Assisted Living in North Dakota

North Dakota is known as “The Peace Garden State,” named after the International Peace Garden which straddles the border between the U.S. and Canada. North Dakota was once the edge of the American frontier, and wild bison still roam its plains to this day. Today, North Dakota is a hub of agricultural production and oil extraction. From its quaint, rural towns to its cities like Fargo and Bismarck, North Dakota’s landscape is varied, and the state is an ideal place for those who would like to save a bit on living costs and retire in a quiet, serene setting.

Currently, A Place for Mom partners with more than 10 senior living communities in North Dakota that provide assisted living. The median monthly cost of assisted living in North Dakota is about $3,600.

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Assisted Living in North Dakota

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North Dakota Assisted Living Regulations

Assisted living communities in the state are regulated by the North Dakota Department of Human Services and the Division of Health Facilities of the Department of Health. Public access to assisted living records and violations history in North Dakota is rated as high. You can use the state’s Deficiency Statement Search to research the violation history of a Basic Care Facility.

In North Dakota, what APFM considers to be an assisted living community is licensed as a basic care facility. This type of facility is licensed by the department under North Dakota Century Code chapter 23-09.3. The focus of these facilities is to provide housing, meal service, health, social, and personal care. The aim is to assist residents in attaining or maintaining their highest level of functioning, consistent with the resident assessment and care plan, to five or more residents not related by blood or marriage to the owner or manager. These services shall be provided on a twenty-four-hour basis within the facility, either directly or through contract, and shall include assistance with activities of daily living and instrumental activities of daily living; provision of leisure, recreational, and therapeutic activities; and supervision of nutritional needs and medication administration.

North Dakota also utilizes the term assisted living facility, however these facilities receive less oversight and there is no database in order to research their violation histories. The term assisted living facility does not include a congregate housing facility licensed as a basic care facility.

Cost of Living

Overall, the cost of living in North Dakota is considered to be more affordable than the national average. North Dakota is one of the least populous states in the country, however it has some of the most millionaires per capita. This is in part due to the North Dakota oil boom that occured after the discovery of the Parshall Oil Field in 2006. Agriculture still remains the number one industry in the state, with 24% of the state's population employed by the agricultural industry. The following cost index scores are based on a scale with the national average set at 100.

Price Indexes

  • Cost of Living: 99
  • Groceries: 108
  • Housing: 90
  • Utilities: 94
  • Transportation: 104


In North Dakota, 16.5% of the population are over the age of 65. In the 2016 presidential election, North Dakota leaned strongly conservative. Over 24% of the population are employed by the agricultural industry, and many people in the region espouse blue-collar ideals. Many state residents are alumni of the 4-H Club, which seeks to build leadership skills and personal responsibility among youths.

2016 Presidential Election

  • 27% voted Democratic
  • 63% voted Republican
  • 10% voted third party


  • Median age: 35
  • Over the age of 55: 28%
  • 2018 population: 760,077
  • 2020 population: 769,975
  • Estimated 2025 population: 795,286


  • 33% regularly attend a religious service
  • 36% consider themselves atheist, agnostic, or a non-believer
  • The state has a total of 1,498 congregations
  • There are 45 Masonic lodges in the state

Climate and Weather

Most of North Dakota has a warm-summer humid continental type of climate. This region experiences four distinct seasons, with widely varying temperatures and consistent year round precipitation. The western part of the state has a cold semi-arid climate, consisting of below average rainfall and cold winter temperatures.

Humidity and Precipitation

  • Average humidity level: 71%
  • Average monthly precipitation: 2”
  • Average maximum monthly precipitation: 5” (July)

Air Quality

  • Average air quality index rating: 38 (Good)
  • Average maximum air quality rating: 57 in August (Moderate)

Moderate air quality means that those who are sensitive to particulates in the air should limit the amount of time they spend on outdoor exertion.

Seasonal Temperatures

  • Average temperature: 41°F
  • Average summer temperature: 67°F
  • Typical summer high: 87°F (July)
  • Typical summer low: 48°F (June)
  • Average winter temperature: 13°F
  • Typical winter high: 34°F (February)
  • Typical winter low: -10°F (January)

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Cities in North Dakota
and surrounding area