WESTERN HORIZONS CARE CENTER

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.

Medium Rehabilitation

Special Care Low

Clinically Complex

Behavioral Symptoms and Cognitive Performance

Reduced Physical Function

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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.

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

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.

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

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.

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