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Very Good

TOWNER COUNTY LIVING CTR

228 1ST AVE · CANDO, ND 58324

7019682600 · Non profit - Corporation

28 beds27.7 residents51 staff

CMS Five-Star Ratings

Overall

★★★★★

Staffing

★★★★★

Quality

★★★★★

Inspections

★★★★★

Staffing Grades

Very Good

Total Staff

A+

Excellent

RN Staff

Very Good

Overall

✓CMS Benchmark(≥ 3.48 HPRD)

✓RN Recommendation(≥ 0.75 HPRD)

✓Research Standard(≥ 4.10 HPRD)

📋

What This Means in Plain English

TOWNER COUNTY LIVING CTR receives an overall staffing grade of A (Very Good). With 4.3247 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.43 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 17.38% compared to weekdays. The facility relies heavily on temporary agency staff (17.7% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️17.7% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)

✅No days with zero registered nurse hours this quarter

Total Nurse HPRD

4.3247hrs/resident/day▲ 0.43

CMS benchmark: 3.48

RN HPRD

1.5019hrs/resident/day▲ 0.82

Recommended: 0.75

Weekend Drop-off

17.38%

4.5481 weekday → 3.7578 weekend

Agency Staff

17.7%

0.63% of RN hours from contractors

⚠ High contractor reliance

Days with Zero RN

0days this quarter

4+ days = auto 1-star

CNA HPRD

2.511hrs/resident/day

Direct care aides

LPN HPRD

0.3118hrs/resident/day

Licensed practical nurses

Consistency

0.5307std dev

Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Towner County Average+0.00 HPRD

4.32

04.32 HPRD

vs. North Dakota State Average-0.10 HPRD

4.43

04.32 HPRD

vs. National Average+0.43 HPRD

3.90

04.32 HPRD

■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

Facility	Distance	Grade	Total HPRD	RN HPRD	CMS Rating
TOWNER COUNTY LIVING CTR ★ CANDO · This facility	—	A	4.3247	1.5019	★★★★★
EVENTIDE HEARTLAND DEVILS LAKE	31 mi	A	4.3801	0.7743	★★☆☆☆
ROLETTE COMMUNITY CARE CENTER ROLETTE	31.3 mi	B	3.8217	1.0707	★☆☆☆☆
Maple Manor Care Center LANGDON	42.2 mi	B	3.6892	0.8407	★☆☆☆☆
DUNSEITH COM NURSING HOME DUNSEITH	44.7 mi	B	4.2129	0.683	★☆☆☆☆
Good Samaritan Society - Lakota LAKOTA	50 mi	B	3.5969	0.9984	★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

Inspections

Total Deficiencies

Fines Assessed

Sep 25, 2024Health

2 deficiencies cited

▼

Sep 7, 2023Health

6 deficiencies cited

▼

Jun 29, 2022Health

7 deficiencies cited

▼

CMS Severity Scale

A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.