Analysis Report of Nursing Homes in North Dakota

Key metrics for nursing homes in North Dakota including number and beds, staffing levels, occupancy, newest facilities, and more. Updated weekly.

Updated on January 5, 2025

Summary Analysis

According to the latest data compiled by NursingHomeDatabase.com, North Dakota has a total of 73 active skilled nursing facilities with 5,053 total beds. Based on the US Census estimates for the population of 779,261, the current total bed count represents one bed for every 154.22 persons in North Dakota.

There were 4,517 residents as of January 5, 2025 for a state wide occupancy level of 89.39%.
(Note that the home count is based on monthly data provided by CMS and the number of beds and the occupancy numbers are based on weekly data. There is a minor number of homes that do not report their data weekly.)

According to the monthly data, North Dakota has added 0 new beds and lost 48 existing beds over the past year.

Staffing Levels Comparison

The Biden Administration has announced that it wants to regulate minimum nursing home staffing levels. They have proposed minimums of .55 hours of care per resident per day from registered nurses (RNs) and 2.45 hours of care per resident per day certified nursing aids (CNAs). These are the current level amount of hours per resident per day of care for North Dakota and a comparison to national averages.

Staffing Levels State National
Registered Nurse (RN) 0.93 0.68
Certified Nursing Assistants (CNA) 2.97 2.33
Licensed Practical Nurse (LPN) 0.51 0.86
All Staff 4.41 3.87
Detailed Analysis for Largest Cities in North Dakota
COVID-19 Infections in North Dakota Nursing Homes

While COVID-19 infections and deaths are down significantly from late 2020 and 2021, the number of infections and deaths continues to be monitored. For nursing homes in North Dakota there were a total of 80 new cases and 0 new deaths among residents for the week ending January 5, 2025.

New Nursing Homes

No new homes were reported by CMS over the past twelve months.

Lost Nursing Homes

North Dakota lost 2 skilled nursing facilities and 48 beds over the past year.

This data is based on homes reported by CMS. Additional homes may have opened or closed but are not yet in the dataset.

Occupancy Percentages

The chart below shows the overall occupancy for nursing home beds in North Dakota.

The list below shows the best skilled nursing facilities in North Dakota based on their most recent weighted average inspection score. Some nursing homes may have higher overall 5-star ratings than the homes on this list. We feel that the health inspection score is the best indicator of current operations.

Facility Rating
Smp Health - St Aloisius
325 E BREWSTER ST
HARVEY, ND
2.00
Bethany On 42nd
4255 30TH AVE S
FARGO, ND
6.00
St Lukes Home
242 10TH ST W
DICKINSON, ND
7.00
Smp Health - St Catherine South
3102 S UNIVERSITY DR
FARGO, ND
7.00
Aneta Parkview Health Ctr
113 5TH ST S
ANETA, ND
7.00
North Dakota Veterans Home
1600 VETERANS DRIVE
LISBON, ND
7.00
Richardton Health Center Inc
8885 HIGHWAY 10
RICHARDTON, ND
8.00
Pembilier Nursing Center
500 DELANO AVE
WALHALLA, ND
9.00
St Benedicts Health Center
851 4TH AVE E
DICKINSON, ND
9.00
Dakota Alpha
1303 27TH STREET NW
MANDAN, ND
9.00

The list below shows the worst skilled nursing facilities in North Dakota based on their most recent weighted average inspection score.

Facility Rating
Sunset Drive - A Prospera Community
1011 BOUNDARY ST NW
MANDAN, ND
405.75
Abuse Flag
Rolette Community Care Center
804 STATE STREET
ROLETTE, ND
258.00
Souris Valley Care Center
300 MAIN ST S
VELVA, ND
164.50
Good Samaritan Society - Larimore
501 E FRONT ST
LARIMORE, ND
141.00
Rating Not Available
St Vincent's - A Prospera Community
1021 N 26TH ST
BISMARCK, ND
137.00
Abuse Flag
Wedgewood Manor
804 MAIN ST W
CAVALIER, ND
115.75
Good Samaritan Society - Bottineau
725 E 10TH ST
BOTTINEAU, ND
109.25
Abuse Flag
Trinity Homes
305 8TH AVE NE
MINOT, ND
107.00
Hill Top Home of Comfort Inc
95 HILL TOP DR
KILLDEER, ND
98.75
Western Horizons Care Center
1104 HWY 12
HETTINGER, ND
89.00
Abuse Flag

Nursing Homes with the warning icon have been flagged by CMS for abuse.

Skilled Nursing Homes in North Dakota Compared to Nationwide

We have compared North Dakota nursing homes to the nationwide average on several metrics.

Metric Value Comparison
Overall Rating 3.20 Higher
Health Inspection Rating 2.90 Higher
Qm Rating 2.90 Lower
Staffing Rating 4.10 Higher
Cycle 1 Total Number Of Health Deficiencies 5.50 Lower
Cycle 1 Total Number Of Fire Safety Deficiencies 1.10 Lower
Cycle 2 Total Number Of Health Deficiencies 5.90 Lower
Cycle 2 Total Number Of Fire Safety Deficiencies 1.10 Lower
Cycle 3 Total Number Of Health Deficiencies 5.10 Lower
Cycle 3 Total Number Of Fire Safety Deficiencies 1.30 Lower
Average Number Of Residents Per Day 63.00 Lower
Reported Nurse Aide Staffing Hours Per Resident Per Day 2.97 Higher
Reported Lpn Staffing Hours Per Resident Per Day 0.51 Lower
Reported Rn Staffing Hours Per Resident Per Day 0.93 Higher
Reported Licensed Staffing Hours Per Resident Per Day 1.44 Lower
Reported Total Nurse Staffing Hours Per Resident Per Day 4.41 Higher
Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend 3.81 Higher
Registered Nurse Hours Per Resident Per Day On The Weekend 0.59 Higher
Reported Physical Therapist Staffing Hours Per Resident Per Day 0.04 Lower
Total Nursing Staff Turnover 49.10 Higher
Registered Nurse Turnover 37.90 Lower
Number Of Administrators Who Have Left The Nursing Home 0.20 Lower
Nursing Case-mix Index 1.21 Lower
Case-mix Rn Staffing Hours Per Resident Per Day 0.59 Lower
Case-mix Total Nurse Staffing Hours Per Resident Per Day 3.37 Lower
Case-mix Weekend Total Nurse Staffing Hours Per Resident Per Day 2.99 Lower
Number Of Fines 1.00 Higher
Fine Amount In Dollars 27,715.00 Lower
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased 20.21 Higher
Percentage Of Long Stay Residents Who Lose Too Much Weight 5.58 Higher
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 1.60 Higher
Percentage Of Long Stay Residents With A Urinary Tract Infection 2.85 Higher
Percentage Of Long Stay Residents Who Have Depressive Symptoms 4.50 Lower
Percentage Of Long Stay Residents Who Were Physically Restrained 0.18 Higher
Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury 5.05 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 98.41 Higher
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 22.58 Higher
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 93.20 Higher
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 1.43 Lower
Percentage Of Long Stay Residents Whose Ability To Walk Independently Worsened 18.31 Higher
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 17.46 Lower
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine 98.79 Higher
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 88.29 Higher
Percentage Of Long Stay Residents With Pressure Ulcers 5.25 Higher
Percentage Of Long Stay Residents With New Or Worsened Bowel Or Bladder Incontinence 25.26 Higher
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 19.06 Lower
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 10.36 Lower
Number Of Hospitalizations Per 1000 Long-stay Resident Days 1.47 Lower
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 1.89 Higher

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