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Nursing Homes in North Dakota
Finding Care in North Dakota
Searching for nursing home care in North Dakota—whether in Fargo, Bismarck, Grand Forks, Minot, or rural communities—is emotionally challenging. You might be feeling guilty about considering facility care, worried about limited options in rural areas, or concerned about costs. Please be compassionate with yourself. Choosing professional nursing care when your loved one needs round-the-clock medical support is responsible and loving.
North Dakota has approximately 80 skilled nursing facilities, regulated by the Health Facilities Section. Many facilities specialize in memory care, post-acute rehabilitation, or complex medical needs. North Dakota nursing homes often serve close-knit communities with personalized care rooted in Midwestern values.
Costs in North Dakota are below the national average, which can provide financial relief. North Dakota Medicaid covers nursing home care for eligible individuals, and most facilities accept Medicaid. North Dakota's ombudsman program provides advocacy for residents and families across the state.
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Medicaid Coverage in North Dakota
Many families need help paying for nursing home care. Medicaid is a vital resource, but the rules vary by state. Here's what you need to know about Medicaid nursing home coverage in North Dakota.
Eligibility Requirements
Monthly Income Limit:
$2,982 (2026); North Dakota uses an income cap, but those exceeding it can establish a Qualified Income Trust (QIT)
$2,982 (2026); North Dakota uses an income cap, but those exceeding it can establish a Qualified Income Trust (QIT)
Asset Limit:
$3,000 for individuals—higher than most states. Spousal protections available.
$3,000 for individuals—higher than most states. Spousal protections available.
Processing Time:
30-45 days for initial determination
30-45 days for initial determination
How to Apply
Apply through the North Dakota Department of Human Services at nd.gov/dhs or at your local office. You'll need financial documents, medical records, and citizenship proof.
Important Tips for North Dakota Families
- •North Dakota's asset limit ($3,000) is higher than most states, making it easier to qualify for Medicaid.
- •North Dakota does NOT require a private-pay period in many cases—you can apply for Medicaid immediately upon admission.
- •Work with a North Dakota elder law attorney to understand spousal asset protections.
- •North Dakota has Medicaid estate recovery, but exemptions exist for surviving spouses and disabled children.
- •Veterans in North Dakota should apply for VA Aid & Attendance benefits, providing up to $2,424/month.
Nursing Home Costs in North Dakota
$260-$360/day average
Monthly Range: $7,800-$10,800
North Dakota nursing home costs are below the national average. Fargo and Bismarck are slightly more expensive than rural areas. Medicare covers skilled nursing for up to 100 days post-hospitalization. North Dakota Medicaid covers long-term care for eligible residents.
Medicare Coverage: Medicare Part A covers skilled nursing facility care for up to 100 days following a qualifying hospital stay (3+ days). Days 1-20 are fully covered; days 21-100 require a copay ($217/day in 2026).
North Dakota Resources & Advocacy
Oversight & Complaints
North Dakota Long-Term Care Ombudsman
1-800-451-8693Visit website →
The ombudsman helps resolve complaints and advocates for nursing home residents' rights.
North Dakota Department of Health and Human Services - Health Facilities Section
View inspection reports →Support & Guidance
North Dakota Department of Health and Human Services - Aging Services Division
1-800-451-8693Visit website →
Area agencies on aging provide care planning, caregiver support, and benefit counseling.
Medicare Nursing Home Compare
medicare.gov/care-compare →Planning Your Next Steps
Ready to Find the Right Facility?
Use our personalized navigator to find facilities that match your loved one's needs, insurance, and location in North Dakota.
Start Navigator Tool →Disclaimer: This guide is educational only. SunsetWell scores are based on CMS data and peer-group analysis. Medicaid eligibility rules change frequently—always verify current requirements with your state Medicaid office. Always tour facilities personally, speak with staff, review current state inspection reports, and consult healthcare professionals before making placement decisions.
Last updated: June 2026 | Data source: CMS Nursing Home Compare, North Dakota Department of Health and Human Services - Health Facilities Section, SunsetWell Analysis