North Dakota › Adams County › Hettinger
Western Horizons Care Center
1104 Hwy 12, Hettinger, ND 58639
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 31 beds, Western Horizons Care Center serves Hettinger in Adams County, North Dakota and has taken Medicare and Medicaid residents since 1978.
CMS gives it 1 of 5 stars overall, below the North Dakota median of 3; the health inspection rating is 1, staffing 3 and quality measures 1.
Inspectors recorded 35 health deficiencies across the three most recent survey cycles (9, 15, 11 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 112.9 per 100 beds, more than the state median of 27.1.
CMS lists 3 penalties in the period covered: fines totalling $63K.
Reported nurse staffing is 4.7 hours per resident per day (0.7 RN), close to the North Dakota median of 4.4.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Adams Co. median | North Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 35 | 35 | 13 | 28.7 |
| Citations per 100 beds | 112.9 | 112.9 | 27.1 | 26.8 |
| Total nurse hours per resident day | 4.7 | 4.7 | 4.4 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | — | — | 50.0% | 45.8% |
| Fines listed | $62,703 | $62,703 | $9,030 | — |
County and state figures are medians across facilities (1 in the county, 72 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Sep 2025, 24 Jul 2024.
Severity mix: K ×1 G ×4 D ×22 E ×6 F ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 28 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 24 Mar 2026 |
| 4 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | Past Non-Compliance |
| 4 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 5 Sep 2025 |
| 4 Sep 2025 | F0761 | 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 | Complaint investigation | 26 Sep 2025 |
| 4 Sep 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 26 Sep 2025 |
| 4 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 26 Nov 2025 |
| 4 Sep 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 26 Sep 2025 |
| 4 Sep 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 26 Sep 2025 |
| 4 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 26 Sep 2025 |
| 16 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 7 Feb 2025 |
| 14 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 21 Nov 2024 |
| 14 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 Nov 2024 |
| 24 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 21 Aug 2024 |
| 24 Jul 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 28 Aug 2024 |
| 24 Jul 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 28 Aug 2024 |
| 24 Jul 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 21 Aug 2024 |
| 24 Jul 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 16 Aug 2024 |
| 24 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Aug 2024 |
| 24 Jul 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 16 Aug 2024 |
| 24 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 21 Aug 2024 |
| 24 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 5 Aug 2024 |
| 24 Jul 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 21 Aug 2024 |
| 24 Jul 2024 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 31 Aug 2024 |
| 24 Jul 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 27 Aug 2024 |
| 19 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 11 Jun 2024 |
| 29 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard survey | 6 Oct 2023 |
| 29 Aug 2023 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 6 Oct 2023 |
| 29 Aug 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 6 Oct 2023 |
| 29 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Oct 2023 |
| 29 Aug 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 6 Oct 2023 |
| 29 Aug 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 6 Oct 2023 |
| 29 Aug 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 6 Oct 2023 |
| 29 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 6 Oct 2023 |
| 29 Aug 2023 | F0948 | Ensure that paid feeding assistants have the training they need. | D | Standard survey | 6 Oct 2023 |
| 29 Aug 2023 | F0625 | 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 | Standard survey | 6 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 4 Sep 2025 | Fine | $17,252 | |
| 16 Jan 2025 | Fine | $26,598 | |
| 29 Aug 2023 | Fine | $18,853 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Dakota average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.2% | 19.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 1.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 8.0% | 2.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.3% | 4.7% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.0% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.0% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 35.9% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Western Horizons Living Centers.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Western Horizons Care Center been cited for?
35 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The North Dakota median is 13 per facility.
Has Western Horizons Care Center been fined?
Yes. CMS lists fines totalling $63K in the period covered.
How does staffing at Western Horizons Care Center compare?
Reported total nurse staffing is 4.7 hours per resident per day against a North Dakota median of 4.4 and a national average of 3.9.
Who operates Western Horizons Care Center?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Western Horizons Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 28 Apr 2026; the most recent standard health survey was 4 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.