Deficiency Index

Towner County Living CTR

Cando, North Dakota · CCN 355068

14 surveys since 2011, 1 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
57
Surveys
14
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file11/14

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
28
Ownership
Non profit - Corporation
Chain
Independent
County
Towner · rural
Medicare-certified since
1980

CMS ratings

Overall
4
Health inspection
3
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 42 not-for-profit facilities with fewer than 66 beds in North Dakota.

Last survey on record

Jan 14, 2026

299 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.314.29
Registered-nurse hours per resident day1.45—
Annual nurse turnover50.0%50.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD969.2%E430.8%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 13 of the 57 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6441×

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  • F6571×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6891×

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

In the surveyor’s words

From the most serious findings on record at Towner County Living CTR, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF802Jan 14, 2026

    Based on observation, review of facility policy, review of resident council minutes, review of the facility assessment, review of the dietary schedule, and staff interview, the facility failed to ensure sufficient staff for meal service in 1 of 1 dining room. Failure to serve resident meals in a timely manner did not enhance the dining experience for the facility's residents.Findings include:Review of facility policy titled Nutrition Services Staffing occurred on 01/14/26. This policy, revised 04/08/25, stated, . The department will be staffed adequately to meet the patient's nutritional needs with regular meals served to patient at 7:30am [morning], 11:45am and 5:30pm [evening]. […]

  • No harm, potential for more than minimal, patternF867Jan 14, 2026

    Based on observation, review of resident council meeting minutes, review of facility policy, and resident and staff interviews, the facility failed to take actions aimed at performance improvement and, after implementing those actions, measure its success, and track performance to ensure that improvements are identified and sustained. Failure to perform Quality Assurance and Performance Improvement Program (QAPI) for continued resident concerns placed all residents at risk for not having their needs met. Findings includeReview of policy, Quality Assurance & Performance Improvement Program occurred on 01/14/26. This undated policy stated, . the scope of the QAPI program encompasses all segments of TLCL ([NAME] County Living Center) including resident . feedback . […]

  • No harm, potential for more than minimal, patternF804Sep 25, 2024

    Based on observation, review of facility policy, and resident and staff interviews, the facility failed to serve beverages at palatable temperatures in 1 of 2 meals observed. Failure to serve foods at palatable temperatures to residents may result in decreased intake, weight loss, and inadequate nutrition. Findings include: Review of the facility policy titled Food Storage occurred on 09/24/24. This undated policy, stated, .Purpose: to store food under sanitary conditions to protect it from contamination and outdating . 11. dairy products . must be stored at temperatures between 33-40 degrees Fahrenheit . During an interview on 09/23/24 at 2:15 p.m., Resident A stated, The cold drinks are warm. Observation of the breakfast meal occurred on 09/24/24 at 8:38 a.m. […]

  • No harm, potential for more than minimal, patternF756Sep 7, 2023

    Based on record review, review of facility policy, and staff interview, the facility failed to ensure the consultant pharmacist completed and reported the drug regimen reviews at least monthly for 5 of 5 sampled residents (Resident #2, #5, #6, #7, and #16) selected for unnecessary medication review. Failure to complete and report drug regimen reviews may result in residents receiving unnecessary medications and experiencing adverse consequences related to the medications. Findings include: Review of the facility policy titled Pharmacy Monthly Medication Review of LTC [Long Term Care] Residents occurred on 09/07/23. This undated policy, stated, . Review new orders since the last month's review. […]

  • No harm, potential for more than minimal, patternF812Jun 29, 2022

    THIS IS A REPEAT DEFICIENCY FROM THE STANDARD SURVEY COMPLETED 04/22/21. Based on observation, review of facility policy, and staff interview, the facility failed to prepare, store, and serve food under sanitary conditions in 1 of 1 kitchen. Failure to monitor fridge and freezer temperatures, monitor the quaternary (quat) sanitizer concentration, serve food in a sanitary manner, and maintain a clean kitchen may result in unsafe food storage/preparation and foodborne illness. Findings include: Review of the facility policy titled Infection Prevention and Control - Dietary Service occurred on 06/29/22. This policy, revised February 2016, stated, . Director of Food Service Responsibilities: . Provide for the proper receipt and storage of all food supplies. Food Storage: . […]

Read 21 findings in full →The most serious and the most recent: 21 of 57 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 14, 2026Standard and complaint5 findings
  • Sep 25, 2024Standard2 findings
  • Sep 7, 2023Standard and complaint6 findings
  • Jun 29, 2022Standard7 findings
  • Apr 22, 2021Standard4 findings
  • Jul 3, 2019Standard3 findings
  • Aug 2, 2018Standard6 findings
  • Jun 15, 2017Standard2 findings
Show the 6 earlier surveys
  • Jun 29, 2016Standard5 findings
  • Jun 17, 2015Standard1 finding
  • Jun 19, 2014Standard4 findings
  • Jul 31, 2013—6 findings
  • Aug 2, 2012—2 findings · 1 harm
  • Aug 11, 2011—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction