Federal inspection record · CMS data as of October 1, 2026
Towner County Living Ctr
228 1st Ave, Cando, ND · (701) 968-2600
- Certified beds
- 28
- Residents per day
- 27
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 13, 1980
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Dakota.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Dakota homes
Towner County Living Ctr carries 24 inspection points. That is fewer than 61% of North Dakota's 71 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Dakota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–10 pts
- 4★ 10–23 pts
- 3★ 23–42.5 pts
- 2★ 42.5–76 pts
- 1★ over 76 pts
Bars show every rated home in North Dakota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
13 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary5E
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service2E
- D
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.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Resident Assessment and Care Planning2D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Administration1E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Quality of Life and Care1D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspection history
2026-01-14
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-09-25
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2023-09-07
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 42 min of nursing staff time a day, 1 h 29 min of it from a registered nurse.
This home
4 h 42 min
North Dakota average
4 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 13% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 0.9 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.5 | 1.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better | 100.0% | 98.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 100.0% | 98.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better | 4.6% | 5.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.4 pts better | 3.8% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts better | 5.1% | 5.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.4 pts worse | 23.0% | 17.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.7 pts better | 16.1% | 22.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.4 pts better | 10.9% | 16.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.6 pts better | 14.3% | 19.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.1 pts worse | 5.6% | 2.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.2 pts worse | 24.2% | 24.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.4 pts better | 1.3% | 4.7% | 4.5% |
·
Who owns and runs it
16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Belzer, Thomas | Corporate Director · Individual | 0% | 1 facilities |
| Belzer, Thomas | Corporate Officer · Individual | 0% | 1 facilities |
| Bjornstad, Randina | Corporate Director · Individual | 0% | 1 facilities |
| Bucher, Ben | Corporate Officer · Individual | 0% | 1 facilities |
| Bucher, Ben | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Farbo, Michael | Corporate Director · Individual | 0% | 1 facilities |
| Gehrtz, Jenna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gibbens, Michelle | Corporate Director · Individual | 0% | 1 facilities |
| Larson, Tammy | Corporate Officer · Individual | 0% | 1 facilities |
| Larson, Tammy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Peters, John | Corporate Director · Individual | 0% | 2 facilities |
| Peterson, Mark | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Westlind, Gregory | Corporate Director · Individual | 0% | 1 facilities |
| Westlind, Gregory | Corporate Officer · Individual | 0% | 1 facilities |
| Wolsky, David | Corporate Director · Individual | 0% | 1 facilities |
| Wolsky, David | Corporate Officer · Individual | 0% | 1 facilities |
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Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
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Other homes nearby
-
Eventide Heartland
Devils Lake, ND
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 27 min
- Fines
- $0
-
Rolette Community Care Center
Rolette, ND · Special Focus
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 11 min
- Fines
- $44,902
-
Maple Manor Care Center
Langdon, ND
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 58 min
- Fines
- $31,694