Western Horizons Care Center
Nursing Home Facility
1104 Hwy 12, Hettinger, ND 58639

Western Horizons Care Center is a senior care community located in Hettinger, ND. It provides nursing home care and senior living for older adults in the Hettinger area. To learn more or schedule a tour, call (701) 567-2401.
Western Horizons Care Center is licensed for 31 beds.
Federal reporting puts occupancy at about 92% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in September 2025 and recorded 9 deficiencies.
Residents receive about 4.8 hours of nursing care per day on average, including 0.7 hours from a registered nurse.
The community is located in Adams County, ND.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 35 problems at Western Horizons Care Center. 5 findings involved harm to a resident, including 1 that put residents in immediate danger. 9 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $43,850.
Findings from the most recent inspection cycle
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Caused harm to a resident, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Keep residents' personal and medical records private and confidential.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Western Horizons Care Center offers nursing home care and senior living.
Facility details
- Organization type Non profit - Corporation
- Beds / units 31
- Occupancy 92%
- Nursing hours per resident/day 4.8
- Last health inspection September 2025
Resident & family reviews
No one has shared a review of Western Horizons Care Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.