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Nursing HomeMedicaid Investigative

Western Horizons Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1104 Hwy 12, Hettinger, ND 5863940 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 2 Google reviews

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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (8 vs median 4.0)
  • High staff turnover (67%)
  • High RN turnover (54%)

Bottom 25% in ND · Meets national RN staffing standard · Above recommended total nurse staffing · $71,991 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.01hrs
OK
Registered nurses for medical care
Total Nursing
4.72hrs
OK
All nurses + aides combined
Staff Turnover
67%
Lower is better (< 30% = good)
RN Turnover
55%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
1/ 5
Better Than Avg

2

measures

Worse Than Avg

10

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility35.0%
Worse than Avg
Here
35.0%
US
15.4%
ND
22.6%
Adams
17.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility27.4%
Worse than Avg
Here
27.4%
US
15.3%
ND
18.3%
Adams
19.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility16.4%
Worse than Avg
Here
16.4%
US
12.1%
ND
4.5%
Adams
9.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility28.8%
Worse than Avg
Here
28.8%
US
19.5%
ND
17.5%
Adams
17.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility25.2%
Worse than Avg
Here
25.2%
US
14.4%
ND
20.2%
Adams
18.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.6%
Worse than Avg
Here
27.6%
US
19.4%
ND
25.3%
Adams
24.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility76.9%
Mixed vs Avgs
Here
76.9%
US
81.8%
ND
93.2%
Adams
75.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
3penalties
Above state avg (5.4)
8 complaint-triggered
$71,991 in fines

Families have filed at least 8 complaint reports, triggering multiple inspections with recurring issues in accident prevention and safety supervision, resident protection from abuse and neglect, and infection control. The facility shows a pattern of repeated deficiencies in accident hazards across multiple surveys, including recent ones, though most violations have correction dates indicating efforts to address problems.

Sep 4, 2025Complaint
4
0600Moderate

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.

0689ModerateCorrected

Quality of Life and Care Deficiencies

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

0761ModerateCorrected

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.

0628MinorCorrected

Resident Rights Deficiencies

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

Sep 4, 2025Routine
8
0291ModerateCorrected

Egress Deficiencies

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

0914ModerateCorrected

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.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0658MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0805MinorCorrected

Nutrition and Dietary Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0355MinorCorrected

Smoke Deficiencies

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

Jan 16, 2025Complaint
1
0689ModerateCorrected

Quality of Life and Care Deficiencies

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

Nov 14, 2024Complaint
2
0600MinorCorrected

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.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Jul 24, 2024Routine
15
0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0921ModerateCorrected

Environmental Deficiencies

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

0925ModerateCorrected

Environmental Deficiencies

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

0511MinorCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0554MinorCorrected

Resident Rights Deficiencies

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

0582MinorCorrected

Resident Rights Deficiencies

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

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0657MinorCorrected

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.

0689MinorCorrected

Quality of Life and Care Deficiencies

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

0699MinorCorrected

Quality of Life and Care Deficiencies

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

0790MinorCorrected

Quality of Life and Care Deficiencies

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

0806MinorCorrected

Nutrition and Dietary Deficiencies

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

0923MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Jun 19, 2024Complaint
1
0689Minor

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Sep 4, 2025

$17,252

Fine

Jan 16, 2025

$26,598

Fine

Aug 29, 2023

$18,853

Ownership & Operations

Who Operates This Facility

Owner / Operator

Western Horizons Care Center

Organization Type

nonprofit

Ownership & Management

Key personnel

Ranum, JoshuaContracted Managing EmployeeStadheim, NathanW-2 Managing EmployeeUecker, MalloryW-2 Managing EmployeeErickson, DanielOfficer / DirectorFink, ToddOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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