Hettinger, North Dakota · CCN 355042 · Phone: 7015672401 · 40 beds · Ownership: Non Profit - Corporation
Western Horizons Care Center is a Medicare-certified skilled nursing facility (CCN 355042) in Hettinger, North Dakota. It holds a CMS overall Five-Star rating of 1 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 19/100 (High Risk).
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Western Horizons Care Center is a Medicare- and Medicaid-certified skilled nursing facility in Hettinger, North Dakota, operating under CMS Certification Number (CCN) 355042. 40-bed facility. Non Profit - Corporation. Independent (not part of a multi-facility chain). The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.
Western Horizons Care Center has held its Medicare/Medicaid certification for approximately 48 years (certification date on file: 1978-05-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.
Local market context (Adams County): Western Horizons Care Center is the only Medicare-certified skilled nursing facility in the same-county sample for North Dakota. Sole-provider counties concentrate post-acute placement decisions into a single facility, which can either be operational leverage or a regulatory-visibility risk depending on quality trajectory.
CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.
Long-Stay Quality Measure rating: ★☆☆☆☆ (1 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.
Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.
Abuse Icon present: CMS has applied the Abuse Icon to Western Horizons Care Center's Care Compare listing. The icon flags facilities cited for substantiated abuse, neglect, exploitation, or misappropriation findings under the F600-series Long-Term Care Resident Rights and Abuse / Neglect F-tags within the most recent two survey cycles, where citations met the scope-and-severity threshold defined in CMS Care Compare's Five-Star Quality Rating Methodology. The icon stays in place until the facility completes a full survey cycle with no further qualifying citations.
Recent health deficiencies cited at last standard survey: 8. National average for facilities of this size is approximately 8 deficiencies per cycle. In its most recent reporting cycle, Western Horizons Care Center received 3 CMS fines totaling $71,991. Last documented standard health survey: 2025-09-04. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.
CMS health survey weighted score: 74. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.
Total enforcement penalties assessed in the most recent reporting window: $3. This figure aggregates Civil Money Penalties (CMPs), DPNA-equivalent revenue impacts, and other monetary remedies under 42 CFR Part 488 Subpart F.
Detailed staffing hours-per-resident-day data is not currently published for Western Horizons Care Center in CMS Provider Data. The CMS Minimum Staffing Standards rule (89 FR 40876, May 2024) phases in a 3.48 total HPRD floor for non-rural facilities by May 2027 (rural facilities by May 2029), absent a hardship exemption under 42 CFR 483.35.
Western Horizons Care Center is independently operated (not part of a multi-facility chain). Independent SNFs typically rely on internal compliance staff or contracted consultants rather than corporate-level survey-prep teams; this affects both how quickly Plans of Correction are produced and how F-tag remediation is documented across multiple shifts.
Provider type designation: Medicare And Medicaid.
The facility is classified by CMS as rural (outside metropolitan statistical areas). Rural SNFs face different challenges — referral pipeline depth, RN availability, ambulance distance for transfers — and CMS applies certain modifiers to the staffing minimums under hardship exemption pathways for rural facilities.
Peer comparisons use a same-state cohort of 72 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.
FileFlo's compliance indicator for Western Horizons Care Center is 19/100 (High Risk). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.
FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.
Reviews from residents, family members, and facility staff help others making care decisions. All reviews are verified and PII-scrubbed before publishing.
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Western Horizons Care Center (CCN 355042) holds a CMS overall Five-Star rating of 1 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.
Western Horizons Care Center is a Medicare-certified skilled nursing facility (CMS Certification Number 355042) in Hettinger, North Dakota.
FileFlo scores Western Horizons Care Center's CMS survey-readiness at 19/100 (High Risk). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.
As a Medicare-certified skilled nursing facility, Western Horizons Care Center is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.
Run FileFlo's free CMS survey-readiness audit for Western Horizons Care Center — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.
The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:
Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →
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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile