01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-04 | 9 | 2025-09-04 | 4 |
| Cycle 2 | 2024-07-24 | 15 | 2024-07-24 | 3 |
| Cycle 3 | 2023-08-29 | 11 | 2023-08-29 | 2 |
CMS CCN 3550422026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Western Horizons Care Center
1104 Hwy 12 · Hettinger, ND 58639 · Adams County
Certified beds31CMS provider file
Recent citation rows44current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
44 rows in the current release
5 rows carry G–L scope/severity codes; 1 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-28 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2026-03-24 · complaint2025-09-04 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2025-09-262025-09-04 · HEALTHF0600Severity G · isolated actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · complaint2025-09-04 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-11-26 · complaint2025-09-04 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-09-262025-09-04 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-09-05 · complaint2025-09-04 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-26 · complaint2025-09-04 · HEALTHF0805Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Correction field: Deficient, Provider has date of correction · 2025-09-262025-09-04 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-09-262025-09-04 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-09-232025-09-04 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2025-09-232025-09-04 · FIREK0914Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2025-09-262025-09-04 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-09-232025-01-16 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-02-07 · complaint2024-11-14 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-11-21 · complaint2024-11-14 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-11-21 · complaint2024-07-24 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2024-08-212024-07-24 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-24 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-08-272024-07-24 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-24 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-08-212024-07-24 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-08-052024-07-24 · HEALTHF0699Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Correction field: Deficient, Provider has date of correction · 2024-08-212024-07-24 · HEALTHF0790Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Correction field: Deficient, Provider has date of correction · 2024-08-3103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-09-04 | Fine | $17,252 | 0 |
| 2025-01-16 | Fine | $26,598 | 0 |
| 2023-08-29 | Fine | $18,853 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- RANUM, JOSHUAIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 07/01/2003
- STADHEIM, NATHANIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/17/2012
- UECKER, MALLORYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 10/16/2024
- ERICKSON, DANIELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/04/2024
- FINK, TODDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2018
- MELLMER, HEIDIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/04/2024
- SKOGEN, SETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2017
- VLIEM, KATHYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2016
- WICKSTROM, LAURIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/25/2019
- FREELAND, ALYSONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/03/2022
- STADHEIM, NATHANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/17/2012
- RANUM, JOSHUAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/18/2024
- STADHEIM, NATHANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/19/2024
- UECKER, MALLORYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/18/2024
- RANUM, JOSHUAIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 07/01/2023
- RANUM, JOSHUAIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/23/2024
- UECKER, MALLORYIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/23/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.75per resident day
RN hours0.69per resident day
Weekend nurse hours4.02per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the North Dakota ledger →Other published facilities nearby
No second facility in the same city met the directory rule.