CMS Data · 2026
North Dakota Nursing Home Staffing Ratios
State average: 4.22 total HPRD · 0.88 RN · 0.82 LPN · 2.52 CNA
North Dakota vs. National Average
Bar = North Dakota average. Marker line = U.S. national average. Source: CMS PBJ 2024.
Browse by City in North Dakota
North Dakota Nursing Home Staffing — Top 50 Facilities
Sorted by CMS overall star rating. Click any facility for detailed staffing data.
SMP HEALTH - ST ALOISIUS
HARVEY, ND · Non profit
5★
5★
4.61
0.85
GRIGGS COUNTY CARE CENTER
COOPERSTOWN, ND · Non profit
5★
5★
4.10
0.93
PRINCE OF PEACE CARE CENTER
ELLENDALE, ND · Non profit
5★
4★
3.53
0.82
STRASBURG NURSING HOME
STRASBURG, ND · Non profit
5★
5★
4.12
1.18
HATTON PRAIRIE VILLAGE
HATTON, ND · Non profit
5★
5★
4.13
0.89
PEMBILIER NURSING CENTER
WALHALLA, ND · Non profit
5★
4★
3.67
0.68
ST LUKES HOME
DICKINSON, ND · Non profit
5★
5★
5.90
1.30
WISHEK LIVING CENTER
WISHEK, ND · Non profit
5★
5★
4.64
0.82
⚠ 2 CMS fines on record
TOWNER COUNTY LIVING CTR
CANDO, ND · Non profit
5★
5★
4.39
1.48
SMP HEALTH - ST RAPHAEL
VALLEY CITY, ND · Non profit
5★
5★
4.72
0.66
SMP HEALTH - ST CATHERINE SOUTH
FARGO, ND · Non profit
5★
5★
5.49
1.12
BETHANY ON UNIVERSITY
FARGO, ND · Non profit
5★
5★
5.44
1.07
ST BENEDICTS HEALTH CENTER
DICKINSON, ND · Non profit
5★
5★
3.80
0.98
ASHLEY MEDICAL CENTER NURSING HOME
ASHLEY, ND · For profit
5★
5★
4.94
1.04
ANETA PARKVIEW HEALTH CTR
ANETA, ND · Non profit
5★
4★
4.18
0.85
LUTHER MEMORIAL HOME
MAYVILLE, ND · Non profit
4★
5★
5.19
0.96
⚠ 1 CMS fine on record
LUTHERAN HOME OF THE GOOD SHEPHERD
NEW ROCKFORD, ND · Non profit
4★
5★
4.71
0.94
⚠ 3 CMS fines on record
SMP HEALTH - ST CATHERINE NORTH
FARGO, ND · Non profit
4★
5★
4.93
0.63
⚠ 1 CMS fine on record
VALLEY SENIOR LIVING ON COLUMBIA
GRAND FORKS, ND · Non profit
4★
5★
5.35
1.35
⚠ 2 CMS fines on record
ST GERARD'S COMMUNITY OF CARE
HANKINSON, ND · Non profit
3★
5★
4.51
0.82
⚠ 1 CMS fine on record
MOUNTRAIL BETHEL HOME
STANLEY, ND · Non profit
3★
5★
4.70
0.94
GOLDEN ACRES MANOR
CARRINGTON, ND · For profit
3★
3★
3.63
1.03
KNIFE RIVER CARE CENTER
BEULAH, ND · Non profit
3★
5★
4.80
1.18
⚠ 1 CMS fine on record
BAPTIST HEALTH & REHAB
BISMARCK, ND · Non profit
3★
5★
5.14
0.80
⚠ 3 CMS fines on record
SANFORD HILLSBORO CARE CENTER
HILLSBORO, ND · Non profit
3★
5★
4.99
0.70
⚠ 2 CMS fines on record
BENEDICTINE LIVING CENTER OF GARRISON
GARRISON, ND · Non profit
3★
2★
3.09
0.64
⚠ 1 CMS fine on record
EVENTIDE HEARTLAND
DEVILS LAKE, ND · Non profit
3★
4★
4.25
0.81
EVENTIDE JAMESTOWN
JAMESTOWN, ND · Non profit
3★
4★
4.27
0.43
SMP HEALTH - AVE MARIA
JAMESTOWN, ND · Non profit
3★
5★
5.08
0.94
⚠ 1 CMS fine on record
LUTHERAN SUNSET HOME
GRAFTON, ND · Non profit
3★
5★
4.36
0.63
⚠ 1 CMS fine on record
THE MEADOWS ON UNIVERSITY
FARGO, ND · For profit
2★
2★
3.58
0.70
⚠ 1 CMS fine on record
MINOT HEALTH AND REHAB, LLC
MINOT, ND · For profit
2★
3★
4.06
1.07
⚠ 3 CMS fines on record
ST CATHERINES LIVING CENTER
WAHPETON, ND · Non profit
2★
4★
3.50
0.56
⚠ 3 CMS fines on record
TIOGA MEDICAL CENTER LTC
TIOGA, ND · Non profit
2★
4★
6.16
0.92
⚠ 1 CMS fine on record
NELSON COUNTY HEALTH SYSTEM CARE CENTER
MCVILLE, ND · Government
2★
5★
4.28
0.81
⚠ 1 CMS fine on record
BETHEL LUTHERAN NURSING & REHABILITATION CENTER
WILLISTON, ND · Non profit
2★
4★
4.56
0.94
MCKENZIE COUNTY HEALTHCARE SYSTEMS LONG TERM CARE
WATFORD CITY, ND · Non profit
2★
1★
—
—
⚠ 1 CMS fine on record
DUNSEITH COM NURSING HOME
DUNSEITH, ND · Government
2★
5★
4.41
0.85
⚠ 2 CMS fines on record
GOOD SAMARITAN SOCIETY - PARK RIVER
PARK RIVER, ND · Non profit
2★
4★
3.17
0.92
⚠ 1 CMS fine on record
HILL TOP HOME OF COMFORT INC
KILLDEER, ND · Non profit
2★
5★
4.56
1.00
⚠ 1 CMS fine on record
MARIAN MANOR HEALTHCARE CENTER
GLEN ULLIN, ND · Non profit
1★
1★
—
—
⚠ 1 CMS fine on record
Western Horizons Care Center
HETTINGER, ND · Non profit
1★
1★
—
—
⚠ 3 CMS fines on record
Maple Manor Care Center
LANGDON, ND · Non profit
1★
1★
—
—
⚠ 1 CMS fine on record
ST VINCENT'S - A PROSPERA COMMUNITY
BISMARCK, ND · Non profit
1★
4★
4.27
0.66
⚠ 2 CMS fines on record
SUNSET DRIVE - A PROSPERA COMMUNITY
MANDAN, ND · Non profit
1★
3★
4.01
0.64
⚠ 2 CMS fines on record
TRINITY HOMES
MINOT, ND · Non profit
1★
4★
4.27
1.07
⚠ 3 CMS fines on record
ROLETTE COMMUNITY CARE CENTER
ROLETTE, ND · Non profit
1★
1★
3.52
0.75
⚠ 2 CMS fines on record
WEDGEWOOD MANOR
CAVALIER, ND · Non profit
1★
5★
3.90
0.96
⚠ 1 CMS fine on record
GOOD SAMARITAN SOCIETY - BOTTINEAU
BOTTINEAU, ND · Non profit
1★
4★
4.18
0.91
⚠ 2 CMS fines on record
GOOD SAMARITAN SOCIETY - OAKES
OAKES, ND · Non profit
1★
4★
3.14
1.09
⚠ 1 CMS fine on record
Frequently Asked Questions
- What are the nursing home staffing requirements in North Dakota?
- CMS requires all North Dakota nursing homes to meet the federal minimums of 3.48 total nursing HPRD and 0.55 RN HPRD with 24-hour RN presence. North Dakota's state average of 4.22 total HPRD is at or above the national average of 3.89.
- What is the average RN staffing level in North Dakota nursing homes?
- North Dakota nursing homes average 0.88 RN hours per resident per day — above the U.S. national average of 0.69. Individual facilities vary widely; use this tool to compare specific nursing homes.
- How do I find the best-staffed nursing home in North Dakota?
- Sort by CMS staffing star rating (4–5 stars) and look for total HPRD above 3.89 — especially RN HPRD above 1.0. Also check staff turnover: facilities below 30% annual turnover typically provide more consistent care.
Data: CMS PBJ system via Care Compare. Revalidated every 24 hours. Not a medical recommendation.