Nursing home report
HETTINGER, ND · Medicare-certified · 31 beds
Western Horizons Care Center in Hettinger, ND has a 1 out of 5 overall rating, with 1-star health inspection and quality scores and 3-star staffing. It reports 4.75 nurse staffing hours per resident per day, above the 4.1 federal benchmark, and has had $43,850 in fines in the last 24 months plus a recent abuse citation.
Health inspections
Staffing
4.7498 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7498.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
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.
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.
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 1 health deficiency.
A federal fine of $17,252 was recorded.
Health inspection found 8 health deficiencies.
A federal fine of $26,598 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
On record with Medicare: 3 fines · $62,703 in total fines.
Federal fine
Sep 4, 2025
Federal fine
Jan 16, 2025
Federal fine
Aug 29, 2023
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.
