Towner County, North Dakota · Nursing home
Towner County Living Ctr
4 of 5 overall from CMS
228 1st Ave, Cando, ND 58324
At a glance
- Overall rating 4 of 5 Above the state average of 3.2
- Nurse time per resident, per day 4.31 hours Below the state average of 4.42
- Nursing staff who left in a year 50.0% Above the state average of 48.8%
- Health citations, last 3 inspection cycles 13 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 97.9% of 28 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Towner County Living Ctr is a 28-bed nursing home in Cando, North Dakota (Towner County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 4.31 nurse staffing hours per resident per day, below the North Dakota average of 4.42. CMS lists no fines in the past three years.
- Certified beds
- 28
- Residents per day (average)
- 27.4
- Certified since
- 1980 (46 yrs)
Non profit - Corporation Participates in Medicare and MedicaidLocated in a hospital
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Towner County Living Ctr
Chosen from this home's public data.
- Nursing staff turnover is 50.0%, above the North Dakota average of 48.8%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.79 hours per resident on weekends against 4.31 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 97.9% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 North Dakota average 3.2
- Health inspections 3 of 5 North Dakota average 2.8
- Staffing 5 of 5 North Dakota average 4.2
- Quality measures 4 of 5 North Dakota average 2.7
The vertical line marks the North Dakota average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.31 h North Dakota average 4.42
- Nurse aides 2.54 h North Dakota average 2.97
- Licensed practical nurses 0.33 h North Dakota average 0.52
- Registered nurses 1.45 h North Dakota average 0.93
- All staff, weekends 3.79 h North Dakota average 3.80
How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the North Dakota average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover50.0%
- North Dakota average48.8%
- Registered nurse turnover20.0%
- North Dakota average40.3%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the North Dakota and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | North Dakota | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 11.0% | 19.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.0% | 5.8% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 5.6% | 2.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.0% | 4.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% | 5.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 98.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 11.4% | 17.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.6% | 17.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 98.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.3% | 4.9% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.9% | 24.9% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 17.0% | 22.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.00 | 1.49 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.60 | 1.86 | 1.78 |
Short-stay residents
| Measure | This home | North Dakota | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Too few residents or stays to report | 92.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 88.3% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 19.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 11.4% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 13 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 7 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 14, 2026 | 5 | 3 |
| Sep 25, 2024 | 2 | 0 |
| Sep 7, 2023 | 6 | 2 |
North Dakota homes averaged 5.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (13)
-
EPotential for more than minimal harm, pattern
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 12, 2026)
-
EPotential for more than minimal harm, pattern
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Feb 12, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 12, 2026)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 12, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 12, 2026)
Show 8 more
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 10, 2024)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Oct 10, 2024)
-
EPotential for more than minimal harm, pattern
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Oct 12, 2023)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 12, 2023)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 12, 2023)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Oct 12, 2023)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Oct 12, 2023)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Oct 12, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
North Dakota homes averaged 1.1 fines and $27,629 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within North Dakota
- Size69 of 72 by certified beds
- North Dakota average residents per day63.3
- ChainNone listed
- Resident or family councilResident
- Homes in Towner County1
Common questions
What is the CMS star rating for Towner County Living Ctr?
Towner County Living Ctr has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 5 and quality measures is 4.
How many beds does Towner County Living Ctr have?
Towner County Living Ctr has 28 certified beds. It averages 27.4 residents per day, about 97.9% of its certified beds.
How much nursing care do residents get at Towner County Living Ctr?
The home reports 4.31 hours of nurse staffing per resident per day, including 1.45 hours from registered nurses. The North Dakota average is 4.42 hours and 0.93 hours from registered nurses.
Has Towner County Living Ctr been fined?
CMS lists no fines for this home in the past three years.
Does Towner County Living Ctr accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Eventide Heartland 78beds 92.4%in use 4.28nurse hours a day
- 1 of 5 Rolette Community Care Center 31beds 66.8%in use 3.94nurse hours a day
- 1 of 5 Maple Manor Care Center 45beds 80.4%in use –nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Towner County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 355068. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.