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Western Horizons Care Center

Nursing Home Facility

1104 Hwy 12, Hettinger, ND 58639

Nursing Home Care Senior Living
Western Horizons Care Center

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.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 1/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

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

  • 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.

    Inspected April 2026, after a complaint. Corrected by March 24, 2026.

  • 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.

    Inspected September 2025, after a complaint.

  • 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.

    Inspected September 2025, after a complaint. Corrected by September 5, 2025.

  • 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.

    Inspected September 2025, after a complaint. Corrected by September 26, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected September 2025. Corrected by September 26, 2025.

  • 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.

    Inspected September 2025, after a complaint. Corrected by November 26, 2025.

  • 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.

    Inspected September 2025. Corrected by September 26, 2025.

  • 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.

    Inspected September 2025. Corrected by September 26, 2025.

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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.

    Inspected September 2025. Corrected by September 26, 2025.

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.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

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

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