Nursing Homes · Medicare certified
Western Horizons Care Center
1104 HWY 12 · Hettinger, ND 58639 · 31 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1770778748. Look this up in the CMS NPPES registry (opens in a new tab)
Are you the operator? Claim this profile. Corrections are free, always.
About Western Horizons Care Center
Western Horizons Care Center is a nursing home in Hettinger, North Dakota, in Adams County. Its reported capacity is 31 beds. It is recorded as a nonprofit operator. Federal records list it as Medicare certified. Our copy of the inspection record holds 35 citations, the newest dated 28 April 2026. Federal enforcement records add 3 fine or payment denial actions. Staffing reports put it at 4.75 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated July 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
3.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
25
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
25
Staffing rating
3.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
25
Inspection history (35)
Records from August 2023 to April 2026.
July 24, 2024 · D
Citation F0554Federal surveyors cited this nursing home on 2024-07-24 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2024-08-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-24.GOVJuly 24, 2024 · D
Citation F0689Federal surveyors cited this nursing home on 2024-07-24 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-08-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-24.GOVJuly 24, 2024 · E
Citation F0921Federal surveyors cited this nursing home on 2024-07-24 under CMS tag F0921 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2024-08-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-24.GOVJuly 24, 2024 · D
Citation F0657Federal surveyors cited this nursing home on 2024-07-24 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-08-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-24.GOVJune 19, 2024 · D
Citation F0689Federal surveyors cited this nursing home on 2024-06-19 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-06-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-19.GOVAugust 29, 2023 · F
Citation F0882Federal surveyors cited this nursing home on 2023-08-29 under CMS tag F0882 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. The deficiency was recorded as corrected on 2023-10-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-29.GOVAugust 29, 2023 · D
Citation F0948Federal surveyors cited this nursing home on 2023-08-29 under CMS tag F0948 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that paid feeding assistants have the training they need. The deficiency was recorded as corrected on 2023-10-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-29.GOVAugust 29, 2023 · C
Citation F0625Federal surveyors cited this nursing home on 2023-08-29 under CMS tag F0625 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for 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. The deficiency was recorded as corrected on 2023-10-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-29.GOVAugust 29, 2023 · K
Citation F0689Federal surveyors cited this nursing home on 2023-08-29 under CMS tag F0689 (CMS scope/severity K: pattern, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-10-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-29.GOVAugust 29, 2023 · D
Citation F0637Federal surveyors cited this nursing home on 2023-08-29 under CMS tag F0637 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assess the resident when there is a significant change in condition. The deficiency was recorded as corrected on 2023-10-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-29.GOVAugust 29, 2023 · E
Citation F0657Federal surveyors cited this nursing home on 2023-08-29 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2023-10-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-29.GOVAugust 29, 2023 · E
Citation F0880Federal surveyors cited this nursing home on 2023-08-29 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-10-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-29.GOVAugust 29, 2023 · D
Citation F0658Federal surveyors cited this nursing home on 2023-08-29 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2023-10-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-29.GOVAugust 29, 2023 · D
Citation F0580Federal surveyors cited this nursing home on 2023-08-29 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2023-10-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-29.GOVAugust 29, 2023 · D
Citation F0623Federal surveyors cited this nursing home on 2023-08-29 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2023-10-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-29.GOV
Penalties (3)
Total fines on file: $62,703
September 4, 2025 · Fine
Citation FINE-136247CMS recorded a civil money penalty of $17,252 against this nursing home on 2025-09-04 (Fine ID: 136247). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-04.GOVJanuary 16, 2025 · Fine
Citation FINE-99659CMS recorded a civil money penalty of $26,598 against this nursing home on 2025-01-16 (Fine ID: 99659). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOVAugust 29, 2023 · Fine
Citation FINE-99602CMS recorded a civil money penalty of $18,853 against this nursing home on 2023-08-29 (Fine ID: 99602). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-29.GOV
Staffing
Latest: 4.75 nurse staffing hours per resident per day (2026Q1)
Staffing trend (3 periods)
- 2026-07-014.75 hrs/resident/day
- 2026-08-014.75 hrs/resident/day
- 2026Q14.75 hrs/resident/day
Most recent period is about the same as 2026-07-01. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
Non profit - Corporation
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Aug 4, 2026Listed capacity changed
Listed capacity changed from 40 to 31 beds.
Reported by CMS nursing homes (provider info)
Jul 23, 2026First appeared in our data
This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.
Reported by CMS nursing homes (provider info)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical ND range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · ND$11,528/moWhat Medicaid pays nursing homes
North Dakota publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.
Statewide average daily rate
$437.90per day
That works out to about $13,312 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Statewide average published by the state. Period: January 1, 2026.
Nearby alternatives
No other listed providers in Hettinger yet.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Western Horizons Care Center
Request info and we'll pass it directly to Western Horizons Care Center, or call them at 7015672401 if you'd rather talk now.
Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (provider info)as of July 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Ownership type, Phone number, State, Street address, ZIP code
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.