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Towner County Living Ctr
228 1st Ave, Cando, ND 58324 (opens Google Maps) · Towner County · (701) 968-2600· 28 certified beds · avg 27 residents/day · certified since Apr 13, 1980 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
3/5
Health inspection rating (on-site)
inspected Jan 14, 2026
0
Serious findings on record
$0
Fines, last 3 years
5.41
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 13 inspection findings. Open the full record below to read every finding.
The facility did not have enough support staff to safely and effectively run its food and nutrition service. F-0802
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. F-0867
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689
View all 13 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 14, 2026 | E · Potential for more than minimal harm, pattern | The facility did not have enough support staff to safely and effectively run its food and nutrition service. · F-0802 |
| Jan 14, 2026 | E · Potential for more than minimal harm, pattern | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867 |
| Jan 14, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Jan 14, 2026 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jan 14, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Sep 25, 2024 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Sep 25, 2024 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Sep 7, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint · F-0756 |
| Sep 7, 2023 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint · F-0644 |
| Sep 7, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657 |
| Sep 7, 2023 | D · Potential for more than minimal harm, isolated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint · F-0805 |
| Sep 7, 2023 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812 |
| Sep 7, 2023 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 5).
All citationsSerious citations (G–L)
2023
All citations: 6
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
2026
All citations: 5
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | E |
| 2024 | 2 | 0 | E |
| 2026 | 5 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNorth Dakota averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.41
North Dakota average: 5.15
U.S. average: 3.95
Registered Nurse hours
This facility: 1.82
North Dakota average: 1.09
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.75
North Dakota average: 4.43
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | North Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.41 | 5.15 | 3.95 | top 41% in North Dakota; top 8% in the U.S. |
| Registered Nurse hours | 1.82 | 1.09 | 0.69 | top 4% in North Dakota; top 2% in the U.S. |
| Weekend total nurse staffing | 4.75 | 4.43 | 3.50 | top 33% in North Dakota; top 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.88 | 0.59 | 0.48 | top 10% in North Dakota; top 9% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 48.8 | 45.8 | top 48% in North Dakota; bottom 38% in the U.S. |
| RN turnover (%) | 20.0 | 40.3 | 42.9 | top 13% in North Dakota; top 13% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.31, RN 1.45, weekend 3.79.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.31 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Towner County Living Ctr. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Belzer, Thomas | Individual | Corporate Director | NOT APPLICABLE | 10/26/2005 |
| Belzer, Thomas | Individual | Corporate Officer | NOT APPLICABLE | 11/22/2023 |
| Bjornstad, Randina | Individual | Corporate Director | NOT APPLICABLE | 11/01/2014 |
| Bucher, Ben | Individual | Corporate Officer | NOT APPLICABLE | 05/31/2024 |
| Bucher, Ben | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2015 |
| Farbo, Michael | Individual | Corporate Director | NOT APPLICABLE | 11/01/2010 |
| Gehrtz, Jenna | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/14/2024 |
| Gibbens, Michelle | Individual | Corporate Director | NOT APPLICABLE | 08/26/2020 |
| Larson, Tammy | Individual | Corporate Officer | NOT APPLICABLE | 05/31/2024 |
| Larson, Tammy | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2008 |
| Peters, John | Individual | Corporate Director | NOT APPLICABLE | 11/01/2012 |
| Peterson, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2015 |
| Westlind, Gregory | Individual | Corporate Director | NOT APPLICABLE | 10/26/2005 |
| Westlind, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 11/22/2023 |
| Wolsky, David | Individual | Corporate Director | NOT APPLICABLE | 01/21/2008 |
| Wolsky, David | Individual | Corporate Officer | NOT APPLICABLE | 11/22/2023 |
All 16 owning or managing parties CMS has on file are shown — none excluded.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 50% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 16 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Eventide Heartland | 31.1 mi | Devils Lake, ND | ★★★★☆ | 3/5 | |
| Rolette Community Care Center | 31.3 mi | Rolette, ND | ★☆☆☆☆ | 1/5 | SFF |
Facility data as of CMS processing date 2026-08-01. CCN 355068.