Towner County Living Center
701 11th St, Cando ND 58324 · (701) 968-2600 · 84.66% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Towner County Living Center is a small hospital-based facility in Cando, North Dakota. This nursing home proved to be an A+ facility, which is our top rating. In fact, we ranked this nursing home in the top five percentile of all nursing homes in the country. Finally, this wound up being a very consistent facility with consistently strong grades in all four of the major categories. More information about these categories is available below.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 30 Beds
CCRC :
Non profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Nurse Quality
In addition to receiving a great overall grade, this nursing home received an A+ for nursing. We weighed the levels of nurses working for the nursing home, as well as the quantity of time those nurses were with patients, in determining our rating in this category. This nursing home provides an incredible 5 hours of nursing care per patient per day. Out of this total, many of those hours were provided by registered nurses, which is one of the most highly highly trained levels of nurses. On top of providing high levels of nursing care, this nursing home was also above average in each of the major quality-based metrics we looked at in this category. It performed well in terms of avoiding pressure ulcers and major falls.
Facility Inspections
This facility has also received near flawless health inspections in recent years. We awarded them an impressive grade of A+ in this category. Perhaps the most significant factor we consider in computing our inspection scores is deficiencies. These deficiencies are found on a facility's inspection reports. Places with better scores in this area most likely dodged the more severe deficiencies involving things like patient abuse. This nursing home was assessed 3 deficiencies on its inspection report, but we were relieved to see that none were considered severe. This indicates that the government inspectors didn't consider any of these deficiencies to pose an immediate threat to resident safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
This nursing home also was given an A+ for its long-term care score. Nursing homes that excel in long-term care tend to provide residents with better supervision and stay on top of routine healthcare services. On top of assessing the well above average level of care provided by nurses and other staff at this nursing home, we also were happy with the facility's vaccination statistics. By way of example, this facility administered the pneumonia vaccine to 100 percent of its residents, which is what we like to see. This combination proved to be effective as this place keeps its patients out of the hospital. In fact, it had less than one hospitalization per 1,000 long-term resident days, which is an impressively low figure.
Short-term Care Quality
Switching gears to the next category, this facility also performed well in the short-term care category. We awarded it a grade of A- in this area. This topped off a straight A profile. In determining our short-term care ratings, we analyze a facility's levels of highly skilled nursing, which includes registered nurses, physical therapists occupational therapists and other types of therapists. This grade is more often than not a solid assessment of a nursing home's ability to rehabilitate patients. One reason for this nursing home's strong grade in this category is it offers more care from registered nurses to its residents than a typical facility. Lastly, we considered the percentage of residents who were able to return home from this facility. We found that 0 percent of this facility's residents returned home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Towner County Living Center Quality Metrics
Minimizes Pressure Ulcers
This indicates the percentage of residents who sustained a pressure ulcer. Pressure ulcers, which are also referred to as bed sores, are often the result of residents staying in one position for too long. Better nursing protocols can reduce the percentage of residents in a nursing home who sustain pressure ulcers.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This metric is a measure of the percent of long-term stay residents who have had falls which resulted in major injury. This is one of the statistics we use in computing our nursing grades.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This tells you the percentage of residents who sustained a urinary tract infection. UTI's are often linked to facilities with worst hygiene practices. Better hygiene protocols reduces the number likelihood of residents sustaining infections. We want to point out that this metric is affected by by the fact that nursing homes have incongruent reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percentage of patients who were given antipsychotic medications. Antipsychotic medications are prescribed to residents for a variety of conditions, including Alzheimer's or other dementias. Unfortunately, in limited situations, increased usage of these drugs may suggest that a nursing home is using these drugs to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of residents who were given antianxiety medications. Antianxiety drugs are prescribed to patients suffering from anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percent of residents demonstrating signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percent of residents who were given the flu and pneumonia vaccines. Higher vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric is a measure of the percent of long-term care patients that needed increased assistance with activities of daily living over time. ADL's include activities such as getting dressed and continence. Many argue this is a reasonable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is a measure of the percent of long-term stay residents who were able to retain mobility. Many in the industry argue that the ability to move around is important for patients well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This metric measures the number of times residents are hospitalized per thousand days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is the number of times residents are rehospitalized per thousand days of short-term care. There is typically a correlation between having fewer hospitalizations and a nursing homes short-term rehabilitation performance.
Percentage of Residents Rehospitalized
Lower is Better