2026 Rankings

Best Nursing Homes in North Dakota

Top 25 nursing homes in North Dakota ranked by CareGrader’s A-F grading system, based on real CMS government inspection data.

73 total facilities3.2 avg rating1 Special Focus Facilities

How we rank: Facilities are ranked by CareGrader composite score (0-100), which combines CMS health inspections (35%), staffing levels (25%), quality measures (25%), and penalty history (15%). Read our methodology

#1
A

DAKOTA ALPHA

MANDAN, North Dakota

Score: 93.3/1005/5 CMS20 bedsNon profit - Corporation
#2
A

TOWNER COUNTY LIVING CTR

CANDO, North Dakota

Score: 92.3/1005/5 CMS28 bedsNon profit - Corporation
#3
A

RICHARDTON HEALTH CENTER INC

RICHARDTON, North Dakota

Score: 90.8/1005/5 CMS29 bedsNon profit - Corporation
#4
A

PRINCE OF PEACE CARE CENTER

ELLENDALE, North Dakota

Score: 90.8/1005/5 CMS55 bedsNon profit - Corporation
#5
A

ANETA PARKVIEW HEALTH CTR

ANETA, North Dakota

Score: 90.8/1005/5 CMS35 bedsNon profit - Corporation
#6
A

MISSOURI SLOPE

BISMARCK, North Dakota

Score: 90.8/1005/5 CMS37 bedsNon profit - Corporation
#7
A

ST BENEDICTS HEALTH CENTER

DICKINSON, North Dakota

Score: 90.8/1005/5 CMS120 bedsNon profit - Corporation
#8
B

SMP HEALTH - ST ALOISIUS

HARVEY, North Dakota

Score: 89.8/1005/5 CMS65 bedsNon profit - Church related
#9
B

BETHANY ON UNIVERSITY

FARGO, North Dakota

Score: 89.8/1005/5 CMS172 bedsNon profit - Corporation
#10
B

BETHANY ON 42ND

FARGO, North Dakota

Score: 89.8/1005/5 CMS116 bedsNon profit - Corporation
#11
B

FARGO ELIM HEALTH CARE CENTER

FARGO, North Dakota

Score: 89.8/1005/5 CMS88 bedsNon profit - Corporation
#12
B

HATTON PRAIRIE VILLAGE

HATTON, North Dakota

Score: 89.8/1005/5 CMS38 bedsNon profit - Corporation
#13
B

ST LUKES HOME

DICKINSON, North Dakota

Score: 89.3/1005/5 CMS88 bedsNon profit - Corporation
#14
B

SMP HEALTH - ST CATHERINE SOUTH

FARGO, North Dakota

Score: 88.3/1005/5 CMS98 bedsNon profit - Corporation
#15
B

ST GABRIEL'S COMMUNITY

BISMARCK, North Dakota

Score: 87.3/1005/5 CMS72 bedsNon profit - Corporation
#16
B

PEMBILIER NURSING CENTER

WALHALLA, North Dakota

Score: 86.8/1005/5 CMS31 bedsNon profit - Corporation
#17
B

PARKSIDE LUTHERAN HOME

LISBON, North Dakota

Score: 86.3/1004/5 CMS40 bedsNon profit - Corporation
#18
B

GRIGGS COUNTY CARE CENTER

COOPERSTOWN, North Dakota

Score: 84.8/1004/5 CMS40 bedsNon profit - Corporation
#19
B

MCKENZIE COUNTY HEALTHCARE SYSTEMS LONG TERM CARE

WATFORD CITY, North Dakota

Score: 84.8/1004/5 CMS42 bedsNon profit - Corporation
#20
B

ST ROSE CARE CENTER

LAMOURE, North Dakota

Score: 84.8/1004/5 CMS36 bedsNon profit - Corporation
#21
B

STRASBURG NURSING HOME

STRASBURG, North Dakota

Score: 83.8/1004/5 CMS30 bedsNon profit - Corporation
#22
B

ELM CREST MANOR

NEW SALEM, North Dakota

Score: 83.8/1003/5 CMS60 bedsFor profit - Corporation
#23
B

SMP HEALTH - AVE MARIA

JAMESTOWN, North Dakota

Score: 83.3/1005/5 CMS100 bedsNon profit - Corporation
#24
B

SMP HEALTH - ST RAPHAEL

VALLEY CITY, North Dakota

Score: 82.3/1004/5 CMS170 bedsNon profit - Church related
#25
B

SHEYENNE CROSSINGS CARE CENTER/TCU

WEST FARGO, North Dakota

Score: 82.3/1004/5 CMS64 bedsNon profit - Corporation
View All Nursing Homes in North Dakota

About Nursing Homes in North Dakota

North Dakota has 73 Medicare-certified nursing homes. CareGrader grades every facility from A to F using official CMS (Centers for Medicare & Medicaid Services) government data, including surprise health inspections, Payroll-Based Journal staffing audits, quality measures, and enforcement actions.

The average CMS star rating across all nursing homes in North Dakota is 3.2 out of 5 stars. There is currently 1 Special Focus Facility in North Dakota — nursing homes flagged by CMS for a persistent history of serious quality issues.

The rankings above show the top 25 nursing homes in North Dakota by CareGrader composite score. Scores are recalculated monthly when CMS publishes updated datasets. Read our full methodology to understand how grades are calculated.

Frequently Asked Questions

What is the best nursing home in North Dakota?

Based on CareGrader's analysis of CMS government data, DAKOTA ALPHA in MANDAN is the highest-rated nursing home in North Dakota with a grade of A (score: 93.3/100). Rankings are based on health inspections (35%), staffing (25%), quality measures (25%), and penalty history (15%).

How many nursing homes are in North Dakota?

There are 73 Medicare-certified nursing homes in North Dakota. CareGrader grades each one from A to F based on CMS health inspection, staffing, quality, and penalty data.

How does CareGrader rank nursing homes in North Dakota?

CareGrader assigns A-F grades using a composite score (0-100) that combines four dimensions of CMS government data: health inspections (35% weight), staffing levels from Payroll-Based Journal data (25%), quality measures (25%), and penalty history including fines (15%). Grade A = 90-100 (Excellent), B = 80-89 (Good), C = 70-79 (Average), D = 60-69 (Below Average), F = below 60 (Poor). Data is updated monthly.

What is the average nursing home rating in North Dakota?

The average CMS star rating for nursing homes in North Dakota is 3.2 out of 5 stars. Use CareGrader to find facilities that score above this average.