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Costs of Assisted Living in North Dakota

Although Assisted Living is expensive, it is sometimes necessary when a person can’t be safe or cared for in their own home. Assisted Living provides 24-hour care, housekeeping, meals, housing, medical care, and a safe environment. In America, the average cost for a monthly stay in an Assisted Living Facility is $3,628. In North Dakota, the state median for a month of care in an Assisted Living Facility costs $3,340 which is almost $300 less than the average cost of Assisted Living nationwide. The difference in cost is due, in part, to the cost of housing being lower in North Dakota than the costs across the country.

The cost of care in an Assisted Living facility also varies across the state, yet in North Dakota the state average is $3,340 for the towns that we have listed below and $2,950 is the average in the rest of the state. Often, the costs of Assisted Living vary across the state as well as within specific cities and facilities. In facilities that use tier-based systems, the resident or prospective resident is charged based on the level of care required for them to live safely in an Assisted Living Facility community. It should also be noted that Alzheimer’s and memory care patients may see increased costs of assisted living in North Dakota and other states.

Adult Day Health Care and Home Health Aides are other senior living options to help care for seniors and these options are often preferred as they allow seniors to stay in their homes. However, these costs are expensive as well. A Home Health Aide in North Dakota costs, on average, $5,331 a month – almost $64,000 per year. Adult Day Care in North Dakota costs on average $1,685 monthly or almost $20,220 annually.

It is important to remember that the cost of Adult Day Health Care is based on 5 days a week and usually is only for 12 hours a day at most. The cost of a Home Health Aide is based on a 44-hour week and they do not have the licensed nurses that Assisted Living Facilities provide. The high cost of Home Health Aides in North Dakota may be related to the higher cost of health care as well as the low rate of unemployment. Experts forecast that over the next five years, the prices of Home Health Aides costs will increase 4%, and Adult Day Health Care will increase 3%.

For seniors with higher level medical needs, Nursing Facility Care is necessary. This is also true for those with severe dementia or Alzheimer’s disease as the mid to end stages of dementia make it nearly impossible to care for someone in their home. It is estimated that a semi-private room in a Nursing Facility in North Dakota costs almost $11,000 per month – $130,860 per year, and a private room will cost around $11,000 monthly – $129,276 annually. It is interesting, and unusual, that the costs of a semi-private room are so close in price to that of a private room. Experts project that the costs of North Dakota skilled nursing care will increase 14% for semi-private rooms and 11% for private rooms in the next five years.

By the year 2030, as the number of seniors needing care increase, the regulations on facilities will also increase. It is projected that the cost of Assisted Living in North Dakota will be close to $60,625 per year, and the cost of Nursing Homes will increase to almost $195,000 for a semi-private room and almost $195,600 for a private room. The costs of Adult Day Care will be around $30,600 and a Home Health Aide will cost almost $96,800 annually.

            These are the latest approximate costs of a monthly stay in an Assisted Living Facility in different areas of North Dakota:

  • Grand Forks, North Dakota - $3,019;
  • Bismarck, North Dakota - $3,610; and
  • Fargo, North Dakota - $3,654.

Assisted living services and amenities in North Dakota

Assisted living facilities in North Dakota provide a wide range of services and amenities designed to support the health, well-being, and independence of residents. These facilities cater to seniors who need assistance with daily activities but do not require full-time nursing care. Here are some of the key services and amenities you can expect to find in North Dakota’s assisted living communities:

1. Personal Care and Assistance

  • Daily Living Assistance: Help with tasks like bathing, dressing, grooming, and toileting. Staff are available to assist with mobility and ensure residents’ comfort and dignity.
  • Medication Management: Trained staff assist residents with medication administration and monitor prescriptions to ensure proper dosage and timing.
  • Meal Preparation and Dietary Support: Nutritious, chef-prepared meals are offered, with special diets accommodated based on health needs such as low-sodium or diabetic diets. Dining areas are typically designed to create a social atmosphere.

2. Health and Wellness Services

  • On-site Nursing Services: Some facilities have licensed nurses available for routine health checkups, blood pressure monitoring, and care coordination.
  • Physical, Occupational, and Speech Therapy: Many facilities offer rehabilitation services to help residents regain or maintain mobility and speech skills. These therapies can be arranged on-site or through visiting professionals.
  • Regular Health Screenings and Monitoring: Routine wellness checks, such as monitoring blood sugar levels, weight, and vital signs, are offered to ensure that health conditions are well-managed.

3. Social and Recreational Activities

  • Organized Social Activities: North Dakota assisted living facilities often provide a variety of social activities, such as arts and crafts, music sessions, movie nights, and holiday celebrations to keep residents engaged.
  • Exercise and Fitness Programs: Facilities may offer fitness classes, walking clubs, and other exercise programs designed to maintain mobility and strength.
  • Outdoor Spaces: Many facilities provide landscaped gardens, walking paths, and patios, allowing residents to enjoy fresh air and socialize outdoors.

4. Transportation Services

  • Scheduled Transportation: Transportation services are available for scheduled outings such as trips to medical appointments, shopping, and social events. This ensures residents can maintain their independence even without personal vehicles.

5. Housekeeping and Laundry

  • Routine Housekeeping: Staff handle regular cleaning and maintenance of private rooms and common areas, ensuring a clean and comfortable environment.
  • Laundry Services: Assisted living facilities typically provide laundry services, including washing, drying, and folding personal clothing and linens.

6. Safety and Security

  • 24-Hour Staffing and Emergency Response: Many facilities have on-site staff available 24/7 to provide assistance and respond to emergencies. Security systems such as alarms and cameras are also common to ensure resident safety.
  • Emergency Call Systems: Residents have access to emergency call systems in their rooms and common areas to get immediate help when needed.

7. Private and Shared Living Options

  • Private Rooms and Apartments: North Dakota assisted living communities offer a variety of living options, including private rooms or apartments with private bathrooms, kitchens, and living areas. Some may also offer shared accommodations.
  • Customization of Living Spaces: Many facilities allow residents to bring their own furniture and personal items to make their living spaces more comfortable and familiar.

8. Spiritual and Religious Services

  • Chapel Services and Pastoral Care: Many facilities provide spiritual support, offering chapel services, Bible studies, or other religious activities. Some facilities in North Dakota may partner with local churches or religious organizations to provide spiritual care.

9. Pet-Friendly Amenities

  • Pet Policies: Certain assisted living communities in North Dakota welcome pets, offering designated areas for pets to play or walk, and allowing residents to bring their animals for companionship.

10. Memory Care Services

  • Specialized Memory Care: Some North Dakota assisted living facilities offer dedicated memory care services for residents with Alzheimer's, dementia, or other cognitive impairments. These services often include specialized programs, secure environments, and trained staff to ensure safety and improve quality of life.

Types of North Dakota Assisted Living Communities

North Dakota offers a variety of assisted living communities tailored to meet the needs of seniors. Each type of community offers unique amenities, services, and atmospheres, catering to a broad range of preferences and health needs. Below are some specific types of assisted living options available in the state.

1. Rural Assisted Living Communities

Rural assisted living communities in North Dakota tend to focus on providing a quiet, peaceful environment for residents who prefer a more tranquil lifestyle. These communities are often located in smaller towns and offer a more personal, tight-knit atmosphere. Many residents enjoy the slower pace and close connections within the community. While healthcare services may not be as abundant as in larger urban areas, rural facilities are well-equipped to provide basic care and often collaborate with nearby hospitals for medical services.

2. Urban Assisted Living Communities

In larger cities like Fargo, Bismarck, and Minot, assisted living communities tend to have a more bustling environment. These urban centers offer access to a variety of cultural events, shopping, dining, and other recreational activities, which may appeal to seniors looking for a more active lifestyle. Urban communities in North Dakota are more likely to offer enhanced medical services, including access to specialized healthcare providers and clinics, while maintaining a focus on independent living with varying levels of assistance.

3. Memory Care Assisted Living

Memory care communities cater specifically to residents with Alzheimer’s disease, dementia, or other cognitive impairments. These communities in North Dakota are designed to provide specialized care with safety features like secure environments and trained staff to manage the complex needs of residents. Memory care units may be part of a larger assisted living facility or standalone, offering a higher level of supervision, therapy services, and activities aimed at cognitive stimulation. North Dakota’s memory care communities often emphasize both emotional support and medical attention to help residents live with dignity.

4. Luxury Assisted Living Communities

Some North Dakota seniors may opt for a more upscale assisted living experience. Luxury assisted living communities are typically found in urban centers and are equipped with high-end amenities like gourmet dining, spa services, fitness centers, and concierge services. These communities often offer beautifully appointed living spaces and may provide additional services such as transportation, housekeeping, and social events. While these facilities can be more expensive, they are ideal for seniors who desire comfort, style, and a wide range of recreational activities.

5. Faith-Based Assisted Living

In North Dakota, several assisted living communities are operated by religious organizations or are grounded in specific faith traditions. These faith-based facilities often incorporate spiritual care into daily life, offering religious services, prayer groups, and chaplain services. Some faith-based communities may provide more opportunities for community involvement and volunteerism, reflecting the values and teachings of their specific religious denominations. These communities tend to attract residents who prefer to live in an environment that supports their faith-based lifestyle.

6. Continuing Care Retirement Communities (CCRCs)

A Continuing Care Retirement Community (CCRC) offers a continuum of care, meaning residents can move through different levels of assistance as their needs change over time. These communities in North Dakota provide everything from independent living to assisted living and skilled nursing care, allowing seniors to age in place. This type of community is ideal for seniors who want the flexibility to access higher levels of care without needing to move to a different facility. CCRCs are common in larger cities in North Dakota and tend to offer extensive social, recreational, and medical services to support aging residents.

7. Veterans Assisted Living Communities

North Dakota is home to a significant number of military veterans, and several assisted living communities cater specifically to this population. Veterans’ communities offer specialized care that takes into account the unique needs of former service members. These communities may provide access to veterans’ benefits, social events tailored to veterans, and healthcare services that are knowledgeable about veterans' medical histories. Veterans’ assisted living facilities also foster camaraderie and respect among residents who share similar life experiences.

8. Homelike Assisted Living Communities

Homelike communities in North Dakota focus on creating a family-like environment where residents feel like they are part of a close-knit household. These facilities often have a smaller capacity and focus on providing personalized care in a home-like setting, where residents can feel more independent. These types of communities are especially suited for seniors who value comfort and familiarity and may prefer the environment to feel more like a traditional home rather than an institution. Staff members are typically very involved with residents, providing customized care and fostering a strong sense of belonging.

9. Respite Care Assisted Living

Respite care communities provide temporary stays for seniors who need a short-term care solution. This is especially useful for family caregivers who need a break from caregiving duties. Respite care in North Dakota offers all the amenities of standard assisted living communities, with specialized services designed to ensure that residents are well taken care of during their short stay. This type of community allows seniors to receive medical care, meals, and social interaction while offering their family caregivers peace of mind.

10. Pet-Friendly Assisted Living

Some assisted living communities in North Dakota allow pets, which can be an important factor for seniors who want to keep their beloved animals with them. Pet-friendly assisted living facilities may allow small pets, such as cats and dogs, and provide pet care services, including grooming or walking assistance. These communities offer an added layer of comfort, as having a pet can help reduce feelings of loneliness and provide emotional support to residents.

Safety and security measures in North Dakota assisted living facilities

In North Dakota, assisted living facilities are required to adhere to a range of safety and security measures to ensure the well-being of residents. These measures are designed to address the unique needs of elderly and disabled individuals, promoting a safe, secure, and comfortable living environment. Below are some key safety and security protocols commonly implemented in North Dakota assisted living facilities:

1. Staff Training and Certification

Assisted living facilities in North Dakota are required to employ trained staff who are certified in areas such as emergency response, first aid, CPR, and recognizing signs of elder abuse. Staff members undergo regular training to ensure they can handle various emergency situations, including medical, fire, and natural disasters. The certification ensures that staff are prepared to assist residents effectively and safely.

2. Emergency Response Systems

North Dakota facilities are equipped with emergency response systems, such as pull cords, emergency call buttons, and monitoring systems in residents' rooms. These systems enable residents to immediately alert staff members in case of an emergency. These facilities are also required to have a clear evacuation plan in place in case of fires, severe weather, or other emergencies, with designated routes and regular drills.

3. Security Personnel and Access Control

Many North Dakota assisted living facilities provide 24-hour security personnel or have monitoring systems to ensure the safety of residents. This may include surveillance cameras in public areas, restricted access to certain parts of the building, and security checkpoints at entrances. Residents often have key cards or entry codes for accessing the facility to prevent unauthorized individuals from entering.

4. Medication Management and Supervision

In North Dakota, assisted living facilities must implement strict medication management protocols to ensure residents take the correct medications at the correct times. This may include staff assistance for medication administration or secure storage of medications in locked cabinets or specialized rooms to prevent misuse or errors. Regular audits of medication supplies are required to monitor safety.

5. Fire Safety

Fire safety is a top priority in North Dakota assisted living facilities, with fire alarms, smoke detectors, fire extinguishers, and sprinkler systems installed throughout the building. Regular fire drills are conducted to ensure both residents and staff are familiar with evacuation procedures. In some cases, facilities are also required to have fire-resistant construction materials and ensure that exits are clearly marked and unobstructed.

6. Fall Prevention Measures

Fall prevention is another major safety focus in North Dakota assisted living facilities. These facilities are designed with features like handrails, non-slip floors, wide hallways, and wheelchair accessibility to minimize the risk of falls. Additionally, staff are trained to assist residents with mobility needs and to monitor for fall hazards in both private and common areas.

7. Resident Supervision

To promote safety, North Dakota regulations require that residents in assisted living facilities receive appropriate supervision based on their individual needs. While some residents may require full-time supervision due to cognitive or physical limitations, others may have more independence. The facility must ensure that staff-to-resident ratios are sufficient to meet the needs of all individuals and provide constant monitoring.

8. Background Checks and Criminal History Screening

Before being hired, all staff members in North Dakota assisted living facilities must undergo thorough background checks, including criminal history screenings. This ensures that individuals with criminal records that could pose a risk to the safety of residents are not employed. Facilities are also required to perform periodic background checks on existing employees.

9. Environmental Safety

To prevent accidents and injuries, North Dakota assisted living facilities must adhere to environmental safety standards. This includes maintaining clean, well-lit, and hazard-free environments, ensuring that furniture and equipment are properly maintained, and conducting regular safety inspections of the premises. Additionally, emergency exits are regularly checked to ensure they remain accessible and functional.

10. Resident Rights and Abuse Prevention

Assisted living facilities in North Dakota are required to establish policies and practices to prevent elder abuse, neglect, and exploitation. Staff members are trained to recognize signs of abuse and to report any concerns immediately. Residents are informed of their rights to live in a safe and secure environment and are encouraged to voice any concerns they might have regarding their care or treatment.

11. Health and Medical Safety

Regular health assessments are a standard procedure in North Dakota assisted living facilities. This includes monitoring residents' physical and mental health, updating care plans, and ensuring that medical emergencies are handled appropriately. Facilities must ensure that residents have access to medical professionals, such as doctors and therapists, when needed.

12. Transportation Safety

For residents who need transportation to medical appointments or outings, facilities in North Dakota are required to have safe and accessible transportation options. This may include vehicles equipped for wheelchairs or other mobility devices, along with trained drivers who are knowledgeable about safety protocols when assisting residents.

Moving to North Dakota Assisted Living Facilities

Moving to an assisted living facility in North Dakota requires thorough planning and understanding of the state’s unique features. From the choice of community to specific state regulations, here is a detailed guide to help you navigate the transition smoothly.

1. Researching the Right Area in North Dakota

North Dakota offers diverse living environments, from rural small towns to bustling cities. Consider whether you prefer a quiet, serene setting or one near more urban amenities. Cities like Fargo and Bismarck provide a wider range of services, medical facilities, and social activities. Rural areas, on the other hand, may offer more peaceful environments but fewer resources.

2. Understanding State Regulations for Assisted Living

North Dakota’s Department of Health oversees the regulations for assisted living facilities. They ensure that facilities meet state standards for care, safety, and staffing. Each facility must be licensed by the state, and you can review inspection reports and compliance records for each. Regulations cover aspects like resident rights, staffing levels, safety protocols, and food services.

3. Evaluating Facilities and Services

Not all assisted living facilities in North Dakota are the same. While most offer personal care services, some may provide specialized care, such as memory care for those with Alzheimer's or dementia. It's essential to determine the type of care needed, including daily living assistance, medication management, and physical therapy. Tour the facilities, meet staff members, and assess the quality of life based on resident testimonials.

4. Assessing Cost and Payment Options

Costs for assisted living in North Dakota can vary depending on the facility, location, and level of care required. The average monthly cost can range from $3,000 to $4,500, but it's important to obtain detailed price breakdowns. Understand the pricing structure, which may include base rates plus additional charges for extra services. Check for options like Medicaid waivers, Veteran’s Benefits, and long-term care insurance, which may help cover the costs.

5. Transportation and Access to Healthcare

North Dakota's vast rural areas can present challenges when it comes to transportation. When choosing a facility, consider its proximity to medical facilities, hospitals, and specialist care. Some assisted living facilities offer transportation services for medical appointments, shopping, and recreational activities. In more rural areas, access to healthcare might be limited, so it's important to plan for transportation or nearby medical resources.

6. Exploring Activities and Social Engagement

North Dakota offers a range of recreational activities for seniors in assisted living, such as cultural events, nature excursions, and social gatherings. In larger cities like Fargo and Bismarck, you’ll find more access to theaters, museums, and other entertainment venues. Smaller towns often offer a close-knit community with local clubs, churches, and volunteer opportunities. When considering a facility, inquire about the activities they offer to ensure there’s ample social engagement for your loved one.

7. Weather Considerations

North Dakota is known for its extreme winters, with heavy snow and freezing temperatures. It’s crucial to evaluate the facility’s preparedness for these conditions, including reliable heating systems, snow removal, and emergency preparedness plans. Winter months can lead to isolation for residents, so check if the facility has indoor activities or transport services that can help combat cabin fever.

8. Family and Visitor Support

Staying connected with loved ones is important when transitioning to an assisted living facility. In North Dakota, some facilities may offer family support services, such as counseling or regular meetings with staff to discuss your loved one's care. It’s also essential to know the visitation policies and whether the facility has spaces for private family visits. Consider if the location allows for easy visits from family and friends, especially if they live in other parts of the state.

9. Legal and Financial Considerations

Before moving to an assisted living facility in North Dakota, it's vital to understand the legal and financial aspects. If the individual moving has health insurance or Medicaid, ensure the facility is approved for these programs. Additionally, review the legal documents, including powers of attorney, advance directives, and living wills. It might be helpful to consult with a lawyer specializing in elder care to ensure everything is in place before making the move.

10. Long-Term Care Planning

If you plan on staying in assisted living for an extended period, consider facilities that offer a continuum of care. Some facilities in North Dakota provide options that transition from independent living to assisted living and even skilled nursing care, ensuring continuity as care needs change. Researching these options in advance can provide peace of mind for the future, ensuring your loved one’s care needs will always be met.

Assisted Living Regulations and Requirements in North Dakota

In North Dakota, assisted living facilities (ALFs) are regulated under the North Dakota Administrative Code by the North Dakota Health and Human Services department. They are required to adhere to specific state regulations to ensure the safety and well-being of residents. These regulations set forth standards for the operation, staffing, and resident care, among other essential aspects of assisted living. Below is a detailed overview of the key regulations and requirements for assisted living in North Dakota.

1. Licensing Requirements

To operate an assisted living facility in North Dakota, a provider must obtain a license from the North Dakota Department of Human Services (NDDoHS). The licensing process includes the submission of an application that provides details about the facility, its services, staffing, and physical environment. The application is reviewed by the NDDoHS to ensure that the facility meets all health and safety standards.

Once licensed, facilities must renew their license annually, and periodic inspections are conducted to ensure compliance with state regulations. Facilities must also notify the NDDoHS of any changes in operations or ownership.

2. Staffing and Training

Assisted living facilities must employ staff with appropriate training to provide care to residents. The regulations outline minimum staffing requirements, which are based on the number of residents and their care needs. Staff must be trained in areas such as resident rights, emergency procedures, infection control, and the proper care of individuals with dementia or other cognitive impairments.

Direct care staff must also undergo criminal background checks to ensure they meet the state’s standards for working with vulnerable populations. Additionally, staff members are required to complete ongoing training to stay current with best practices in caregiving and safety.

3. Resident Rights

North Dakota law mandates that all residents in assisted living facilities are entitled to certain rights. These include the right to privacy, dignity, and autonomy in decision-making. Facilities are required to respect and protect the personal rights of residents, including their right to:

  • Make decisions about their care and services
  • Participate in social, recreational, and community activities
  • Be free from abuse, neglect, and exploitation
  • Access their personal records and communicate with family or legal representatives

Facilities must also establish grievance procedures to address complaints or concerns from residents or their families.

4. Physical Environment and Safety Standards

Assisted living facilities must comply with building codes and safety regulations to ensure a safe living environment. This includes the installation of necessary fire safety equipment such as smoke detectors, sprinklers, and fire alarms. Facilities must also have emergency evacuation plans and conduct regular drills to ensure that staff and residents are prepared for emergencies.

The physical environment should be designed to accommodate the needs of elderly or disabled residents, including accessible bathrooms, hallways, and entryways. The facility must maintain a clean and sanitary environment, with regular housekeeping and pest control practices in place.

5. Care and Services

North Dakota regulations require that assisted living facilities provide a range of services to meet the needs of residents, including assistance with activities of daily living (ADLs) such as bathing, dressing, and eating. The level of care provided is determined by the individual care plan for each resident, which is developed in consultation with the resident, their family, and a healthcare provider.

In addition to personal care, facilities may offer medical services, such as medication management, health monitoring, and coordination with external healthcare providers. Facilities must also ensure that residents have access to transportation for medical appointments and other essential services.

6. Medication Management

Assisted living facilities in North Dakota must have policies and procedures in place for the safe administration and storage of medications. Staff must be trained in medication management, and residents who require assistance with medications must have their needs addressed by qualified personnel. The facility is responsible for ensuring that residents' medications are administered according to their prescribed schedules and that any side effects or concerns are promptly addressed.

7. Admission and Discharge Criteria

Facilities must have clear policies regarding the admission and discharge of residents. The admission policy must include an assessment of the prospective resident’s care needs, and the facility must be able to provide the necessary services. If a resident’s condition changes in a way that the facility can no longer meet their needs, the facility is required to assist with finding alternative care arrangements.

8. Health and Medical Services

While assisted living facilities in North Dakota do not provide 24-hour nursing care, they must ensure access to necessary medical services. This includes coordination with external healthcare providers, such as physicians, nurses, and therapists, to address the health needs of residents. Facilities must also have protocols in place for managing health emergencies, including the ability to provide immediate first aid and transportation to medical facilities if needed.

9. Financial and Billing Requirements

North Dakota regulations specify that assisted living facilities must provide clear and transparent billing practices. This includes informing residents and their families of the costs associated with the facility's services and any additional charges for special care or services. Facilities are required to provide written agreements outlining the terms of service, fees, and payment schedules.

10. Inspections and Enforcement

The North Dakota Department of Health conducts regular inspections of assisted living facilities to ensure compliance with state regulations. Inspections are unannounced and can occur at any time during the year. Facilities that do not comply with regulations may face corrective actions, including fines, suspension of their license, or closure. In some cases, facilities may be required to submit a plan of correction and undergo follow-up inspections to ensure compliance.

North Dakota Senior Living CommunitiesNorth Dakota is the 39th state of the United States and was admitted to the Union on November 2, 1889. It is in the Upper Midwestern region of the United States in the region known as the Great Plains and is bordered by the Canadian provinces of Saskatchewan and Manitoba to the North, Minnesota to the east, South Dakota to the south, and Montana to the west.  North Dakota is the 19th largest state by area, with 70,698 square miles, and with approximately 757,952 residents it is the 47th most populated state. The population density is 11.7 people per square mile which is also the 47th in the nation.

The central part of North Dakota divides into the Drift Prairie and the Missouri Plateau, while the eastern part of the state is mainly flat and is where the Red River Valley is located. Devil’s Lake, the largest natural lake in the state, is also found in eastern North Dakota. The capital of North Dakota is Bismarck, but the largest city is Fargo and the Fargo Metropolitan Area. The original North Dakota State Capital burned to the ground in 1930. It was replaced by a limestone-faced art deco skyscraper that is still standing today. Fargo, largest city, is also the home of the second-largest campus of Microsoft with 1,700 employees. North Dakota is the only state in the Union with a state-owned bank, the Bank of North Dakota in Bismarck, and a state-owned flour mill, the North Dakota Mill and Elevator in Grand Forks. Agriculture plays a large role in North Dakota, ranking 9th in the United States.

North Dakota may not be a popular state for retirees yet from a numbers standpoint, and in fact it rates 37th out of the 50 states as far as senior population goes, with 14.16% of residents of North Dakota being age 65 or older. However, is North Dakota a state that you should consider when looking for senior living communities and assisted living?

Pros and Cons of Senior Living in North Dakota

Here are some important to consider for seniors when choosing whether to retire to North Dakota:

  • Cost of Living - North Dakota has a lower cost of living than most other states, with housing is the biggest factor in the cost of living difference. Out of 100 points, North Dakota ranked lower than the national average with a cost of living of 82.80. North Dakota rated higher than the average overall (82) and the categories of health (94), groceries (92.2), housing (54), utilities (97), and miscellaneous (95.) Only transportation was higher than 100 at 102.
  • Crime Rate – the rate of crimes in North Dakota State is lower than the national average – both property and violent crimes. In terms of violent crimes, North Dakota’s rate of violent crimes is 2.39, while the United States average is 3.8 for violent crimes. Regarding property crimes, the rate is 21.25 in North Dakota, and it is 26 in the nation. The chances of become a victim of a violent crime in North Dakota is 1 in 418 and 1 in 47 for property crimes. North Dakota has a crime rate of 17 crimes per square mile, which is lower than the national median of 32.85, yet this may be partially due to the low population density in the state of North Dakota;
  • Taxes – North Dakota is somewhat tax-friendly towards seniors. Social Security Income is partially taxed and withdrawals from retirement accounts are fully taxed. The taxes on wages are 1.1%. Private and public pensions in North Dakota are partially taxed;
  • Unemployment – North Dakota has an unemployment rate of 3.40, and job growth is negative 0.72%. Over the next ten years it is predicted that job growth will be over 36.06%. The unemployment rate is higher in North Dakota than the US average of 5.20%, while recent job growth is not only lower than the United States average, but it is in the negative. Future job growth is also lower when compared to the U.S. average, which is 36.06% and 37.98% respectively;
  • Health – North Dakota state has an average of 179 physicians per 100,000 residents, lower than the US average of 210. Other health indices that are rated (with 100 being the best): Air quality – 83 in North Dakota, 58.4 nationwide; Water Quality – 53 in North Dakota, 55 nationwide; Superfund sites – 98.7 in North Dakota, 86.9 nationwide; and Health Cost – 102.9 in North Dakota, 100 nationwide; and
  • Weather – North Dakota has around 18.50 inches of rainfall annually, while the United States has only 39.2, and the average snowfall is 32.25 compared to the national average of 25.8. There are 42.57 days of precipitation, lower than the 102 days that is the national average, but it has 201 sunny days which is close to the United States of 205. The July average temperature in North Dakota is close to 82°, lower than the 86° in the rest of the nation, yet the temperatures in January average 0.755° which is much colder than the 22.6° found elsewhere in the United States. The “comfort index” is 43 in this state while the national average is 54. Finally, the UV Index is 3.1 in the state of North Dakota, which is lower than the average in the United States of 4.3.

Places of Interest for Seniors Living in North Dakota

North Dakota has attractions that are interesting for people of all ages and has outdoor activities for all seasons. Here are some ideas of things that senior citizens may enjoy in North Dakota:

  • North Dakota Heritage Center & State Museum – located in Bismarck, North Dakota. This is the largest museum in the state of North Dakota and has four galleries which illustrate the state’s history from the geological formations of 600 million years ago up until the present day.
  • Scandinavian Heritage Park – located in the Upper Brooklyn neighborhood of Minot, North Dakota – this unusual attraction features replicas and monuments representing each of the Scandinavian countries: Norway, Sweden, Denmark, Finland, and Iceland. An impressive 40% of the population of Minot is of Scandinavian descent. This park was established in 1988 to both celebrate and to preserve the heritage of the Scandinavian counties.
  • Chatuea de Mores – located in Medora, North Dakota – a historic home built in 1882 by the Marquis de Morès as a hunting lodge and a summer home for family and guests. The house has 26 rooms and is now part of a 128-acre Chateau de Mores Historic Site which also includes Chimney Park and de Mores Memorial Park. It was built by the Marquis, a French aristocrat, who came to the Dakota badlands to start a cattle operation. It currently is a museum operated by the State Historical Society of North Dakota and is open to the public with guided tours available. It was added to the National Register of Historic Places in 1975.
  • On-a-Slant Village – located in Fort Abraham Lincoln State Park, Mandan, North Dakota – part of Fort Abraham Lincoln State Park, the On-A-Slant Village was established in the late 16th century and inhabited until the late 1700s when the Mandan tribe was virtually wiped out by smallpox.
  • The Dakota Zoo – located in Bismarck, North Dakota – founded in 1961 by Marc and Betty Christianson with a group of dedicated volunteers and on 15-acres of land with only 75 mammals and 23 birds. Today, the Dakota Zoo has flourished into a 90-acre facility with 600 animals, birds, reptiles, and fish and is visited by more than 150,000 people annually.
  • Lewis and Clark Riverboat – located in Bismarck, North Dakota. The Lewis and Clark Riverboat is the finest passenger vessel on the upper Missouri River. It was privately owned for a while, but is now both owned and operated by the Fort Abraham Lincoln Foundation.
  • The Enchanted Highway – located near Regent, North Dakota. This road has no highway number but is distinguishable by the large scrap metal sculptures that are found along the 32-mile stretch of highway in the southwestern part of the state.
  • Fort Union Trading Post – located in Williston, North Dakota. Known as the Grandest Fort on the Upper Missouri River, this fort was the most important fur trading post on the Missouri River. The Assiniboine and six other Northern Plains Indian Tribes exchanged buffalo robes and smaller furs for good from around the world. The post annual traded over 25,000 buffalo robes and around $100,000 in merchandise.
  • Sitting Bull – located in Williston, North Dakota. This is a memorial to Sitting Bull, the most revered of the Lakota Indians. In 1881, he came to the American agents at Fort Buford desperate and hungry and surrendered his Winchester rifle to the commanding officer at Fort Buford. A statue of Sitting Bull by artist Michael Westergard is at the front entrance of Stevens Hall, at Williston State College as of July 16, 2011.

Some cities to consider for North Dakota Senior Living

Here are some cities or towns that have ranked highly in different categories and in which seniors may enjoy living. When choosing senior living communities in North Dakota or when selecting the best North Dakota assisted living facilities, please keep the following cities in mind:

  • Dickinson, North Dakota – a city in, and the county seat of, Stark County, North Dakota. Dickinson is the principal city of the Dickinson Micropolitan Statistical Area, an area which covers Billings and Stark Counties. This city has been one of the fastest growing cities in the United States since the North Dakota oil boom.

Some things of interest in Dickinson are the Dickinson Dinosaur Museum, Dickinson Museum Center, West River Community Center, West River Ice Center, Biesiot Activities Center, and the Ukrainian Cultural Institute. There are 124 physicians per capita in the town of Dickinson and the crime rate is 42.2. The population of Dickinson, North Dakota is approximately 24,000 residents, of which around 16% belong to the 65+ senior living community;

  • Minot, North Dakota – a city in, and the county seat of, Ward County, North Dakota that is in the state’s northcentral region. Minot is best known for the Air Force base that is 15 miles north of the city. Minot is the principal city of the Minot Micropolitan Statistical Area, a micropolitan area that covers McHenry, Renville, and Ward counties with a combined population of nearly 75,000. Minot is the 4th-largest city in the state of North Dakota and a trading center for parts of northern North Dakota, southeastern Saskatchewan and southwestern Manitoba. Minot also goes by the name “Magic City” as an ode to its remarkable growth in such a short period of time. Minot is divided into three major divisions, North Hill, the Souris River Valley, and South Hill. The art community of Minot includes an art museum, a symphony orchestra, an opera company, a city band and theater troupes, a youth/punk concern organization, and the AMP. The largest city park are Roosevelt Park and Oak Park and the Roosevelt Zoo is one of the top zoos in the area. Minot is the location of the North Dakota State Fair that is held annually. The Apple Grove Grove Golf Course and the Souris Valley Golf Course are also in Minot. Nearly 40% of the residents are of Scandinavian ancestry and every October Minot has hosted the Norsk Høstfest, which is North American’s largest Scandinavian-American festival and the Scandinavian Heritage Park features replicas from the countries of Sweden, Norway, Denmark, Finland, and Iceland. Other sites of interest in Minot are the “62 Doors Art Gallery,” “Arlene Theater,” “Dakota Territory Air Museum,” the Minot Riverwalk, Northwest Air Center, Old Soo Depot Transportation Museum, Pangea House, Pioneer Village, The Railroad Museum of Minot, and the “Taube Museum of Art.”

There are 277 physicians per capital in Minot and the crime rate is 42.3. The population of Minot is approximately 50, 000 residents, of which around 15% are part of the senior living community of adults 65 years or older;

  • Wahpeton, North Dakota – a city in, and the county seat of, Richland County, in southeastern North Dakota. Wahpeton is located alone the Bois de Sioux River where it converges with the Otter Tail River, and then forms the Red River of the North. The North Dakota State College of Science is in Wahpeton. There are 116 physicians per capita in Wahpeton and the crime rate is 36.2. The population of Wahpeton, North Dakota is around 8,000, with approximately 12.5% of the residents belonging to the 65+ adult senior living community;
  • Mandan, North Dakota – a city in on the eastern border of Mercer County. Founded in 1879, in 1881 it was declared the county seat of Morton County. Mandan is a core city of the Bismarck-Mandan Metropolitan Area.  It was named after the indigenous Mandan of the area who are part of the Three Affiliated Tribes of the Fort Berthold Reservation. In 2013, Mandan was a finalist in the “Most Patriotic City” competition held by Rand McNally. Triumph Hospital Central Dakotas is a critical-care hospital located in Mandan and Bismarck State College has a Mechanical Maintenance Technology program at the Mandan Campus.

The population of Mandan is over 23,000, with approximately 13.2% of the population being part of the 65 years old or older senior living community;

  • Fargo, North Dakota – the most populous city in, and the County Seat of, Cass County, North Dakota. Almost 15% of the population of North Dakota lives in Fargo.

In 2014, Fargo was ranked by Forbes magazine as the fastest-growing small city in the United States.

Fargo was founded in 1871 and is located on the Red River of the North floodplain and is the home to North Dakota State University.

The universities in the Fargo area - North Dakota State University, North Dakota State College of Science, Rasmussen College, The University of Jamestown’s Doctor of Physical Therapy, and Masters Baptist College, all promote and bring cultural events to the town. There are also several private theatre companies in Fargo. There is also the Fargo-Moorhead Opera, the Fargo-Moorhead Symphony Orchestra, and the Fargo-Moorhead Youth Symphony, and the Fargo-Moorhead Ballet. Other cultural opportunities in Fargo are the restored 1926 Art Deco Fargo Theatre, The Winter Carnival in Fargo, the Fargodome, The Plains Art Museum, The Fargo Air Museum, The Children’s Museum at Yunker Farm, The Courthouse Museum, the historic Bonanzaville village, The Roger Maris Museum, and the North Dakota State University Wall of Fame.

Fargo has 335 physicians per capita and a crime rate of 48.2. The population of Fargo, North Dakota is close to 120,000, residents, with approximately 1200 people who are part of the senior living community of 65+ year old adults;

  • Grand Forks, North Dakota – a city in, and the County seat of, Grand Forks County, North Dakota. It is the third-largest city in North Dakota. It is on the western backs of the north-flowing Red River of the North in the area known as the Red River Valley and the city is prone to flooding. The Grand Forks post office was established in 1870 and the town was incorporated in 1881. It was named due its location at the fork of the Red River and the Red Lake River.

The University of North Dakota in Grand Forks is the oldest institution of higher learning in the state, while the Alerus Center and the Ralph Engelstad Arena host athletic and other events.

Grand Forks is 74 miles north of the Fargo-Moorhead area and 145 miles south of Winnipeg, Manitoba. It is one of the flattest cities in the world, therefore there are very few differences in elevation. There are no lakes in the city limits but the Red River and the English Coulee do flow through the community.

Thanks to the presence of the University of North Dakota there are quite a few artistic and cultural events offered in Grand Forks. The Empire Arts Center is in downtown Grand Forks and hosts several cultural events a year. The Myra Museum is another place seniors can visit, which is a small history museum that traces history from the Ice Age through modern times.

The Grand Forks Parks District operates 14 neighborhood parks, 28 tennis courts, and a swimming pool. There are also 11 outdoor ice-skating rinks and indoor ice arenas. There are several golf courses in the city, including the Arnold Palmer designed King’s Walk Golf Course, and a historic 9-hold Lincoln Golf Course. Finally, there are two pedestrian/bicycle bridges that span the Red River.

Grand Forks has 386 physicians per capita and a crime rate of 45.3. The population of Grand Forks, North Dakota is approximately 58,000 with about 5800 residents who are part of the 65+ or older adults senior living community;

  • Jamestown, North Dakota – a city in, and the county seat of, Stutsman County, North Dakota.

Jamestown was founded in 1872 after the railroad was built near the area and in 1873. Stutsman Country became the first official county within the Dakota Territory with Jamestown as the county seat although Jamestown was not incorporated until 1883. One of the places of interest for seniors here is the Jamestown Reservoir  - 3 interconnected, man-made 12-mile-long lakes that were formed after the construction of Jamestown Dam. These lakes are popular for watersports and fishing. There are also two 18-hole-golf courses - Jamestown Country Club and Hillcrest Golf Course, two-disc golf courses, an 18-hold recreational course in Klaus Park, and a 27-hole championship course on the island and land surrounding the reservoir.

Jamestown also features the “World’s Largest Buffalo” a 26-foot tall sculpture of an American Bison.

There are 128 physicians per capita in Jamestown. The population of Jamestown is approximately 15,500, of which around 17% of the residents are now part of the senior living community of 65+ year old adults;

  • Devils Valley, North Dakota – a city in, and the county seat of, Ramsey County, North Dakota. It is named for the lake nearby, Devils Lake. It was originally named Creelsburg after Lieutenant Heber M. Creel who was a West Point graduate and a topographical engineer stationed at nearby Fort Totten. The first post office was founded in Creelsburg on November 15, 1882, but when the village was incorporated in 1994 the name was changed to “City of Devils Lake,” and then shortened to “Devils Lake.”

Lake Region State College is in Devils Lake and other attractions are the Devils Lake Town and Country Club and Devils Lake Basin Joint Water Resource Board.

There are 192 physicians per capita in Devils Lake and the crime rate is 56. The population of Devils Lake is around 7,500, of which 19.2% are belong to the 65+ adult senior living community;

  • Williston, North Dakota – a city in, and the county set of, Williams County, North Dakota. It is near the junction of the Yellowstone and Missouri rivers at the upper end of Lake Sakakawea reservoir.

It is the sixth-largest city in the state of North Dakota and the population boom is a result of the increase in population between the periods of 2010 and 2015. Both Williston State College and the Miss North Dakota Scholarship Pageant are held in Williston.

Williston was founded in 1887 and named for Daniel Willis James, a board member of the Northern Pacific Railroad.

Sites of interest in Williston include: Fort Union Trading Post National Historic Site, Missouri-Yellowstone Confluence Interpretive Center, Fort Buford, Lake Sakakawea, Eagle Ridge Golf Club, The Confluence (where the Missouri and the Yellowstone River meet), The Links of North Dakota at Red Mike Resort (rated 41st by Golfweek among America’s 100 best modern courses in 1997), Cut Bluff Overlook (a historical site located about two miles east of Williston), Williston Municipal Golf Course, James Memorial Art Center (built in 1911, this was originally the community library) and the Williston Area Recreation Center – a 234,000-square-foot recreation center that was built in 2014. It includes indoor surfing, golf simulators, and a water park.

Williston health care clinics including: Craven-Hagan Clinic, Trinity Community Clinic-Western Dakota and Fairflight Medical Center. Mercy Medical is the Williston hospital and is home to the Leonard P. Nelson Family Center. Mercy Medical Center was ranked in the Top 200 Critical Hospitals in the United States by the Joint Commission on Accreditation of Healthcare Organizations.

The population of Williston is growing rapidly and the U.S. Census estimated that there were 14,716 residents; however, they did not count those who live in temporary housing and therefore a more accurate population estimate is around 30,000 with around 14.5% who are part of the 65+ adult senior living community;

  • Hatton, North Dakota – a city in Trail County, North Dakota. It was founded in 1882 and named for Frank Hatton, then the Assistant Postmaster General.

The population of Hatton, North Dakota is about 700, with a little more than 27% of the residents who are senior citizens age 65 or older;

  • Valley City, North Dakota – a city in, and the county seat of, Barnes County, North Dakota. It is the 13th largest city in North Dakota and was founded in 1874. Valley City is home to Valley City State University and the North Dakota High School Activities Association (NDHSAA.) The city is called the “City of Bridges” due to the numerous bridges over the Sheyenne River, including the Hi-Line Railroad Bridge. Other attractions in Valley City are the Hi-Line Railroad Bridge, the North Dakota Winter Show, the North Country Trail, and The Vault (a coffee shop). The population of Valley City is approximately 6,700 of which around 23.1% of the residents belong to the 65+ senior living community.

Frequently Asked Questions About Assisted Living in North Dakota

What is assisted living in North Dakota, and how does it differ from other senior care options?

Assisted living in North Dakota is a senior care option that provides residents with personal care and support services in a residential setting. It aims to promote independence among seniors while ensuring they receive assistance with daily tasks as needed. Unlike nursing homes, which offer more extensive medical care, and independent living, which involves minimal personal care, assisted living in North Dakota strikes a balance between these options.

What are the average costs of assisted living in North Dakota?

The average costs of assisted living in North Dakota can vary depending on the location, services offered, and the specific facility. On average, you can expect to pay around $4,000 to $5,000 per month. For instance, in Fargo, the average monthly cost may be closer to $4,500, while in Bismarck, it might be slightly different. It's essential to research individual facilities for precise pricing information.

What are the admission requirements for assisted living in North Dakota?

Admission requirements for assisted living in North Dakota typically include a health assessment conducted by a licensed medical professional. This assessment helps determine the level of care needed by the senior. Additionally, facilities may conduct background checks to ensure the safety of all residents and staff. Financial evaluations are also common to determine the affordability of the chosen facility. While these are general requirements, specific facilities may have additional criteria, so it's advisable to contact the assisted living communities directly.

Are memory care services available in assisted living communities in North Dakota?

Yes, many assisted living communities in North Dakota offer memory care services to cater to seniors with Alzheimer's disease or other forms of dementia. These specialized programs provide a secure and supportive environment for individuals with memory-related issues. For example, in Minot, you can find assisted living communities that offer dedicated memory care units, ensuring residents receive the specialized care and attention they require.

What amenities are typically offered in assisted living facilities in North Dakota?

Assisted living facilities in North Dakota often provide a range of amenities to enhance residents' quality of life. Common amenities include dining services, housekeeping, transportation, recreational activities, and social programs. Some facilities in cities like Grand Forks may offer additional features like fitness centers, beauty salons, and outdoor gardens to meet the diverse needs and preferences of residents.

What is the availability of assisted living facilities for veterans in North Dakota, especially in Fargo?

Assisted living facilities for veterans are available in North Dakota, with Fargo being home to several options. Veterans may access benefits through the VA Aid and Attendance program to help cover the costs of assisted living. These facilities often have staff experienced in assisting veterans and can provide services tailored to their unique needs, including access to VA healthcare resources.

How can I find assisted living communities in North Dakota that specialize in diabetes care?

If you or your loved one has diabetes and needs specialized care, you can find assisted living communities in North Dakota that offer diabetes management programs. These programs include monitoring blood sugar levels, providing balanced meals, and ensuring residents receive proper medication. In cities like Bismarck, some facilities may have certified diabetes educators on staff to provide expert care to diabetic residents.

What is the process for transitioning from independent living to assisted living in North Dakota?

Transitioning from independent living to assisted living in North Dakota typically involves assessing your changing care needs. You can discuss this with the staff at your independent living community, and they can assist you in finding an appropriate assisted living facility within Grand Forks or nearby. The facility you choose will conduct an assessment to determine the level of care required to ensure a smooth transition.

What options are available for low-income seniors seeking assisted living in North Dakota, particularly in Bismarck?

Low-income seniors in North Dakota, including those in Bismarck, can explore several options for assisted living. Medicaid in North Dakota may cover some assisted living services for eligible individuals. Additionally, there are non-profit organizations and state programs that offer financial assistance and subsidies to make assisted living more affordable. It's advisable to contact these organizations and explore your eligibility options.

What are the regulations and licensing requirements for assisted living facilities in North Dakota?

Assisted living facilities in North Dakota are regulated by the North Dakota Department of Health. They must meet specific licensing requirements related to staff training, safety standards, and the provision of care. These regulations are designed to ensure the well-being of residents. You can find detailed information on licensing and regulations on the official website of the North Dakota Department of Health.

Do assisted living facilities in North Dakota offer transportation services for residents to access medical appointments?

Many assisted living facilities in North Dakota, in cities like Minot and Fargo, provide transportation services for residents to access medical appointments. This service helps ensure that seniors can receive necessary healthcare without the hassle of arranging transportation themselves. It's common for these facilities to have scheduled transportation options to medical facilities, pharmacies, and other healthcare providers in and around North Dakota.

Is there a waiting list for assisted living facilities in North Dakota, particularly in Fargo?

The presence and length of waiting lists for assisted living facilities in North Dakota, including Fargo, can vary from one facility to another. Popular facilities in high-demand areas may have waiting lists, while others may have immediate availability. It's advisable to contact the specific facilities you are interested in to inquire about their current waitlist status and procedures for admission.

Can residents of assisted living communities in North Dakota maintain their own medications?

In North Dakota, residents of assisted living communities may be allowed to maintain and self-administer their medications, depending on their capabilities and the facility's policies. However, this is typically done under the supervision and guidance of trained staff to ensure safety and proper medication management. It's essential for residents to communicate their medication needs and abilities with the facility's healthcare team.

What social and recreational activities are available for residents of assisted living communities in Bismarck?

Assisted living communities in Bismarck offer a variety of social and recreational activities to keep residents engaged and active. These may include group outings to local attractions, exercise classes, arts and crafts, music performances, and game nights. Bismarck's facilities often tailor their activity programs to the interests and abilities of their residents to provide a fulfilling and enjoyable experience.

What steps should I take to evaluate the quality of assisted living facilities in Grand Forks?

Evaluating the quality of assisted living facilities in Grand Forks or any other location in North Dakota is crucial. Start by researching online reviews and ratings. Visit the facilities in person to assess cleanliness, staff friendliness, and the overall environment. Talk to current residents and their families to gather insights. Additionally, check if the facility is licensed and if it has any recent citations or complaints. This comprehensive evaluation will help you make an informed decision.

Is there financial assistance available for seniors transitioning from nursing homes to assisted living in North Dakota?

Seniors transitioning from nursing homes to assisted living in North Dakota may explore financial assistance options. Medicaid may cover some assisted living services for eligible individuals. Additionally, the state may have programs and resources to aid in the transition. It's advisable to contact your local Area Agency on Aging or the North Dakota Department of Human Services for guidance and information on available financial assistance programs.

Don't see your city/town/village on the list? Please use our search bar at the top of the page to search through 176 senior living options from 76 cities, towns and villages in North Dakota. Simply enter your city name or zip code.

SeniorGuidance.org provides comprehensive resources on various senior living options, including: assisted living facilities, senior living communities, nursing homes, independent living communities, continuing care retirement communities (CCRC) and all other long term senior care options, including memory care such as Alzheimer's or Dementia.

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