Home › Nursing Homes by State › North Dakota › Hettinger › Western Horizons Care Center

Western Horizons Care Center

1104 Hwy 12, Hettinger, ND 586397015672401Ownership: Non profit - CorporationCertified beds: 31Avg. daily residents: 29County: Adams
Abuse icon — CMS displays this icon when a facility was cited for abuse that led to resident harm in the past year, or for abuse that could have led to harm in each of the last two years.

The complete public record on Western Horizons Care Center, a Medicare & Medicaid–certified nursing home in Hettinger, North Dakota, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. North Dakota average: 3.2 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★☆☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Western Horizons Care Center holds a 1-star overall rating, in the bottom two tiers CMS assigns. Federal regulators have fined this facility $62,703 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

4.75 total nurse staff hours per resident per day
above the state average (4.42)
0.69 RN hours per resident per day
below the state average (0.93)
4.02 weekend nurse staff hours per resident per day
Not reported total nursing staff turnover
Not reported RN turnover

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

September 4, 2025 most recent standard health inspection
9 health deficiencies cited in the most recent inspection cycle
above the state average (5.7)
16 health deficiencies in the two prior cycles combined
$62,703 in federal fines across 3 penalties (last 3 years)
above the state average ($27,315)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

35 citations on record across recent inspections, 5 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
April 28, 20260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintG · Actual harm
September 4, 20250600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintG · Actual harm
September 4, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintG · Actual harm
September 4, 20250761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all… ComplaintE · Potential for more than minimal harm
September 4, 20250583Keep residents' personal and medical records private and confidential.D · Potential for more than minimal harm
September 4, 20250628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. ComplaintD · Potential for more than minimal harm
September 4, 20250658Ensure services provided by the nursing facility meet professional standards of quality.D · Potential for more than minimal harm
September 4, 20250805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D · Potential for more than minimal harm
September 4, 20250880Provide and implement an infection prevention and control program.D · Potential for more than minimal harm
January 16, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintG · Actual harm

Comparing Western Horizons Care Center with others on your list?

A ClearPath report puts up to five facilities side by side on the full record — every citation explained in plain English, staffing and turnover compared, fines and flags surfaced, and the questions to ask on your tour. Ready in minutes. Nursing home reports from $47, one-time. Paid by families, never by facilities.

Compare this facility →See a free sample report first

Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.