ElderGrade
A

90/100

Excellent

Towner County Living Ctr

228 1St Ave, Cando, ND 58324

CMS 4/5 stars (701) 968-2600
Certified beds
28
Occupancy
98%
Ownership
Non-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

29/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.41 total nurse hours per resident per day (national median 3.77)
  • 1.45 RN hours per resident per day
  • Weekend staffing drops 12% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 50% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.31 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.45 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.79 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 50.00%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 13 citations

Last standard health inspection: January 14, 2026 (7 months ago).

E Jan 14, 2026 F0802

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

No actual harm, potential for more than minimal harm

E Jan 14, 2026 F0867

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

No actual harm, potential for more than minimal harm

D Jan 14, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 14, 2026 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 14, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Sep 25, 2024 F0804

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

D Sep 25, 2024 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

E Sep 7, 2023 F0756 From a complaint

Pharmacy Service Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
BELZER, THOMAS Individual CORPORATE DIRECTOR
BJORNSTAD, RANDINA Individual CORPORATE DIRECTOR
FARBO, MICHAEL Individual CORPORATE DIRECTOR
GIBBENS, MICHELLE Individual CORPORATE DIRECTOR
PETERS, JOHN Individual CORPORATE DIRECTOR
WESTLIND, GREGORY Individual CORPORATE DIRECTOR
WOLSKY, DAVID Individual CORPORATE DIRECTOR
BELZER, THOMAS Individual CORPORATE OFFICER
BUCHER, BEN Individual CORPORATE OFFICER
LARSON, TAMMY Individual CORPORATE OFFICER
WESTLIND, GREGORY Individual CORPORATE OFFICER
WOLSKY, DAVID Individual CORPORATE OFFICER

What families say

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Common questions about Towner County Living Ctr

What is the ElderGrade for Towner County Living Ctr? +

Towner County Living Ctr holds an ElderGrade of A (90 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Towner County Living Ctr? +

Residents receive an average of 4.31 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Towner County Living Ctr been cited for harming residents? +

No. None of the 13 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Towner County Living Ctr accept Medicaid? +

Yes, Towner County Living Ctr is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.