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Nursing home report

Western Horizons Care Center

HETTINGER, ND · Medicare-certified · 40 beds

Needs attention
Abuse citationNon-profit
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

Quality measures

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.

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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.

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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.

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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

  1. PENALTY

    A federal fine of $17,252 was recorded.

  2. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $26,598 was recorded.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. 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.