Nursing Homes in North Dakota: Staffing, Turnover, and Penalties
North Dakota has 72 Medicare- or Medicaid-certified nursing homes in 54 cities. On CMS's August 2026 figures, nurse aides there log 2.97 hours per resident per day, 28% above the US average of 2.32, and 48.8% of nursing staff leave in a year (US 45.8%).
North Dakota averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Fargo (7), Bismarck (5), Mandan (3). Each city page compares every home on staffing, turnover, CMS stars, and fines.
- Aneta (1)
- Ashley (1)
- Beulah (1)
- Bismarck (5)
- Bottineau (1)
- Cando (1)
- Carrington (1)
- Cavalier (1)
- Cooperstown (1)
- Devils Lake (1)
- Dickinson (2)
- Dunseith (1)
- Ellendale (1)
- Enderlin (1)
- Fargo (7)
- Forman (1)
- Garrison (2)
- Glen Ullin (1)
- Grafton (1)
- Grand Forks (2)
- Hankinson (1)
- Harvey (1)
- Hatton (1)
- Hettinger (1)
- Hillsboro (1)
- Jamestown (2)
- Killdeer (1)
- Lakota (1)
- Lamoure (1)
- Langdon (1)
- Larimore (1)
- Lisbon (2)
- Mandan (3)
- Mayville (1)
- McVille (1)
- Minot (2)
- Napoleon (1)
- New Rockford (1)
- New Salem (1)
- Oakes (1)
- Park River (1)
- Richardton (1)
- Rolette (1)
- Stanley (1)
- Strasburg (1)
- Tioga (1)
- Valley City (1)
- Velva (1)
- Wahpeton (1)
- Walhalla (1)
- Watford City (1)
- West Fargo (1)
- Williston (1)
- Wishek (1)
Largest nursing home chains in North Dakota
CMS links 27 of North Dakota's homes to these 8 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in ND | Homes nationwide |
|---|---|---|
| Good Samaritan Society | 10 | 92 |
| Benedictine Health System | 6 | 23 |
| SMP Health | 5 | 5 |
| Cassia | 2 | 16 |
| Commonspirit Health | 1 | 18 |
| Eduro Healthcare | 1 | 34 |
| North Shore Healthcare | 1 | 59 |
| Sanford Health | 1 | 4 |
Chain as recorded in the CMS Provider Information file, August 2026 release