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Best Nursing Homes in North Dakota

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 73 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.

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Other Senior care options in North Dakota:

Video Tour: Top-rated Nursing Homes facilities in North Dakota.

Watch this Video to see North Dakota's Top-rated Senior Communities

Compare Nursing Homes around North Dakota

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

10 facilities compared · CMS & ND Dept. of Health data

Click column headers to sort
SMP Health – St. Catherine North
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).

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.

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 (Horace Mann)
125
Facility 125
ND AVG 76
Rank #7 / 53
95.4%
Facility 95.4%
ND AVG 87.8%
Rank #10 / 23
+9%
5.59
Facility 5.59
ND AVG 5.16
Rank #7 / 25
-45%+8%
$6.2k
Facility $6.2k
ND AVG $38.3k
Rank #11 / 25
12
Facility 12
ND AVG 16.5
Rank #10 / 25
3.0
Facility 3.0
ND AVG 3.9
Rank #9 / 25
1121-
42
Facility 42
ND AVG 42
Rank #38 / 80
Aaron Alton
$18.1M
Facility $18.1M
ND AVG $11.5M
Rank #8 / 22
$12.0M
Facility $12.0M
ND AVG $5.6M
Rank #7 / 22
66.5%
Facility 66.5%
ND AVG 48.6%
Rank #8 / 22
355047
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
98.6%
Facility 98.6%
ND AVG 87.8%
Rank #3 / 23
+12%
4.38
Facility 4.38
ND AVG 5.16
Rank #20 / 25
-13%-15%
$0
Facility $0
ND AVG $38.3k
Rank #1 / 25
12
Facility 12
ND AVG 16.5
Rank #10 / 25
4.0
Facility 4.0
ND AVG 3.9
Rank #19 / 25
-70A+
22
Facility 22
ND AVG 42
Rank #59 / 80
Kurran Opp
$13.4M
Facility $13.4M
ND AVG $11.5M
Rank #13 / 22
$7.6M
Facility $7.6M
ND AVG $5.6M
Rank #15 / 22
56.5%
Facility 56.5%
ND AVG 48.6%
Rank #16 / 22
355126
SMP Health – St. Catherine South
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).

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.

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 (Lincoln)
91
Facility 91
ND AVG 76
Rank #16 / 53
93.8%
Facility 93.8%
ND AVG 87.8%
Rank #13 / 23
+7%
5.83
Facility 5.83
ND AVG 5.16
Rank #4 / 25
+3%+13%
$0
Facility $0
ND AVG $38.3k
Rank #1 / 25
10
Facility 10
ND AVG 16.5
Rank #6 / 25
3.3
Facility 3.3
ND AVG 3.9
Rank #12 / 25
-88-
67
Facility 67
ND AVG 42
Rank #16 / 80
-
$15.0M
Facility $15.0M
ND AVG $11.5M
Rank #11 / 22
$9.6M
Facility $9.6M
ND AVG $5.6M
Rank #10 / 22
63.9%
Facility 63.9%
ND AVG 48.6%
Rank #9 / 22
355079
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
99.4%
Facility 99.4%
ND AVG 87.8%
Rank #1 / 23
+13%
5.11
Facility 5.11
ND AVG 5.16
Rank #11 / 25
-51%-1%
$0
Facility $0
ND AVG $38.3k
Rank #1 / 25
11
Facility 11
ND AVG 16.5
Rank #7 / 25
3.7
Facility 3.7
ND AVG 3.9
Rank #16 / 25
-113A+
29
Facility 29
ND AVG 42
Rank #50 / 80
Bethany Homes, Inc
$21.3M
Facility $21.3M
ND AVG $11.5M
Rank #6 / 22
$13.4M
Facility $13.4M
ND AVG $5.6M
Rank #6 / 22
62.6%
Facility 62.6%
ND AVG 48.6%
Rank #10 / 22
355123
Eventide 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 (Brandt Crossing)
98
Facility 98
ND AVG 76
Rank #14 / 53
99.1%
Facility 99.1%
ND AVG 87.8%
Rank #2 / 23
+13%
4.94
Facility 4.94
ND AVG 5.16
Rank #15 / 25
-5%-4%
$7.6k
Facility $7.6k
ND AVG $38.3k
Rank #13 / 25
11
Facility 11
ND AVG 16.5
Rank #7 / 25
2.2
Facility 2.2
ND AVG 3.9
Rank #5 / 25
195-
21
Facility 21
ND AVG 42
Rank #60 / 80
Christopher Gilson
$18.8M
Facility $18.8M
ND AVG $11.5M
Rank #7 / 22
$10.5M
Facility $10.5M
ND AVG $5.6M
Rank #9 / 22
55.7%
Facility 55.7%
ND AVG 48.6%
Rank #17 / 22
355127
Missouri Slope
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
192
Facility 192
ND AVG 76
Rank #2 / 53
96.7%
Facility 96.7%
ND AVG 87.8%
Rank #7 / 23
+10%
5.79
Facility 5.79
ND AVG 5.16
Rank #4 / 25
-46%+12%
$49.5k
Facility $49.5k
ND AVG $38.3k
Rank #20 / 25
21
Facility 21
ND AVG 16.5
Rank #23 / 25
4.2
Facility 4.2
ND AVG 3.9
Rank #22 / 25
3180-
11
Facility 11
ND AVG 42
Rank #72 / 80
Steve Andrist
$40.9M
Facility $40.9M
ND AVG $11.5M
Rank #1 / 22
$25.0M
Facility $25.0M
ND AVG $5.6M
Rank #1 / 22
61.1%
Facility 61.1%
ND AVG 48.6%
Rank #14 / 22
355128
Valley Senior Living 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.

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
196
Facility 196
ND AVG 76
Rank #1 / 53
95.0%
Facility 95.0%
ND AVG 87.8%
Rank #12 / 23
+8%
5.36
Facility 5.36
ND AVG 5.16
Rank #10 / 25
-21%+4%
$27.1k
Facility $27.1k
ND AVG $38.3k
Rank #18 / 25
12
Facility 12
ND AVG 16.5
Rank #10 / 25
4.0
Facility 4.0
ND AVG 3.9
Rank #19 / 25
2184-
16
Facility 16
ND AVG 42
Rank #68 / 80
Gina Roller
$36.1M
Facility $36.1M
ND AVG $11.5M
Rank #2 / 22
$20.7M
Facility $20.7M
ND AVG $5.6M
Rank #3 / 22
57.5%
Facility 57.5%
ND AVG 48.6%
Rank #15 / 22
355067
Good Samaritan Society – St. Vincent
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
66
Facility 66
ND AVG 76
Rank #27 / 53
81.0%
Facility 81.0%
ND AVG 87.8%
Rank #17 / 23
-8%
4.63
Facility 4.63
ND AVG 5.16
Rank #18 / 25
+2%-10%
$0
Facility $0
ND AVG $38.3k
Rank #1 / 25
19
Facility 19
ND AVG 16.5
Rank #21 / 25
3.8
Facility 3.8
ND AVG 3.9
Rank #17 / 25
142-
21
Facility 21
ND AVG 42
Rank #60 / 80
Patricia Bergh
$5.8M
Facility $5.8M
ND AVG $11.5M
Rank #19 / 22
$4.1M
Facility $4.1M
ND AVG $5.6M
Rank #19 / 22
70.8%
Facility 70.8%
ND AVG 48.6%
Rank #4 / 22
355095
Baptist Health & Rehab
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).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Bismarck
140
Facility 140
ND AVG 76
Rank #5 / 53
97.5%
Facility 97.5%
ND AVG 87.8%
Rank #6 / 23
+11%
5.12
Facility 5.12
ND AVG 5.16
Rank #11 / 25
-35%-1%
$18.0k
Facility $18.0k
ND AVG $38.3k
Rank #17 / 25
16
Facility 16
ND AVG 16.5
Rank #17 / 25
2.3
Facility 2.3
ND AVG 3.9
Rank #6 / 25
4134-
6
Facility 6
ND AVG 42
Rank #75 / 80
Cassia Services
$23.5M
Facility $23.5M
ND AVG $11.5M
Rank #5 / 22
$14.6M
Facility $14.6M
ND AVG $5.6M
Rank #4 / 22
62.2%
Facility 62.2%
ND AVG 48.6%
Rank #11 / 22
355058
Elim Health Care Center
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.

Fargo (River Drive)
88
Facility 88
ND AVG 76
Rank #17 / 53
75.6%
Facility 75.6%
ND AVG 87.8%
Rank #18 / 23
-14%
5.55
Facility 5.55
ND AVG 5.16
Rank #7 / 25
+5%+8%
$0
Facility $0
ND AVG $38.3k
Rank #1 / 25
7
Facility 7
ND AVG 16.5
Rank #2 / 25
2.3
Facility 2.3
ND AVG 3.9
Rank #6 / 25
-86-
52
Facility 52
ND AVG 42
Rank #31 / 80
-
$14.9M
Facility $14.9M
ND AVG $11.5M
Rank #12 / 22
$8.3M
Facility $8.3M
ND AVG $5.6M
Rank #13 / 22
55.6%
Facility 55.6%
ND AVG 48.6%
Rank #18 / 22
355129
Overview of Baptist Health & Rehab

Baptist Health & Rehab is a gorgeous home that adheres to the highest nursing home rules and regulations while prioritizing the well-being of its residents. Nestled in a peaceful and tranquil neighborhood, this remarkable establishment has been serving the community for eight years, consistently delivering exceptional nursing care. Located in Bismarck, North Dakota, Baptist Health & Rehab is renowned for its commitment to quality measures, ensuring that every aspect of care surpasses expectations. Here, long-term care, short-term rehab, hospice care, and spiritual support seamlessly intertwine, forming a comprehensive community focused on promoting well-being.
The commitment to nursing home quality measures is unwavering, ensuring that residents receive the highest standards of care. Each amenity, service, and living option is meticulously tailored to cater to the individual needs and preferences of the esteemed residents. From the provision of emergency personal pendants to foster peace of mind, to engaging social activities and events that foster connections and meaningful experiences, every aspect of daily life is carefully designed with residents’ well-being in mind.

Contact Baptist Health & Rehab

Overview of Good Samaritan Society – Marillac Manor

Conveniently located in the neighborhood of Bismarck, ND, Good Samaritan Society – Marillac Manor is an idyllic senior living community, offering independent living, inpatient rehabilitation, long-term care, and outpatient rehabilitation. The community features an array of well-designed studio, one-bedroom, and two-bedroom apartments with utilities, basic satellite tv, and maintenance for a carefree lifestyle and emergency response systems for residents’ safety. Residents undergoing the recovery process are provided with an excellent rehabilitation team to help them with all of their recovery needs so they can quickly get back on their feet.

Committed to helping its residents live full lives, the community provides a comprehensive wellness program featuring exciting activities and health & wellness initiatives designed to enrich their overall well-being. The community also handles the meal preparation to make sure residents always eat healthy and right on time without the hassles of cooking their own meals. An array of amenities, such as salon services, well-equipped wellness center, and guest suites are offered to give residents more convenience.

Contact Good Samaritan Society – Marillac Manor

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

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
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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 4 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.