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Compliance posture

Methodology · Corrections log · Editorial policy

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Sourced from federal agencies. Fonteum, Inc., Delaware C-corp. © 2026.

Fonteum is a US healthcare provenance registry.

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Fonteum is a US healthcare provenance registry that publishes signed, chain-of-custody-attested research and data pages on Medicare, Medicaid, and federal regulator datasets, drawing from 22 federal source families across CMS, OIG, HRSA, AHRQ, and HHS.

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1,322,867 nurse-staffing records · CMS PBJ
Nursing Homes / North Dakota / Hettinger / Western Horizons Care Center
Fonteum Care Compare · Nursing Home · CCN 355042

Western Horizons Care Center

1104 Hwy 12, Hettinger, North Dakota 58639 · Adams County

View on Medicare.gov →All Hettinger facilities →
Data source May 6, 2026·1 CCN 355042 · Medicare-certified nursing home·CMS Care Compare — NH Provider Info (4pq5-n9py)·Methodology →·Module overview →·Audit Pack →·CMS dataset →·NH deficiency study →

CMS star ratings

1★
Overall
out of 5
2★
Health Inspection
out of 5
1★
Staffing
out of 5
1★
Quality Measures
out of 5

Source: CMS Care Compare NH Provider Information dataset (4pq5-n9py). Star ratings reflect CMS quarterly refresh cadence. View current ratings at Medicare.gov.

Facility identity

CCN
355042
Provider type
Medicare and Medicaid
Ownership type
Non profit - Corporation
County
Adams
Certified beds
40
Avg. daily residents
30.3
Last standard survey
September 4, 2025
RN hours / resident day
Not available
Total nurse hours / resident day
Not available
SFF status

Daily staffing — weekend coverage & contractor reliance

From the CMS Payroll-Based Journal (PBJ) daily nurse-staffing submission — direct-care RN + LPN + CNA hours per resident day. Weekend dips and contractor reliance are not captured by the CMS five-star staffing rating above.

Weekday nurse hrs / resident day (2025Q2)
3.65
Weekend nurse hrs / resident day
3.19
Contractor share of nurse hours
61%
Daily records observed
91

Source: CMS Payroll-Based Journal — Daily Nurse Staffing. Related Fonteum data: PBJ staffing hub · SNF ownership · OIG exclusions · source registry.

Source: CMS Care Compare — Nursing Home Provider Information·Snapshot: 2026-05-07·Method: CMS Five-Star Quality Rating System; PBJ daily nurse staffing·ID: 4pq5-n9py

Frequently asked questions

What is the CMS overall star rating for Western Horizons Care Center?

Western Horizons Care Center has a CMS overall star rating of 1 out of 5. This rating combines health inspection, staffing, and quality measure sub-ratings per CMS Care Compare methodology.

Who owns Western Horizons Care Center?

Western Horizons Care Center is classified as "Non profit - Corporation" per the CMS Care Compare NH Provider Information dataset. Ownership records are self-reported to CMS and updated periodically.

How many beds does Western Horizons Care Center have?

Western Horizons Care Center has 40 Medicare/Medicaid-certified beds per CMS Care Compare data. Average daily resident census is 30.3.

What is the staffing rating at Western Horizons Care Center?

Western Horizons Care Center has a CMS staffing star rating of 1 / 5. Reported RN hours per resident day: not available. Total nurse hours per resident day: not available.

Is Western Horizons Care Center a Special Focus Facility?

Western Horizons Care Center is not listed in the CMS Special Focus Facility program in the current snapshot.

When was Western Horizons Care Center last inspected?

The most recent standard health inspection on record for Western Horizons Care Center was September 4, 2025. For the most current inspection results, visit Medicare.gov.

Related research and data

All nursing homes in HettingerAll nursing homes in North DakotaNursing homes overviewNH deficiency & harm rate studyNH penalties enforcement studyCare Compare methodology

Reviewed by Dr. Jennifer Montecillo, MD, non-practicing medical reviewer. Content is informational only and does not constitute medical advice, endorsement, or recommendation. Star ratings and facility data are sourced from CMS Care Compare (4pq5-n9py) and reflect the most recently available public snapshot. View current status at Medicare.gov before making care decisions.

External sources: CMS NH Provider Information (4pq5-n9py) · CMS NH Health Deficiencies (r5ix-sfxw) · CMS NH Penalties (g6vv-u9sr) · Medicare.gov profile for CCN 355042 · CMS certification & compliance · HHS-OIG exclusions program. All data is US Government Works (public domain per 17 U.S.C. 105).

Compliance posture

Methodology · Corrections log · Editorial policy

Not designated

Does Western Horizons Care Center accept Medicare and Medicaid?

Western Horizons Care Center is classified as "Medicare and Medicaid" per the CMS Care Compare dataset. Contact the facility directly to confirm current enrollment and acceptance of new residents.