CCN 355042 · Adams County, North Dakota
Western Horizons Care Center
1104 Hwy 12, Hettinger, ND 58639
Western Horizons Care Center is a 31-bed nonprofit nursing home in Hettinger, North Dakota, first certified for Medicare or Medicaid in 1978. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 28.6 residents a day, about 92% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 31
- Average residents per day
- 28.6 (92.3% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Western Horizons Living Centers
- Certified since
- May 1, 1978
- Chain or affiliated group
- None listed by CMS
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | North Dakota median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 14 at 1, 10 at 2, 15 at 3, 15 at 4, 17 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 1 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 4.75 | 4.37 | 3.68 |
| RN hours per resident per day | 0.69 | 0.90 | 0.58 |
| Weekend nurse hours per resident per day | 4.02 | ||
| Nursing staff turnover | not reported | 50.0% | 44.9% |
| Occupancy (residents / beds) | 92.3% | 94.5% | 85.7% |
| Fines reported by CMS | 3 totaling $63,485 | ||
| Health deficiencies, latest standard survey | 9 (Sep 4, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Western Horizons Care Center does not meet it today: overall rating 1, health inspection rating 1, the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Ranum, JoshuaIndividual | Operational / Managerial Control | n/a | 12/18/2024 |
| Stadheim, NathanIndividual | Operational / Managerial Control | n/a | 12/19/2024 |
| Uecker, MalloryIndividual | Operational / Managerial Control | n/a | 12/18/2024 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.