North Dakota Senior Living Options & Resources
Senior Living in North Dakota: What You Need to Know
North Dakota is home to 126,120 seniors aged 65 and older, representing 16.2% of the state's total population of 779,361. While the median age of 35.7 reflects a relatively young demographic, the state's senior population continues to grow steadily, creating demand for quality senior living options.
The senior living landscape in North Dakota currently includes 78 communities spread across 54 cities, with the capital city of Bismarck leading with 6 communities and Minot offering 2 communities. These facilities provide a range of care options including assisted living, memory care, independent living, and skilled nursing services. The geographic concentration in these two urban centers reflects the state's rural character and the clustering of healthcare resources in larger population hubs.
North Dakota offers significant cost advantages for senior care compared to national averages. These competitive costs, combined with the state's strong healthcare infrastructure anchored by institutions like Sanford Health and CHI St. Alexius Health, make North Dakota an attractive option for seniors seeking quality care without premium pricing.
The state's healthcare system is robust despite its rural nature, with major medical centers in Bismarck, Fargo, Grand Forks, and Minot providing specialized geriatric care and support services. North Dakota's Medicaid program offers several waiver programs that help eligible seniors access home and community-based services, enabling many to age in place or receive care in less restrictive settings. The state's commitment to senior wellness is evident in its network of aging services and support for family caregivers throughout North Dakota's communities.
Types of Senior Living Care in North Dakota
Top Rated Communities in North Dakota
Highest rated senior living communities based on reviews.
Cost of Senior Care in North Dakota
The median cost of assisted living in North Dakota was $5,335 a month in the 2024 survey, 10% below the national median of $5,900.
| Care type | North Dakota | U.S. median |
|---|---|---|
| Assisted living | $5,335 10% below U.S. | $5,900 |
| Nursing home, semi-private room | $8,882 4% below U.S. | $9,277 |
| Nursing home, private room | $9,673 9% below U.S. | $10,646 |
| Home health aide | $7,627 18% above U.S. | $6,483 |
| Adult day health care | $5,092 135% above U.S. | $2,167 |
Source: Genworth/CareScout Cost of Care Survey, 2024 (state median). Monthly figures are the annual median divided by 12. The survey does not cover independent living or memory care. Actual costs vary by community, location and level of care.
Frequently Asked Questions About Senior Living in North Dakota
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Does North Dakota Medicaid cover assisted living?
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What healthcare options are available for seniors in North Dakota?
Major Cities with Senior Living Options in North Dakota
Cities ranked by number of communities.
Cities in North Dakota
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