{
 "id": "355042",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "Western Horizons Care Center",
 "slug": "western-horizons-care-center",
 "path": "/nd/adams/hettinger/western-horizons-care-center",
 "address": {
  "street": "1104  HWY 12",
  "city": "Hettinger",
  "county": "Adams",
  "state": "ND",
  "state_name": "North Dakota",
  "zip": "58639"
 },
 "phone": "7015672401",
 "coords": [
  46.146326,
  -102.414055
 ],
 "capacity": 31,
 "residents_per_day": 28.6,
 "status": "Medicare and Medicaid",
 "licensee": "Western Horizons Living Centers",
 "administrator": null,
 "licensed_since": "1978-05-01",
 "last_visit": "2025-09-04",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "Non profit - Corporation",
  "chain": null,
  "in_hospital": false,
  "ccrc": false,
  "abuse_icon": true,
  "special_focus": null,
  "ratings": {
   "overall": 1,
   "health_inspection": 1,
   "staffing": 3,
   "quality": 1
  },
  "cycle1": {
   "date": "2025-09-04",
   "total": 9,
   "standard": 8,
   "complaint": 5
  },
  "fines": {
   "count": 3,
   "dollars": 62703,
   "penalties": 3
  },
  "staffing": {
   "nurse_hours_per_resident_day": 4.74982,
   "turnover_pct": null
  },
  "on_record": {
   "immediate_jeopardy": 1,
   "actual_harm": 4,
   "potential_harm": 29,
   "minimal": 1
  },
  "penalties_on_file": {
   "count": 3,
   "dollars": 62703
  },
  "owners": [
   {
    "name": "RANUM, JOSHUA",
    "role": "Individual",
    "since": "since 07/01/2003",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "STADHEIM, NATHAN",
    "role": "Individual",
    "since": "since 09/17/2012",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "UECKER, MALLORY",
    "role": "Individual",
    "since": "since 10/16/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "ERICKSON, DANIEL",
    "role": "Individual",
    "since": "since 11/04/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "FINK, TODD",
    "role": "Individual",
    "since": "since 10/01/2018",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "MELLMER, HEIDI",
    "role": "Individual",
    "since": "since 11/04/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SKOGEN, SETH",
    "role": "Individual",
    "since": "since 10/01/2017",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "VLIEM, KATHY",
    "role": "Individual",
    "since": "since 10/01/2016",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "WICKSTROM, LAURIE",
    "role": "Individual",
    "since": "since 09/25/2019",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "FREELAND, ALYSON",
    "role": "Individual",
    "since": "since 10/03/2022",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "STADHEIM, NATHAN",
    "role": "Individual",
    "since": "since 09/17/2012",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "RANUM, JOSHUA",
    "role": "Individual",
    "since": "since 12/18/2024",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2026-04-28",
   "tag": "0689",
   "sev": "G",
   "complaint": true
  },
  {
   "date": "2025-09-04",
   "tag": "0600",
   "sev": "G",
   "complaint": true
  },
  {
   "date": "2025-09-04",
   "tag": "0689",
   "sev": "G",
   "complaint": true
  },
  {
   "date": "2025-09-04",
   "tag": "0761",
   "sev": "E",
   "complaint": true
  },
  {
   "date": "2025-09-04",
   "tag": "0583",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-09-04",
   "tag": "0628",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-09-04",
   "tag": "0658",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-09-04",
   "tag": "0805",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-09-04",
   "tag": "0880",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-01-16",
   "tag": "0689",
   "sev": "G",
   "complaint": true
  },
  {
   "date": "2024-11-14",
   "tag": "0600",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-11-14",
   "tag": "0609",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-07-24",
   "tag": "0812",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-24",
   "tag": "0921",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-24",
   "tag": "0925",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-24",
   "tag": "0554",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-07-24",
   "tag": "0582",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-07-24",
   "tag": "0641",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-07-24",
   "tag": "0645",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-07-24",
   "tag": "0657",
   "sev": "D",
   "complaint": false
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "355042"
 }
}