All states › North Dakota › Hettinger › Western Horizons Care Center
1104 Hwy 12 Hettinger, ND 58639 · Adams County
CMS certification number 355042 · See this home on Medicare Care Compare
Is Western Horizons Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Western Horizons Care Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the North Dakota average of 3.3.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.42 hours per resident per day at Western Horizons Care Center, below the North Dakota median of 4.42 (US median: 3.72). About 0.65 of those hours are from registered nurses. On weekends it falls to 2.91 hours, 15% below its all-week average. Ask how weekends are staffed.
About this nursing home
Paying for care at Western Horizons Care Center: Medicare and Medicaid
Western Horizons Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on September 4, 2025 and found 4 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 35 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 35 citations at Western Horizons Care Center across 7 inspection dates, 9 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 29, 2023. The most common areas cited were quality of life and care (8) and resident assessment and care planning (7). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level K, August 29, 2023). 3 citations were under CMS's abuse, neglect and exploitation rules.
April 28, 2026 · 1 citation · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 4, 2025 · 8 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure 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.
DKeep residents' personal and medical records private and confidential.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DProvide and implement an infection prevention and control program.
January 16, 2025 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 14, 2024 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
July 24, 2024 · 12 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DAllow residents to self-administer drugs if determined clinically appropriate.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DEnsure each resident receives an accurate assessment.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide care or services that was trauma informed and/or culturally competent.
DProvide routine and 24-hour emergency dental care for each resident.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
June 19, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 29, 2023 · 10 citations, includes immediate jeopardy
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProvide and implement an infection prevention and control program.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DAssess the resident when there is a significant change in condition
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that paid feeding assistants have the training they need.
CNotify 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.
Questions to ask on a tour of Western Horizons Care Center
- Inspectors cited the home at the immediate-jeopardy level on August 29, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 4, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $63,485 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 28, 2026 | Fine | $19,635 |
| Sep 4, 2025 | Fine | $17,252 |
| Jan 16, 2025 | Fine | $26,598 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 1/5 |
| August 2026 | 1/5 | 1/5 | 3/5 | 1/5 |
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Location
Hospitals near Western Horizons Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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3.1 mi
West River Regional Medical Center-CAH HettingerEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 2m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.