Senior Care in North Dakota — Independent Report Cards

105 nursing homes, home-health agencies, hospices and assisted-living communities in North Dakota — 100 graded from public regulatory data. We take $0 from any facility we grade.

How these grades work. Every grade is computed from a fixed public rubric — safety inspections, staffing, clinical outcomes, enforcement actions and financial stability — using government data. No facility can pay to change its grade or placement. Providers with under 30% rubric coverage are shown as "Listed" with no letter grade rather than pretending thin data is comparable. Read the full methodology.

What senior care costs in North Dakota (2025 medians)

Care settingNorth Dakota medianNational median
Assisted living, private one-bedroom$4,729/mo$6,200/mo
Nursing home, semi-private room$379/day$315/day
Nursing home, private room$405/day$355/day
In-home care, non-medical (private pay)$34/hr$35/hr

Hospice isn't priced here: the Medicare hospice benefit covers it for eligible patients, typically at no cost for the care itself. Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.

Nursing Homes (72 graded of 72)

FacilityCityGradePriceRubric coverageBeds
Dakota Alpha Mandan A+ 75% 20
Smp Health - St Catherine South Fargo A $$$$ 75% 98
Richardton Health Center Inc Richardton A 75% 29
St Lukes Home Dickinson A $$$$$ 75% 88
Smp Health - Maryhill Enderlin A $ 75% 42

All North Dakota nursing homes →

Home Health Agencies (15 graded of 20)

FacilityCityGradeRubric coverageBeds
Altru'S Home Health Grand Forks A 70%
Chi Health At Home Bismarck A- 70%
Ethos Home Health Fargo A- 70%
Jamestown Regional Medical Center Home Health Jamestown A- 70%
Benedictine Home Health Wahpeton B+ 70%

All North Dakota home health agencies →

Hospice Agencies (13 graded of 13)

FacilityCityGradeRubric coverageBeds
Jamestown Regional Medical Center Hospice Jamestown A+ 90%
Chi Health At Home - Hospice Williston A 90%
Sakakawea Medical Center Hospice Hazen A 65%
Sanford Home Care - Hospice Mandan A 90%
Chi Health At Home Bismarck A 90%

All North Dakota hospice agencies →

Open the interactive map →