State data · CMS September 2026
Nursing homes in North Dakota
North Dakota has 72 nursing homes certified for Medicare or Medicaid, with 4,909 certified beds and a median occupancy of 94.5% (US median 85.7%). 6% are for-profit, 92% nonprofit and 3% government-owned, and 38% belong to a chain or affiliated group. HUD has endorsed 0 FHA-insured Section 232 nursing home loans in North Dakota since fiscal 2001, totaling $0 billion in original principal, 0 of them since fiscal 2021.
- Facilities
- 72
- Certified beds
- 4,909
- Median occupancy
- 94.5%
- Median nurse hours / resident day
- 4.37
- HUD 232 loans since FY2001
- 0
Star ratings
CMS overall ratings for the 71 rated North Dakota facilities. 1 are Special Focus Facilities and 5 are candidates, the CMS list for homes with a history of serious quality problems.
Ownership
| Measure | North Dakota | Share |
|---|---|---|
| For-profit | 4 | 6% |
| Nonprofit | 66 | 92% |
| Government | 2 | 3% |
| Changed ownership in the last 12 months | 0 | 0% |
| Private equity owner self-reported to CMS | 0 | 0% |
| REIT owner self-reported to CMS | 0 | 0% |
Largest chains and affiliated groups in North Dakota
- Good Samaritan Society: 10 facilities
- Benedictine Health System: 6 facilities
- Smp Health: 5 facilities
- Cassia: 2 facilities
- Eduro Healthcare: 1 facility
- Commonspirit Health: 1 facility
- Sanford Health: 1 facility
- North Shore Healthcare: 1 facility
Facilities with HUD Section 232 history
None of North Dakota's current facilities matched a loan in HUD's healthcare endorsement database.
Largest by certified beds
- Valley Senior Living on Columbia, Grand Forks: 196 beds
- Missouri Slope, Bismarck: 192 beds
- Bethany on University, Fargo: 172 beds
- Smp Health - St Raphael, Valley City: 170 beds
- Trinity Homes, Minot: 141 beds
- Baptist Health & Rehab, Bismarck: 140 beds
- Woodside Village, Grand Forks: 138 beds
- Sunset Drive - a Prospera Community, Mandan: 128 beds
- Smp Health - St Catherine North, Fargo: 125 beds
- St Benedicts Health Center, Dickinson: 124 beds
Every North Dakota facility
The full list is sorted by city, on one page.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.