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Nursing homes in North Dakota
72 certified nursing homes with 4,909 beds. 17 rated 5 stars overall and 14 rated 1 star by CMS. 45 were fined in the last three years, $1,989,283 in all.
CMS Care Compare data as of September 1, 2026
North Dakota against the national average
| Measure | North Dakota | United States |
|---|---|---|
| Average overall stars | 3.2 | 3.0 |
| Health deficiencies at the last standard inspection | 5.6 | 9.2 |
| Nursing staff hours per resident per day | 4.42 | 3.86 |
| Registered nurse hours per resident per day | 0.93 | 0.69 |
| Weekend nursing staff hours per resident per day | 3.80 | 3.42 |
| Nursing staff turnover (%) | 48.8 | 45.8 |
| Fines per home (last 3 years) | 1.1 | 0.9 |
4 of North Dakota's 72 homes are for profit, and 27 belong to a group CMS tracks as a chain. 11 carry the CMS abuse icon.
Nurse staffing in North Dakota, quarter by quarter
Hours worked by nurses and nurse aides per resident per day, from the daily payroll records every North Dakota home sends CMS, added up across the state. In January to March 2026, weekend staffing ran 18% below weekdays (nationally 15%), and contract or agency staff worked 11.7% of nursing hours (nationally 5.3%).
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract share | US, all staff |
|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.57 | 0.92 | 4.81 | 3.96 | 11.7% | 3.75 |
| Oct to Dec 2025 | 4.59 | 0.91 | 4.82 | 4.01 | 12.3% | 3.76 |
| Jul to Sep 2025 | 4.55 | 0.90 | 4.80 | 3.92 | 12.6% | 3.77 |
| Apr to Jun 2025 | 4.66 | 0.92 | 4.92 | 4.00 | 12.4% | 3.78 |
These are hours across all of the state's residents, so they differ a little from the averages of homes CMS publishes in the table above. Source: CMS Payroll Based Journal Daily Nurse Staffing. Every state compared: the weekend staffing gap.
Official North Dakota contacts and records
- State survey agency: North Dakota Health and Human Services, Health Facilities Unit. It inspects nursing homes for CMS (the inspections on this site are its findings) and takes complaints about care.
- State inspection records: North Dakota Deficiency Statement Search, North Dakota's own lookup for licensed homes.
- Long-term care ombudsman: North Dakota Long-Term Care Ombudsman Program, (855) 462-5465. A free, confidential advocate for residents and their families, required in every state by the federal Older Americans Act.
Links taken from each office's own site and checked on October 8, 2026.
Special Focus Facilities in North Dakota
CMS puts a small number of homes with a long record of serious problems on its Special Focus Facility list for closer inspection. Candidates are homes that qualify but have not been chosen.
- Good Samaritan Society - LarimoreLarimore · On the list · not rated
- Garrison Mem Hosp Nsg FacGarrison · Candidate · 1 of 5 stars
- Rolette Community Care CenterRolette · Candidate · 1 of 5 stars
- Souris Valley Care CenterVelva · Candidate · 1 of 5 stars
- Sunset Drive - a Prospera CommunityMandan · Candidate · 1 of 5 stars
- Wedgewood ManorCavalier · Candidate · 1 of 5 stars
Largest owner groups in North Dakota
| Group | Homes in North Dakota | Homes nationally | Average stars |
|---|---|---|---|
| Good Samaritan Society | 10 | 92 | 3.1 |
| Benedictine Health System | 6 | 23 | 2.8 |
| Smp Health | 5 | 5 | 3.8 |
| Cassia | 2 | 16 | 4.4 |
| North Shore Healthcare | 1 | 59 | 2.7 |
| Eduro Healthcare | 1 | 34 | 2.5 |
| Commonspirit Health | 1 | 18 | 2.7 |
| Sanford Health | 1 | 4 | 2.8 |
Every nursing home in North Dakota, by county
Adams County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Western Horizons Care Center | Hettinger | 1 | 35 | $63,485 |
Barnes County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Smp Health - St. Raphael | Valley City | 3 | 11 |
Bottineau County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Good Samaritan Society - Bottineau | Bottineau | 2 | 31 | $110,247 |
Burleigh County (5)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Baptist Health & Rehab | Bismarck | 4 | 14 | $35,323 |
| Good Samaritan Society Augusta Place a Prospera Co | Bismarck | 5 | 13 | $16,036 |
| Missouri Slope | Bismarck | 4 | 20 | $39,404 |
| St. Gabriel's Community | Bismarck | 5 | 13 | |
| St. Vincent's - a Prospera Community | Bismarck | 2 | 36 | $44,606 |
Cass County (8)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Bethany on 42nd | Fargo | 5 | 3 | |
| Bethany on University | Fargo | 5 | 10 | |
| Eventide Fargo | Fargo | 3 | 11 | $9,030 |
| Fargo Elim Health Care Center | Fargo | 3 | 14 | |
| Smp Health - St. Catherine North | Fargo | 4 | 12 | $6,168 |
| Smp Health - St. Catherine South | Fargo | 4 | 10 | |
| The Meadows on University | Fargo | 1 | 31 | $41,041 |
| Sheyenne Crossings Care Center/Tcu | West Fargo | 5 | 8 |
Cavalier County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Maple Manor Care Center | Langdon | 1 | 24 | $31,694 |
Dickey County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Prince of Peace Care Center | Ellendale | 4 | 4 | $14,380 |
| Good Samaritan Society - Oakes | Oakes | 2 | 19 | $8,281 |
Dunn County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Hill Top Home of Comfort Inc | Killdeer | 2 | 7 | $198,960 |
Eddy County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Lutheran Home of the Good Shepherd | New Rockford | 3 | 9 | $31,829 |
Emmons County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Strasburg Nursing Home | Strasburg | 5 | 15 |
Foster County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Golden Acres Manor | Carrington | 2 | 12 |
Grand Forks County (3)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Valley Senior Living on Columbia | Grand Forks | 4 | 13 | $31,594 |
| Woodside Village | Grand Forks | 4 | 11 | $17,625 |
| Good Samaritan Society - Larimore (Special Focus Facility) | Larimore | n/a | 49 | $81,146 |
Griggs County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Griggs County Care Center | Cooperstown | 5 | 5 |
La Moure County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| St. Rose Care Center | Lamoure | 3 | 13 |
Logan County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Wentz Living Center | Napoleon | 4 | 5 | $13,627 |
McHenry County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Souris Valley Care Center | Velva | 1 | 28 | $132,172 |
McIntosh County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Ashley Medical Center Nursing Home | Ashley | 5 | 7 | |
| Wishek Living Center | Wishek | 4 | 8 | $26,272 |
McKenzie County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| McKenzie County Healthcare Systems Long Term Care | Watford City | 4 | 11 |
McLean County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Benedictine Living Center of Garrison | Garrison | 3 | 14 | $8,278 |
| Garrison Mem Hosp Nsg Fac | Garrison | 1 | 34 | $22,380 |
Mercer County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Knife River Care Center | Beulah | 3 | 22 | $35,890 |
Morton County (5)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Marian Manor Healthcare Center | Glen Ullin | 1 | 15 | $64,216 |
| Dakota Alpha | Mandan | 5 | 9 | |
| Good Samaritan Society Miller Pointe a Prospera Co | Mandan | 3 | 16 | $35,535 |
| Sunset Drive - a Prospera Community | Mandan | 1 | 72 | $78,721 |
| Elm Crest Manor | New Salem | 4 | 10 |
Mountrail County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Mountrail Bethel Home | Stanley | 3 | 26 |
Nelson County (3)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Aneta Parkview Health Ctr | Aneta | 5 | 4 | |
| Good Samaritan Society - Lakota | Lakota | 1 | 30 | $74,283 |
| Nelson County Health System Care Center | McVille | 2 | 15 | $36,855 |
Pembina County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Wedgewood Manor | Cavalier | 1 | 15 | $54,925 |
| Pembilier Nursing Center | Walhalla | 4 | 9 |
Ramsey County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Eventide Heartland | Devils Lake | 4 | 23 |
Ransom County (3)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Smp Health - Maryhill | Enderlin | 5 | 14 | $10,036 |
| North Dakota Veterans Home | Lisbon | 5 | 9 | $9,620 |
| Parkside Lutheran Home | Lisbon | 1 | 22 |
Richland County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| St. Gerard's Community of Care | Hankinson | 3 | 10 | $48,233 |
| St. Catherines Living Center | Wahpeton | 2 | 7 | $47,722 |
Rolette County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Dunseith Com Nursing Home | Dunseith | 2 | 31 | $71,380 |
| Rolette Community Care Center | Rolette | 1 | 36 | $44,902 |
Sargent County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Four Seasons Health Care Inc | Forman | 1 | 28 | $107,746 |
Stark County (3)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| St. Benedicts Health Center | Dickinson | 5 | 7 | |
| St. Lukes Home | Dickinson | 5 | 9 | |
| Richardton Health Center Inc | Richardton | 5 | 8 |
Stutsman County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Eventide Jamestown | Jamestown | 3 | 16 | |
| Smp Health - Ave Maria | Jamestown | 3 | 11 | $13,978 |
Towner County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Towner County Living Ctr | Cando | 4 | 13 |
Traill County (3)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Hatton Prairie Village | Hatton | 5 | 13 | |
| Sanford Hillsboro Care Center | Hillsboro | 3 | 10 | $42,488 |
| Luther Memorial Home | Mayville | 4 | 7 | $5,814 |
Walsh County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Lutheran Sunset Home | Grafton | 3 | 20 | $11,057 |
| Good Samaritan Society - Park River | Park River | 2 | 29 | $27,417 |
Ward County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Minot Health and Rehab, LLC | Minot | 1 | 24 | $39,212 |
| Trinity Homes | Minot | 1 | 34 | $67,942 |
Wells County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Smp Health - St. Aloisius | Harvey | 5 | 6 |
Williams County (2)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Tioga Medical Center LTC | Tioga | 3 | 15 | $11,408 |
| Bethel Lutheran Nursing & Rehabilitation Center | Williston | 2 | 25 | $66,325 |