Western Horizons Care Center

    1104 US-12, Hettinger, ND 58639
    • Skilled Nursing
    4.5·2 reviews
    For the front desk(701) 567-2401

    Attentive staff, happy alert residents

    I've been impressed by the internal improvements and how happy and alert the residents are. The familiar, engaged staff are plentiful and quick to respond to call lights; the food is good, activities are plentiful, and the place is clean and well maintained despite the older building.

    Loved one of resident
    Jul 2026

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    Reviews

    4.50·(2)

    Overall rating

    1. 5
    2. 4
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    • Care

      5.0

    • Staff

      5.0

    • Meals

      4.0

    • Amenities

      4.0

    • Value

      4.5

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    Medicare Ratings

    1·/ 5
    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.

    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Western Horizons Care Center

    Western Horizons Care Center is located at 1104 US-12, Hettinger, ND, 58639.

    People often ask...

    Western Horizons Care Center offers skilled nursing.

    The full address for this community is 1104 US-12, Hettinger, ND 58639.

    No, Western Horizons Care Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In North Dakota, Health & Human Services' Health Facilities unit licenses care facilities and publishes the health and life-safety deficiencies found during inspections.

    License numberBC-western-horizons-care-center-hettinger
    Facility typeBasic Care Facility

    Inspection Reports

    45

    Reports

    1

    Type A Citations

    0

    Type B Citations

    0

    Complaints

    16

    Years

    09 Sept 2025Life Safety
    Identified several life-safety and electrical system deficiencies, including emergency lighting, fire extinguishers, and receptacle testing.
    • NFPA 101 7.9.3.1.1Emergency Lighting
    • NFPA 10 6.1.3.8.1, 6.1.3.8.2, 6.1.3.8.3; NFPA 10 5.5.5, 5.5.5.3; NFPA 10 7.2.1.1, 7.2.1.2Portable Fire Extinguishers
    • NFPA 99 6.3.4Electrical Systems - Maintenance and Testing
    • NFPA 99; NFPA 110Electrical Systems - Essential Electric System
    04 Sept 2025Inspection
    Identified multiple deficiencies across privacy, abuse protection, discharge planning, medication administration, safety, diet, and infection control based on findings from the survey.
    • CFR 483.10(h)(1)-(3)(i)(ii)Privacy and Confidentiality
    • CFR 483.12(a)Freedom from Abuse and Neglect
    • CFR 483.15(c)(2)Documentation of Transfer/Discharge
    • CFR 483.15(c)(3)Notice before transfer
    • CFR 483.15(c)(4)Timing of notice
    • CFR 483.15(c)(5)Contents of the notice
    • CFR 483.21(c)(2)Discharge Summary
    • CFR 483.15(d)Bed-hold notice
    • CFR 483.21(b)(3)(i)Comprehensive Care Plans
    • CFR 483.25(d)Accidents
    • CFR 483.45(h)Storage of Drugs and Biologicals
    • CFR 483.60(d)Food and drink; therapeutic diets
    • CFR 483.80(a)Infection prevention and control program
    16 Jan 2025Inspection
    Observed that a resident eloped due to door alarms not sounding or being engaged, with injuries sustained as a result.
    • 483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
    14 Nov 2024Inspection
    Investigated a resident-to-resident abuse incident and found failures to prevent abuse and to report the incident to the appropriate authorities.
    • CFR 483.12(a)(1) / §483.12 Freedom from Abuse, Neglect, and ExploitationFreedom from Abuse, Neglect, and Exploitation
    • CFR 483.12(c)(1)-(4) / §483.12 Reporting of Alleged ViolationsReporting of Alleged Violations
    30 Jul 2024Life Safety
    Identified deficiencies included lack of documented quarterly sprinkler flow tests, missing GFCI protection for several kitchen outlets, and improper storage of oxygen cylinders.
    • NFPA 25, 4.1.4.1; 19.7.6, 4.6.12Sprinkler System - Maintenance and Testing
    • NFPA 70, 210.8; 210.8(B)Electrical ground-fault protection for receptacles
    • NFPA 99, 11.6.2.3Oxygen Cylinder Storage
    24 Jul 2024Inspection
    Identified deficiencies across medication self-administration, assessments, care planning, trauma-informed care, dental services, dietary communications, and building safety.
    • CFR 483.10(c)(7)Resident Self-Administration of Medications
    • CFR 483.10(g)(17) and 483.10(g)(18)Medicaid/Medicare Coverage/Liability Notice
    • CFR 483.20(g)Accuracy of Assessments
    • CFR 483.20(k)(1)-(3)PASARR Screening for MD & ID
    • CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
    • CFR 483.25(m)Trauma-Informed Care
    • CFR 483.55(a)(1)-(5)Routine/Emergency Dental Services in SNFs
    • CFR 483.60(d)(4)-(5)Resident Allergies, Preferences, Substitutes
    • CFR 483.60(i)(1)-(2)Food Procurement,Store/Prepare/Serve-Sanitary
    • CFR 483.90(i)Safe/Functional/Sanitary/Comfortable Environment
    • CFR 483.90(i)(4)Maintains Effective Pest Control Program
    29 Aug 2023Inspection
    Investigated multiple deficiencies across staffing education, infection control, resident notifications, and care planning, showing widespread non-compliance with regulatory requirements.
    • NDAC 33-07-03.2-12Education Programs
    • 42 CFR 483.10(g)(14)-(15)Notification of Changes
    • 42 CFR 483.15(c)(3)-(6),(8)Notice Before Transfer/Discharge
    • 42 CFR 483.15(d)(1)-(2)Bed-Hold Notice Upon Transfer
    • 42 CFR 483.20(b)(2)(ii)Significant Change in Status
    • 42 CFR 483.21(b)(2)Care Plan Timing and Revision
    • 42 CFR 483.21(b)(3)(i)Services Provided Meet Professional Standards
    • 42 CFR 483.25(d)(1)-(2)Accidents; Supervision
    • 42 CFR 483.80(a)-(f)Infection Control
    • 42 CFR 483.80(b)Infection Preventionist Qualifications/Role
    • 42 CFR 483.95(h)Training for Feeding Assistants
    21 Aug 2023Life Safety
    Found deficiencies in required fire drills and emergency generator testing.
    • NFPA 101 Fire Drills (19.7.1.4-19.7.1.7)Fire drills
    • NFPA 99; NFPA 110Electrical Systems - Essential Electric System
    01 Jun 2022Life Safety
    Identified multiple deficiencies related to fire safety and electrical systems. Incomplete testing and maintenance occurred across extinguishing systems, detectors, sprinklers, extinguishers, drills, and the emergency generator.
    • NFPA 17ACooking Facilities
    • NFPA 72Smoke Detection
    • NFPA 25Sprinkler System - Maintenance and Testing
    • NFPA 10Portable Fire Extinguishers
    • NFPA 101; 19.7.1.4-19.7.1.7Fire Drills
    • NFPA 99 and NFPA 110Electrical Systems - Essential Electric System
    18 May 2022Inspection
    Identified deficiencies across bed-hold notification, insulin pen preparation, pressure ulcer orders, and medication storage/expiration.
    • CFR 483.15(d)(1)(2)Notice of bed-hold policy
    • CFR 483.21(b)(3)(i)Comprehensive Care Plans
    • CFR 483.25(b)Treatment/Svcs to Prevent/Heal Pressure Ulcer
    • CFR 483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
    20 Jul 2021Inspection
    Investigated a complaint and found deficiencies related to notifying a resident's representative after a fall, failing to promptly report alleged neglect to authorities, and inadequate supervision and safety practices for a mechanical lift.
    • CFR 483.10(g)(14) and 483.10(g)(15)Notification of Changes
    • CFR 483.12(c)Reporting of Alleged Violations
    • CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
    17 Mar 2021Inspection
    Investigated deficiencies found in resident rights, environment, medical management, safety during transport, hydration, nutrition services, food safety, and QA oversight, with multiple failures identified.
    • CFR 483.10(c)(6)-(8), 483.10(g)(12)Advance directives and code status documentation
    • CFR 483.10(i)(1)-(7)Safe environment – room conditions
    • CFR 483.21(b)(3)Blood glucose management and weight documentation
    • CFR 483.25(d)(1)-(2)Safe transportation – accident prevention
    • CFR 483.25(g)Hydration status maintenance
    • CFR 483.60(a)(1)-(2)Qualified dietary staff
    • CFR 483.60(i)(1)-(2)Sanitation and food safety testing
    • CFR 483.75(g)(1)-(2)Quality assurance committee participation by Medical Director
    16 Mar 2021Life Safety
    Found noncompliance with fire safety standards for cooking facilities; the manual activation device for the kitchen exhaust hood was mounted above the required height and cooking equipment wasn't installed per NFPA 96.
    • NFPA 96; NFPA 101 18.3.2.5.1-5.4; 9.2.3Cooking facilities and fire suppression system activation height
    22 Sept 2020Life Safety
    Concluded compliance with emergency preparedness requirements.
    16 Sept 2020Inspection
    Found a deficiency where eight consecutive hours of RN coverage were not provided on two days in September, potentially affecting residents.
    • 42 CFR §483.35(b)(1)-(3)Registered nurse services required 8 hours daily, 7 days a week; DON full-time
    06 Jul 2020Inspection
    Investigated a complaint and found inadequate supervision and use of assistive devices contributed to a resident fall with injuries.
    • 42 CFR 483.25(d)Accidents
    19 Dec 2019Inspection
    Investigators identified multiple deficiencies across medication management, resident assessments, care planning, wound/skin care, nutrition, infection control, dentistry, and staffing.
    • CFR 483.10(c)(7)Resident Self-Administration Meds
    • CFR 483.10(i)Safe/Clean/Comfortable/Homelike Environment
    • CFR 483.15(c)Notice Before Transfer/Discharge
    • CFR 483.15(d)Bed-Hold Notice
    • CFR 483.20(b)(2)(ii)Significant Change Assessment
    • CFR 483.20(g)Accuracy of Assessments
    • CFR 483.21(b)(2)(i-iii)Care Plan Timing and Revision
    • CFR 483.21(b)(3)(i)Care Plans Meet Professional Standards
    • CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
    • CFR 483.25Quality of Care
    • CFR 483.25(b)(1)(ii)Skin Integrity - Prevention/Trior
    • CFR 483.25(b)(2)Foot Care
    • CFR 483.25(g)Nutrition/Hydration Status Maintenance
    • CFR 483.25(i)Respiratory Care
    • CFR 483.25(n)Bed Rails
    • CFR 483.35(a)Sufficient Nursing Staff
    • CFR 483.55Dental Services
    • CFR 483.60(i)Food Safety – Store/Prepare/Serve
    • CFR 483.80Infection Prevention & Control
    03 Dec 2019Life Safety
    Cited multiple life safety and electrical deficiencies across the facility, including missing smoke detectors in staff sleeping rooms, obstructed egress doors, hazardous areas lacking self-closing doors, and improper maintenance of fire suppression and electrical systems.
    • NFPA 101 26.3.4.5.3; 6.1.14.1.1Smoke detectors in staff sleeping rooms
    • NFPA 101 7.2.1.5.10.2Means of egress - release mechanism
    • NFPA 101 19.3.5.9; 8.4Hazardous Areas - Enclosure
    • NFPA 17ACooking Facilities - Wet Chemical Extinguishing System
    • NFPA 13 9.1.1.7Sprinkler System - Installation
    • NFPA 101 19.3.6.3.5Corridor - Doors
    • NFPA 70 210.8(A)(7)Electrical Systems - Receptacles
    • NFPA 70 400-8Electrical Equipment - Power Cords and Extension Cords
    11 Jul 2019Inspection
    Identified gaps in resident care including call-light accessibility, meaningful activity programs, hydration support, and immunization documentation.
    • CFR 483.10(e)(3)Reasonable Accommodations Needs/Preferences
    • CFR 483.24(c)Activities Meet Interest/Needs
    • CFR 483.25(g)Nutrition/Hydration Status Maintenance
    • CFR 483.80(d)(1)-(2)Influenza and Pneumococcal Immunizations
    09 Jul 2019Life Safety
    Identified multiple fire safety and electrical deficiencies, including uninspected fire-rated doors, unmarked fire alarm circuitry, incomplete smoke detector testing, sprinkler maintenance gaps, unsafe electrical installations, and missing fire drills.
    • NFPA 80; NFPA 101 7.2.1.15.2Means of Egress - General
    • NFPA 72; NFPA 70Fire Alarm System - Installation
    • NFPA 72Smoke Detection
    • NFPA 25Sprinkler System - Maintenance and Testing
    • NFPA 70Utilities - Gas and Electric
    • NFPA 101 19.7.1.4–19.7.1.7Fire Drills
    20 Dec 2018Inspection
    Identified multiple deficiencies related to assessment accuracy, care planning, PASARR coordination, and medication and hydration management.
    • 483.20(g)Accuracy of Assessments
    • 483.20(e)(1)-(2)Coordination
    • 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • 483.21(b)(3)(i)Services Provided Meet Professional Standards
    • 483.25(g)(1)-(3)Nutrition/Hydration Status Maintenance
    • 483.45(d)(1)-(6)Drug Regimen is Free from Unnecessary Drugs
    • 483.45(f)(2)Residents are Free of Significant Med Errors
    • 483.45(h)(1)-(2)Label/Store Drugs and Biologicals
    13 Nov 2018Life Safety
    Identified multiple life-safety deficiencies involving emergency lighting, fire alarm testing, corridor door latching, and quarterly fire drills.
    • 4.6.12.4, 7.9.2.1, 7.9.3.1.1Emergency illumination and testing
    • NFPA 70, NFPA 72; 9.6.1.3, 9.6.1.5Fire alarm system testing and maintenance
    • 19.3.6.3.5, 19.3.6.3Corridor doors not latched
    • 19.7.1.4 through 19.7.1.7; 19.7.1.6Fire drills not conducted on schedule
    25 Jan 2018Inspection
    Investigated, found multiple deficiencies across resident rights, transfers, care planning, nutrition, oxygen delivery, staffing, pharmacy, psychotropic use, infection control, QA, and related areas.
    • CFR(s): 483.10(g)(4)(i)-(vi)Required Notices and Contact Information
    • CFR(s): 483.10(g)(5)(i)-(ii)Required Postings
    • CFR(s): 483.10(g)(17)(18)(i)-(v)Medicaid/Medicare Coverage/Liability Notice
    • CFR(s): 483.10(j)Grievances
    • CFR(s): 483.15(c)(3)-(6)(8)Notice Before Transfer/Discharge
    • CFR(s): 483.20(g)Accuracy of Assessments
    • CFR(s): 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • CFR(s): 483.25(g)Nutrition/Hydration Status Maintenance
    • CFR(s): 483.25(i)Respiratory Care and Oxygen
    • CFR(s): 483.35(a)Sufficient Nursing Staff
    • CFR(s): 483.45(a)-(c)Pharmacy Services
    • CFR(s): 483.45(e)Free from Unnecessary Psychotropic Meds/PRN Use
    • CFR(s): 483.45(g)-(h)Label/Store Drugs and Biologicals
    • CFR(s): 483.75(g)Quality Assessment and Assurance
    • CFR(s): 483.80(a)-(f)Infection Control
    19 Sept 2017Life Safety
    Identified multiple life-safety deficiencies across hazardous-area separation, fire alarm testing, sprinkler maintenance, corridor doors, fire drills, and emergency power systems.
    • 19.3.2.1; 19.3.5.9Hazardous Areas - Enclosure
    • 9.6.1.3; 9.6.1.5; NFPA 70; NFPA 72Fire Alarm System - Testing and Maintenance
    • 9.7.5; 9.7.7; 9.7.8; NFPA 25; 4.6.12; 4.1.4.1Sprinkler System - Maintenance and Testing
    • 19.3.6.3; 42 CFR Parts 403, 418, 460, 482, 483, and 485Corridor - Doors
    • 19.7.1; 19.7.1.4; 19.7.1.6; 19.7.1.7; 4.7.4; 4.7.6Fire Drills
    • NFPA 99; NFPA 110; NFPA 99 6.3.2.2.10; NFPA 110 5.6.5.6; 5.6.5.6.1Electrical Systems - Essential Electric System
    25 Jul 2017Inspection
    Multiple deficiencies were found across resident care, including failure to notify changes promptly, privacy violations, inadequate self-administration assessments, poor care planning, unsafe transfers, nutrition issues, infection control lapses, and improper medication storage.
    • 42 CFR 483.10(g)(14)Notify of changes (injury/decline/room, etc.)
    • 483.10(h)(1)(3)(i); 483.70(i)(2)Personal privacy/confidentiality of records
    • 483.10(c)(7); 483.21(b)(2)(ii)Self-administered medications
    • 483.12(a); 483.40(d)Investigate/report allegations/individuals
    • 483.40(d)Provision of medically related social services
    • 483.20(b)(1)Comprehensive Assessments
    • 483.20(g)-(j)Assessment accuracy/coordination/certified
    • 483.21(b)(2); 483.10(c)(2)Participation in planning care/revise care plans
    • 483.25(d)(1)(2)(n)(1)-(3)ADL care provided for dependent residents
    • 483.25; related falls/transfers provisionsFree of accident hazards/supervision/devices
    • Unclear/unverified nutrition-specific provisionMaintain nutrition status unless unavoidable
    • 42 CFR 483.45Drug records/label/store drugs & biologics
    • 483.80Infection control, prevent spread, linens
    07 Jun 2017Inspection
    Investigated a complaint and found extensive deficiencies in staffing, communication, privacy, medical recording, and care planning that endangered residents.
    • 483.10(g)(14)NOTIFY OF CHANGES
    • 483.10(h)(1)(3)(i); 45 CFR 164.506; 45 CFR 164.512PERSONAL PRIVACY/CONFIDENTIALITY OF RECORDS
    • 483.10(j)(2)-(4)PROMPT RESOLUTION OF GRIEVANCES
    • 483.10(c)(7)SELF-ADMINISTRATION OF MEDICATIONS
    • 483.15(c)(3)-(6)NOTICE BEFORE TRANSFER/DISCHARGE
    • 483.15(d)(1)-(2)BED-HOLD NOTICE UPON TRANSFER
    • 483.10(e); 483.12RIGHT TO BE FREE FROM RESTRAINTS
    • 483.10(a)(1)DIGNITY/PRIVACY OF RESIDENTS
    • 483.10(e)REASONABLE ACCOMMODATION OF NEEDS/PREFERENCES
    • 483.40(d)PROVISION OF MEDICALLY-RELATED SOCIAL SERVICES
    • 483.70HOUSEKEEPING & MAINTENANCE SERVICES
    • 483.70LAUNDRY AND LINEN SERVICES
    • 483.20(b)(1)-(4); 3.0 MDS guidanceCOMPREHENSIVE ASSESSMENTS (CAAs)
    • 483.20(b)(2)COMPREHENSIVE ASSESSMENT WITHIN 14 DAYS OF ADMISSION
    • 483.20(b)(3)ANNUAL COMPREHENSIVE ASSESSMENTS
    • 483.20(g)-(j)ACCURACY OF MDS; SIGNATURES
    • 483.21(b)(2)-(3)DISCHARGE PLANNING; PARTICIPATION
    • 483.21(b)(3)(i)CARE PLANS MEET PROFESSIONAL STANDARDS
    • 483.20(b)(2)(vii)-(viii)DISCHARGE SUMMARY AND POST-DISCHARGE PLAN
    • 483.20(f)(1); (f)(3) and related CMS guidanceENCODING/TRANSMITTING RESIDENT ASSESSMENT DATA
    27 Oct 2016Inspection
    An investigation identified multiple deficiencies across resident notifications, neglect reporting, dignity, housekeeping, care planning, MDS processes, infection control, and environmental safety.
    • 483.10(b)(11)Notify Changes in Resident Condition
    • 483.13(c)Prohibit Mistreatment/Neglect/Misappropriation
    • 483.13(c)(1)(ii)-(iii), (c)(2)-(4)Investigate/Report Allegations/Individuals
    • 483.15(a)Dignity and Respect
    • 483.25Housekeeping & Maintenance Services
    • 483.20(b)(2)(i)Comprehensive Assessment Within 14 Days After Admission
    • 483.20(b)(2)(iii)Annual Comprehensive Assessment
    • 483.20(c)Quarterly Assessment at Least Every 3 Months
    • 483.20(g)Encoding/Transmitting MDS Data to CMS
    • —Accuracy of MDS Assessments
    • 483.25(h)Free of Accident Hazards/Supervision/Devices
    • 483.60Food Procure, Store/Prepare/Serve—Sanitary
    • 483.65Infection Control, Prevent Spread, Linens
    • 483.70(h)Safe/Functional/Sanitary/Comfortable Environment
    05 Oct 2016Life Safety
    Identified multiple life-safety deficiencies, including inadequate exterior exit lighting, incomplete fire drills, a paint-covered sprinkler deflector, missing remote annunciator for the generator, and lapses in sprinkler system maintenance.
    • NFPA 101 LIFE SAFETY CODE STANDARD 18.2.8, 19.2.8, 7.8Illumination of means of egress
    • NFPA 101 LIFE SAFETY CODE STANDARD 18.7.1.2, 19.7.1.2Fire drills
    • NFPA 101 LIFE SAFETY CODE STANDARD 19.7.6; 4.6.12; NFPA 13; NFPA 25; 9.7.5Automatic sprinkler systems maintenance
    • NFPA 99 3-4.1.1.15Emergency generator remote annunciator
    29 Oct 2015Inspection
    Identified multiple deficiencies related to abuse reporting, resident behavior assessment, MDS accuracy, wandering precautions, and medication management.
    • 483.13(c)Develop/Implement Abuse/Neglect Policies
    • 483.15(g)(1)Provision of Medically Related Social Service
    • 483.20(g)(j)Assessment Accuracy/Coordination/Certified
    • 483.25(h)Free of Accident Hazards/Supervision/Devices
    • 483.25(l)Drug Regimen Is Free From Unnecessary Drugs
    02 Sept 2015Life Safety
    Identified fire safety and exit access deficiencies, including hazardous-area doors lacking self-closing hardware and multiple corridor doors protruding into egress paths.
    • 19.3.2.1Hazardous-area doors require self-closing/automatic latching hardware
    • 19.2.1; 7.2.1.4.4; 7.1Exit access not readily accessible; delayed-egress signage and doors opening into corridor
    30 Jun 2015Inspection
    Identified Tier I findings and attested them as corrected after an unannounced licensure survey.
    • —Tier I findings
    11 Dec 2014Inspection
    Identified several deficiencies related to resident safety, hazardous chemical storage, kitchen hygiene, and QA oversight. The findings indicate failures in maintaining a safe environment and proper procedures.
    • —Safety environment and supervision to prevent accidents
    • —Hazardous chemicals stored and handled safely
    • —Dietary/food service deficiencies observed during survey
    • —Quality assurance/annual audit and corrective action
    24 Sept 2014Inspection
    Inspectors identified multiple deficiencies related to resident rights notification, medical information disclosure, nutrition and hydration practices, pressure sore care, and medication management.
    • 483.10(b)(5)-(10); 483.10(b)(1)NOTICE OF RIGHTS, RULES, SERVICES, CHARGES
    • 483.10(b)(1)NOTICE OF PHYSICIAN CONTACT
    • 483.25NUTRITION/HYDRATION INTERVENTIONS
    • 483.25(c)TREATMENT/SERVICES TO PREVENT/HEAL PRESSURE SORES
    • 483.25(i)DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS
    27 Aug 2014Life Safety
    Identified several life-safety deficiencies including missing self-closing devices on corridor doors, smoke barrier and smoke-control concerns, inadequate sprinkler coverage, and problems with emergency lighting and testing practices.
    • NFPA 101 Life Safety Code StandardSelf-closing device missing on corridor doors
    • NFPA 101 Life Safety Code StandardSmoke barrier door not resisting smoke; door between east wing and corridor
    • NFPA 101 Life Safety Code StandardSmoke compartments and emergency lighting/testing deficiencies
    • NFPA 13 Life Safety Code StandardAutomatic sprinkler system not complete
    • NFPA 101 Life Safety Code StandardSprinkler head replacement plan; continued issues
    • NFPA 101 Life Safety Code StandardTesting and maintenance deficiencies for smoke detectors and emergency systems
    • NFPA 101 Life Safety Code StandardSmoke detectors and barrier walls not properly installed
    25 Sept 2013Inspection
    Investigated a complaint about transfer practices and found unsafe handling during transfers, including not using gait belts and pulling residents by the arms.
    • —Continued From page 2
    20 Aug 2013Life Safety
    Found deficiencies in smoke barrier doors not self-closing and in generator battery maintenance, indicating non-compliance with life-safety standards.
    • NFPA 101 LIFE SAFETY CODE STANDARDSmoke barrier doors not self-closing
    • NFPA 101 LIFE SAFETY CODE STANDARDSelf-closing doors to hazardous areas not provided
    • NFPA 110; NFPA 99Battery and generator maintenance
    20 Sept 2012Inspection
    An assessment identified deficiencies related to residents' dignity and respect, as well as related care practices and documentation. Multiple issues were noted and corrective actions were required.
    • Type A483.15(a)Dignity and Respect of Individuality
    28 Aug 2012Life Safety
    Found that corridors were not adequately separated from use areas by fire-resistive walls and observed damaged ceiling tiles that could compromise smoke barriers.
    • 19.3.6.1; 19.3.6.2.1; 19.3.6.5Corridor walls/separation and smoke resistance
    09 Jul 2012Life Safety
    The investigation identified life-safety deficiencies related to corridor separation, means of egress illumination, and electrical wiring practices.
    • NFPA 101 LIFE SAFETY CODE STANDARDCorridor/opening separation and smoke resistance
    • NFPA 101 LIFE SAFETY CODE STANDARDIllumination of means of egress
    • NFPA 101 LIFE SAFETY CODE STANDARDElectrical wiring and equipment
    19 Oct 2011Inspection
    Investigated side rails use, pressure ulcer care, and sanitation practices; found deficiencies in restraints policy, wound care documentation, and sanitation procedures.
    • 483.13(a)Right to be free from physical restraints
    • 483.25(c)Treatment/Services to prevent/heal pressure sores
    • 483.60Sanitation
    01 Aug 2011Life Safety
    Investigated and found deficiencies related to failing to document monthly inspections and the 30-minute under-load exercise of the emergency generator.
    • NFPA 99 – 3.4.4.1Emergency generator testing and maintenance documentation
    • NFPA 99 – 3.4.4.1Emergency generator testing and maintenance documentation
    27 Oct 2010Inspection
    The agency found deficiencies in providing psychosocial and mental health services to a resident and in implementing an effective bowel management/elimination program for multiple residents.
    • —Provision of medically-related social services
    • —Mental health services and monitoring
    • —Bowel management/elimination program
    27 Sept 2010Life Safety
    Investigated life-safety issues; found failure to separate hazardous areas with smoke-resistant partitions and self-closing doors, and the Medical Records Storage Room door lacked a self-closing device.
    • 42 CFR 483.70(a)Life Safety Code compliance
    • NFPA 101 Life Safety Code; NFPA 13Life Safety Code – self-closing doors
    08 Apr 2010Inspection
    Regulators found privacy and confidentiality issues along with concerns about record-keeping and care practices during the investigation.
    • —Personal privacy/confidentiality of records
    24 Mar 2010Life Safety
    Identified deficiencies in life-safety systems, including monthly fire alarm testing and maintenance of sprinkler components, with unsealed barrier spaces noted.
    • NFPA 101 Life Safety Code Standard; NFPA 25Fire alarm system testing; smoke barrier issues
    • NFPA 101 Life Safety Code Standard; NFPA 25Maintenance of automatic sprinkler system

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    Assisted Living in Nearby Cities

    1. Lemmon skilled nursing

      23 mi
      4 facilities

    2. Bowman skilled nursing

      39.3 mi
      2 facilities$3,213/mo

    3. New Leipzig skilled nursing

      41.4 mi
      1 facilities

    4. Elgin skilled nursing

      46.5 mi
      1 facilities

    5. Buffalo skilled nursing

      52.8 mi
      1 facilities$3,121/mo

    6. Dickinson skilled nursing

      61.9 mi
      12 facilities$4,035/mo

    7. Glen Ullin skilled nursing

      67.6 mi
      4 facilities

    8. New Salem skilled nursing

      81.9 mi
      1 facilities$3,873/mo

    9. Baker skilled nursing

      82.8 mi
      2 facilities$4,286/mo

    10. Beach skilled nursing

      91.3 mi
      1 facilities$3,265/mo

    11. Ekalaka skilled nursing

      93 mi
      1 facilities

    12. North Eagle Butte skilled nursing

      95.9 mi
      2 facilities
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