Western Horizons Care Center
1104 HWY 12, Hettinger, ND 58639
Hettinger, North Dakota · CMS verdict
Western Horizons Care Center's CMS overall star rating stands at 1 of 5, below the North Dakota state average (3.2) and reflecting below-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Western Horizons Care Center in Hettinger, North Dakota holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 33 of 100 (grade F). The 40-bed facility operates where a semi-private nursing-home room in North Dakota runs a median of $11,528 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (thinner bed book)
At 40 certified beds, this facility sits in the lower U.S. bed tercile (≤80). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 33 is built
Each segment is a dimension's weighted points toward the score, summing to 33.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Western Horizons Care Center's thinner certified-bed book
Quality ratings
Western Horizons Care Center holds a CMS overall quality rating of 1 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (2/5), staffing (4/5), and quality measures (1/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Hettinger, North Dakota, this facility operates 40 certified beds with an average daily census of roughly 32 residents - an occupancy rate of about 80%. The facility is classified under non profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. Occupancy of about 80% puts this facility in normal territory for a stabilized operation, neither unusually full nor unusually empty.
Same-ownership peers
Within North Dakota, Western Horizons Care Center is one of 52 non profit - corporation nursing homes CMS rates. Its 1-star overall rating sits below the non profit - corporation-segment average of 3.3 stars, ahead of roughly 0% of same-ownership peers in the state. This ownership-segment comparison controls for business-model differences, so what's left mostly reflects how this facility runs relative to similar operators, not the type of operator it is.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (34 total). CMS has levied 3 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Western Horizons Care Center's lower-tercile stars compare to North Dakota
CMS five-star sub-ratings (0–5) for this facility against the North Dakota facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = North Dakota state average. Higher is better on all four CMS measures.
Where Western Horizons Care Center ranks in North Dakota
Among the 72 CMS-rated nursing homes in North Dakota, Western Horizons Care Center’s 1-star overall rating is higher than 0% of them. The bars show how all North Dakota homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
14 North Dakota homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 40 |
| Residents | 32 |
| Ownership | Non profit - Corporation |
| County | Adams |
| Penalties | 3 |
| Deficiencies | 34 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Western Horizons Care Center? ▾
CMS rates Western Horizons Care Center at 1 out of 5 stars overall. The three sub-ratings behind that number: health inspection 2/5, staffing 4/5, quality measures 1/5.
How much does a nursing home cost per month in North Dakota? ▾
CareScout's 2025 survey puts North Dakota's median semi-private nursing home rate at $11,528 per month ($138,335 per year), with private rooms averaging $12,304 per month.
What services does Western Horizons Care Center offer? ▾
Western Horizons Care Center operates as a skilled nursing facility (40 beds with approximately 32 current residents) under non profit - corporation ownership. CMS inspections have recorded 34 deficiencies and 3 penalties there.
Does Western Horizons Care Center have any deficiencies or penalties? ▾
Western Horizons Care Center has multiple deficiencies (34 total) and 3 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in North Dakota? ▾
In North Dakota, alternatives include assisted living ($4,729/mo), home health aides ($6,483/mo), and adult day care ($5,525/mo).
Keep reading
Also see the North Dakota elder-care overview and highest-rated states. Provider ID: 355042.
Read our methodology - how this data is sourced, computed, and verified.