Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Towner County Living Ctr during CMS and state inspections, most recent first.
A resident who required hands-on assistance with ambulation was injured when staff failed to provide adequate supervision and support while the resident walked to the bathroom. According to the facility’s fall prevention policy, residents are to receive care based on their individualized fall risk, and the resident reported that CNAs usually held onto them when walking. On the day of the incident, a CNA applied a gait belt and opened the bathroom door but, per the resident’s repeated statements to multiple staff, did not accompany the resident into the bathroom and remained in the bedroom. The resident walked alone, lost balance, and struck their head on the countertop, sustaining a quarter-sized open flap wound to the posterior head with active bleeding. An RN documented the injury and the resident’s condition, and an administrative staff member confirmed the expectation that staff follow the care plan and provide adequate assistance.
The facility failed to serve beverages at palatable temperatures during a meal observation, with milk being served at temperatures above the facility's policy requirements. A resident complained about the warm drinks, and a dietary staff member confirmed the expectation for acceptable serving temperatures.
A facility failed to ensure accurate labeling of medications for a resident with a G-tube, as observed during a medication pass. The facility's policy requires medications to be labeled according to federal and state requirements and to include the route of administration. Despite a physician's order to administer medications via G-tube, a nurse administered five medications this way, although the medication cartridge instructions stated to give them by mouth, crushed, in pudding. An administrative nurse confirmed the need for proper labeling according to physician's orders.
Failure to Provide Hands-On Assistance With Ambulation Resulting in Resident Fall and Head Injury
Penalty
Summary
The deficiency involves the facility’s failure to provide adequate supervision and hands-on assistance with ambulation to prevent accidents for a resident identified as being at risk for falls. The facility’s Fall Prevention Policy stated that each resident would be assessed for fall risk and receive care and services according to their individualized level of risk to minimize the likelihood of falls. For this resident, the facility-reported incident (FRI) documented that a CNA called an RN to the bathroom, where the RN found the resident on the floor with a quarter-sized open flap wound to the right posterior head and active bleeding. The RN’s note indicated the CNA stated she was walking the resident to the toilet when the resident’s right ankle twisted, causing her to fall and hit her head on the countertop. In contrast, the resident consistently reported to multiple staff, including a social worker, that the CNA had applied a gait belt and opened the bathroom door but did not walk into the bathroom with her, remaining instead in the bedroom by the recliner. The resident stated she walked to the bathroom alone, attempted to catch her balance, but was unable to do so and struck her head on the countertop, describing that she “really cracked it.” She also reported that other CNAs typically “hold onto” her when she walks to the bathroom. Nursing progress notes documented the head injury, the resident’s alert status, orientation to what happened, and pain at the wound site without headache. An administrative staff member stated an expectation that staff ensure residents receive adequate assistance and that staff follow the resident’s care plan, underscoring that the resident did not receive the hands-on assistance with ambulation that was required at the time of the fall.
Failure to Serve Beverages at Palatable Temperatures
Penalty
Summary
The facility failed to serve beverages at palatable temperatures during one of the two meals observed, which may lead to decreased intake, weight loss, and inadequate nutrition for residents. During an observation of the breakfast meal, it was noted that staff served residents milk from three half-gallon cartons sitting in a pan of water. The temperatures of the milk were recorded as follows: whole milk at 50 degrees Fahrenheit, 2% milk at 49 degrees Fahrenheit, and chocolate milk at 60 degrees Fahrenheit. This was contrary to the facility's policy, which requires dairy products to be stored at temperatures between 33-40 degrees Fahrenheit. A resident expressed dissatisfaction, stating that the cold drinks were warm. A dietary staff member confirmed the expectation for food to be served at an acceptable temperature.
Failure to Accurately Label Medications for G-tube Administration
Penalty
Summary
The facility failed to ensure accurate labeling of medications for a resident with a gastrostomy tube (G-tube), which was observed during a medication pass. The facility's policy on labeling medications, dated July 2024, requires that all medications be labeled in accordance with federal and state requirements and current pharmaceutical principles. The policy also mandates that labels for individual drug containers must include the route of administration, and any changes in medication orders or directions must be communicated to the pharmacy. During the survey, a review of the resident's medical record showed a physician's order to administer medications via G-tube. However, an observation during a medication pass revealed that a staff nurse administered five medications to the resident via G-tube, despite the medication cartridge instructions stating to give the medications by mouth, crushed, in pudding. An administrative nurse confirmed that medications need to be labeled according to physician's orders, indicating a failure to adhere to the facility's labeling policy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Cando
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Eventide Heartland | 31.1 mi | — | 2 | 0 |
| Rolette Community Care Center | 31.3 mi | — | 11 | 1 |
| Heart Of America Care Center | 37.1 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.