Other senior care options in North Dakota:

Best Assisted Living in North Dakota

Why trust this guide? Our editorial team analyzed 61 assisted living communities in ND using ND Dept. of Health & Human Services (NDHHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in ND
Reviewed by
Last updated
Jul 2026
We analyzed
61 homes
Other senior care options in North Dakota:
Avg Monthly Cost: $5,665The average monthly cost across facilities in North Dakota. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 42/ 100The average Walk Score across facilities in North Dakota. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 75The average licensed bed capacity across facilities in North Dakota. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around North Dakota

Info below is compiled from the ND Dept. of Health & Human Services (NDHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Bethany Retirement Living
AL
MC
NH
SNF
Fargo (Jefferson)
45
Facility 45
ND AVG 75
Rank #37 / 53
No
75
Facility 75
ND AVG 42
Rank #13 / 80
Studio / 1 Bed
39
Facility 39
ND AVG 28
Rank #5 / 14
A+Shawn Stuhaug
Bethany on 42nd
AL
MC
NH
SNF
Fargo (Anderson Park)
40
Facility 40
ND AVG 75
Rank #43 / 53
Yes
29
Facility 29
ND AVG 42
Rank #50 / 80
Private Rooms
18
Facility 18
ND AVG 28
Rank #12 / 14
A+Shawn Stuhaug
Good Samaritan Society – Augusta Place
AL
IL
NH
SNF
Bismarck
48
Facility 48
ND AVG 75
Rank #33 / 53
No
16
Facility 16
ND AVG 42
Rank #68 / 80
Studio / 1 Bed / 2 Bed
21
Facility 21
ND AVG 28
Rank #8 / 14
A+-
Hatton Prairie Village
AL
IL
NH
SNF
Hatton
17
Facility 17
ND AVG 75
Rank #51 / 53
No
27
Facility 27
ND AVG 42
Rank #52 / 80
Private Rooms--Cynthia Tredwell
Elim Health Care Center
AL
HOS
IL
NH
RC
SNF
Fargo (River Drive)
88
Facility 88
ND AVG 75
Rank #18 / 53
Yes
52
Facility 52
ND AVG 42
Rank #31 / 80
----
Benedictine Living Community-Bismarck
AL
ADC
HC
MC
NH
RC
SNF
Bismarck (Coleman Street)
56
Facility 56
ND AVG 75
Rank #32 / 53
Yes
22
Facility 22
ND AVG 42
Rank #59 / 80
-
41
Facility 41
ND AVG 28
Rank #4 / 14
-Laura Roller
Missouri Slope Assisted Living
AL
HC
NH
SNF
Bismarck
64
Facility 64
ND AVG 75
Rank #26 / 53
No
85
Facility 85
ND AVG 42
Rank #2 / 80
----
Sheyenne Crossings Senior Living Apartments
AL
NH
HC
HOS
IL
MC
RC
SNF
West Fargo (West Charleswood)
103
Facility 103
ND AVG 75
Rank #13 / 53
Yes
36
Facility 36
ND AVG 42
Rank #42 / 80
Studio / 2 Bed--Tony Keelin
Eventide Fargo
AL
HOS
IL
MC
NH
RC
SNF
Fargo (Brandt Crossing)
98
Facility 98
ND AVG 75
Rank #14 / 53
No
21
Facility 21
ND AVG 42
Rank #60 / 80
---Chris Gilson
Touchmark at Harwood Groves
AL
IL
MC
Fargo (River Drive)
80
Facility 80
ND AVG 75
Rank #22 / 53
Yes
48
Facility 48
ND AVG 42
Rank #35 / 80
Studio / 1 Bed / 2 Bed
27
Facility 27
ND AVG 28
Rank #7 / 14
A+Anne-Marie Fitz
New Perspective – West Fargo
AL
IL
MC
West Fargo
119
Facility 119
ND AVG 75
Rank #9 / 53
Yes
30
Facility 30
ND AVG 42
Rank #47 / 80
Studio / 1 Bed / 2 Bed
19
Facility 19
ND AVG 28
Rank #10 / 14
A+Alex Massopust
Valley Senior Living on 42nd
AL
IL
MC
NH
SNF
Grand Forks
196
Facility 196
ND AVG 75
Rank #1 / 53
No
16
Facility 16
ND AVG 42
Rank #68 / 80
Private Rooms---
Luther Memorial Home
AL
ADC
MC
NH
SNF
Se Mayville
41
Facility 41
ND AVG 75
Rank #42 / 53
No
55
Facility 55
ND AVG 42
Rank #26 / 80
-
42
Facility 42
ND AVG 28
Rank #2 / 14
A+Julie Winger
Touchmark on West Century
AL
IL
MC
RC
Bismarck
85
Facility 85
ND AVG 75
Rank #19 / 53
Yes
43
Facility 43
ND AVG 42
Rank #37 / 80
Studio / 1 Bed / 2 Bed / 3 Bed--Patrick Yantes
New Perspective Senior Living | West Fargo
AL
IL
MC
West Fargo
119
Facility 119
ND AVG 75
Rank #9 / 53
Yes
17
Facility 17
ND AVG 42
Rank #66 / 80
-
19
Facility 19
ND AVG 28
Rank #10 / 14
A+Alex Massopust
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Bethany Retirement Living

201 S University Dr, Fargo, Nd 58103, United States ; 4255 30Th Avenue South Fargo, ND 58104
Overview of Bethany Retirement Living

With two locations across Fargo, ND, Bethany Retirement Living is a venerable senior living provider offering a wide range of care options including independent living, assisted living, short-term stay, basic care, memory care, and skilled nursing. Experience convenience and safety like no other with warm and welcoming private accommodations. Keep worries at bay with a team of trustworthy and extremely talented professionals caring for seniors’ needs and aspirations around the clock. As a Christian, non-profit organization Bethany Retirement Living holds itself to a gold standard when it comes to providing a secure and comfortable place for residents to enjoy retirement.

The communities both foster a vibrant environment, conducting various fun activities and enjoyable wellness programs to empower residents to thrive and be the best version of themselves. Indulge in healthy and tasty meals catering to residents’ dietary requirements and tastes. With several recognitions under its wing, Bethany Retirement Living continues to provide the highest quality of care and support for seniors to experience a fabulous retirement.

Bethany Retirement Living currently operates both Bethany on University as well as Bethany on 42nd.

Contact Bethany Retirement Living

Overview of Bethany on 42nd

A Bethany Homes community, the 42nd branch provides housing for independent living, assisted living, memory care, skilled nursing, and rehabilitation. The senior living home strives to make a positive impact in the lives of each resident; they are ready to attend to any needs an individual may have. Bethany on 42nd practices a resident-centered approach to senior living so seniors can thrive and reach their fullest potential to be a new version of themselves.

Bethany Homes offer modern amenities, friendly staff, and senior care service like no other. From nursing home services to assisted living support– residential life is all about the amenities: housekeeping, physical therapy, social events, 24-hour concierge, hair salon, library, and restaurant-style dining.

Contact Bethany on 42nd

Overview of Good Samaritan Society – Augusta Place

Providing both short-term rehabilitation and long-term skilled nursing care, Good Samaritan Society – Augusta Place is a 48-bed community in Bismarck, North Dakota, owned by Peter Troy. It has served the area for 21 years and accepts Medicare, Medicaid, and private pay, giving families multiple payment options. Residents stay an average of 133 days, reflecting a combination of post-hospital recovery and ongoing nursing care.

Studio, one-bedroom, and two-bedroom residences offer a variety of living arrangements for older adults. Nursing care averages 4 hours and 42 minutes per resident each day, delivered by registered nurses, licensed practical nurses, and nurse aides. Inpatient and outpatient rehabilitation services further support those recovering from surgery, injury, or hospitalization.

Daily amenities include a wellness center, salon, whirlpool, chapel, library, community room, and dining room, promoting comfort and engagement. Located on Lorrain Drive, the community has a walkability score of 16, so most errands, appointments, and family visits require transportation.

Contact Good Samaritan Society – Augusta Place

Overview of Hatton Prairie Village

Hatton Prairie Village is a community that promotes a youthful and energetic atmosphere. Offering independent living and assisted living, management prides itself on a team built with compassionate and caring staff that strives to provide the highest quality of care. For over 50 years of experience, expect that Hatton Prairie welcomes you in a vibrant yet elegant ambiance that is at par with their exceptional quality of care.

As a luxurious senior living community, its apartment features are well-thought of: from the floor plans to the finishing details, the residential apartments are kept well-maintained to make seniors feel comfortable. Other community features include housekeeping and laundry, well-lit spacious lounge areas, restaurant-style dining, and ADLs.

Contact Hatton Prairie Village

Overview of Elim Health Care Center

Fargo Elim Health Care Center,ffers a welcoming neighborhood for retirees, fostering a sense of rich amenities and genuine hospitality. This retirement community stands as a hub for a specialized rehabilitation and skilled nursing facility. It caters to a spectrum of needs, providing residents with a comprehensive range of choices. With a dedication to adaptability and quality, Fargo Elim boasts a state-of-the-art healthcare center designed to meet the evolving needs of residents. This forward-looking approach ensures it remains a high-quality option for generations to come. 

The community also considers transitions and changing needs, providing well-designed apartments with emergency call systems for added peace of mind. Practical features like scheduled transportation, sunrooms, lounges, a beauty salon, and a barbershop enhance the convenience and comfort of residents. Additionally, the center offers outdoor patios, gardens, and a vibrant array of activities, creating an engaging environment for seniors to enjoy.

Contact Elim Health Care Center

Overview of Benedictine Living Community-Bismarck

Benedictine Living Community-Bismarck is a 56-bed skilled nursing facility at 4580 Coleman Street in Bismarck, Burleigh County, North Dakota, operated by St. Gabriel’s Community Skille as a voluntary nonprofit. The community has maintained operations for 41 years and holds a 5-star CMS overall rating paired with a 5-star health inspection score, translating to 32% fewer regulatory deficiencies than typical North Dakota nursing homes across the past three years.

Over three annual inspections, the facility recorded 12 moderate citations; no critical or serious violations, zero fines, and no enforcement actions or substantiated complaints.

That clean record masks an underlying pattern: recurring compliance failures in documentation accuracy, medication protocols, infection control practice, and resident supervision. Deficiencies involved MDS coding errors, insulin administration gaps, barrier-precaution lapses, elopement risk assessment failures, and medication transcription discrepancies. The issues are procedural, not catastrophic, but persistent.

Staffing presents contrasts. Registered nurse hours run 1 hour 7 minutes per resident per day; roughly 22% above the North Dakota average, and the facility maintains a 2.16:1 staff-to-resident ratio, 12% better than state average. Total nursing care hours, though, average 4 hours 23 minutes per resident per day, placing the facility in the lower tier statewide at rank 20 of 25. Physical therapy is a genuine strength: 11 minutes per resident per day, 450% above state average, supported by four PT assistants in a rehabilitation-focused model.

The occupancy rate sits at 98.6%, among the highest in North Dakota and signaling sustained demand. The payer mix is 47% Medicare admissions with typical 1-month stays, which confirms a short-stay rehabilitation orientation. Long-stay quality measures, however, show functional decline 16% worse than state average, indicating structural constraints in supporting residents through progressive illness.

Benedictine Living Community-Bismarck suits short-term Medicare rehabilitation stays with robust physical therapy support and financial stability.

For families considering long-term placement of residents with advancing dementia or functional decline, the facility’s quality-measure profile warrants careful attention.

Contact Benedictine Living Community-Bismarck

Overview of Missouri Slope Assisted Living
Missouri Slope Assisted Living is a healthcare organization located in Bismarck, ND, providing long-term care, assisted living services, and rehabilitation therapy. Founded in 1967, it is committed to enriching lives with love and compassion, guided by Christian values. The facility offers a welcoming environment with a focus on quality care and community support.

Contact Missouri Slope Assisted Living

Overview of Sheyenne Crossings Senior Living Apartments

Sheyenne Crossings Senior Living Apartments is an exceptional residence offering a harmonious blend of independent living floor plans and top-notch assisted living services. Situated in the heart of West Fargo, this community is a haven for those in their golden years. Whether residents prefer a cozy studio or a spacious two-bedroom apartment, there is a living space to accommodate their preferences. The community also boasts state-of-the-art assisted living facilities, providing the necessary support and care to residents who require additional assistance.

From daily wellness checks to a secure building and a professional staff available 24 hours a day, Sheyenne Crossings ensures the safety and well-being of its residents. The community goes beyond the basics, offering a range of amenities and services that enhance the living experience. Charming common areas and elegant dining spaces with high ceilings create an inviting atmosphere for socializing and relaxation. A chapel and wellness center provides spaces for spiritual enrichment and physical well-being.

Contact Sheyenne Crossings Senior Living Apartments

Overview of Eventide Fargo

Settled in the vibrant neighborhood of Fargo, ND, Eventide Fargo is a charming senior living community, offering independent living, assisted living, memory care, and skilled nursing services. The community welcomes its residents into bright and spacious living spaces equipped with all the conveniences they need to live comfortably and freely, as well as an emergency call system for immediate assistance during emergencies. A well-trained and compassionate care team is always available to attend to residents’ needs, from assistance with their daily living activities to more complex services for those needing support with their recovery.

Focused on enriching its residents’ overall wellness, the community offers its comprehensive programming designed to nurture the intellectual, social, physical, emotional, occupational and spiritual well-being of its residents. The community also takes care of most of residents’ daily responsibilities, such as housekeeping, meal preparation, and maintenance to ensure they live a carefree lifestyle with plenty of time for themselves. With more free time on their hands and the convenience of scheduled transportation services, residents are to explore and indulge in all the good things that the world around them has to offer.

Contact Eventide Fargo

Overview of Touchmark at Harwood Groves

Touchmark at Harwood Groves is an exquisite community spread across a 14-acre expanse in Fargo, North Dakota. This exceptional residence offers a range of living options, including independent living, assisted living homes, and specialized memory care living. With a serene and park-like setting, residents can choose between private cottages and comfortable apartments, creating a true sense of home. With a rich history dating back to 1980, Touchmark has been committed to delivering high-quality care to seniors. Touchmark at Harwood Groves is ideally located in close proximity to a myriad of attractions, including cultural sites and golf courses, offering residents opportunities for leisure and exploration.

The residence takes pride in its state-of-the-art health and fitness club, encouraging residents to maintain an active and vibrant lifestyle. Residents also have access to a range of amenities, including a salon, library, and five-star restaurant-style dining, providing them with the opportunity to indulge in a delightful culinary experience. On-site banking services and laundry centers add convenience and ease to daily life. The beautifully landscaped grounds, complete with serene gardens and a refreshing pool, enhance the overall ambiance of the community.

Contact Touchmark at Harwood Groves

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
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Frequently Asked Questions about Assisted Living in North Dakota

What's the difference between assisted living and memory care in North Dakota?

Assisted living in North Dakota supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in North Dakota?

Assisted living in North Dakota is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does North Dakota Medicaid cover assisted living?

North Dakota Medicaid does not directly pay room-and-board for assisted living, but most states (including North Dakota) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 61 assisted living facilities in North Dakota. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in North Dakota?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in North Dakota, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in North Dakota?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.