECKER, MALLORY | ADP OF THE SNF | Individual | N/A | Dec 23, 2024 |
Compare CMS ratings and recorded fines for Western Horizons Care Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.