Nursing homeActive
Western Horizons Care Center
1104 Hwy 12, Hettinger, ND 58639701567240131 certified beds · 29 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
35
● 1● 29● 5
Penalties · 3 yrs
$43,850
2 fines
Last survey
2026-04-28
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
Quality 1
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Dakota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-28 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-09-04 | Standard | 062 | CMS-2567 (Care Compare) | — |
| 2025-01-16 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-11-14 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-07-24 | Standard | 0120 | CMS-2567 (Care Compare) | — |
| 2024-06-19 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-08-29 | Standard | 181 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Dakota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-03-24Record 355042-20260428-F689
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Correction not yet recordedRecord 355042-20250904-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-09-05Record 355042-20250904-F689
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-26Record 355042-20250904-F583
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-26Record 355042-20250904-F628
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-26Record 355042-20250904-F658
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-26Record 355042-20250904-F761
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-26Record 355042-20250904-F805
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-26Record 355042-20250904-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-02-07Record 355042-20250116-F689
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-21Record 355042-20241114-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-21Record 355042-20241114-F609
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-21Record 355042-20240724-F554
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 355042-20240724-F582
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-27Record 355042-20240724-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 355042-20240724-F645
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-21Record 355042-20240724-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-05Record 355042-20240724-F689
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-21Record 355042-20240724-F699
F790Provide routine and 24-hour emergency dental care for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-31Record 355042-20240724-F790
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-27Record 355042-20240724-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-21Record 355042-20240724-F812
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-28Record 355042-20240724-F921
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-28Record 355042-20240724-F925
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-11Record 355042-20240619-F689
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-10-06Record 355042-20230829-F689
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-06Record 355042-20230829-F580
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-06Record 355042-20230829-F623
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-06Record 355042-20230829-F637
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-06Record 355042-20230829-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-06Record 355042-20230829-F658
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-06Record 355042-20230829-F880
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-06Record 355042-20230829-F882
F948Ensure that paid feeding assistants have the training they need.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-06Record 355042-20230829-F948
F625Notify 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.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2023-10-06Record 355042-20230829-F625
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-09-04 | Civil money penalty | $17,252 | CMS · Penalties |
| 2025-01-16 | Civil money penalty | $26,598 | CMS · Penalties |
| 2023-08-29 | Civil money penalty | $18,853 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.69
Facility
North Dakota
National
North Dakota 0.93 · National 0.69
Total nurse hours per resident day4.75
Facility
North Dakota
National
North Dakota 4.42 · National 3.86
Weekend total nurse hours4.02
Facility
North Dakota
National
North Dakota 3.80 · National 3.42
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Dakota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 7.0% | 4.9% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.3% | 5.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 35.9% | 22.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 8.0% | 2.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 16.2% | 19.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.5% | 5.8% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 26.9% | 17.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Ranum, Joshua Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stadheim, Nathan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Uecker, Mallory Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Erickson, Daniel Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fink, Todd Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Freeland, Alyson Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mellmer, Heidi Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ranum, Joshua Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ranum, Joshua Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Ranum, Joshua Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Skogen, Seth Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Stadheim, Nathan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Stadheim, Nathan Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Uecker, Mallory Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Uecker, Mallory Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Vliem, Kathy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wickstrom, Laurie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Dakota.
No county cost figures on file for Adams.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Five Counties Nursing Home Lemmon | 25.5 mi | 2026-05-07 | 0352 |
| St Benedicts Health Center Dickinson | 60.3 mi | 2026-01-28 | 050 |
| St Lukes Home Dickinson | 60.5 mi | 2025-04-10 | 150 |
| Richardton Health Center Inc Richardton | 62.4 mi | 2025-12-17 | 080 |
| Marian Manor Healthcare Center Glen Ullin | 68.9 mi | 2026-06-03 | 1122 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |