nursing home in Hettinger, ND
Western Horizons Care Center
1104 Hwy 12, Hettinger, ND 58639 · (701) 567-2401
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★1
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Western Horizons Care Center at a glance
Western Horizons Care Center is a 31-bed non-profit nursing home in Hettinger, North Dakota (Adams County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the North Dakota average of 3.2.
Residents receive about 4.7 hours of nursing care per day (0.7 of them from registered nurses), better than the state average of 4.4 hours.
Its most recent standard health inspection (September 4, 2025) found 9 health citations. The North Dakota average is 5.6.
Federal regulators fined it 3 times in the past three years, totaling $63,485.
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 31
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- May 1, 1978
- Resident/family council
- Resident
- County
- Adams County
- CMS Certification Number
- 355042
Ratings
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 4.2 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.75 hrs | 4.42 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.69 hrs | 0.93 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 3.50 hrs | 2.97 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.02 hrs | 3.80 hrs | 3.42 hrs | Better |
Inspections
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 6 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 89 | 54.1 | 80.6 | Worse |
Penalties
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $63,485 | $27,629 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
Size
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 31 | 68 | 107 | |
| Average residents per day | 29 | 63 | 86 | |
| Occupancy | 92.3% | 91.9% | 80.9% |
Long-stay residents
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 7.3% | 5.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 7% | 4.9% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 35.9% | 22.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 8% | 2.6% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1% | 1.6% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 16.2% | 19.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 19% | 17.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.5% | 5.8% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 13% | 4.4% | 12.8% | Average |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 26.9% | 17.4% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 32.7% | 24.9% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 91.7% | 98.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 96.8% | 98.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | North Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 81.4% | 92.3% | 82% | Average |
Inspection citations
State inspectors cited this home for 35 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 28, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected March 24, 2026 |
| September 4, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected September 23, 2025 |
| September 4, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected September 23, 2025 |
| September 4, 2025 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected September 26, 2025 |
| September 4, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected September 23, 2025 |
| September 4, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected September 5, 2025 |
| September 4, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Past Non-Compliance |
| September 4, 2025 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected September 26, 2025 |
| September 4, 2025 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected September 26, 2025 |
| September 4, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 26, 2025 |
| September 4, 2025 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected September 26, 2025 |
| September 4, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected September 26, 2025 |
| September 4, 2025 Complaint | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected November 26, 2025 |
| January 16, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected February 7, 2025 |
| November 14, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected November 21, 2024 |
| November 14, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected November 21, 2024 |
| July 24, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 15, 2024 |
| July 24, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected August 13, 2024 |
| July 24, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected August 13, 2024 |
| July 24, 2024 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected August 28, 2024 |
| July 24, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 21, 2024 |
| July 24, 2024 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected August 28, 2024 |
| July 24, 2024 Standard | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Tag F0790 | D Potential harm, isolated | Corrected August 31, 2024 |
| July 24, 2024 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected August 21, 2024 |
| July 24, 2024 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected August 16, 2024 |
| July 24, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 27, 2024 |
| July 24, 2024 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected August 16, 2024 |
| July 24, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 21, 2024 |
| July 24, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 5, 2024 |
| July 24, 2024 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected August 21, 2024 |
| July 24, 2024 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected August 27, 2024 |
| June 19, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 11, 2024 |
| August 29, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected September 27, 2023 |
| August 29, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected September 27, 2023 |
| August 29, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | K Immediate jeopardy, pattern | Corrected October 6, 2023 |
| August 29, 2023 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | F Potential harm, widespread | Corrected October 6, 2023 |
| August 29, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected October 6, 2023 |
| August 29, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected October 6, 2023 |
| August 29, 2023 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected October 6, 2023 |
| August 29, 2023 Standard | Ensure that paid feeding assistants have the training they need. Nursing and Physician Services Deficiencies · Tag F0948 | D Potential harm, isolated | Corrected October 6, 2023 |
| August 29, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected October 6, 2023 |
| August 29, 2023 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected October 6, 2023 |
| August 29, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected October 6, 2023 |
| August 29, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0625 | C No harm, widespread | Corrected October 6, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $63,485 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 28, 2026 | Fine | $19,635 |
| September 4, 2025 | Fine | $17,252 |
| January 16, 2025 | Fine | $26,598 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| RANUM, JOSHUA Individual | adp of the snf | NOT APPLICABLE | 12/23/2024 |
| UECKER, MALLORY Individual | adp of the snf | NOT APPLICABLE | 12/23/2024 |
| RANUM, JOSHUA Individual | contracted managing employee | NOT APPLICABLE | 07/01/2003 |
| ERICKSON, DANIEL Individual | corporate director | NOT APPLICABLE | 11/04/2024 |
| FINK, TODD Individual | corporate director | NOT APPLICABLE | 10/01/2018 |
| MELLMER, HEIDI Individual | corporate director | NOT APPLICABLE | 11/04/2024 |
| SKOGEN, SETH Individual | corporate director | NOT APPLICABLE | 10/01/2017 |
| VLIEM, KATHY Individual | corporate director | NOT APPLICABLE | 10/01/2016 |
| WICKSTROM, LAURIE Individual | corporate director | NOT APPLICABLE | 09/25/2019 |
| FREELAND, ALYSON Individual | corporate officer | NOT APPLICABLE | 10/03/2022 |
| STADHEIM, NATHAN Individual | corporate officer | NOT APPLICABLE | 09/17/2012 |
| RANUM, JOSHUA Individual | operational/managerial control | NOT APPLICABLE | 12/18/2024 |
| STADHEIM, NATHAN Individual | operational/managerial control | NOT APPLICABLE | 12/19/2024 |
| UECKER, MALLORY Individual | operational/managerial control | NOT APPLICABLE | 12/18/2024 |
| RANUM, JOSHUA Individual | trustee of the snf | NOT APPLICABLE | 07/01/2023 |
| STADHEIM, NATHAN Individual | w-2 managing employee | NOT APPLICABLE | 09/17/2012 |
| UECKER, MALLORY Individual | w-2 managing employee | NOT APPLICABLE | 10/16/2024 |
Other nursing homes near Western Horizons Care Center
- ★★★★★1Much below average
Frequently asked questions
What is Western Horizons Care Center's rating?
Western Horizons Care Center has 1 out of 5 stars on the CMS overall star rating. The average for North Dakota nursing homes is 3.2 stars.
How many inspection citations did Western Horizons Care Center receive?
Its most recent standard health inspection found 9 citations, compared with a North Dakota average of 5.6. Every citation is listed on this page with its severity.
Does Western Horizons Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Western Horizons Care Center?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Western Horizons Care Center and how do I contact it?
Western Horizons Care Center is at 1104 Hwy 12, Hettinger, ND 58639. Phone: (701) 567-2401.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.