Nursing home

Western Horizons Care Center

1104 Hwy 12, Hettinger, ND, 58639

Ownership type: Non profit - Corporation.

CMS overall rating
CMS overall rating: 1 out of 51of 5

At a glance

CMS reports a 1-star overall rating for Western Horizons Care Center, with 34 inspection citations on record (4 higher severity). Federal records include $62,703 in the current dataset.
CMS overall
1
of 5
Health inspection
2
of 5
Staffing
1
of 5
Quality measures
1
of 5
Certified beds
40
CMS-reported

CMS rating profile

The four CMS ratings on one aligned scale, with county and state averages for context.

Rating profile

How this facility's overall rating relates to its three CMS component ratings.

Overall1 of 5
Health inspection2 of 5
Staffing1 of 5
Quality measures1 of 5

CMS-reported data · updated 2026-07-17

Comparative context

This facility's CMS overall rating next to its county and state averages.

This facility 1
15
Adams Co. avg 1North Dakota avg 3.28This facility
This facility: 1 of 5. Adams Co. avg: 1. North Dakota avg: 3.28.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
Averages are calculated from CMS records included in this dataset and exclude facilities CMS has not rated. A neutral reference point, not a CMS rating or a pass/fail line.

Inspections and citations

Health-inspection citations CMS reports for this facility. Individual records are in the technical appendix.

Citation profile

How many citations CMS reports, how severe, and when they occurred.

34
Citations on record
4
Higher severity (G–L)
8
From complaints
0
Infection control
Citations by inspection year
102023
152024
92025
Higher severity Standard

CMS-reported data · updated 2026-07-17

Methodology
Severity uses the CMS scope-and-severity letter (G–L count as higher severity). Counts are CMS-reported inspection findings, not a judgment about current conditions.

Federal records

Federal fines (CMPs) and payment-denial records CMS reports in the recent reporting period. These are distinct record types and are never merged.

Federal fines (CMP)

Fine records over time, sized by amount.

3 records · $62,703 total · Aug 29, 2023–Sep 4, 2025
  1. Sep 4, 2025$17,252
  2. Jan 16, 2025$26,598
  3. Aug 29, 2023$18,853

CMS-reported data · updated 2026-07-17

Payment denials

Payment-denial records over time, sized by duration.

No payment-denial records are included in this data for this facility.

CMS-reported data · updated 2026-07-17

Methodology
CMS may deny Medicare/Medicaid payment for new admissions. This is a distinct record type from a civil monetary fine. Confirm current status on CMS Care Compare.

Staffing and care

Selected CMS care indicators for long-stay residents, with a typical level for context. The CMS staffing star rating appears in the rating profile above.

Selected care measures

How this facility's reported care indicators sit against a typical level.

3 of 3 care measures reported by CMS
On antipsychotic medication(lower is better)34.95%

Long-stay residents given antipsychotic medication.

With new/worsened pressure ulcers(lower is better)5.42%

Long-stay residents with new or worsened pressure ulcers.

Falls with major injury(lower is better)7.75%

Long-stay residents with one or more falls with major injury.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
The tick marks a typical level for context and is calculated from CMS records included in this dataset — not a CMS rating. Per-shift staffing hours are not part of this dataset. Missing values are shown as “Not reported”, never as zero.

Ownership

Facilities and agencies grouped by CMS-reported ownership fields. A company appearing here does not by itself mean it controlled day-to-day care or did anything wrong.

Owner / organizationRole
Ranum, JoshuaCONTRACTED MANAGING EMPLOYEE
Stadheim, NathanW-2 MANAGING EMPLOYEE
Uecker, MalloryW-2 MANAGING EMPLOYEE
Erickson, DanielCORPORATE DIRECTOR
Fink, ToddCORPORATE DIRECTOR
Mellmer, HeidiCORPORATE DIRECTOR
Skogen, SethCORPORATE DIRECTOR
Vliem, KathyCORPORATE DIRECTOR
Wickstrom, LaurieCORPORATE DIRECTOR
Freeland, AlysonCORPORATE OFFICER
Stadheim, NathanCORPORATE OFFICER
Ranum, JoshuaOPERATIONAL/MANAGERIAL CONTROL
Stadheim, NathanOPERATIONAL/MANAGERIAL CONTROL
Uecker, MalloryOPERATIONAL/MANAGERIAL CONTROL
Ranum, JoshuaTRUSTEE OF THE SNF
Ranum, JoshuaADP OF THE SNF
Uecker, MalloryADP OF THE SNF

Nearby facilities

Other CMS-certified nursing homes near Adams County.

1104 Hwy 12, Hettinger
Adams County · ND · 58639
40 certified beds46.0175, -102.6900

Verify the current location and license with official sources.

FacilityLocationOverallHealthStaffingCMS abuse iconFederal penalties
The Meadows on University
CCN 355024
Fargo, ND222Not shown$41,041
Minot Health and Rehab, LLC
CCN 355031
Minot, ND223Shown$39,212
St Catherines Living Center
CCN 355033
Wahpeton, ND224Shown$56,329
Tioga Medical Center Ltc
CCN 355034
Tioga, ND234Not shown$11,408
Marian Manor Healthcare Center
CCN 355036
Glen Ullin, ND111Not shown$22,835
Smp Health - St Aloisius
CCN 355037
Harvey, ND545Not shown$0

Related research

Frequently asked questions

What is Western Horizons Care Center's CMS rating?

Western Horizons Care Center has a 1-star CMS overall rating (out of 5) in the current dataset, with CMS component ratings of 2 for health inspections, 1 for staffing, and 1 for quality measures. A star rating is a CMS summary of past data, not a judgment about current conditions.

Where is Western Horizons Care Center located?

Western Horizons Care Center is located at 1104 Hwy 12, Hettinger, ND, 58639 in Adams County, and CMS lists 40 certified beds.

Does Western Horizons Care Center have federal penalties or payment denials on record?

The CMS data includes $62,703 in federal fine amounts and 0 payment-denial records for Western Horizons Care Center over roughly the past three years. These are CMS-reported records; see CMS Care Compare for the details and context.

How does Western Horizons Care Center's rating compare to nearby facilities?

Western Horizons Care Center's CMS overall rating is 1 of 5. For comparison, the average CMS overall rating is 1 across 1 facilities in Adams County, and 3.28 across North Dakota. Averages exclude facilities CMS has not rated, and a star rating is a CMS summary, not a judgment about any individual facility.

How can I verify Western Horizons Care Center's current information?

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm Western Horizons Care Center's current ratings, inspection reports, and license status on the official CMS Care Compare site and with your state survey agency.

Technical appendix

Record identifiers

CMS provider number (CCN)
355042
Ownership type
Non profit - Corporation
Certified beds
40
Data snapshot
2026-07-17
All 34 citation records
DateCMS tagSeverityTypeCMS deficiency statusCorrection date
Sep 4, 20250583DStandardDeficient, Provider has date of correctionSep 26, 2025
Sep 4, 20250658DStandardDeficient, Provider has date of correctionSep 26, 2025
Sep 4, 20250805DStandardDeficient, Provider has date of correctionSep 26, 2025
Sep 4, 20250880DStandardDeficient, Provider has date of correctionSep 26, 2025
Sep 4, 20250600GComplaintPast Non-ComplianceNot available
Sep 4, 20250628DComplaintDeficient, Provider has date of correctionNov 26, 2025
Sep 4, 20250689GComplaintDeficient, Provider has date of correctionSep 5, 2025
Sep 4, 20250761EComplaintDeficient, Provider has date of correctionSep 26, 2025
Jan 16, 20250689GComplaintDeficient, Provider has date of correctionFeb 7, 2025
Nov 14, 20240600DComplaintDeficient, Provider has date of correctionNov 21, 2024
Nov 14, 20240609DComplaintDeficient, Provider has date of correctionNov 21, 2024
Jul 24, 20240554DStandardDeficient, Provider has date of correctionAug 21, 2024
Jul 24, 20240582DStandardDeficient, Provider has date of correctionAug 16, 2024
Jul 24, 20240641DStandardDeficient, Provider has date of correctionAug 27, 2024
Jul 24, 20240645DStandardDeficient, Provider has date of correctionAug 16, 2024
Jul 24, 20240657DStandardDeficient, Provider has date of correctionAug 21, 2024
Jul 24, 20240689DStandardDeficient, Provider has date of correctionAug 5, 2024
Jul 24, 20240699DStandardDeficient, Provider has date of correctionAug 21, 2024
Jul 24, 20240790DStandardDeficient, Provider has date of correctionAug 31, 2024
Jul 24, 20240806DStandardDeficient, Provider has date of correctionAug 27, 2024
Jul 24, 20240812EStandardDeficient, Provider has date of correctionAug 21, 2024
Jul 24, 20240921EStandardDeficient, Provider has date of correctionAug 28, 2024
Jul 24, 20240925EStandardDeficient, Provider has date of correctionAug 28, 2024
Jun 19, 20240689DComplaintPast Non-ComplianceJun 11, 2024
Aug 29, 20230580DStandardDeficient, Provider has date of correctionOct 6, 2023
Showing the 25 most recent of 34 citations.

How to verify this data

  • The current CMS profile on Medicare’s Care Compare
  • Your state survey agency’s latest inspection reports
  • Any recent complaint investigations
  • Current ownership and license status

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Ratings and records are CMS-reported summaries of past data, not a judgment about current conditions. See methodology.

SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.