Home›Browse›North Dakota›Hettinger›Western Horizons Care Center

Nursing homeFAID #9299

Western Horizons Care Center

1104 HWY 12, HETTINGER, ND, 58639

(701) 567-2401

31 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing1/5 quality measuresSource: CMS Care Compare

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Address

1104 Hwy 12

Hettinger, ND 58639

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

355042

Care type

Nursing home

County

Adams

Facility name

Western Horizons Care Center

Street address

1104 HWY 12

City / state / ZIP

Hettinger, ND 58639

Phone

(701) 567-2401

About this facility — Western Horizons Care Center

Western Horizons Care Center is a Medicare/Medicaid-certified skilled nursing facility in Hettinger, North Dakota. It is licensed for 31 beds — below the median for skilled nursing facilities in North Dakota (52 beds).

It is one of 1 senior care facility in Hettinger and 72 skilled nursing facilities across North Dakota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Western Horizons Care Center 44 times across 11 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $62,703 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Non profit - Corporation

Registered owners & officers

Erickson, Daniel

Director — since 2024

Fink, Todd

Director — since 2018

Freeland, Alyson

Officer — since 2022

Mellmer, Heidi

Director — since 2024

Ranum, Joshua

Managing employee · Operational control · Trustee · Additional disclosable party — since 2003

Skogen, Seth

Director — since 2017

Stadheim, Nathan

Managing employee · Officer · Operational control — since 2012

Uecker, Mallory

Managing employee · Operational control · Additional disclosable party — since 2024

Vliem, Kathy

Director — since 2016

Wickstrom, Laurie

Director — since 2019

Regulatory standing

Federal court records

1 naming this facility — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1978-05-01

CMS overall rating

1 of 5 stars

Health deficiencies

9 at the last standard inspection

Federal fines

$62,703 total

Last standard inspection

2025-09-04

Nurse staffing

4.7 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$366 per day (≈ $11,130/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

51% Medicaid · 6% Medicare · 43% private/other

Occupancy

79% (fiscal year 2024)

Vs. state median

9% below the ND median of $404/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-04-28Health inspectionComplaint-triggered1 citation

F-0689

G · Actual harmFrom a complaint

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

Corrected 2026-03-24

2025-09-04Health inspectionComplaint-triggered8 citations

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2025-09-26

F-0600

G · Actual harmFrom a complaint

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

F-0628

D · No harm foundFrom a complaint

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

Corrected 2025-11-26

F-0658

D · No harm found

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

Corrected 2025-09-26

F-0689

G · Actual harmFrom a complaint

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

Corrected 2025-09-05

F-0761

E · No harm foundFrom a complaint

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.

Corrected 2025-09-26

F-0805

D · No harm foundFood safety

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

Corrected 2025-09-26

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-09-26

8 earlier / fire-safety inspections (35 citations)

2025-01-16Health inspectionComplaint-triggered1 citation

F-0689

G · Actual harmFrom a complaint

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

Corrected 2025-02-07

2024-11-14Health inspectionComplaint-triggered2 citations

F-0600

D · No harm foundFrom a complaint

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

Corrected 2024-11-21

F-0609

D · No harm foundFrom a complaint

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

Corrected 2024-11-21

2024-07-24Health inspection12 citations

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-08-21

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-08-16

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-08-27

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-08-16

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-08-21

F-0689

D · No harm found

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

Corrected 2024-08-05

F-0699

D · No harm found

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-08-21

F-0790

D · No harm found

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2024-08-31

F-0806

D · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-08-27

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-08-21

F-0921

E · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-08-28

F-0925

E · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-08-28

2024-06-19Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

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

Corrected 2024-06-11

2023-08-29Health inspection10 citations

F-0580

D · No harm found

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-10-06

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-10-06

F-0625

C · No harm found

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.

Corrected 2023-10-06

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2023-10-06

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-10-06

F-0658

D · No harm found

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

Corrected 2023-10-06

F-0689

K · Immediate jeopardy

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

Corrected 2023-10-06

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-10-06

F-0882

F · No harm found

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2023-10-06

F-0948

D · No harm found

Ensure that paid feeding assistants have the training they need.

Corrected 2023-10-06

2025-09-04Fire-safety inspection4 citations

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-09-23

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-09-23

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-09-26

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-09-23

2024-07-24Fire-safety inspection3 citations

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-15

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-13

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-08-13

2023-08-29Fire-safety inspection2 citations

K-0712

D · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-09-27

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-09-27

Federal penalties

2025-09-04Fine$17,252

2025-01-16Fine$26,598

2023-08-29Fine$18,853

Total fines$62,703

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 355042.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 44 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered