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

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.

Walk Score
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.

Safety & Compliance

Wheelchair Accessible

Staffing & Medical

2 services
24-Hour Staffing
Staff-to-Resident Ratio: 1:1

Amenities & Lifestyle

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

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What does this home offer?

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Pets Allowed

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Housing Options: Private Rooms / Semi-Private Rooms

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Places of interest near Pioneer House Assisted Living

Address 4.4 miles from city center Info 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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Compare Nursing Homes around Fargo

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. 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.
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
1164-
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
-114A+
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
1120-
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.

Get Financial aid guidance

Aged and Disabled Waiver

ND Medicaid A&D Waiver

Age 65+ or disabled
General North Dakota resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $3,000 individual, higher than most states
ND

Higher asset limit; sparse population aids rural access.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Service Payments for Elderly and Disabled (SPED)

ND SPED

Age 65+ or disabled
General North Dakota resident, at risk of decline.
Income Limits ~$1,732/month individual, varies
Asset Limits $50,000 individual, higher limit
ND

Higher asset limit; rural focus.

Benefits
In-home care (2-4 hours/week) Respite (up to 5 days/year) Transportation (~5 trips/month)

Basic Care Assistance Program (BCAP)

North Dakota Basic Care Assistance Program

Age 65+ (or disabled 18+)
General ND resident, in licensed basic care facility, low-income.
Income Limits (2025) ~$1,255/month (individual, after facility costs); varies by facility rate.
Asset Limits $3,000 individual
ND

Supplements SSI; covers ~50 facilities statewide.

Benefits
Cash (~$1,000-$1,500/month) for room/board/care in basic care facilities

Family Home Care Program

North Dakota Family Home Care Program

Age 60+
General ND resident, need help with 1+ ADL, family caregiver available.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
ND

Caregiver must be family; payment varies by hours/service.

Benefits
Family caregiver payment (~$10-$15/hour, up to 20 hours/week) Respite support

Medicare Savings Program (MSP)

North Dakota Medicare Savings Program

Age 65+ or disabled
General ND resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
ND

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

North Dakota Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; ND resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
ND

8 regions; rural/low-income priority.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($50/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

North Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General ND resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
ND

High veteran demand in rural areas; ND Veterans Home option.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Property Tax Homestead Credit for Seniors

North Dakota Homestead Property Tax Credit

Age 65+ (or disabled)
General ND resident, homeowner, low-income.
Income Limits (2025) ~$22,500/year (individual), ~$29,500/year (couple).
Asset Limits Home value < $500,000; other assets not assessed.
ND

Credit up to $500-$1,000; applies to primary residence.

Benefits
Tax reduction (~$500-$1,000/year) on property taxes

Medicaid Personal Care Option (PCO)

North Dakota Medicaid Personal Care Option

Age 65+ (or disabled)
General ND resident, Medicaid-eligible, need help with 1+ ADL.
Income Limits (2025) ~$1,255/month (100% FPL, individual); QIT optional for excess income.
Asset Limits $3,000 (individual), $6,000 (couple) (excludes home up to $713,000, car).
ND

Self-directed option (hire family); part of Medicaid State Plan, not a waiver.

Benefits
Personal care (5-20 hours/week) Homemaker services Respite (~5 days/year)

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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