Assisted living in North Dakota
137 licensed communities, listed alphabetically. North Dakota publishes no bulk inspection or complaint record, so these are not ranked by inspection history.
We don’t publish this state’s inspection record yet — so nothing below is ranked by it.
Assisted living is licensed by the state, not Medicare, and North Dakota Dept. of Health & Human Services doesn’t release its inspection and complaint records as a bulk file we can ingest. Several states in this position still let you look up one community at a time on their own site — so the record may well exist; we just don’t have it. We will not invent one: no community below is marked clean, because we have nothing to clear it with. To check a specific community, ask North Dakota HHS ↗ for its inspection and complaint history, or call your Long-Term Care Ombudsman ↗ — a free, independent advocate.
What North Dakota licenses — and why this total isn’t comparable to another state’s
There is no national definition of “assisted living.” Each state decides what it licenses and what to call it, so a state total counts whatever that state chose to license — state counts on this site are not comparable to each other, and a bigger number does not mean more assisted living. Here that total is:
- 70 Assisted living
- 67 BC
10 of these (7%) are licensed for 6 beds or fewer — residential homes rather than the apartment-style communities most families picture. They are real licensed care and we list them, but filter by beds if that is not what you are looking for.
Memory care isn’t marked here — because the state doesn’t publish it.
North Dakota Dept. of Health & Human Services’s licensing file carries no memory-care or dementia-unit designation, so we cannot tell you which of these communities has one. There certainly are memory-care communities in this state — we just have no authoritative list of them, and we won’t guess from a community’s name. Ask any community directly whether it runs a secured dementia unit, and ask your Long-Term Care Ombudsman ↗ which local communities take dementia residents.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
† Memory care is our estimate, not survey data: CareScout does not survey memory care, so we take the assisted-living median for the state and add $1,200/month — the typical secured-dementia-unit premium. It is a planning figure with no state-level detail behind it, and real memory-care pricing varies far more than that. Treat it as a starting point and ask the community for its own memory-care rate.
Estimated cost range · regional
In North Dakota, assisted living typically runs about $3,800–$5,650/month.
This is a regional estimate modeled from published survey data (the CareScout/Genworth state median, ±20%) — not this community’s actual price, which it sets privately. Ask the community for its current all-in monthly rate and what each care level adds.
Paying with Medicaid
North Dakota Medicaid can help pay for assisted living — through a waiver, not through regular Medicaid.
The North Dakota waiver that can pay for it:
- Aged and Disabled (A&D) Waiver — covers in-home personal care / adult day / home modifications / assisted living
In North Dakota: apply or check eligibility ↗ or call 1-866-614-6005.
A waiver pays for care, not for rent. Even where the state covers assisted-living services, room and board is still the resident’s to pay. Full eligibility limits — income, assets, the look-back — are on our North Dakota Medicaid page.
137 communities — scroll within the box to see all.