45 of the 72 Medicare-certified nursing homes in North Dakota (63%) are independently owned, and all are listed below. 14 of the 45 graded homes earn an A and 2 earn a D or F. They average 4.65 nursing hours per resident per day, 0.23 hours above the 4.42 for every home in North Dakota. Hatton Prairie Village in Hatton grades highest at A (96 out of 100).
How independently owned homes in North Dakota compare
This group set against every nursing home in North Dakota, from the current CMS release.
Nursing hours per resident per day
4.65
All homes in North Dakota: 4.42
Better than the local average
Nurse staff turnover
47.8%
All homes in North Dakota: 48.8%
Better than the local average
Average ElderGrade score
79.8/100
All homes in North Dakota: 76.8/100
Better than the local average
Grade spread
A
B
C
14 grade A, 24 grade B, 5 grade C, 2 grade D,
The best-graded independently owned home in North Dakota is
Hatton Prairie Village
in Hatton, ND, grade A, 96/100.
Every independently owned nursing home in North Dakota
The county-owned home in Mcville runs 35 beds and staffs above the national average, 4.07 nurse hours per resident day versus 3.86, which is the strongest thing in its file. But that staffing thins out on weekends, dropping roughly 15% below its own weekday level, and turnover sits at 51.2% against a national 45.8%, so the people providing that care keep changing. The inspection record is the real concern: 15 deficiencies, six tied to abuse and one serious enough to put a resident in harm's way, plus a $36,855 fine. The most recent inspection was April 2025. Good daily coverage, a troubling paper trail.
Dunseith Com Nursing Home runs on unusually heavy staffing, 5.50 nurse hours per resident day, roughly 42% above the national average, and that's the strongest thing in its file, reflected in a full five stars from CMS on staffing. The problems sit elsewhere. Inspectors have cited 31 deficiencies, three of them at the level where a resident was actually harmed or put in jeopardy, plus four tied to abuse; the health inspection rating is one star, and two fines total $92,954. Weekend coverage dips about 9% below weekday levels, and turnover runs 56.4% against a national 45.8%. City-owned, 30 beds, inspected most recently in May 2025. Plenty of hands, but the record shows they haven't always kept residents safe.
Maple Manor runs 45 beds in Langdon under nonprofit ownership, and its staffing rating sits at the bottom of the federal scale, one star, well below what CMS considers adequate. That thin coverage shows up alongside 24 deficiencies on the current record, including one serious enough to cause actual harm or place residents in jeopardy, plus a $31,694 fine. The most recent inspection was in September 2025, so the findings are fresh rather than stale. Quality measures land at two stars, inspections at two. Nothing here is abuse-related, but a home with this few staff and this many cited problems is one to ask hard questions about before moving someone in.
Rolette Community Care Center runs on decent nurse hours, 3.94 per resident day, a little above the national average, and weekends dip only about 6% below weekdays, which is steadier than many homes manage. The trouble sits elsewhere: a one-star health inspection rating, 36 deficiencies on the current record including two at the harm level, and $90,017 in fines across two penalties. Staff turnover of 53.6% outpaces the national 45.8%, meaning more than half the nursing staff leaves each year. CMS has placed this nonprofit, 31-bed home in its Special Focus Facility program, the agency's watchlist for homes with a persistent pattern of poor inspections.
The staffing hours at Wedgewood Manor look fine on paper, 3.99 per resident day, a bit above the national average, and that's likely why CMS gives it four stars there. But the numbers behind the numbers matter here: turnover runs 53.5% against a national 45.8%, and weekend coverage drops well below its own weekday level. What CMS found on inspection is worse. Twelve deficiencies on record, three serious enough to put residents in harm's way, three tied to abuse, and a $54,925 fine. A one-star inspection rating and one-star quality measures, plus placement in the Special Focus Facility program, tell you regulators are watching closely.
Frequently asked questions
How many independently owned nursing homes are there in North Dakota?
There are 45 independently owned Medicare-certified nursing homes in North Dakota, 63% of the 72 nursing homes there.
Are independently owned nursing homes better staffed?
In North Dakota they average 4.65 total nursing hours per resident per day, against 4.42 for all nursing homes in North Dakota, a difference of +0.23 hours. Staff turnover averages 47.8% against 48.8%.
Which independently owned nursing home grades best in North Dakota?