Skilled nursing facility · CMS certification number 355042
Western Horizons Care Center
HETTINGER, North Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 31
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 3 · Fines: 3 · Fines, total amount: $63,485.00 · Payment denials: 0. The most recent penalty on file: April 28, 2026, Fine, $19,635. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for April 1, 2024 to March 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 10, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,655,660 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $74,984 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,580,676 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,566,563 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $14,113 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $217,418 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $231,531 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $231,531 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 16,425 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 726 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 8,131 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,630 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 13,487 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 11 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 17 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 38 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 813.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 354.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440397, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended March 31, 2024
Cost report for April 1, 2023 to March 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,510,660 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $101,779 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,408,881 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,416,225 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,344 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $168,866 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $161,522 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $161,522 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,488 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 30 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 111.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 767.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 449.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1399127, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended March 31, 2023
Cost report for April 1, 2022 to March 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 13, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,263,723 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $105,720 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,158,003 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,462,460 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$304,457 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $39,985 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$264,472 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$264,472 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 52 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,607 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 35 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 731.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 417.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1367924, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended March 31, 2022
Cost report for April 1, 2021 to March 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 23, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,803,514 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $86,808 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,716,706 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,831,068 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$114,362 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $559,153 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $444,791 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $444,791 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 52 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,795 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 37 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 749.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 399.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1336754, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended March 31, 2021
Cost report for April 1, 2020 to March 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 9, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,992,313 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $111,439 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,880,874 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,547,499 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$666,625 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $500,552 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$166,073 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$166,073 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,171 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 27 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 927.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 487.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1306689, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended March 31, 2020
Cost report for April 1, 2019 to March 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,435,893 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $167,478 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,268,415 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,025,230 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $243,185 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,914 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $296,099 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $296,099 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,537 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 30 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,133.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 484.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280223, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended March 31, 2019
Cost report for April 1, 2018 to March 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 23, 2019.
None of these figures is carried on this report.
CMS report record 1244795, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended March 31, 2018
Cost report for April 1, 2017 to March 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 13, 2018.
None of these figures is carried on this report.
CMS report record 1212718, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended March 31, 2017
Cost report for April 1, 2016 to March 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 28, 2017.
None of these figures is carried on this report.
CMS report record 1176444, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended March 31, 2016
Cost report for April 1, 2015 to March 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 19, 2016.
None of these figures is carried on this report.
CMS report record 1145046, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended March 31, 2015
Cost report for April 1, 2014 to March 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 15, 2015.
None of these figures is carried on this report.
CMS report record 1111045, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended March 31, 2014
Cost report for April 1, 2013 to March 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 30, 2015.
None of these figures is carried on this report.
CMS report record 1106163, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended March 31, 2012
Cost report for April 1, 2011 to March 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 24, 2012.
None of these figures is carried on this report.
CMS report record 1011293, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended March 31, 2011
Cost report for April 1, 2010 to March 31, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 21, 2011.
None of these figures is carried on this report.
CMS report record 419367, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended March 31, 2010
Cost report for April 1, 2009 to March 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 15, 2010.
None of these figures is carried on this report.
CMS report record 389680, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended March 31, 2009
Cost report for April 1, 2008 to March 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2009.
None of these figures is carried on this report.
CMS report record 358305, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended March 31, 2008
Cost report for April 1, 2007 to March 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 16, 2008.
None of these figures is carried on this report.
CMS report record 326874, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended August 31, 2007
Cost report for January 1, 2007 to August 31, 2007 — a reporting period of 242 days, not a full year, on form CMS-2540-96, settled, processed by CMS on July 23, 2008.
None of these figures is carried on this report.
CMS report record 320508, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 15, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,797,889 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,253,405 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$455,516 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,669 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$439,847 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 82 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,282 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 198 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 13.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 112.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 326441, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 19, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,637,771 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,849,425 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$211,654 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,679 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$202,975 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,721 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 197 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 110.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 285167, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on December 21, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,649,917 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,661,315 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$11,398 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,916 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$4,482 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,418 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 85.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 188.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 239810, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 13, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,201,278 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,298,107 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$96,829 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,214 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$90,615 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 82 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,652 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 161.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 201901, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 15, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,430,462 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,448,294 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$17,832 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,929 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$6,903 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,972 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 114 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 183.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 196894, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 29, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,282,659 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,373,483 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$90,824 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,913 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$78,911 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,752 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 105 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 207.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 166094, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 18, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,052,584 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,252,428 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$199,844 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,070 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$188,774 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,715 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 68 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 334.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133304, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 19, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,381,273 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,500,185 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$118,912 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,841 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$108,071 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,972 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 191 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 12.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 141.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42993, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 2, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,412,167 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,367,737 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $44,430 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,951 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $56,381 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,237 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 134 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 210.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42992, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 22, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,292,006 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,246,835 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $45,171 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,837 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $61,008 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,118 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 265.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42990, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on May 22, 1997.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,346,759 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,373,320 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$26,561 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,902 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$11,659 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,635 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 195 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 146.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42989, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| RANUM, JOSHUA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/23/2024 |
| UECKER, MALLORY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/23/2024 |
| RANUM, JOSHUA | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 07/01/2003 |
| ERICKSON, DANIEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/04/2024 |
| FINK, TODD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2018 |
| MELLMER, HEIDI | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/04/2024 |
| SKOGEN, SETH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2017 |
| VLIEM, KATHY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2016 |
| WICKSTROM, LAURIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/25/2019 |
| FREELAND, ALYSON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/03/2022 |
| STADHEIM, NATHAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/17/2012 |
| RANUM, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/18/2024 |
| STADHEIM, NATHAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/19/2024 |
| UECKER, MALLORY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/18/2024 |
| RANUM, JOSHUA | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2023 |
| STADHEIM, NATHAN | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 09/17/2012 |
| UECKER, MALLORY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 10/16/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of WESTERN HORIZONS LIVING CENTERS (enrollment ID O20071113000140).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| JOSHUA C RANUM | Individual | ADP OF THE SNF | Not stated in the filing | 12/23/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MALLORY UECKER | Individual | ADP OF THE SNF | Not stated in the filing | 12/23/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA C RANUM | Individual | CONTRACTED MANAGING EMPLOYEE | Not stated in the filing | 7/1/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL ERICKSON | Individual | CORPORATE DIRECTOR | 100 | 11/4/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HEIDI MELLMER | Individual | CORPORATE DIRECTOR | 100 | 11/4/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHY VLIEM | Individual | CORPORATE DIRECTOR | 100 | 10/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURIE WICKSTROM | Individual | CORPORATE DIRECTOR | 100 | 9/25/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SETH SKOGEN | Individual | CORPORATE DIRECTOR | 100 | 10/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TODD FINK | Individual | CORPORATE DIRECTOR | 100 | 10/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALYSON FREELAND | Individual | CORPORATE OFFICER | 100 | 10/3/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATHAN D STADHEIM | Individual | CORPORATE OFFICER | 100 | 9/17/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA C RANUM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/18/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MALLORY UECKER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/18/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATHAN D STADHEIM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/19/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA C RANUM | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 7/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MALLORY UECKER | Individual | W-2 MANAGING EMPLOYEE | 100 | 10/16/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATHAN D STADHEIM | Individual | W-2 MANAGING EMPLOYEE | 100 | 9/17/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- February 1, 2025: RONALD DRAGOO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KENT HOERAUF no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ROBERT PARKER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DAWN BUNN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DAWN BUNN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MATTHEW SHAHAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: STEVE MCFARLAND no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: BLANE CHAPMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: BETTYNA JOHNSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JOSHUA C RANUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JOSHUA C RANUM (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JOSHUA C RANUM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JOSHUA C RANUM (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since July 1, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DANIEL ERICKSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ALYSON FREELAND (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: HEIDI MELLMER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: NATHAN D STADHEIM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: NATHAN D STADHEIM (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 17, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MALLORY UECKER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MALLORY UECKER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MALLORY UECKER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
Recent changes on this record
- April 28, 2026: A penalty was recorded: Fine. NH_Penalties_Sep2026_2.csv
- October 10, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- February 1, 2025: RONALD DRAGOO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KENT HOERAUF no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ROBERT PARKER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DAWN BUNN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DAWN BUNN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MATTHEW SHAHAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: STEVE MCFARLAND no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: BLANE CHAPMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: BETTYNA JOHNSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JOSHUA C RANUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JOSHUA C RANUM (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JOSHUA C RANUM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JOSHUA C RANUM (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since July 1, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DANIEL ERICKSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ALYSON FREELAND (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: HEIDI MELLMER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: NATHAN D STADHEIM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: NATHAN D STADHEIM (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 17, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MALLORY UECKER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MALLORY UECKER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MALLORY UECKER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- November 19, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- November 13, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- November 23, 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- December 9, 2021: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- February 16, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- October 23, 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- October 13, 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- September 28, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- October 19, 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- October 15, 2015: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- July 30, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- September 24, 2012: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- October 21, 2011: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- November 15, 2010: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- October 26, 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- October 16, 2008: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- October 15, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 4, 2025 | September 4, 2025 | 9 | 4 |
| 2 | July 24, 2024 | July 24, 2024 | 15 | 3 |
| 3 | August 29, 2023 | August 29, 2023 | 11 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
35 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 28, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Past Non-Compliance | March 24, 2026 |
| September 4, 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | September 26, 2025 |
| September 4, 2025 | Health | F 0600 | 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. | G | Yes | Past Non-Compliance | |
| September 4, 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Yes | Deficient, Provider has date of correction | November 26, 2025 |
| September 4, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | September 26, 2025 |
| September 4, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | September 5, 2025 |
| September 4, 2025 | Health | F 0761 | 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. | E | Yes | Deficient, Provider has date of correction | September 26, 2025 |
| September 4, 2025 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | September 26, 2025 |
| September 4, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | September 26, 2025 |
| January 16, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | February 7, 2025 |
| November 14, 2024 | Health | F 0600 | 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. | D | Yes | Deficient, Provider has date of correction | November 21, 2024 |
| November 14, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | November 21, 2024 |
| July 24, 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | August 21, 2024 |
| July 24, 2024 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | August 16, 2024 |
| July 24, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | August 27, 2024 |
| July 24, 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | August 16, 2024 |
| July 24, 2024 | Health | F 0657 | 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. | D | No | Deficient, Provider has date of correction | August 21, 2024 |
| July 24, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | August 5, 2024 |
| July 24, 2024 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | August 21, 2024 |
| July 24, 2024 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | D | No | Deficient, Provider has date of correction | August 31, 2024 |
| July 24, 2024 | Health | F 0806 | 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. | D | No | Deficient, Provider has date of correction | August 27, 2024 |
| July 24, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | August 21, 2024 |
| July 24, 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | No | Deficient, Provider has date of correction | August 28, 2024 |
| July 24, 2024 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | No | Deficient, Provider has date of correction | August 28, 2024 |
| June 19, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Past Non-Compliance | June 11, 2024 |
| August 29, 2023 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | October 6, 2023 |
| August 29, 2023 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | October 6, 2023 |
| August 29, 2023 | Health | F 0625 | Resident Rights Deficiencies | 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. | C | No | Deficient, Provider has date of correction | October 6, 2023 |
| August 29, 2023 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | October 6, 2023 |
| August 29, 2023 | Health | F 0657 | 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. | E | No | Deficient, Provider has date of correction | October 6, 2023 |
| August 29, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | October 6, 2023 |
| August 29, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | No | Deficient, Provider has date of correction | October 6, 2023 |
| August 29, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | October 6, 2023 |
| August 29, 2023 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | No | Deficient, Provider has date of correction | October 6, 2023 |
| August 29, 2023 | Health | F 0948 | Nursing and Physician Services Deficiencies | Ensure that paid feeding assistants have the training they need. | D | No | Deficient, Provider has date of correction | October 6, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 28, 2026 | Fine | $19,635 | 142907 | ||
| September 4, 2025 | Fine | $17,252 | 136247 | ||
| January 16, 2025 | Fine | $26,598 | 99659 | ||
| August 29, 2023 | Fine | $18,853 | 99602 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | WESTERN HORIZONS LIVING CENTERS |
| Date First Approved to Provide Medicare and Medicaid Services | 1978-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Adams |
| Telephone Number | 7015672401 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 31 |
| Average Number of Residents per Day | 28.6 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on Western Horizons Care Center: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On April 28, 2026: A penalty was recorded: Fine. That is one line of the alert.
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The citable document for Western Horizons Care Center
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in North Dakota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 355042.