Page 2 of Best Nursing Homes in North Dakota

Why trust this guide? Our editorial team analyzed 26 nursing homes in ND using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in ND
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Last updated
We analyzed These are the facilities in North Dakota our team has analyzed — not a count of every nursing home provider in North Dakota.
26 homes
Other senior care options in North Dakota:
Avg Overall CMS Rating: 3.1/ 5The average Overall CMS Rating for all CMS-certified nursing homes in North Dakota. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 4.3/ 5The average Staffing Rating across all CMS-certified nursing homes in North Dakota. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in North Dakota. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around North Dakota

Info below is compiled from CMS reports & 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.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The North Dakota average is: 63.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Elim Health Care Center
NH
AL
HOS
IL
RC
SNF
Fargo
88
Facility 88
ND AVG 75
Rank #18 / 53
96.0%
Facility 96.0%
ND AVG 88.6%
Rank #5 / 12
+8%
5.80
Facility 5.80
ND AVG 5.16
Rank #3 / 20
+5%+12%
$0
Facility $0
ND AVG $38.3k
Rank #1 / 20
7
Facility 7
ND AVG 16.5
Rank #2 / 20
2.3
Facility 2.3
ND AVG 3.9
Rank #6 / 20
-85-
52
Facility 52
ND AVG 42
Rank #30 / 78
-
$10.3MFiscal year ending 12/2023
Facility $10.3MFiscal year ending 12/2023
ND AVG $15.3M
Rank #11 / 18
$7.6MFiscal year ending 12/2023
Facility $7.6MFiscal year ending 12/2023
ND AVG $9.7M
Rank #10 / 18
73.6%Fiscal year ending 12/2023
Facility 73.6%Fiscal year ending 12/2023
ND AVG 63.6%
Rank #1 / 18
355129
Eventide Fargo
NH
AL
HOS
IL
MC
RC
SNF
Fargo (Brandt Crossing)
98
Facility 98
ND AVG 75
Rank #14 / 53
96.3%
Facility 96.3%
ND AVG 88.6%
Rank #4 / 12
+9%
4.98
Facility 4.98
ND AVG 5.16
Rank #12 / 20
-5%-4%
$9.0k
Facility $9.0k
ND AVG $38.3k
Rank #12 / 20
11
Facility 11
ND AVG 16.5
Rank #7 / 20
2.2
Facility 2.2
ND AVG 3.9
Rank #5 / 20
194-
21
Facility 21
ND AVG 42
Rank #59 / 78
Christopher Gilson
$18.0MFiscal year ending 09/2023
Facility $18.0MFiscal year ending 09/2023
ND AVG $15.3M
Rank #6 / 18
$9.9MFiscal year ending 09/2023
Facility $9.9MFiscal year ending 09/2023
ND AVG $9.7M
Rank #8 / 18
55.1%Fiscal year ending 09/2023
Facility 55.1%Fiscal year ending 09/2023
ND AVG 63.6%
Rank #17 / 18
355127
SMP Health – Ave Maria
NH
AL
PC
SNF
Ne Jamestown (Midway Township)
58
Facility 58
ND AVG 75
Rank #30 / 53
--
5.58
Facility 5.58
ND AVG 5.16
Rank #7 / 20
-12%+8%
$6.8k
Facility $6.8k
ND AVG $38.3k
Rank #10 / 20
7
Facility 7
ND AVG 16.5
Rank #2 / 20
1.8
Facility 1.8
ND AVG 3.9
Rank #3 / 20
197-
63
Facility 63
ND AVG 42
Rank #18 / 78
Sisters Of Mary Of The Presentation Long Term Care
$15.1MFiscal year ending 09/2023
Facility $15.1MFiscal year ending 09/2023
ND AVG $15.3M
Rank #8 / 18
$10.0MFiscal year ending 09/2023
Facility $10.0MFiscal year ending 09/2023
ND AVG $9.7M
Rank #7 / 18
66.4%Fiscal year ending 09/2023
Facility 66.4%Fiscal year ending 09/2023
ND AVG 63.6%
Rank #8 / 18
355082
Baptist Health & Rehab
NH
AL
HOS
SNF
Bismarck
140
Facility 140
ND AVG 75
Rank #5 / 53
95.2%
Facility 95.2%
ND AVG 88.6%
Rank #8 / 12
+7%
5.16
Facility 5.16
ND AVG 5.16
Rank #10 / 20
-35%0%
$35.3k
Facility $35.3k
ND AVG $38.3k
Rank #15 / 20
16
Facility 16
ND AVG 16.5
Rank #13 / 20
2.3
Facility 2.3
ND AVG 3.9
Rank #6 / 20
4133-
6
Facility 6
ND AVG 42
Rank #74 / 78
Cassia Services
$21.2MFiscal year ending 12/2023
Facility $21.2MFiscal year ending 12/2023
ND AVG $15.3M
Rank #4 / 18
$13.3MFiscal year ending 12/2023
Facility $13.3MFiscal year ending 12/2023
ND AVG $9.7M
Rank #4 / 18
62.5%Fiscal year ending 12/2023
Facility 62.5%Fiscal year ending 12/2023
ND AVG 63.6%
Rank #12 / 18
355058
Fargo Elim Care Center
NH
AL
HOS
IL
RC
SNF
Fargo
95
Facility 95
ND AVG 75
Rank #16 / 53
72.3%
Facility 72.3%
ND AVG 88.6%
Rank #11 / 12
-18%
3.49
Facility 3.49
ND AVG 5.16
Rank #19 / 20
+44%-32%
$41.0k
Facility $41.0k
ND AVG $38.3k
Rank #18 / 20
18
Facility 18
ND AVG 16.5
Rank #14 / 20
4.5
Facility 4.5
ND AVG 3.9
Rank #18 / 20
169-
52
Facility 52
ND AVG 42
Rank #30 / 78
-
$7.2MFiscal year ending 12/2023
Facility $7.2MFiscal year ending 12/2023
ND AVG $15.3M
Rank #14 / 18
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
ND AVG $9.7M
Rank #14 / 18
69%Fiscal year ending 12/2023
Facility 69%Fiscal year ending 12/2023
ND AVG 63.6%
Rank #5 / 18
355024
Good Samaritan Society – St. Vincent
NH
SNF
Bismarck
46
Facility 46
ND AVG 75
Rank #35 / 53
95.0%
Facility 95.0%
ND AVG 88.6%
Rank #9 / 12
+7%
3.74
Facility 3.74
ND AVG 5.16
Rank #18 / 20
+2%-27%
$8.3k
Facility $8.3k
ND AVG $38.3k
Rank #11 / 20
19
Facility 19
ND AVG 16.5
Rank #17 / 20
3.8
Facility 3.8
ND AVG 3.9
Rank #13 / 20
144-
21
Facility 21
ND AVG 42
Rank #59 / 78
Patricia Bergh
$5.4MFiscal year ending 06/2024
Facility $5.4MFiscal year ending 06/2024
ND AVG $15.3M
Rank #17 / 18
$3.4MFiscal year ending 06/2024
Facility $3.4MFiscal year ending 06/2024
ND AVG $9.7M
Rank #17 / 18
62.6%Fiscal year ending 06/2024
Facility 62.6%Fiscal year ending 06/2024
ND AVG 63.6%
Rank #11 / 18
355095

Rank badges are statewide: each community is ranked against every ND community we track that reports that metric, not just the 26 on this page.

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Nursing Home Explorer
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 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 Smp Health – Ave Maria

SMP Health, Ave Maria operates a 58-bed community in Jamestown, North Dakota, providing assisted living, nursing home care, skilled nursing, long-term care, short-term rehabilitation, transitional care, and palliative care. Assisted living offers help with daily routines, while nursing home and long-term care divisions handle ongoing health requirements. Rehabilitation and transitional services focus on recovery following a hospital stay or injury, and palliative programs emphasize comfort care.

Daily nurse staffing averages 5 hours and 35 minutes per resident across the building. Recent measurements show an occupancy rate of 96 percent. Located in Midway Township, the setting has a walk score of 63, allowing some errands to be completed on foot. The organization operates as a Catholic health care ministry.

Older adults and their loved ones can reach out to SMP Health, Ave Maria to inquire about current room openings and arrange a walkthrough of the facility.

Contact SMP Health – Ave Maria

Overview of Baptist Health & Rehab

Cassia Services owns Baptist Health & Rehab, a 140-bed nursing home at 3400 Nebraska Dr in Bismarck, North Dakota. Deanna runs it as Administrator. It’s been part of the area for around eight years, offering nursing home care, assisted living, and hospice care under one roof.

Don’t expect to walk anywhere nearby, as the Walk Score sits at 6. That’s just about as car-dependent as it gets.

The numbers point to a facility that’s nearly full and serving a mixed population. Occupancy runs at 97.5%, and the average resident stays 395 days, well over a year, though plenty of residents arrive for shorter Medicare-covered rehab stays before moving on. Nursing staff put in just over 5 hours of total care per resident each day. Coverage-wise, Medicare, Medicaid, and private pay are all accepted, which opens the door for families regardless of how they’re paying.

Rehabilitation services and short-term rehab cover residents working toward going home, while a long-term skilled nursing program serves those who need ongoing care. Spiritual care and basic care round out the medical side. Day to day, residents have bright, individual rooms, emergency pendants for quick help, restaurant-style dining, walking paths, special events, and religious services.

Baptist Health & Rehab is a busy, nearly full nursing home built to handle two different kinds of residents at once: people working through short-term rehab and people who need skilled nursing care for the long haul.

Contact Baptist Health & Rehab

Overview of Fargo Elim Care Center

Fargo Elim Care Center, situated in Fargo, North Dakota, offers a welcoming neighborhood for retirees, fostering a sense of rich amenities and genuine hospitality. This retirement community stands as a hub for various living options, encompassing independent senior living, assisted living places, and a 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. Nearby, residents have the added advantage of nursing homes, contributing to a well-rounded living experience.

Contact Fargo Elim Care Center

Overview of Good Samaritan Society – St. Vincent

Kirk Greff runs Good Samaritan Society – St. Vincent, a 46-bed nursing home at 1021 N 26th Street in Bismarck, North Dakota. The single-story building has been operating for 42 years. That’s a long run for a 46-bed home, and it shows in how the place is set up: built mostly around long-term care rather than short-stay rehab.

The neighborhood is car-dependent. Walk Score sits at 21, so don’t plan on walking far for errands.

Most residents here stay a while: the average length of stay runs around 189 days, and occupancy holds at 81%. Nursing staff provide close to 4 hours and 40 minutes of total care per resident each day. Medicare, Medicaid, and private pay are all accepted, which covers most of the ways a family might be paying.

Rehabilitation services anchor the clinical side, and two named programs round things out: home-based services and caregiver support, the second of which is worth noting since it’s aimed at the family doing the caregiving, not just the resident. Religious services are also part of the offering. Pets are allowed, and transportation plus fitness and recreation options are available too.

What we know about Good Samaritan Society – St. Vincent adds up to a smaller, long-running nursing home built for residents who need ongoing daily care rather than a short rehab stay, with a leaner service list than some larger facilities but a steady, decades-long presence in the Bismarck community.

Contact Good Samaritan Society – St. Vincent

The Meadows on University

1315 S University Dr, Fargo, ND 58103
Overview of The Meadows on University

The Meadows on University is an esteemed skilled nursing facility nestled in Fargo, North Dakota. This exceptional haven stands as a beacon of round-the-clock care, providing an unwavering 24/7 skilled nursing support system. Ensuring residents receive the utmost attention, the facility boasts physician oversight, coupled with attentive care and comprehensive physical therapy offerings. A remarkable emphasis on post-surgical rehabilitation is a hallmark, where personalized goals come to life.

Distinguished by its commitment to customization, the home crafts therapy plans and meal options tailored to individual needs, reflecting their dedication to holistic well-being. The highly trained and compassionate staff, including nurses and CNAs, embody responsiveness and expertise. Valuing independence at every life stage, they empower residents with tailored services, including wound care, memory care, orthopedic care, neuro therapy, stroke recovery, balance training, and beyond. Within their array of amenities, one finds serene courtyards, a beauty salon, and barbershop, while complimentary Wi-Fi, medical transportation, and activity transport underscore their holistic approach to care.

Contact The Meadows on University

Overview of Prairie Pointe

Prairie Pointe is an exquisite destination that harmoniously combines the comforts of residential assisted living with the utmost level of care. Nestled in a serene and inviting environment, this remarkable community embraces its residents with open arms. Established in 2018, Prairie Pointe is a nonprofit organization where a strong sense of familial connection thrives, creating a truly exceptional culture. With a commitment to assisted living services and spiritual care, residents can rest assured that their individual needs are attentively met. The private apartments exude a sense of elegance and are meticulously maintained, offering residents a professionally designed haven to call their own.

The home caters to a wide range of needs, providing pastoral care, multiple dining options, and an emergency pendant system for added peace of mind. Additionally, residents have access to exceptional nursing home care, as well as the convenience of on-site physical, occupational, and speech therapy services. Medication administration is handled with meticulous precision, prioritizing residents’ health and safety. Embrace the freedom from home maintenance worries as Prairie Pointe’s dedicated team takes care of housekeeping and building maintenance. Activity professionals also curate an array of stimulating experiences, ensuring that each resident’s well-being is nurtured to the fullest extent.

Contact Prairie Pointe

Overview of The Baptist Apartments – Prairie Pointe

The Baptist Apartments – Prairie Pointe is on Nebraska Drive in Bismarck, North Dakota. It covers nursing home care, assisted living, hospice care, and skilled nursing under one roof. State licensing records it as an assisted living facility. The practical upshot: a resident whose needs change over time may not have to pack up and move somewhere new.

Thirty-two beds makes this a small community. Small buildings usually run quieter, with staff knowing well who is who, and where the daily rhythm is less institutional than what you find in a large facility.

Walkability here is strong as the Walk Score is 85, which means most errands can be done on foot and essentials are close by. Residents who still get around independently benefit from that. So do visiting families, who can pair a visit with a nearby stop instead of making two separate trips.

Rehabilitation services and short-term rehab are both available, so someone coming off a hospital stay or a fall can recover in place rather than routing through a separate rehab center first. Respite care is on the list too. That gives a family caregiver a defined stretch of relief, planned or otherwise. For residents who need help with daily routines but nothing clinically intensive, basic care fills that space. Someone is on staff around the clock.

The community also describes spiritual care and long-term care among its offerings. The spiritual piece connects to the Baptist name and can matter a great deal to families who want faith woven into daily life rather than treated as a scheduled activity.

Medicaid is accepted. For many families, that single fact determines whether a community stays on the list at all. Taken with the small size, the walkable location, and the span of care from basic support through hospice, this is a community built for people who would rather settle in one place than move again.

Contact The Baptist Apartments – Prairie Pointe

Overview of Park Avenue Villa

Park Avenue Villa is a 37-bed community in Dickinson, North Dakota, run by St. Luke’s Home. What stands out first is the care range: nursing home care, assisted living, skilled nursing, and respite care all happen in the same building. For a family thinking three or five years ahead, that matters. A resident whose needs shift may not have to pack up and start over somewhere unfamiliar.

A Walk Score of 79 puts most errands within reach on foot, which helps residents who still get around independently and visitors who would rather not hunt for parking. Dickinson itself is a small city out in the western part of the state. Quieter than a metro area, and closer to town than many rural communities of this size.

Thirty-seven beds is small, and the staff here likely learn the names of residents well. The building is security-controlled with wheelchair access, an elevator, and emergency systems running around the clock.

Meals, housekeeping, laundry, personal care, social events. Rehabilitation services are on-site, so someone recovering from surgery or a hospital stay does therapy in the building instead of scheduling rides across town. Respite care fills a different gap, giving family caregivers short-term coverage when they need it. Home care rounds out the list.

Common areas include a dining room, a library, and a beauty shop. Small things, but they shape how a day feels.

For families looking in western North Dakota, Park Avenue Villa combines a small footprint, a wide care range, and a walkable address near town.

Contact Park Avenue Villa

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in North Dakota

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 nursing home care?

Yes — North Dakota Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 26 nursing homes in North Dakota. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home 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 nursing homes 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.