
Pioneer House Assisted Living
Nursing Home, Assisted Living, Hospice Care, Independent Living, Respite Care & Skilled Nursing · Fargo, ND
Pioneer House Assisted Living
Nursing Home, Assisted Living, Hospice Care, Independent Living, Respite Care & Skilled Nursing · Fargo, ND
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.
Walk Score: 27 / 100 Rank #51 / 78Walk Score — State benchmarkedThis home is ranked 51st out of 78 homes we track in North Dakota for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across North Dakota facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Wheelchair Accessible
24-Hour Staffing
Staff-to-Resident Ratio:
1:1
Specific ProgramsPrivate and semi-private rooms, 24 hour awake staff, assistance with personal care, all meals and snacks provided, specialty diets accommodated, daily group exercise program, activities/celebrations, medication assistance and administration, insulin injections, catheter care, assistance with transfers, assistance with ambulation, dementia specialty care, mental health specialty care, appointment scheduling, nail care, vitals, close communication with doctors and medical professionals, home doctor visits, home health services, visiting podiatrist, nurse delegation, pharmacy delivery services, hairstylist appointments at the facility
What does this home offer?
Pets Allowed
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: 3-story
Transportation Services
Fitness and Recreation
Places of interest near Pioneer House Assisted Living
4.4 miles from city center
Estimated distance in miles from Fargo's city center to Pioneer House Assisted Living's address, calculated via Google Maps.
— 1.5 miles to nearest hospital (Essentia Health ER Ambulance Bay Entrance)
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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.
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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.
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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.
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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Bethany Retirement Living | NH AL MC SNF | Fargo (Jefferson) | 45
Facility
45
ND AVG
75
Rank
#37 / 53 | - | - | 5.50
Facility
5.50
ND AVG
5.16
Rank
#9 / 20 | -37% | +7% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 20 | 9
Facility
9
ND AVG
16.5
Rank
#5 / 20 | 1.5
Facility
1.5
ND AVG
3.9
Rank
#1 / 20 | 1 | 164 | - |
75
Facility
75
ND AVG
42
Rank
#12 / 78 | American Lutheran Homes Inc | $27.5MFiscal year ending 12/2023
Facility
$27.5MFiscal year ending 12/2023
ND AVG
$15.3M
Rank
#3 / 18 | $18.7MFiscal year ending 12/2023
Facility
$18.7MFiscal year ending 12/2023
ND AVG
$9.7M
Rank
#3 / 18 | 68%Fiscal year ending 12/2023
Facility
68%Fiscal year ending 12/2023
ND AVG
63.6%
Rank
#7 / 18 | 355086 | ||||
| Bethany on 42nd | NH AL MC SNF | Fargo (Anderson Park) | 40
Facility
40
ND AVG
75
Rank
#43 / 53 | - | - | 5.14
Facility
5.14
ND AVG
5.16
Rank
#11 / 20 | -51% | 0% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 20 | 11
Facility
11
ND AVG
16.5
Rank
#7 / 20 | 3.7
Facility
3.7
ND AVG
3.9
Rank
#12 / 20 | - | 114 | A+ |
29
Facility
29
ND AVG
42
Rank
#49 / 78 | Bethany Homes, Inc | $20.5MFiscal year ending 12/2023
Facility
$20.5MFiscal year ending 12/2023
ND AVG
$15.3M
Rank
#5 / 18 | $12.3MFiscal year ending 12/2023
Facility
$12.3MFiscal year ending 12/2023
ND AVG
$9.7M
Rank
#5 / 18 | 59.9%Fiscal year ending 12/2023
Facility
59.9%Fiscal year ending 12/2023
ND AVG
63.6%
Rank
#14 / 18 | 355123 | ||||
| SMP Health – St. Catherine North | NH HOS MC PC SNF | Fargo (Horace Mann) | 125
Facility
125
ND AVG
75
Rank
#7 / 53 |
95.7%
Facility
95.7%
ND AVG
88.6%
Rank
#6 / 12 | +8% | 5.80
Facility
5.80
ND AVG
5.16
Rank
#3 / 20 | -45% | +12% | $6.2k
Facility
$6.2k
ND AVG
$38.3k
Rank
#9 / 20 | 12
Facility
12
ND AVG
16.5
Rank
#9 / 20 | 3.0
Facility
3.0
ND AVG
3.9
Rank
#8 / 20 | 1 | 120 | - |
42
Facility
42
ND AVG
42
Rank
#37 / 78 | Aaron Alton | $16.7MFiscal year ending 09/2023
Facility
$16.7MFiscal year ending 09/2023
ND AVG
$15.3M
Rank
#7 / 18 | $12.0MFiscal year ending 09/2023
Facility
$12.0MFiscal year ending 09/2023
ND AVG
$9.7M
Rank
#6 / 18 | 72.1%Fiscal year ending 09/2023
Facility
72.1%Fiscal year ending 09/2023
ND AVG
63.6%
Rank
#2 / 18 | 355047 | ||||
| SMP Health – St. Catherine South | NH HOS MC PC SNF | Fargo (Lincoln) | 98
Facility
98
ND AVG
75
Rank
#14 / 53 |
93.7%
Facility
93.7%
ND AVG
88.6%
Rank
#10 / 12 | +6% | 5.79
Facility
5.79
ND AVG
5.16
Rank
#3 / 20 | +3% | +12% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 20 | 10
Facility
10
ND AVG
16.5
Rank
#6 / 20 | 3.3
Facility
3.3
ND AVG
3.9
Rank
#9 / 20 | - | 92 | - |
67
Facility
67
ND AVG
42
Rank
#15 / 78 | - | $13.4MFiscal year ending 09/2023
Facility
$13.4MFiscal year ending 09/2023
ND AVG
$15.3M
Rank
#9 / 18 | $9.6MFiscal year ending 09/2023
Facility
$9.6MFiscal year ending 09/2023
ND AVG
$9.7M
Rank
#9 / 18 | 71.4%Fiscal year ending 09/2023
Facility
71.4%Fiscal year ending 09/2023
ND AVG
63.6%
Rank
#4 / 18 | 355079 |
Financial Assistance for
Nursing Home in North Dakota
Pioneer House Assisted Living is located in Fargo, North Dakota.
Here are the financial assistance programs available to residents in North Dakota.
Frequently Asked Questions about Pioneer House Assisted Living
Is Pioneer House Assisted Living in a walkable area?
Pioneer House Assisted Living has a walk score of 27. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Are pets allowed at Pioneer House Assisted Living?
Yes, Pioneer House Assisted Living allows residents to bring their pets.
Are there photos of Pioneer House Assisted Living?
Yes — there are 4 photos of Pioneer House Assisted Living in the photo gallery on this page.
What is the address of Pioneer House Assisted Living?
Pioneer House Assisted Living is located at 3540 S University Dr, Fargo, ND 58104.
What is the phone number of Pioneer House Assisted Living?
(701) 271-1860 will put you in contact with the team at Pioneer House Assisted Living.
Is Pioneer House Assisted Living Medicare or Medicaid certified?
Pioneer House Assisted Living is not currently listed as a CMS-certified provider of Medicare or Medicaid.
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