Nursing Homes · Medicare certified
Western Horizons Care Center
1104 HWY 12 · Hettinger, ND 58639 · 31 certified beds
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About Western Horizons Care Center
Western Horizons Care Center is a nursing home in Hettinger, North Dakota. Its capacity is 31 beds, below the North Dakota median of 52 for nursing homes. It is run by a nonprofit operator. It is Medicare certified. Its public inspection record shows 35 citations, the most recent on April 28, 2026. CMS also lists 4 fines or payment denials against it. Nurse staffing averages 3.42 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
2.0Quality measures
1.0CMS Care Compare, October 2026.
Inspection history (35)
Records from August 2023 to April 2026.
April 28, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected March 24, 2026.
September 4, 2025
Tag F0583Keep residents' personal and medical records private and confidential.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 26, 2025.
September 4, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 26, 2025.
September 4, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 26, 2025.
September 4, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G: isolated, actual harm.
September 4, 2025
Tag F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 26, 2025.
September 4, 2025
Tag F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 26, 2025.
September 4, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected September 5, 2025.
September 4, 2025
Tag F0761Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 26, 2025.
January 16, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected February 7, 2025.
November 14, 2024
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2024.
November 14, 2024
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2024.
July 24, 2024
Tag F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 28, 2024.
July 24, 2024
Tag F0790Provide routine and 24-hour emergency dental care for each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 31, 2024.
July 24, 2024
Tag F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 27, 2024.
July 24, 2024
Tag F0699Provide care or services that was trauma informed and/or culturally competent.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 21, 2024.
July 24, 2024
Tag F0554Allow residents to self-administer drugs if determined clinically appropriate.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 21, 2024.
July 24, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 5, 2024.
July 24, 2024
Tag F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 28, 2024.
July 24, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 21, 2024.
Penalties (4)
Total fines: $62,703
April 28, 2026 · Fine
CMS recorded a civil money penalty of $19,635 against this nursing home on April 28, 2026.
September 4, 2025 · Fine
CMS recorded a civil money penalty of $17,252 against this nursing home on September 4, 2025.
January 16, 2025 · Fine
CMS recorded a civil money penalty of $26,598 against this nursing home on January 16, 2025.
August 29, 2023 · Fine
CMS recorded a civil money penalty of $18,853 against this nursing home on August 29, 2023.
Staffing
3.42 nurse hours per resident per day in Q2 2026, down from 4.75 in Q1 2026.
From the payroll records nursing homes file with CMS.
Ownership
Non profit - Corporation
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in North Dakota.
What Medicaid pays nursing homes
This is what North Dakota Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Statewide average daily rate
$437.90per day
About $13,312 a month.
Statewide average published by the state, January 1, 2026.
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