Western Horizons Care Center
Western Horizons Care Center is a 31-bed nursing home in HETTINGER, North Dakota. CMS has certified it for Medicare and Medicaid since 1978-05-01. It averages 28.6 residents a day.
What harm was found in the violations cited at Western Horizons Care Center?
CMS lists 35 health-inspection deficiencies for Western Horizons Care Center, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-04-28.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-28 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-09-04 | F0600, F0689 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-09-04 | F0761 | 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. | E |
| 2025-09-04 | F0583, F0628, F0658, F0805, F0880 | Keep residents' personal and medical records private and confidential. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Provide and implement an infection prevention and control program. | D |
| 2025-01-16 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-11-14 | F0600, F0609 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-07-24 | F0812, F0921, F0925 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2024-07-24 | F0554, F0582, F0641, F0645, F0657, F0689, F0699, F0790, F0806 | Allow residents to self-administer drugs if determined clinically appropriate. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide care or services that was trauma informed and/or culturally competent. / Provide routine and 24-hour emergency dental care for each resident. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
| 2024-06-19 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-08-29 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| 2023-08-29 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2023-08-29 | F0657, F0880 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide and implement an infection prevention and control program. | E |
| 2023-08-29 | F0580, F0623, F0637, F0658, F0948 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Assess the resident when there is a significant change in condition / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that paid feeding assistants have the training they need. | D |
| 2023-08-29 | F0625 | 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. | C |
Why was Western Horizons Care Center fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2025-09-04 | Fine | $17,252 |
| 2025-01-16 | Fine | $26,598 |
| 2023-08-29 | Fine | $18,853 |
How is Western Horizons Care Center staffed?
| Measure | This facility | ND average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.74982 | 4.41968 |
| Average number of residents per day | 28.6 | 63.3 |
Who owns Western Horizons Care Center?
Western Horizons Care Center is registered with CMS as Non profit - Corporation, operates under the legal business name WESTERN HORIZONS LIVING CENTERS.
| Role | Owner | Association date |
|---|---|---|
| CONTRACTED MANAGING EMPLOYEE | RANUM, JOSHUA | since 07/01/2003 |
| W-2 MANAGING EMPLOYEE | STADHEIM, NATHAN, UECKER, MALLORY | since 09/17/2012 |
| CORPORATE DIRECTOR | ERICKSON, DANIEL, FINK, TODD, MELLMER, HEIDI, SKOGEN, SETH, VLIEM, KATHY, WICKSTROM, LAURIE | since 09/25/2019 |
| CORPORATE OFFICER | FREELAND, ALYSON, STADHEIM, NATHAN | since 09/17/2012 |
| OPERATIONAL/MANAGERIAL CONTROL | RANUM, JOSHUA, STADHEIM, NATHAN, UECKER, MALLORY | since 12/18/2024 |
| TRUSTEE OF THE SNF | RANUM, JOSHUA | since 07/01/2023 |
| ADP OF THE SNF | RANUM, JOSHUA, UECKER, MALLORY | since 12/23/2024 |
Were you or a family member harmed at Western Horizons Care Center?