Best Assisted Living in North Dakota

Reviewed by

Last updated

Jun 2026

We analyzed

61 homes in North Dakota

Sources: CMS Centers for Medicare and Medicaid Services, and North Dakota Department of Health, Office of Aging and Long Term Care.

Other senior care options in North Dakota:

Memory Care Nursing Homes

Bismarck Fargo Grand Forks Minot West Fargo

Compare Assisted Living around North Dakota

The information below is reported by the North Dakota Department of Health and Human Services, Health Facilities Division.

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Edgewood Mandan, LLC	MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.	Mandan	92 Facility 92 ND AVG 76 Rank #15 / 53	No	8 Facility 8 ND AVG 42 Rank #74 / 80	Private Rooms	-	-	Dan Halverson
New Perspective Senior Living \| West Fargo	SC Senior Communitie AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	West Fargo	119 Facility 119 ND AVG 76 Rank #9 / 53	No	17 Facility 17 ND AVG 42 Rank #66 / 80	-	18 Facility 18 ND AVG 28 Rank #10 / 14	A+	Alex Massopust
Touchmark on West Century	IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Bismarck	85 Facility 85 ND AVG 76 Rank #18 / 53	Yes	43 Facility 43 ND AVG 42 Rank #37 / 80	Studio / 1 Bed / 2 Bed / 3 Bed	-	-	Destiny Sisk
New Perspective – West Fargo	IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	West Fargo	119 Facility 119 ND AVG 76 Rank #9 / 53	Yes	30 Facility 30 ND AVG 42 Rank #47 / 80	Studio / 1 Bed / 2 Bed	18 Facility 18 ND AVG 28 Rank #10 / 14	A+	Alex Massopust
Edgewood Grand Forks	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Grand Forks	122 Facility 122 ND AVG 76 Rank #8 / 53	No	21 Facility 21 ND AVG 42 Rank #60 / 80	Studio / 1 Bed	-	-	Eric Hoffmann
Edgewood Fargo	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Fargo (Points West)	70 Facility 70 ND AVG 76 Rank #25 / 53	Yes	40 Facility 40 ND AVG 42 Rank #39 / 80	Studio / 1 Bed / 2 Bed	-	-	Mitch Peters
Wheatland Terrace	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Grand Forks	59 Facility 59 ND AVG 76 Rank #31 / 53	No	21 Facility 21 ND AVG 42 Rank #60 / 80	Studio / 1 Bed / 2 Bed	-	-	Cheryl Ekren
The View on Elk Drive	AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Minot	61 Facility 61 ND AVG 76 Rank #29 / 53	Yes	18 Facility 18 ND AVG 42 Rank #65 / 80	Studio / 1 Bed	11 Facility 11 ND AVG 28 Rank #13 / 14	A+	Amanda Anfinson
Benedictine Living Community-Bismarck	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Bismarck (Coleman Street)	56 Facility 56 ND AVG 76 Rank #34 / 53	No	22 Facility 22 ND AVG 42 Rank #59 / 80	-	41 Facility 41 ND AVG 28 Rank #4 / 14	-	Laura Roller
Minot Lodge Senior Living	IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Minot	67 Facility 67 ND AVG 76 Rank #26 / 53	Yes	47 Facility 47 ND AVG 42 Rank #36 / 80	Studio / 1 Bed	-	-	Terri Baker
Bethany Retirement Living	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Fargo (Jefferson)	45 Facility 45 ND AVG 76 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
Sheyenne Crossings Senior Living Apartments	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	West Fargo (West Charleswood)	103 Facility 103 ND AVG 76 Rank #13 / 53	Yes	36 Facility 36 ND AVG 42 Rank #42 / 80	Studio / 2 Bed	-	-	Tony Keelin
Touchmark at Harwood Groves	IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Fargo (River Drive)	80 Facility 80 ND AVG 76 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
Bethany on 42nd	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Fargo (Anderson Park)	40 Facility 40 ND AVG 76 Rank #43 / 53	Yes	29 Facility 29 ND AVG 42 Rank #50 / 80	Private Rooms	18 Facility 18 ND AVG 28 Rank #10 / 14	A+	Shawn Stuhaug
Good Samaritan Society – Augusta Place	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Bismarck	48 Facility 48 ND AVG 76 Rank #21 / 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+	-

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Overview of Spectrum of Care

At the heart of Fargo, North Dakota, Spectrum of Care stands as a beacon of exceptional service for the community. Exemplifying excellence, they go above and beyond established standards, offering personalized and compassionate care to the sick, disabled, and elderly. With a commitment to effective communication and unparalleled expertise, they extend a helping hand that brings comfort and relief to those in need.

Their attention to detail extends to toileting and incontinence care, ensuring the utmost comfort and dignity for each individual. Postoperative surgical care and housekeeping services further contribute to the comprehensive support they offer. From engaging exercise programs to invaluable companionship, they foster an environment where well-being thrives. The caregivers at Spectrum of Care are characterized by their responsibility and respect, embodying the qualities that set this privately owned and locally operated establishment apart as a trusted pillar of the community.

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Ranking Methodology

How we rank these assisted living communities

Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.

Public data
6 weighted categories
Updated quarterly

Full methodology

Weighting overview

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

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

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

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

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

Community Stability 10%

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

Includes
Occupancy Rate
Bed Options

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

Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

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.

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Spectrum of Care

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