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 4-star CMS overall rating - well above the 3.0-star national average, ranking #21 of 71 rated homes in ND on CMS overall stars (with health+staffing+quality tie-breaks), 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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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #21 of 71
- In-state rank among rated ND homes
- 4.31
- Above average · nurse hrs/day · nat'l 3.86
- 13
- Inspection findings
The verdict
Towner County Living Ctr, a 28-bed non profit - corporation nursing facility in Cando, ND, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #21 of 71 rated homes in ND on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
- 4 / 5
- CMS overall · national 3.0
- #21 of 71
- In-state rank among rated ND homes
- 4.31
- Nurse hrs/resident-day · national 3.86
- 13
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 72 ND nursing homes split by ownership sector
This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 355068
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 28
- Residents
- 27
- In Hospital
- Yes
- County
- Towner
- Last Inspection
- Jan 14, 2026
Staffing Data
How the 4.31 total nursing hours per resident-day are staffed:
- RN Hours
- 1.45 (nat'l avg: 0.69)
- LPN Hours
- 0.33
- CNA Hours
- 2.54
- Total Nursing Hours
- 4.31 (nat'l avg: 3.86)
- PT Hours
- 0.05
- Nursing Turnover
- 50.0%
- RN Turnover
- 20.0%
What the CMS Record Reveals About Towner County Living Ctr
According to CMS Nursing Home Compare, Towner County Living Ctr ranks #21 of 71 rated nursing homes in ND on overall stars (tie-broken by health+staffing+quality, then fewer fines). Towner County Living Ctr operates 28 certified beds in Cando, ND with approximately 27 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 5★ · quality 4★).
The inspection file contains 13 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Per resident day, this facility reports 4.31 total nursing hours (national average 3.86) and 1.45 RN hours.
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. Reported nursing staff turnover at this facility is 50.0% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.
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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (13 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 12, 2026
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: Feb 12, 2026
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: Feb 12, 2026
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: Feb 12, 2026
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Category: Nutrition and Dietary Deficiencies
Corrected: Feb 12, 2026
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
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Oct 10, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Oct 12, 2023
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
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
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
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
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
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.0% | 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 | 5.6% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.4% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.3% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.0% | 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 | 4.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 3.0% | 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 | 21.6% | 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 | 22.9% | 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.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Towner County Living Ctr, both outside ND so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside ND (28 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside ND (5.41 here).
Nearby Nursing Homes in ND
71 other nursing homes are on record in ND; 6 are shown here.
Aneta Parkview Health Ctr
Aneta, ND
Ashley Medical Center Nursing Home
Ashley, ND
Baptist Health & Rehab
Bismarck, ND
Benedictine Living Center of Garrison
Garrison, ND
Bethany on 42nd
Fargo, ND
Bethany on University
Fargo, ND
Understanding Nursing Home Data
What the CMS records show for Towner County Living Ctr
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The ND registry aggregates state averages and the highest-rated homes in this cohort. View ND registry
- Peer homes near 28 beds show how CMS stars vary at a similar scale in ND. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Towner County Living Ctr?
Where does Towner County Living Ctr rank among nursing homes in ND?
What are the staffing levels at Towner County Living Ctr?
How many beds does Towner County Living Ctr have?
Does Towner County Living Ctr have any deficiencies on record?
Has Towner County Living Ctr received any fines or penalties?
Who owns Towner County Living Ctr?
When was Towner County Living Ctr last inspected?
What quality measures are tracked for Towner County Living Ctr?
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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
