Assisted Living
North Dakota · Senior Living
Senior Living in North Dakota
Compare more than 14 verified communities across 492 North Dakota cities — with real local costs, every way to pay, and the state protections that keep your family safe. When you're ready, a local advisor helps you tour, free.
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In short: Assisted living in North Dakota averages $3,400–$4,800 per month, memory care runs $4,200–$6,000, and independent living starts near $1,800. North Dakota exempts Social Security and offers a retirement-income subtraction, its Medicaid Service Payments for Elderly and Disabled (SPED) program helps those who qualify, and every assisted living facility is licensed and inspected by the North Dakota Department of Health and Human Services.
What it costs
The cost of senior living in North Dakota
Prices vary by care level and region. These are 2026 statewide monthly averages.
| Care type | Typical monthly cost | What's included |
|---|---|---|
| Independent Living | $1,800 – $3,200 | Age-restricted housing, amenities, meals — no medical care |
| Assisted Living Most common | $3,400 – $4,800 | Housing, meals, medication help, daily personal care |
| Memory Care | $4,200 – $6,000 | Secured community, dementia-trained staff, higher ratios |
| Nursing Home (semi-private) | $8,000 – $9,500 | 24-hour skilled nursing and complex medical care |
Statewide averages for planning only; a studio assisted-living apartment averages ~$3,900/mo, a one-bedroom ~$4,600. Your community provides exact pricing.
Browse by need
Senior living care types in North Dakota
Jump straight to the care level you need, filtered to North Dakota communities.
How families pay
Paying for senior living in North Dakota
Most families combine several sources, including the programs unique to North Dakota.
North Dakota Medicaid (SPED)
The Service Payments for Elderly and Disabled program helps pay for care. In 2026, a single applicant's income limit is $2,982/mo and countable assets must be $2,000 or less; a primary home is usually exempt. Eligibility includes a functional-needs assessment.
VA benefits
Wartime veterans and surviving spouses may qualify for Aid & Attendance, a monthly pension add-on that can be applied toward assisted living or memory care.
Private pay & LTC insurance
Savings, home-sale proceeds, pensions, and long-term care insurance. North Dakota exempts Social Security from state income tax and offers a retirement-income subtraction, helping retirement income stretch further toward care.
Why families choose North Dakota
A quiet, affordable place to retire
0%
State tax on Social Security benefits
~130K
Residents aged 65+, about 17% of the state
$500
Retirement-income subtraction for filers 65+
Low
Cost of living, well below the national average
Beyond the tax advantages and low cost of living, North Dakota has built a solid healthcare network for older adults — major systems like Sanford Health and Essentia Health, plus rural clinics reaching small towns — and a strong tradition of community-based senior services across its 492 cities.
Know your protections
How North Dakota regulates senior care
Choosing is easier when you know who's watching over every community. North Dakota's oversight is structured and transparent.
- Licensed & inspected by HHS. Every assisted living facility is licensed by the North Dakota Department of Health and Human Services under North Dakota Century Code Chapter 50-32, with regular surveys.
- Basic care and higher-needs licenses. Basic care facilities and specialized memory care units let residents age in place safely.
- Resident rights in law. North Dakota Century Code Chapter 50-32 guarantees privacy, dignity, grievance procedures, and access to the latest inspection report on request.
- Abuse protections. The Department of Health and Human Services investigates any allegation of neglect or exploitation of vulnerable adults.
Verified directory
Every listing is a real, state-licensed community
Our North Dakota directory is built from verified facility records. When you're ready, a local advisor helps you compare options, check availability, and tour — at no cost to your family.
1 (844) 203 4645Estimate your cost
What will senior living in North Dakota cost?
Pick a care type for an instant monthly estimate — then talk to an advisor for exact, community-specific pricing. Free, no obligation.
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estimated / month in North Dakota
Get exact pricing — 1 (844) 203 4645Featured communities
Senior living communities in North Dakota
A few of the verified, state-licensed communities families are touring now. Contact is handled through a free advisor to keep your information private.
Assisted Living
Assisted Living
Assisted LivingExplore by location
Senior living in every North Dakota city
Browse communities in any of the 492 North Dakota cities we cover — start with the largest markets below.
Grand Forks
3
Minot
3
Bismarck
2
Fargo
2
Devils Lake
1
Dickinson
1
Mandan
1
West Fargo
1
Abercrombie
0
Adams
0
Akra
0
Alamo
0
Alexander
0
Alfred
0
Alice
0
Alkabo
0
Almont
0
Alsen
0
Ambrose
0
Amenia
0
Amidon
0
Anamoose
0
Aneta
0
Antler
0
Ardoch
0
Argusville
0
Arnegard
0
Arthur
0
Ashley
0
Auburn
0
Aylmer
0
Ayr
0
Baker
0
Baldwin
0
Balfour
0
Balta
0
Bantry
0
Barlow
0
Barney
0
Barton
0
Bathgate
0
Beach
0
Belcourt
0
Belden
0
Belfield
0
Benedict
0
Bergen
0
Berlin
0
Berthold
0
Berwick
0
Beulah
0
Binford
0
Bisbee
0
Blanchard
0
Bonetraill
0
Bordulac
0
Bottineau
0
Bowbells
0
Bowdon
0
Bowesmont
0
Common questions
Frequently asked questions
How much does assisted living cost in North Dakota?
Assisted living in North Dakota averages $3,400 to $4,800 per month in 2026. Affordable markets like Fargo, Bismarck, and Grand Forks can run $3,000–$3,600, while larger metros sit at the higher end.
Does North Dakota Medicaid pay for assisted living?
Yes — through the Service Payments for Elderly and Disabled (SPED) program, for those who meet the clinical and financial limits. Medicaid covers care services, not room and board directly, but other supports can help.
Is North Dakota a good state to retire in?
For many families, yes — no state tax on Social Security, a retirement-income subtraction, a low cost of living, and a quiet, community-focused lifestyle.
Who regulates senior living facilities in North Dakota?
The North Dakota Department of Health and Human Services licenses and inspects every assisted living facility, with support from the Department of Human Services and local area agencies on aging.
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