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.
July 24, 2024
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 27, 2024.
July 24, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 21, 2024.
July 24, 2024
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2024.
July 24, 2024
Tag F0645PASARR screening for Mental disorders or Intellectual Disabilities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2024.
June 19, 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 June 11, 2024.
August 29, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 6, 2023.
August 29, 2023
Tag F0948Ensure that paid feeding assistants have the training they need.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 6, 2023.
August 29, 2023
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 E: pattern, no actual harm, potential for more than minimal harm. Corrected October 6, 2023.
August 29, 2023
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 October 6, 2023.
August 29, 2023
Tag F0637Assess the resident when there is a significant change in condition.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 6, 2023.
August 29, 2023
Tag F0625Notify 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.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected October 6, 2023.
August 29, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity K: pattern, immediate jeopardy. Corrected October 6, 2023.
August 29, 2023
Tag F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 6, 2023.
August 29, 2023
Tag F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 6, 2023.
August 29, 2023
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 6, 2023.
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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