Western Horizons Care Center
1104 Hwy 12 · Hettinger, ND · 58639 · 7015672401
40 certified beds Non profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $43,850 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $62,703 |
Inspection citations (35 in the current record)
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Actual harm · G April 28, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 24, 2026 · Quality of Life and Care
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Actual harm · G September 4, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G September 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 5, 2025 · Quality of Life and Care
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Potential for harm · D September 4, 2025
Keep residents' personal and medical records private and confidential.
Corrected September 26, 2025 · Resident Rights
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Potential for harm · D September 4, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 4, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected September 26, 2025 · Nutrition and Dietary
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Potential for harm · D September 4, 2025
Provide and implement an infection prevention and control program.
Corrected September 26, 2025 · Infection Control
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Potential for harm · D September 4, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected November 26, 2025 · Resident Rights
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Potential for harm · E September 4, 2025 · found via complaint
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.
Corrected September 26, 2025 · Pharmacy Service
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Actual harm · G January 16, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 7, 2025 · Quality of Life and Care
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Potential for harm · D November 14, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 14, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 24, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected August 21, 2024 · Resident Rights
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Potential for harm · D July 24, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 16, 2024 · Resident Rights
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Potential for harm · D July 24, 2024
Ensure each resident receives an accurate assessment.
Corrected August 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 5, 2024 · Quality of Life and Care
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Potential for harm · D July 24, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected August 21, 2024 · Quality of Life and Care
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Potential for harm · D July 24, 2024
Provide routine and 24-hour emergency dental care for each resident.
Corrected August 31, 2024 · Quality of Life and Care
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Potential for harm · D July 24, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected August 27, 2024 · Nutrition and Dietary
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Potential for harm · E July 24, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 21, 2024 · Nutrition and Dietary
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Potential for harm · E July 24, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected August 28, 2024 · Environmental
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Potential for harm · E July 24, 2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 28, 2024 · Environmental
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Potential for harm · D June 19, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 11, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 4, 2025 | Fine | $17,252 |
| January 16, 2025 | Fine | $26,598 |
| August 29, 2023 | Fine | $18,853 |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 355042 · certified since May 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.