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Nursing homes in Adams County, North Dakota
Adams County, North Dakota, has 1 Medicare-certified nursing home with 31 certified beds.
100% of them are rated 1 or 2 stars overall, a larger share than the state (32%). Inspectors recorded 35 health deficiencies over three cycles, 112.9 per 100 beds against 24.7 statewide.
Fines in the period covered total $63K across 3 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Adams County | North Dakota | US |
|---|---|---|---|
| Facilities | 1 | 72 | 14690 |
| Rated 1–2 stars overall | 100% | 32% | 41% |
| Median overall rating | 1 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 112.9 | 24.7 | 26.8 |
| Median nurse hours per resident day | 4.7 | 4.4 | 3.7 |
| Fines listed | $63K | $2.0M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Western Horizons Care Centerabuse icon | Hettinger | 31 | 1 | 1 | 3 | 35 | 112.9 | $63K | 28 Apr 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 6 |
| F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | 2 |
| F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | 2 |
| F0880 | Provide and implement an infection prevention and control program. | 2 |
| F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | 2 |
Ownership
| Type | Facilities |
|---|---|
| Non profit | 1 |
Questions and answers
How many nursing homes are in Adams County, North Dakota?
1 Medicare-certified nursing home with 31 certified beds.
Which nursing homes in Adams County have the highest CMS ratings?
Western Horizons Care Center (1 stars)
How do Adams County nursing homes compare with North Dakota?
100% are rated 1–2 stars overall against 32% statewide; citations run at 112.9 per 100 beds against 24.7 statewide.