Western Horizons Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1978-05-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (701) 567-2401 or your local Medicaid office to verify current eligibility.

Western Horizons Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (4★), and Quality of Resident Care (1★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 55.8/100, placing it #13116 of 14703 facilities nationally and #63 of 72 in North Dakota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Western Horizons Care Center receives a reported average of 4 hours 43 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour; Licensed Practical Nurse (LPN) — 16 minutes; Nurse Aide — 3 hours 27 minutes. On weekends, total nurse staffing is 3 hours 54 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 67.3%. Families are encouraged to ask about current staffing schedules during their facility visit.

⚠️ CMS has flagged Western Horizons Care Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 3 fine(s) totaling $71,991. 14 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 3 fine(s) totaling $71,991, and 0 Medicare payment denial(s). Total penalties: 3. The Total Weighted Health Survey Score is 74.0 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Western Horizons Care Center ranks 13116th out of 14,703 facilities (composite score: 55.8/100), placing it in the bottom 25% nationwide. Within ND, it ranks 63rd out of 72 nursing homes. For 2026 staffing: total nurse hours rank #1,736 nationally and RN hours rank #1,996 nationally (#25 in ND). Our composite quality score of 55.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Hettinger, visit: https://nursinghomesnearme.org/north_dakota/hettinger/