Western Horizons Care Center: Staffing, Turnover, and Inspection Record
Western Horizons Care Center is a 31-bed nonprofit nursing home in Hettinger, North Dakota. In the CMS August 2026 release it reported 3.50 nurse aide hours per resident per day, 18% above the North Dakota average of 2.97.
Western Horizons Care Center
1104 Hwy 12Hettinger, ND 58639
Adams County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Western Horizons Care Center, nurse aides logged 3.50 hours per resident per day, 18% above the North Dakota average. With about 29 residents a day, that works out to roughly 100 aide hours a day, or about 13 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | North Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.50 | 2.97 | 2.32 |
| Licensed practical nurses | 0.56 | 0.52 | 0.86 |
| Registered nurses | 0.69 | 0.93 | 0.69 |
| All nursing staff | 4.75 | 4.42 | 3.86 |
| All nursing staff, weekends | 4.02 | 3.80 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
CMS publishes no nursing staff turnover figure for Western Horizons Care Center in this release.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 4, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (North Dakota average 5.7). CMS lists 3 fines totaling $62,703 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 4, 2025 | Fine | $17,252 |
| Jan 16, 2025 | Fine | $26,598 |
| Aug 29, 2023 | Fine | $18,853 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Western Horizons Care Center holds 1 of 5 overall; the North Dakota average is 3.2.
About Western Horizons Care Center
- Ownership: Non profit - Corporation
- Legal name: Western Horizons Living Centers
- Medicare and Medicaid certified since: May 1, 1978
- Councils: resident council
- Area: rural
Nursing homes near Western Horizons Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Five Counties Nursing Home Lemmon | 25.5 | 38 | 1.95 | 2.90 | — | 1 | $20,703 |
| St Benedicts Health Center Dickinson | 60.3 | 124 | 2.60 | 3.75 | 53.9% | 5 | None |
| St Lukes Home Dickinson | 60.5 | 88 | 4.55 | 6.30 | 53.6% | 5 | None |
| Richardton Health Center Inc Richardton | 62.4 | 29 | 2.74 | 4.18 | 46.2% | 5 | None |
| Marian Manor Healthcare Center Glen Ullin | 68.9 | 54 | 2.66 | 4.11 | 57.8% | 1 | $22,835 |
| Elm Crest Manor New Salem | 82.9 | 62 | 3.35 | 4.74 | 50.6% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.