Western Horizons Care Center
Nursing Home · Hettinger, ND
CMS certification number355042
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
1104 Hwy 12Hettinger, ND 58639
Adams County
- Phone
- (701) 567-2401
- ZIP code
- 58639 – all care providers
Facility details
- Certified beds
- 31
- Residents per day
- 28.6 (92% occupied)
- Ownership
- Non profit - Corporation
- Legal name
- Western Horizons Living Centers
- Medicare certified since
- May 1, 1978
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.75 (state 4.42 · U.S. 3.86)
- Registered nurses (RN)
- 0.69 (state 0.93 · U.S. 0.69)
- Licensed practical nurses
- 0.56 (state 0.52 · U.S. 0.86)
- Nurse aides
- 3.50 (state 2.97 · U.S. 2.32)
- Weekend total
- 4.02 (state 3.80 · U.S. 3.42)
- Nursing staff turnover
- —
- RN turnover
- —
Inspections
- Last standard inspection
- September 4, 2025
- Health deficiencies (last cycle)
- 9.0 (state 5.7 · U.S. 9.3)
- From complaints
- 5
- Citations on record (3 years)
- 35 health · 9 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-03-24 |
| 2025-09-04 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Past Non-Compliance |
| 2025-09-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-09-05 |
| 2025-09-04 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-09-04 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-09-04 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-26 |
| 2025-09-04 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-09-04 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-09-04 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-01-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-02-07 |
| 2024-11-14 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-21 |
| 2024-11-14 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-21 |
| 2024-07-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-21 |
| 2024-07-24 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-28 |
| 2024-07-24 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-28 |
| 2024-07-24 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-21 |
| 2024-07-24 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-16 |
| 2024-07-24 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-27 |
| 2024-07-24 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-16 |
| 2024-07-24 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-21 |
| 2024-07-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-05 |
| 2024-07-24 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-21 |
| 2024-07-24 | Provide routine and 24-hour emergency dental care for each resident. F0790 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-31 |
| 2024-07-24 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-27 |
| 2024-06-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-11 |
| 2023-08-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
K Immediate jeopardy to resident health or safety |
Corrected 2023-10-06 |
| 2023-08-29 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
| 2023-08-29 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
| 2023-08-29 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
| 2023-08-29 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
| 2023-08-29 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
| 2023-08-29 | Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
| 2023-08-29 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
| 2023-08-29 | Ensure that paid feeding assistants have the training they need. F0948 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
| 2023-08-29 | 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. F0625 · Resident Rights Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2023-10-06 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $62,703 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-09-04 | Fine | $17,252 |
| 2025-01-16 | Fine | $26,598 |
| 2023-08-29 | Fine | $18,853 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Ranum, Joshua (individual) | Administrator · NOT APPLICABLE | |
| Uecker, Mallory (individual) | Administrator · NOT APPLICABLE | |
| Ranum, Joshua (individual) | Contracted Managing Employee · NOT APPLICABLE | |
| Erickson, Daniel (individual) | Corporate Director · NOT APPLICABLE | |
| Fink, Todd (individual) | Corporate Director · NOT APPLICABLE | |
| Mellmer, Heidi (individual) | Corporate Director · NOT APPLICABLE | |
| Skogen, Seth (individual) | Corporate Director · NOT APPLICABLE | |
| Vliem, Kathy (individual) | Corporate Director · NOT APPLICABLE | |
| Wickstrom, Laurie (individual) | Corporate Director · NOT APPLICABLE | |
| Freeland, Alyson (individual) | Corporate Officer · NOT APPLICABLE | |
| Stadheim, Nathan (individual) | Corporate Officer · NOT APPLICABLE | |
| Ranum, Joshua (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Stadheim, Nathan (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Uecker, Mallory (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Ranum, Joshua (individual) | Trustee Of The Snf · NOT APPLICABLE | |
| Stadheim, Nathan (individual) | W-2 Managing Employee · NOT APPLICABLE | |
| Uecker, Mallory (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Western Horizons Care Center?
Western Horizons Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in North Dakota.
How many beds does Western Horizons Care Center have?
It has 31 certified beds and cares for about 29 residents per day.
Has Western Horizons Care Center been fined?
Yes. CMS lists 3 penalties totaling $62,703 in the last three years.
What is the phone number of Western Horizons Care Center?
(701) 567-2401. The facility is located at 1104 Hwy 12, Hettinger, ND 58639.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.