27 of the 72 Medicare-certified nursing homes in North Dakota (38%) are chain-owned, and all are listed below. They average 4.05 nursing hours per resident per day, 0.37 hours below the 4.42 for every home in North Dakota. Nurse staff turnover runs 50.2%, 1.4 points higher than the 48.8% across all homes there. Fargo Elim Health Care Center in Fargo grades highest at A (96 out of 100).
How chain-owned homes in North Dakota compare
This group set against every nursing home in North Dakota, from the current CMS release.
St. Catherine's Living Center runs about 3.41 nursing hours per resident day, roughly 12% under the national average, and weekends dip another 14% below its own weekday coverage. That staffing pattern is worth weighing against a 56.4% annual turnover rate, well above the 45.8% national figure, so the people providing care change often. The inspection record shows seven deficiencies, three at harm or jeopardy level and two tied to abuse, with three fines totaling $56,329 and a survey completed January 28, 2026. As a nonprofit corporation with 49 certified beds, its quality and health inspection ratings both sit at two stars.
The Meadows On University runs a for-profit LLC with 95 beds, and the numbers show some strain. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends dip roughly 10% below the home's own weekday coverage, so families visiting Saturday or Sunday may notice thinner attention. Staff turnover is the bigger flag: 65% annually against a national 45.8%, meaning nearly two-thirds of the nursing team turns over each year. The current inspection record carries 20 deficiencies, one serious enough to involve harm or jeopardy, plus a $41,041 fine. All three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5.
Minot Health and Rehab runs a for-profit operation under a limited liability company, and the numbers show real strain. Nurse staffing sits at 4.01 hours per resident day, a bit above the national average, but weekends drop roughly 17% below weekday levels, and annual turnover hits 88.1% against a national average of 45.8%, meaning the aides and nurses caring for your relative are very likely new to the building. The current record carries 23 deficiencies, four serious enough to involve harm or jeopardy and four tied to abuse, with three fines totaling $39,212. The last inspection was June 10, 2025.
Sunset Drive is a 128-bed nonprofit home in Mandan, and the numbers tell a hard story. Nurse staffing sits at 3.57 hours per resident day, about 8% under the national average, and weekends run roughly 10% thinner than weekdays, so coverage is lightest exactly when families tend to visit. The bigger problem is the inspection record: 69 deficiencies, including two at the harm level and eight tied to abuse, plus $42,226 in fines, and CMS has placed the home in its Special Focus Facility program. Staff turnover of 64.5% is well above the 45.8% national figure, meaning caregivers cycle through quickly.
Good Samaritan Society - Larimore carries the kind of record that makes families ask hard questions. Nurse staffing sits at 3.44 hours per resident day, about 11% under the national average, and weekends run roughly 8% thinner than weekdays, meaning the coverage gaps show up exactly when backup is hardest to find. Staff turnover of 78.9% is nearly double the national rate, so residents cycle through a lot of unfamiliar faces. On top of that, CMS counts 49 deficiencies, including three at the harm or jeopardy level and two tied to abuse, with $119,935 in fines and placement in the Special Focus Facility program. That program is reserved for homes with a persistent pattern of serious problems.
Souris Valley Care Center is a 46-bed nonprofit home in Velva, and the federal numbers are rough across the board. Nurse staffing sits at 3.42 hours per resident day, about 12% under the national average, and it thins out further on weekends, roughly 13% below the home's own weekday level. Staff turnover runs 63.4%, well above the 45.8% national figure, which means the people caring for residents are, more often than not, new to the building. The inspection record shows 28 deficiencies, five of them at harm or jeopardy level and two tied to abuse. Four fines total $175,053, and CMS has placed the home in its Special Focus Facility program.
Garrison Mem Hosp Nsg Fac runs 4.34 nurse hours per resident day, about 12% above the national average, and that staffing shows up in its four-star staffing rating. The catch is consistency: weekend coverage drops roughly 20% below its own weekday level, and annual turnover sits at 66.7% against a national 45.8%, well over half the nursing staff leaving each year. Its current record carries 24 deficiencies, none at the harm level but one tied to abuse, and the two-star health inspection rating reflects that. Church-affiliated nonprofit ownership on 26 beds. The nurses are there in numbers, but keeping them is the problem.
Frequently asked questions
How many chain-owned nursing homes are there in North Dakota?
There are 27 chain-owned Medicare-certified nursing homes in North Dakota, 38% of the 72 nursing homes there.
Are chain-owned nursing homes better staffed?
In North Dakota they average 4.05 total nursing hours per resident per day, against 4.42 for all nursing homes in North Dakota, a difference of -0.37 hours. Staff turnover averages 50.2% against 48.8%.
Which chain-owned nursing home grades best in North Dakota?