Page 3 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 Valley Eldercare Center

Situated in Grand Forks, North Dakota, Valley Eldercare Center is a retirement community that offers a perfect balance of independence and care. Ideal for couples, siblings, and friends, this community provides multiple services tailored to individual needs, allowing loved ones to stay close to each other while receiving personalized attention.

Discover the freedom of apartment living and the convenience of being near healthcare specialists at Valley Senior Living on 42nd. Immerse yourself in a friendly and social atmosphere, fostering new friendships and connections with neighbors. Embrace a vibrant retirement lifestyle in the heart of Grand Forks at Valley Senior Living.

Contact Valley Eldercare Center

Overview of Northwood Deaconess Health Center

Northwood Deaconess Health Center is a results-driven community found in a safe and secure environment that enhances the quality of life for everyone.  The health care center places integrity at the heart of its mission– personal care, rehabilitation, outpatient care, and therapy services. NDHC is a comprehensive community that optimizes the holistic needs of its residents for maximum recovery.

NDHC residents receive an interdisciplinary care plan that covers therapies, x-ray, restorative nursing, rehabilitative services, 24-hour nursing, laboratory, a fitness center, specialized programs, and medication management.

Contact Northwood Deaconess Health Center

Overview of Eventide Fargo Senior Living Apartments

Managed by executive director Chris Gilson, Eventide Fargo is a 98-bed nursing home in Fargo, North Dakota. The facility in Brandt Crossing’s neighborhood is owned by Christopher Gilson. It’s part of a non-profit, church-related organization and accepts Medicare, Medicaid, and private pay occupants, making it accessible to families with different coverage options. The community offers a full continuum of services: nursing home care, skilled nursing, assisted living, independent living, hospice care, memory care, and respite care. This range lets residents find the support level that matches their needs, whether recuperating from surgery or illness, managing chronic conditions, or needing longer-term residential care. Most new occupants are Medicare-covered and stay for shorter periods related to post-acute recovery, though the home also serves private-pay and Medicaid residents for longer stays.

Daily care is anchored by a robust staffing model. Nursing staff supplies an average of 4 hours 57 minutes of care per resident day, including registered nurses, licensed practical nurses, and certified nursing assistants. The facility employs specialized therapists for physical therapy, occupational therapy, and speech-language pathology, plus social workers and mental health professionals addressing the full spectrum of resident needs. On-site dental services lessen the need for outside appointments. To ensure quality meal preparation and therapeutic programming, the community also maintains dietary staff and occupational therapy support. Occupants reside in bright and spacious units with emergency call systems for immediate assistance. Daily housekeeping, meal preparation, and maintenance services free residents from routine responsibilities. Scheduled transportation is offered for occupants and families needing to visit appointments or explore the home. The facility prioritizes enrichment via comprehensive wellness programming made to support intellectual, social, physical, emotional, occupational, and spiritual well-being. It’s encouraged that residents join activities, recreation, and an active resident council where they can voice concerns and help shape community life. About 5 miles from Fargo’s city center, the facility is in a car-dependent area where most errands require a vehicle, though the surrounding neighborhood offers access to hospitals, shopping, dining, and other services. The 98-bed mid-rise community upholds a high occupancy rate. This reflects stable demand and financial stability in the region.

Contact Eventide Fargo Senior Living Apartments

Overview of Pioneer House Assisted Living

Located in Fargo, North Dakota, it’s conveniently situated near Hector International Airport. Pioneer House Assisted Living, this newly built community specializes in assisted living and memory care, offering compassionate and respectful service to each resident’s needs. Short-term stays are also available for added flexibility. Pioneer House prioritizes comfort and familiarity. Their cozy, home-like environment fosters a sense of belonging and security.

Residents receive compassionate care delivered with respect and dignity. This may include assistance with daily living activities, medication management, and personalized care plans. Memory care services are also available for those with dementia. For peace of mind, all utilities – water, electricity, heat, trash removal, and sewer – are included in the monthly rent. The single-story layout with 28 units ensures a comfortable and manageable living space.

Contact Pioneer House Assisted Living

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 Valley View Heights

Valley View Heights is a nursing home in Bismarck, North Dakota, offering nursing, assisted living, and skilled nursing care at 2500 Valley View Avenue. The community is built around 64 apartment units across a two-story building, with private rooms throughout, so each resident has their own space. It sits about 2.6 miles from the center of Bismarck and roughly a mile and a half from CHI St. Alexius Health Bismarck Emergency and Trauma Center, which is worth noting for anyone weighing how close hospital care would be in an emergency.

Staffing runs around the clock, which matters for families thinking about response time if something happens overnight. The care here extends past general availability to hands-on mobility support, with staff trained to help residents transfer between bed and wheelchair. That kind of physical assistance points to a setting equipped for residents with real day-to-day care needs rather than only light help.

Daily life is handled comprehensively. Meals, housekeeping, and personalized personal care cover the essentials, while a hair salon, chapel services, and a regular activities calendar round out the parts of life beyond direct care. Transportation services are available for trips off the property, and the community offers fitness and recreation as well.

The neighborhood scores 27 out of 100 for walkability, meaning a few nearby services are reachable on foot but most outings will involve a car. For families, that puts the focus on what the community itself provides, and here that covers a full slate of daily support.

Contact Valley View Heights

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.