Nursing Homes in North Dakota- Monthly Analysis & Key Metrics

Data as of February 11, 2024

Reviewed by Richard Saunders

The State Level Skilled Nursing Home Analysis Report

Recently, the Biden administration announced a goal of improving nursing home care, as highlighted in several important announcements (see the initial announcement and a subsequent announcement). While this is a commendable goal, it is not entirely clear what the best approach is for achieving it. Proposing minimum staffing levels for all nursing homes simplifies a complicated issue. Nursing Homes address a wide range of resident needs, from short-term rehabilitation to long-term care to dementia and memory issues, that require different levels of care. It also fails to address a national staffing shortage that will likely only worsen.

At NursingHomeDatabase.com, we believe that one critical element of any improvement effort is to have access to good, clear data and analysis that can help everyone understand the current state of affairs, identify trends, and track progress over time. To this end, we have built this series of reports that will try to illuminate the key metrics of nursing home performance for each state. Our reports are designed to provide valuable insights and inform policymakers, healthcare providers, and families who are interested in nursing home care.

The analysis for the state level report cards of nursing home care is primarily derived from data that the Centers for Medicare and Medicaid ("CMS") provides. CMS publishes weekly data about nursing home occupancy and COVID-19 infections and publishes monthly reports with ratings, staffing levels, and deficiencies.

Summary Analysis of Nursing Homes in North Dakota- The 10,000 foot view

Updated on February 11, 2024

According to the latest data compiled by NursingHomeDatabase.com, North Dakota has a total of 76 active skilled nursing facilities and 5,094 beds. Based on the US Census estimates for the population of 779,261, the current total bed count represents one bed for every 152.98 persons in North Dakota. There were 5,031 residents as February 11, 2024 for a state wide occupancy level of 98.76 percent. (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 61 existing beds over the past year.

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) 0.89 0.65
Certified Nursing Assistants (CNA) 2.96 2.26
Licensed Practical Nurse (LPN) 0.57 0.88
All Staff 4.43 3.79

Detailed analysis pages for the 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 29 new cases and 29 new deaths among residents for the week ending February 11, 2024. The chart below shows COVID-19 activity for the past year.

New and Lost Nursing Homes in North Dakota

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

North Dakota lost 2 skilled nursing facilities and 61 beds over the past year. Below is list of the lost facilities:

Facility Number of Beds
Good Samaritan Society - Mott 42
St Alexius Transitional Care Unit 19

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 for North Dakota Nursing Homes

The chart below shows the overall occupancy for nursing home beds in North Dakota. Occupancies levels for individual facilities will differ and can be found on the detail page for the specific nursing home.

Best and Worst Nursing Homes 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. It changes quicker than the overall rating.

Facility Rating
Richardton Health Center Inc
8885 HIGHWAY 10
RICHARDTON, ND
1.33
Griggs County Care Center
107 12TH ST S
COOPERSTOWN, ND
2.67
Hatton Prairie Village
950 DAKOTA AVE
HATTON, ND
4.00
Eventide Fargo
3225 51ST ST S
FARGO, ND
4.67
Strasburg Nursing Home
409 S 3RD ST
STRASBURG, ND
4.67
Lutheran Home of The Good Shepherd
1226 1ST AVE N
NEW ROCKFORD, ND
6.67
Prince of Peace Care Center
201 8TH ST N
ELLENDALE, ND
7.33
Aneta Parkview Health Ctr
113 5TH ST S
ANETA, ND
8.67
Luther Memorial Home
750 MAIN ST E
MAYVILLE, ND
10.00
St Catherines Living Center
1307 N 7TH ST
WAHPETON, ND
10.67

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

Facility Rating
Good Samaritan Society - Bottineau
725 E 10TH ST
BOTTINEAU, ND
288.83
/
The Meadows On University
1315 S UNIVERSITY DR
FARGO, ND
195.67
Rating Not Available
Mountrail Bethel Home
615 6TH ST SE
STANLEY, ND
147.00
Bethel Lutheran Nursing and Rehabilitation Center
1515 2ND AVE WEST
WILLISTON, ND
138.33
Western Horizons Care Center
1104 HWY 12
HETTINGER, ND
115.00
Eventide Heartland
620 14TH AVE NE
DEVILS LAKE, ND
96.33
/
Knife River Care Center
118 22ND ST NE
BEULAH, ND
89.33
North Dakota Veterans Home
1600 VETERANS DRIVE
LISBON, ND
83.17
Good Samaritan Society - Larimore
501 E FRONT ST
LARIMORE, ND
77.17
Minot Health and Rehab, LLC
600 S MAIN ST
MINOT, ND
64.67

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. North Dakota performed better than the national average on several metrics and worse on other metrics.

Cycle 1 Total Number Of Health Deficiencies 4.80 Lower
Cycle 1 Total Number Of Fire Safety Deficiencies 1.30 Lower
Cycle 2 Total Number Of Health Deficiencies 6.10 Lower
Cycle 2 Total Number Of Fire Safety Deficiencies 1.50 Lower
Cycle 3 Total Number Of Health Deficiencies 5.50 Lower
Cycle 3 Total Number Of Fire Safety Deficiencies 1.50 Lower
Average Number Of Residents Per Day 60.10 Lower
Reported Nurse Aide Staffing Hours Per Resident Per Day 2.96 Higher
Reported Lpn Staffing Hours Per Resident Per Day 0.57 Lower
Reported Rn Staffing Hours Per Resident Per Day 0.89 Higher
Reported Licensed Staffing Hours Per Resident Per Day 1.47 Lower
Reported Total Nurse Staffing Hours Per Resident Per Day 4.43 Higher
Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend 3.75 Higher
Registered Nurse Hours Per Resident Per Day On The Weekend 0.55 Higher
Reported Physical Therapist Staffing Hours Per Resident Per Day 0.04 Lower
Total Nursing Staff Turnover 53.10 Higher
Registered Nurse Turnover 37.30 Lower
Number Of Administrators Who Have Left The Nursing Home 0.50 Lower
Case-mix Rn Staffing Hours Per Resident Per Day 0.29 Lower
Case-mix Total Nurse Staffing Hours Per Resident Per Day 2.94 Lower
Number Of Fines 1.20 Lower
Fine Amount In Dollars 13,576.00 Lower
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased 15.35 Higher
Percentage Of Long Stay Residents Who Lose Too Much Weight 5.52 Lower
Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder 50.36 Higher
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 1.51 Higher
Percentage Of Long Stay Residents With A Urinary Tract Infection 3.68 Higher
Percentage Of Long Stay Residents Who Have Depressive Symptoms 5.23 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 4.56 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 98.98 Higher
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 21.59 Higher
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 93.22 Higher
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 2.57 Higher
Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened 15.93 Higher
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 18.30 Lower
Percentage Of High Risk Long Stay Residents With Pressure Ulcers 5.68 Lower
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine 98.95 Higher
Percentage Of Short Stay Residents Who Made Improvements In Function 79.35 Higher
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 87.47 Higher
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 17.19 Lower
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 12.14 Lower
Number Of Hospitalizations Per 1000 Long-stay Resident Days 1.43 Lower
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 1.17 Lower