With a score of 15/100, Western Horizons Care Center ranks in the bottom tier of North Dakota nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Western Horizons Care Center provides above-average staffing with 4.72 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent CMS inspections identified 34 deficiencies at Western Horizons Care Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.72 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.01 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.27 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 3.45 | 2.4 | Above Average |
| Weekend Total Nursing | 3.91 | 3.8 | Average |
| Weekend RN Hours | 0.63 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Sep 3, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Sep 3, 2025 · Quality of Life and Care Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiSep 3, 2025 · Pharmacy Service Deficiencies
- Tag 0583 Severity DKeep residents' personal and medical records private and confidential.Sep 3, 2025 · Resident Rights Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Sep 3, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.5% | 4.5% | Worse |
| Falls with major injury | 5.3% | 3.0% | Worse |
| On antipsychotic medication | 30.3% | 14.5% | Worse |
| Urinary tract infections | 8.8% | 2.5% | Worse |
| ADL decline (daily activities) | 29.1% | 14.0% | Worse |
| Excessive weight loss | 5.6% | 7.5% | Better |
| New/worsened incontinence | 27.2% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $71,991
How This Grade Was Calculated
This facility's grade of F is based on a score of 15 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -7 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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