PlainNursing
CMS Nursing Home Compare · March 2026

Towner County Living Ctr

228 1st Ave, Cando, ND 58324

Towner County Living Ctr, a 28-bed non profit - corporation nursing facility in Cando, ND, holds a 5-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7019682600

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5 / 5
Much above average · CMS overall · nat'l 3.0
4.32
Above average · nurse hrs/day · nat'l 3.89
15
Inspection findings
$0
Federal penalties (0)

Health Inspection

4/5

Staffing

5/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
355068
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
28
Residents
28
In Hospital
Yes
County
Towner
Last Inspection
Sep 25, 2024

Staffing Data

How the 4.32 total nursing hours per resident-day are staffed:

RN Hours
1.50 (nat'l avg: 0.68)
LPN Hours
0.31
CNA Hours
2.51
Total Nursing Hours
4.32 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
52.9%
RN Turnover
30.0%

What the CMS Record Reveals About Towner County Living Ctr

Towner County Living Ctr operates 28 certified beds in Cando, ND with approximately 28 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (5★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 15 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues, if any, did not rise to the enforcement threshold. Staffing is reported at 4.32 total nursing hours per resident day (national average 3.89), with RN coverage at 1.50 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, Towner County Living Ctr falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 52.9%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (15 most recent)

E - Pattern - Minimal harm Sep 25, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 10, 2024

D - Isolated - Minimal harm Sep 25, 2024 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Oct 10, 2024

D - Isolated - Minimal harm Sep 7, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 12, 2023

D - Isolated - Minimal harm Sep 7, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 12, 2023

D - Isolated - Minimal harm Sep 7, 2023 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 12, 2023

E - Pattern - Minimal harm Sep 7, 2023 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Oct 12, 2023

D - Isolated - Minimal harm Sep 7, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 12, 2023

D - Isolated - Minimal harm Sep 7, 2023 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 12, 2023

E - Pattern - Minimal harm Jun 29, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 5, 2022

E - Pattern - Minimal harm Jun 29, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 5, 2022

D - Isolated - Minimal harm Jun 29, 2022 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Aug 5, 2022

D - Isolated - Minimal harm Jun 29, 2022 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 5, 2022

D - Isolated - Minimal harm Jun 29, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 5, 2022

D - Isolated - Minimal harm Jun 29, 2022 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 5, 2022

D - Isolated - Minimal harm Jun 29, 2022 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 5, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 15.9% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 6.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 16.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 19.5% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.1% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 20.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 23.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay N/A No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Towner County Living Ctr?
Towner County Living Ctr has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (5★).
What are the staffing levels at Towner County Living Ctr?
Towner County Living Ctr reports 4.32 total nursing hours per resident day (national average: 3.89). RN hours are 1.50 per resident day (national average: 0.68). Nursing staff turnover is 52.9%.
How many beds does Towner County Living Ctr have?
Towner County Living Ctr has 28 certified beds with approximately 28 residents. The facility is located at 228 1st Ave, Cando, ND 58324.
Does Towner County Living Ctr have any deficiencies on record?
Yes, Towner County Living Ctr has 15 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Towner County Living Ctr received any fines or penalties?
No, Towner County Living Ctr has no fines or penalties on record.
Who owns Towner County Living Ctr?
Towner County Living Ctr is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was Towner County Living Ctr last inspected?
The most recent health inspection for Towner County Living Ctr was on Sep 25, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Towner County Living Ctr?
Towner County Living Ctr is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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