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Nursing homes in North Dakota

North Dakota has 72 certified nursing homes in 37 counties. Select a county or a city to see its homes in one table.

Counties

Counties of North Dakota with a certified nursing home, in order of name
CountyHomesCertified bedsMedian overall ratingCitations for each 100 bedsFines
Adams1311112.9$62,703
Barnes117055.3$0
Bottineau152259.6$110,247
Burleigh5549417.3$135,369
Cass8856411.6$56,239
Cavalier145153.3$31,694
Dickey2101422.8$8,281
Dunn160211.7$198,960
Eddy151317.6$31,829
Emmons130550.0$0
Foster164317.2$0
Grand Forks3374419.5$148,325
Griggs140512.5$0
LaMoure136336.1$0
Logan136413.9$13,627
McHenry146160.9$175,053
McIntosh274517.6$26,272
McKenzie142328.6$0
McLean278348.7$8,278
Mercer186325.6$35,890
Morton5384331.0$100,596
Mountrail136372.2$0
Nelson3108245.4$111,138
Pembina264432.8$54,925
Ramsey178429.5$0
Ransom3134533.6$19,656
Richland283320.5$104,562
Rolette2612109.8$182,971
Sargent1251116.0$115,484
Stark3241510.8$0
Stutsman2179315.1$6,788
Towner128446.4$0
Traill3134422.4$48,302
Walsh2131337.4$53,238
Ward2217126.7$114,823
Wells16559.2$0
Williams2120333.3$11,408

Citations are the health citations of the last three survey cycles. Fines are the fines in the CMS penalties file, about three years.

Cities

Cities with two or more certified nursing homes. The number is the count of homes.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed the data on .

North Dakota in figures

The nursing homes in North Dakota have 4,909 certified beds. They have about 4,555 residents on an average day. 32% of the homes have a CMS overall rating of 1 or 2 stars. In the nation, the share is 41%. 19 homes have an overall rating of 5 stars.

The homes have 24.7 health citations for each 100 certified beds in the last three survey cycles. The figure for the nation is 26.8. CMS lists 71 fines with a total of $1,966,658 for these homes in its penalties file. CMS also lists 3 payment denials. 10 homes have the CMS abuse icon.

Nursing homes in North Dakota by CMS overall rating
Overall ratingHomesShareUS share
5 of 51926%20%
4 of 51318%19%
3 of 51622%19%
2 of 5913%20%
1 of 51419%21%

F-tags in the state

The requirements that the citations in this state name most often.

F-tags with the most citations in North Dakota, three survey cycles
F-tagRequirement (CMS text)Citations
F0880Provide and implement an infection prevention and control program.139
F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.116
F0641Ensure each resident receives an accurate assessment.71
F0658Ensure services provided by the nursing facility meet professional standards of quality.68
F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.64
F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.57
F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.50
F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.47
F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.40
F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.31
F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.26
F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.25

Chains in the state

Chains with nursing homes in North Dakota, in order of name
ChainHomes in North Dakota
Benedictine Health System6
Cassia2
Commonspirit Health1
Eduro Healthcare1
Good Samaritan Society10
North Shore Healthcare1
Sanford Health1
SMP Health5

Fines by year

The CMS penalties file holds about three years. The first year and the last year are not complete.

Fines for nursing homes in North Dakota by year, from the CMS penalties file
YearPenaltiesFines
20238$116,044
202431$938,042
202533$853,176
20262$59,396

Record by month

One page for each month: the surveys with citations, the penalties, and the changes in the CMS update of that month.

Monthly record of nursing homes in North Dakota, the latest month first
MonthSurveys with citationsCitationsPenaltiesFinesRecorded changes
August 2026000$00
July 2026110$00
June 20268280$00
May 20266210$00
April 202613570$00
March 20265270$00
February 20267220$00
January 20267232$59,3960
December 202515453$120,0150
November 20256104$237,9530
October 2025121$8,2810
September 20257402$48,9460
August 20258301$9,1100
July 202511222$26,4550
June 202512343$24,3960
May 20258473$42,2260
April 20259453$91,7220
March 20259266$179,8100
February 20257331$11,4080
January 202512284$52,8540
December 20246231$17,0630
November 2024692$60,4210
October 202410363$163,8140
September 20247271$31,6420

The site has no recorded change for North Dakota. It records changes at each CMS update.

Questions

How many nursing homes in North Dakota are Special Focus Facilities?
CMS lists 1 home in North Dakota as a Special Focus Facility and 5 as candidates. The table of homes on each county page and city page marks these homes.
Which F-tags have the most citations in North Dakota?
F-tag 880 has 139 citations in the last three survey cycles. F-tag 689 has 116. F-tag 641 has 71.
What changed in North Dakota in the last CMS update?
The site has no recorded change for North Dakota. At each CMS update, the site compares the tracked values of each home.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The CSV file on this page has one row for each home in North Dakota.