Western Horizons Care Center in Hettinger, ND has an overall rating of 1 out of 5 stars, with low staffing and quality measures ratings of 1 out of 5 and a health inspection rating of 2 out of 5. It has $43,850 in fines over the last 24 months and a recent abuse citation, with recent inspection citations related to accident hazards, abuse protection, and infection prevention oversight.
Last inspection: September 4, 2025Penalties, last 24 months: $43,850recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
35%Worsening
Residents with a fall causing major injury
7.8%Worsening
Residents with pressure ulcers (bedsores)
5.4%Worsening
Residents with a urinary tract infection
7.6%Worsening
Residents who lost too much weight
5.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
25.2%Improving
Residents whose ability to walk got worse
27.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
28.8%Improving
Residents with a long-term catheter
1.1%Improving
Residents with new or worsening incontinence
27.6%Worsening
Residents with depressive symptoms
16.4%Improving
Long-stay residents given the seasonal flu vaccine
91.7%Steady
Long-stay residents given the pneumonia vaccine
97.7%Worsening
Short-stay residents given the pneumonia vaccine
76.9%Steady
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
PENALTY
A federal fine of $17,252 was recorded.
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $26,598 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $62,703 in total fines.
Federal fine
Sep 4, 2025
$17,252
Federal fine
Jan 16, 2025
$26,598
Federal fine
Aug 29, 2023
$18,853
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
30.3 residents on an average day (76% of 40 beds)
Resident voice
Resident council
Medicare history
Certified for 48 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.