Senior care in North Dakota: prices, Medicaid, and the inspection file
What North Dakota families pay for assisted living, nursing and home care, whether Medicaid helps, and how to check any facility's record - verified against official sources, town by town.
Assisted living in North Dakota runs a median $4,729 a month - ranked #47 of 50 states in the 2025 survey.
The U.S. medians for comparison: assisted living $6,200/month, nursing semi-private $9,581/month, home care $35/hour.
North Dakota families weighing home care against a community start from about $35 an hour - the crossover math is on every town page.
Medicaid is the payer of last resort for long-term care, and whether it helps with assisted living depends entirely on your state. Limited - North Dakota Medicaid has no assisted-living-specific benefit. The ND Medicaid Waiver for Home and Community Based Services (waiver 0273.R06.00) covers 'adult residential care', waiver personal care, homemaker, respite, emergency response and related supports for people age 65+ and adults 18-64 with disabilities who meet a nursing facility level of care; these supports can be delivered in a residential setting. Whether room and board is excluded could NOT be verified from a North Dakota source this session - see notes. Nursing home care is covered in every state for those who qualify financially - assisted living is the state-by-state question.
North Dakota: Medicaid, prices and the inspection file
| Question | North Dakota answer |
|---|---|
| Medicaid & assisted living | Limited - North Dakota Medicaid has no assisted-living-specific benefit. The ND Medicaid Waiver for Home and Community Based Services (waiver 0273.R06.00) covers 'adult residential care', waiver personal care, homemaker, respite, emergency response and related supports for people age 65+ and adults 18-64 with disabilities who meet a nursing facility level of care; these supports can be delivered in a residential setting. Whether room and board is excluded could NOT be verified from a North Dakota source this session - see notes. |
| State median, assisted living | $4,729/month (#47 of 50 states) |
| Licensing & inspection records | State licensing details pending verification - ask any community for its current license and inspection history |
North Dakota licenses two separate residential categories rather than one 'assisted living' license - an assisted living facility (a building of at least five living units providing individualized support services, where residents pay for individual services rather than a package and meals are not required) and a basic care facility (which does provide room, board and a package of personal care services). See notes on source vintage.
This guide is research, not advice: an independent summary of published costs and state rules. It is not a care provider, placement agency, law firm or financial advisor - care and Medicaid decisions deserve professional advice for your family's situation.
What care costs in 2026
| Care type | 2025 national median | What it covers |
|---|---|---|
| In-home care | $35/hour | Non-medical help at home - meals, bathing, companionship |
| Adult day care | $95/day | Daytime supervision and activities, evenings at home |
| Assisted living | $6,200/month | Housing plus daily-living help; care-level fees extra |
| Memory care | typically 20-40% above assisted living | Secured dementia care with higher staffing |
| Nursing home (semi-private) | $9,581/month | 24/7 skilled medical care |
| Nursing home (private room) | $355/day | Same care, private room |
Compare senior care options near North Dakota
These platforms show communities and home-care agencies near you with pricing guidance. Advisors are free to families - providers pay them, as they do this site.
Disclosure: this is an independent guide. If you connect with a provider through a link here, the platform may pay this site a referral fee. That fee never changes your price - and it never changes what the inspection records say.
Why only these platforms
The cheapest community is not the best one - the one with a clean inspection record is. In this industry, the price difference between a good facility and a neglectful one is often a few hundred dollars a month; the difference in your parent's daily life is everything. Every state publishes violation records, and this guide links North Dakota's.
Senior care referral is an industry with real abuse - phone-blast lead sellers and pay-to-play rankings. This guide only links platforms that show you multiple named communities and let you decline: never single-facility funnels. And no platform placement replaces the one check that matters - your state's own inspection records, linked on every page of this guide.
| Platform | What you get | Background |
|---|---|---|
| A Place for Mom | Free advisor + shortlist of communities near you | Largest U.S. senior living referral network |
| Caring.com | Directory with reviews and pricing guidance | Established senior care directory |
Common questions
Can a facility evict my parent?
Yes - discharge policies allow it for reasons like funds running out, care needs exceeding what the license covers, or behavior issues. Read the discharge clause before signing and get the funds-run-out answer in writing; involuntary moves are the outcome families regret most.
Should my parent stay home with help or move to assisted living?
Run the hours math first: in-home care at about $35 an hour serves people who need help, not round-the-clock supervision. Below about 30-40 hours a week, home usually costs less; past that - or when safety needs someone always present - assisted living's $6,200 median often buys more coverage. The right answer follows the care needs, not the buildings.
How do I check a facility's inspection record?
Every state has a licensing or certification agency that publishes inspection results and complaint histories - this guide links your state's agency on every page. Search every finalist before any deposit: violations, complaint patterns and how the operator responded tell you more than the tour.
How much does in-home care cost?
About $35 an hour at the 2025 national median - roughly $80,000 a year at 44 hours a week. Since the 2025 survey, non-medical caregivers are tracked as a single category, so quotes for 'homemaker' versus 'home health aide' services should no longer differ much for non-medical help.
What fees do communities add on top of rent?
Care-level fees (assessed need tiers that can add $500-1,500+ monthly), medication management, and one-time community or move-in fees are the big three. Always compare communities on the all-in monthly number at your parent's assessed level - base rent alone is a marketing figure.
When should we start looking?
Before the crisis. Good communities near you have waitlists, and emergency placements take whatever bed is open at premium rates. Touring while your parent is stable costs nothing, builds the shortlist, and turns a future emergency into a phone call.
Compare senior care options near North Dakota
These platforms show communities and home-care agencies near you with pricing guidance. Advisors are free to families - providers pay them, as they do this site.
Disclosure: this is an independent guide. If you connect with a provider through a link here, the platform may pay this site a referral fee. That fee never changes your price - and it never changes what the inspection records say.
Prices by city
Abercrombie · Adams · Alamo · Alexander · Alice · Almont · Alsen · Ambrose · Amenia · Amidon · Anamoose · Aneta · Antler · Ardoch · Argusville · Arnegard · Arthur · Ashley · Ayr · Balfour · Balta · Barney · Bathgate · Beach · Belfield · Benedict · Bergen · Berlin · Berthold · Beulah · Binford · Bisbee · Bismarck · Bottineau · Bowbells · Bowdon · Bowman · Braddock · Briarwood · Brinsmade · Brocket · Buchanan · Bucyrus · Buffalo · Burlington · Butte · Buxton · Calio · Calvin · Cando · Canton City (Hensel) · Carpio · Carrington · Carson · Casselton · Cathay · Cavalier · Cayuga · Center · Christine · Cleveland · Clifford · Cogswell · Coleharbor · Colfax · Columbus · Conway · Cooperstown · Courtenay · Crary · Crosby · Crystal · Davenport · Dawson · Dazey · Deering · Des Lacs · Devils Lake · Dickey · Dickinson · Dodge · Donnybrook · Douglas · Drake · Drayton · Dunn Center · Dunseith · Dwight · Edgeley · Edinburg · Edmore · Egeland · Elgin · Ellendale · Elliott · Emerado · Enderlin · Epping · Esmond · Fairdale · Fairmount · Fargo · Fessenden · Fingal · Finley · Flasher · Flaxton · Forbes · Fordville · Forest River · Forman · Fort Ransom · Fort Yates · Fortuna · Fredonia · Frontier · Fullerton · Gackle · Galesburg · Gardena · Gardner · Garrison · Gascoyne · Gilby · Gladstone · Glen Ullin · Glenburn · Glenfield · Golden Valley · Golva · Goodrich · Grace City · Grafton · Grand Forks · Grandin · Grano · Granville · Great Bend · Grenora · Gwinner · Hague · Halliday · Hamberg · Hamilton · Hampden · Hankinson · Hannaford · Hannah · Hansboro · Harvey · Harwood · Hatton · Havana · Haynes · Hazelton · Hazen · Hebron · Hettinger · Hillsboro · Hoople · Hope · Horace · Hunter · Hurdsfield · Inkster · Jamestown · Jud · Karlsruhe · Kathryn · Kenmare · Kensal · Kief · Killdeer · Kindred · Knox · Kramer · Kulm · LaMoure · Lakota · Landa · Langdon · Lankin · Lansford · Larimore · Lawton · Leal · Leeds · Lehr · Leith · Leonard · Lidgerwood · Lignite · Lincoln · Linton · Lisbon · Litchville · Loma · Loraine · Ludden · Luverne · Maddock · Makoti · Mandan · Mantador · Manvel · Mapleton · Marion · Marmarth · Martin · Max · Maxbass · Mayville · McClusky · McHenry · McVille · Medina · Medora · Mercer · Michigan City · Milnor · Milton · Minnewaukan · Minot · Minto · Mohall · Monango · Montpelier · Mooreton · Mott · Mountain · Munich · Mylo · Napoleon · Neche · Nekoma · New England · New Leipzig · New Rockford · New Salem · New Town · Newburg · Niagara · Nome · Noonan · North River · Northwood · Oakes · Oberon · Oriska · Osnabrock · Overly · Oxbow · Page · Palermo · Park River · Parshall · Pekin · Pembina · Perth · Petersburg · Pettibone · Pick City · Pillsbury · Pingree · Pisek · Plaza · Portal · Portland · Powers Lake · Prairie Rose · Ray · Reeder · Regan · Regent · Reile's Acres · Reynolds · Rhame · Richardton · Riverdale · Robinson · Rocklake · Rogers · Rolette · Rolla · Ross · Rugby · Ruso · Rutland · Ryder · Sanborn · Sarles · Sawyer · Scranton · Selfridge · Sentinel Butte · Sharon · Sheldon · Sherwood · Sheyenne · Sibley · Solen · Souris · South Heart · Spiritwood Lake · Springbrook · St. John · St. Thomas · Stanley · Stanton · Starkweather · Steele · Strasburg · Streeter · Surrey · Sykeston · Tappen · Taylor · Thompson · Tioga · Tolley · Tolna · Tower City · Towner · Turtle Lake · Tuttle · Underwood · Upham · Valley City · Velva · Venturia · Verona · Voltaire · Wahpeton · Walcott · Wales · Walhalla · Warwick · Washburn · Watford City · West Fargo · Westhope · White Earth · Wildrose · Williston · Willow City · Wilton · Wimbledon · Wing · Wishek · Wolford · Woodworth · Wyndmere · York · Zap · Zeeland