Western Horizons Care Center

1104 HWY 12, HETTINGER, ND 58639 · CCN 355042 · 31 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality1 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 4 citation(s) in the last three years where CMS determined a resident was actually harmed.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Serious inspection findings

2026-04-28 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-09-04 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-09-04 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-01-16 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-08-29 IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

3.52

state median 3.86

Weekend staffing gap

−18%

fewer nursing hours on weekends · state median −11%

RN hours / resident / day

0.28

registered nurses only

Contract (agency) staff

52%

share of all nursing hours

Days with zero RN hours reported

35

with residents present

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $62,703 in fines.

DateTypeAmount
2025-09-04Fine$17,252
2025-01-16Fine$26,598
2023-08-29Fine$18,853

Ownership

Ownership type: Non profit - Corporation.

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 4 · Potential for more than minimal harm: 29 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2026-04-28F0689Quality of Life and Care DeficienciesGnot recorded
2025-09-04F0583Resident Rights DeficienciesDnot recorded
2025-09-04F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2025-09-04F0628Resident Rights DeficienciesDnot recorded
2025-09-04F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-09-04F0689Quality of Life and Care DeficienciesGnot recorded
2025-09-04F0761Pharmacy Service DeficienciesEnot recorded
2025-09-04F0805Nutrition and Dietary DeficienciesDnot recorded
2025-09-04F0880Infection Control DeficienciesDnot recorded
2025-01-16F0689Quality of Life and Care DeficienciesGnot recorded
2024-11-14F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-11-14F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-07-24F0554Resident Rights DeficienciesDnot recorded
2024-07-24F0582Resident Rights DeficienciesDnot recorded
2024-07-24F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-24F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-24F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-24F0689Quality of Life and Care DeficienciesDnot recorded
2024-07-24F0699Quality of Life and Care DeficienciesDnot recorded
2024-07-24F0790Quality of Life and Care DeficienciesDnot recorded
2024-07-24F0806Nutrition and Dietary DeficienciesDnot recorded
2024-07-24F0812Nutrition and Dietary DeficienciesEnot recorded
2024-07-24F0921Environmental DeficienciesEnot recorded
2024-07-24F0925Environmental DeficienciesEnot recorded
2024-06-19F0689Quality of Life and Care DeficienciesDnot recorded
2023-08-29F0580Resident Rights DeficienciesDnot recorded
2023-08-29F0623Resident Rights DeficienciesDnot recorded
2023-08-29F0625Resident Rights DeficienciesCnot recorded
2023-08-29F0637Resident Assessment and Care Planning DeficienciesDnot recorded
2023-08-29F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2023-08-29F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2023-08-29F0689Quality of Life and Care DeficienciesKnot recorded
2023-08-29F0880Infection Control DeficienciesEnot recorded
2023-08-29F0882Infection Control DeficienciesFnot recorded
2023-08-29F0948Nursing and Physician Services DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Western Horizons Care Center, HETTINGER” at medicare.gov/care-compare.