WESTERN HORIZONS CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Western Horizons Care Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

WESTERN HORIZONS CARE CENTER
1104 HWY 12
HETTINGER, ND 58639
(701) 567-2401

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

60%

Number of Residents and Certified Beds

  • Residents: 37
  • Certified Beds: 62

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Mott | Bowman | Elgin

Resident Services

The information below lists services this facility has provided for residents from November through December 2010. During this period, the most common type of service provided was "Medium Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Western Horizons Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1618.4%
ADL Index Range: 6-1017.2%
Total Percent:35.6%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-5
- Signs of depression
10.3%
ADL Index Range: 2-5
- No Signs of depression
16.1%
Total Percent:26.4%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5
- No Signs of depression
16.1%
Total Percent:16.1%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
18.4%
Total Percent:18.4%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
3.4%
Total Percent:3.4%
 

Rating Details For Western Horizons Care Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours47 Minutes48 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours38 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 20 Minutes2 Hours and 14 Minutes
Total Licensed Nurse Hours1 Hour and 25 Minutes1 Hour and 23 Minutes
Total Nurse Hours3 Hours and 44 Minutes3 Hours and 38 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for North Dakota are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNorth Dakota Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season60%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained2%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased22%16%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious12%23%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder47%46%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%7%
Percent of Long-Stay Residents Who Lose Too Much Weight9%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse19%13%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder12%7%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season67%89%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%91%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores2%12%
Percent of Short-Stay Residents Who Have Delirium3%4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain19%26%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 10/27/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 09/10/2009
  • Correction Date: 12/10/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 09/10/2009
  • Correction Date: 12/10/2009
Get Services Outside the Nursing Home That Meet Professional Standards.
  • Inspection Date: 09/10/2009
  • Correction Date: 12/10/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 09/10/2009
  • Correction Date: 12/10/2009

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/10/2009
  • Correction Date: 12/10/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/08/2010
  • Correction Date: 05/13/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/08/2010
  • Correction Date: 05/13/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/27/2010
  • Correction Date: 12/24/2010

Mistreatment

Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment.
  • Inspection Date: 09/10/2009
  • Correction Date: 12/10/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 09/10/2009
  • Correction Date: 12/10/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/10/2009
  • Correction Date: 12/10/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 09/10/2009
  • Correction Date: 12/10/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 04/08/2010
  • Correction Date: 05/13/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 04/08/2010
  • Correction Date: 05/13/2010
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 10/27/2010
  • Correction Date: 12/24/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 09/10/2009
  • Correction Date: 12/10/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/08/2010
  • Correction Date: 05/13/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 10/27/2010
  • Correction Date: 12/24/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/27/2010
  • Correction Date: 12/24/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/27/2010
  • Correction Date: 12/24/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 10/27/2010
  • Correction Date: 12/24/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 09/10/2009
  • Correction Date: 12/10/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 09/10/2009
  • Correction Date: 12/10/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 09/10/2009
  • Correction Date: 12/10/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 04/08/2010
  • Correction Date: 05/13/2010

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 09/10/2009
  • Correction Date: 12/10/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 04/08/2010
  • Correction Date: 05/13/2010
Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 04/08/2010
  • Correction Date: 05/13/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Western Horizons Care Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 09/10/2009
  • Correction Date: 12/10/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 09/10/2009
  • Correction Date: 12/10/2009

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 09/10/2009
  • Correction Date: 12/10/2009
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 09/10/2009
  • Correction Date: 12/10/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 09/10/2009
  • Correction Date: 12/10/2009

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 09/10/2009
  • Correction Date: 12/10/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 09/10/2009
  • Correction Date: 12/10/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 09/10/2009
  • Correction Date: 12/10/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Complaint Filed: 09/10/2009
  • Correction Date: 12/10/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 09/10/2009
  • Correction Date: 12/10/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 09/10/2009
  • Correction Date: 12/10/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 09/10/2009
  • Correction Date: 12/10/2009

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 09/10/2009
  • Correction Date: 12/10/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 09/10/2009
  • Correction Date: 12/10/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 09/10/2009
  • Correction Date: 12/10/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 09/10/2009
  • Correction Date: 12/10/2009

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Western Horizons Care Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/27/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/24/2010
  • Correction Date: 04/15/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 08/25/2009
  • Correction Date: 10/01/2009

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 08/25/2009
  • Correction Date: 10/01/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/24/2010
  • Correction Date: 04/15/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/27/2010
  • Correction Date: 10/01/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/24/2010
  • Correction Date: 04/08/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 08/25/2009
  • Correction Date: 10/01/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 08/25/2009
  • Correction Date: 10/20/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/24/2010
  • Correction Date: 05/07/2010
Source: Medicare Nursing Home Compare; North Dakota Department of Health - Retrieved 2011