WESTERN HORIZONS CARE CENTER

HETTINGER, ND · 40 beds · Non profit - Corporation

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • 1 citation(s) at the highest severity level — immediate risk to residents
  • 3 citation(s) where residents suffered actual harm
  • $71,991 in fines
  • 67% total nursing staff turnover

Green Flags

  • 4-star staffing rating

Quick Facts

★☆☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
8
1.5x state avg
Deficiencies
$71,991
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

September 3, 2025

16 deficiencyies
F0583 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Keep residents' personal and medical records private and confidential.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

F0805 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0600 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0628 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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.

F0583 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Keep residents' personal and medical records private and confidential.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Ensure services provided by the nursing facility meet professional standards of quality.

F0805 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

Show details

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0600 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0628 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

Show details

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

Show details

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.

January 15, 2025

2 deficiencyies
F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

Show details

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

Show details

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

November 13, 2024

2 deficiencyies
F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

See full violation history →

Staffing

1.00
RN hrs/res/day
0.27
LPN hrs/res/day
3.44
CNA hrs/res/day
3.90
Weekend hrs/res/day
67%
Total nurse turnover
55%
RN turnover

A nurse checks on each resident roughly every 5.1 hours on average.

Fines & Penalties

  • Fine Sep 3, 2025
    $26,540
  • Fine Jan 15, 2025
    $26,598
  • Fine Aug 28, 2023
    $18,853
Total $71,991

Ownership

Non profit - Corporation Independent (not part of a chain)
  • RANUM, JOSHUA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/18/2024

    Individual
  • STADHEIM, NATHAN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/19/2024

    Individual
  • UECKER, MALLORY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/18/2024

    Individual
  • ERICKSON, DANIEL

    CORPORATE DIRECTOR

    Since since 11/04/2024

    Individual
  • FINK, TODD

    CORPORATE DIRECTOR

    Since since 10/01/2018

    Individual
  • MELLMER, HEIDI

    CORPORATE DIRECTOR

    Since since 11/04/2024

    Individual
  • SKOGEN, SETH

    CORPORATE DIRECTOR

    Since since 10/01/2017

    Individual
  • VLIEM, KATHY

    CORPORATE DIRECTOR

    Since since 10/01/2016

    Individual
  • WICKSTROM, LAURIE

    CORPORATE DIRECTOR

    Since since 09/25/2019

    Individual
  • FREELAND, ALYSON

    CORPORATE OFFICER

    Since since 10/03/2022

    Individual
  • STADHEIM, NATHAN

    CORPORATE OFFICER

    Since since 09/17/2012

    Individual
  • RANUM, JOSHUA

    CONTRACTED MANAGING EMPLOYEE

    Since since 07/01/2003

    Individual
  • STADHEIM, NATHAN

    W-2 MANAGING EMPLOYEE

    Since since 09/17/2012

    Individual
  • UECKER, MALLORY

    W-2 MANAGING EMPLOYEE

    Since since 10/16/2024

    Individual