Dickinson · 58601
St Lukes Home
242 10th St W
Dickinson, ND 58601
Western Horizons Care Center
⌖ Hettinger, ND · Adams County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds31
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)
About Western Horizons Care Center
Western Horizons Care Center is a 31-bed nonprofit nursing home in Hettinger, ND. Medicare rates it 1 out of 5 stars overall (much below average); the average in North Dakota is 3.2. At its last full inspection (Sep 2025), inspectors found 9 problems, more than the North Dakota average of 5.6. 3 citations in its recent inspections were for residents being harmed or put in immediate danger. Nurses and aides spend about 4 hr 45 min a day with each resident, about the same as the North Dakota average of 4 hr 25 min. Medicare fined it $63,485 in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameWestern Horizons Care Center
LocationAdams County, North Dakota
Phone(701) 567-2401
Address1104 Hwy 12, Hettinger, ND 58639 · Adams County
CMS provider number355042
Ownership typeNon-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMay 1, 1978 (48 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
5 things to ask about in Medicare's inspection, fine and staffing records for this home. 4 care-quality measures are worse than the state average in the rehab and long-term care section below.
About average
- Nurse staffing per resident4 hr 45 min a dayNorth Dakota average: 4 hr 25 minAbout average
Things to ask about
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- Abuse citationOn recordMedicare shows this icon when a home was cited for abuse, neglect or exploitation in recent inspections. Ask what happened and what changed.Ask about this
- Serious health citations3 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Apr 2026 (within the past year). 2 of 3 were later corrected.Ask about this
- Fines and penalties3 fines totaling $63,485Federal penalties from the last three years, most recently in Apr 2026 (within the past year). The national average is $30,972 per home.Ask about this
- Health citations at last inspection9 (Sep 2025)North Dakota average: 5.6. Most citations are minor and corrected within weeks.Worse than state average
- Registered nurse time per resident41 min a dayNorth Dakota average: 56 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the North Dakota average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury7.3%State average: 5.1%Worse than average
- Pressure sores (bedsores)7.0%State average: 4.9%Worse than average
- Given antipsychotic drugs35.9%State average: 22.7%Worse than average
- Hospital stays per 1,000 resident days2.4State average: 1.5Worse than average
Source: Medicare (CMS) quality measures, compared with the North Dakota average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In North Dakota, Medicaid pays for 52% of resident days at a typical home.
- 60% Medicaid
- 5% Medicare
- 34% Private pay, insurance and other
Beds in use, on average82%North Dakota typical: 95%
Cost of care per resident day$413North Dakota typical: $424
Shares of resident days, from the home’s Medicare cost report for the year ending March 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 1 star now, down from 2 stars in January 2019. It has ranged from 1 to 2 stars and changed 4 times.
Overall rating1★
Health inspections1★
Staffing3★
Quality of care1★
Nurse hours per resident per day4.7
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 1 | 4 | 3 | 3.8 |
| Jan 2020 | – | – | – | – | 4.1 |
| Jan 2021 | – | – | – | – | 5.1 |
| Jan 2022 | 2 | 1 | 4 | 2 | 3.8 |
| Jan 2023 | 1 | 1 | 4 | 2 | 3.7 |
| Jan 2024 | 1 | 1 | 3 | 1 | 3.8 |
| Feb 2025 | 1 | 1 | 3 | 1 | 4.3 |
| Feb 2026 | 1 | 2 | 4 | 1 | 4.7 |
| Sep 2026 | 1 | 1 | 3 | 1 | 4.7 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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