Skilled nursing facilities · North Dakota

Western Horizons Living Centers

Hettinger, ND · ~49 workers · 6 years of OSHA Injury Tracking Application data.

D
Poor Safety Record
10.8
Avg TCR
6.5
Industry avg
0
Fatalities
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The verdict

Western Horizons Living Centers runs at 166% of its industry's injury rate - more dangerous than the typical Skilled nursing facilities workplace, earning a grade D.

Western Horizons Living Centers: 10.8 TCR = 166% of Skilled nursing facilities BLS 6.5 · 6y Form 300A (see methodology below)

Western Horizons Living Centers safety composite

Western Horizons Living Centers scores strongest on dart rate (safer than 92% of same-industry peers) and weakest on total case rate (tcr) (safer than 24%), blended into one 0-100 breakdown against same-industry peers. A missing measure drops out and redistributes its weight rather than deflating the score. This is a per-dimension breakdown, distinct from the single letter grade above it (which weights TCR alone against the BLS industry benchmark).

C

55/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 10.8 per 100 workers

Safer than 24% of industry peers

DART rate
A 0 per 100 workers

Safer than 92% of industry peers

Fatalities
D 0

Safer than 51% of industry peers

Benchmarked live against every credibly-rated employer in the same NAICS industry code in the current OSHA extract (a segment must have at least 8 rated peers to benchmark). Not a legal or compliance determination; PlainSafetyScore's own weighting (TCR 40%, DART 35%, fatalities 25%).

Rising injury rate

Western Horizons Living Centers: 13.0 → 18.6 TCR

Peak year 2020 @ 20.6 TCR · DART/TCR 0× in 2023

Western Horizons Living Centers's TCR rose 5.6 from 13.0 in 2018 to 18.6 in 2023. Peak filing year was 2020 at 20.6 TCR. In 2023, DART was 0× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

Establishment book 623110 · Hettinger, ND ABOVE-IND · SMALL

Grade D · TCR 10.8 · 166% of ind

  • DART 0.0 DART
  • RANK #58/69
  • PHOTO Discovery Village at…
  • BOOK 6y book
  • INJ 22 inj
  • SIZE ~49 FTE

Nearest TCR peer: Discovery Village at Tampa Palms (0.0 TCR gap)

Read with this employer → · Industry book → · North Dakota employers → · Look up another →

Western Horizons Living Centers in the TCR neighbourhood

Average Total Case Rate among this establishment and nearest same-industry peers

TCR

What this shows Western Horizons Living Centers averages 10.8 TCR (166% of the Skilled nursing facilities BLS benchmark).

Source U.S. Department of Labor, OSHA Injury Tracking Application (Form 300A) As of 2026-08-25

Western Horizons Living Centers TCR series: 2018=13 · 2019=6.5 · 2020=20.6 · 2021=0 · 2022=6.1 · 2023=18.6 · BLS 6.5

Where Western Horizons Living Centers falls in its industry

15,252 Skilled nursing facilities establishments

Safer than 24% of graded establishments in this industry, whose median TCR is 6.6.

More dangerous than peersSafer than peers

Narrower to North Dakota alone (the establishments it most directly competes with for workers and contracts): ranked #58 safest of 69 Skilled nursing facilities employers in North Dakota.

Western Horizons Living Centers (49 employees, TCR 10.8) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6 2×2 strategic matrix plotting 30 entities by Average employees (X) and Total Case Rate (Y), with a crosshair dividing the plot into four quadrants. Larger & higher-riskSmaller & higher-riskLarger & saferSmaller & safer than peers 0100200300400 05101520 Average employees Total Case Rate Western Horizons Living Centers
Western Horizons Living Centers (49 employees, TCR 10.8) among 29 same-industry peers, split at the industry median of 106 employees and a TCR of 6.6

Western Horizons Living Centers has fewer employees than the Skilled nursing facilities median and a higher injury rate than the industry's median TCR of 6.6. Workforce size and injury rate do not always move together within the same industry -- some of its smaller peers run higher rates than its larger ones, and vice versa.

Year-by-Year Safety Data

Year TCR DART Injuries Illnesses Fatalities
2023 18.6 0.0 5 0 0
2022 6.1 0.0 2 0 0
2021 0.0 0.0 0 0 0
2020 20.6 8.8 7 0 0
2019 6.5 4.3 3 0 0
2018 13.0 13.0 5 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

623110 · ND · Hettinger

15,252 Skilled nursing facilities employers nationwide with a credible TCR · 1,696 rated employers in North Dakota with headcount on file · 4 employers in Hettinger, ND · 4 cross-state NAT-TCR peers · 4 cross-state NAT-SIZE peers. Closest matches by relationship code are listed below.

Rel Establishment Metric
NAICS-TCR Discovery Village at Tampa Palms 10.8 TCR
NAICS-TCR Morgan Hill Healthcare Center 10.8 TCR
NAICS-TCR Chestnut Park Rehabilitation and Nursing Center 10.8 TCR
NAICS-TCR Mt. Greylock Extended Care Facility 10.8 TCR
STATE-SIZE MINOT, ND 305 SE 27TH ST 49 FTE
STATE-SIZE GRAND FORKS_1441124 49 FTE
STATE-SIZE 2035 MINOT DISTRIB CENTER (ND) 49 FTE
STATE-SIZE Fosston Clinic 49 FTE
CITY-NEAR West River Health Services 276 FTE
CITY-NEAR Killdeer Mountain Manufacturing, Inc. Hettinger facility 26 FTE
CITY-NEAR Runnings of Hettinger 18 FTE
NAT-TCR QPI, An H&K Perforating Co 10.8 TCR
NAT-TCR A&K Orchards Inc. 10.8 TCR
NAT-TCR Kentucky Blood Center - Beaumont 10.8 TCR
NAT-TCR Mount Olympus Rehabilitation Center 10.8 TCR
NAT-SIZE Eric Trump Wine Manufacturing 49 FTE
NAT-SIZE Luckey Farmers, Inc. 49 FTE
NAT-SIZE Sodexo at Amex Centurion Lax 49 FTE
NAT-SIZE Belmont Nursery Inc 49 FTE

Rel codes: NAICS-TCR · STATE-SIZE · CITY-NEAR · NAT-TCR/NAT-SIZE cross-state. Read with this employer →

Data Source: OSHA Injury Tracking Application (ITA), mandatory establishment-level injury/illness reports. Grades compare employer Total Case Rate (TCR) to BLS IIF industry benchmarks. Data covers years reported by this establishment: 2023, 2022, 2021, 2020, 2019, 2018. This is publicly available government data - not a legal determination of workplace conditions.
Data sourced from official public datasets. See our methodology for details.