Every Medicare-certified nursing home in North Dakota, graded on inspections, staffing, turnover
and enforcement history.
6 homes in the state sit in the federal Special Focus programme.
Good Samaritan Society - Bottineau carries a one-star health inspection rating, and the record behind it is heavy: 30 deficiencies, including three at the harm or jeopardy level and four tied to abuse. Federal fines total $110,247 across two penalties. Staffing is the one bright spot on paper, 3.59 nurse hours per resident day, close to the national average of 3.86, but weekend coverage drops roughly a fifth below its own weekday level, and turnover runs at 63.5% against a national 45.8%. That combination matters in a 52-bed home, where losing and replacing staff that often makes consistent care hard to sustain. The most recent inspection was March 2026.
Good Samaritan Society - Oakes runs 46 certified beds with nurse staffing at 3.23 hours per resident day, about 16% under the national average of 3.86, and weekends dip roughly another 10% below its own weekday levels. Half the nursing staff turned over in the past year, a bit above the 45.8% national figure. The record shows 18 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $8,281. Inspectors were last on site January 7, 2026, and the health inspection and quality measure ratings both sit at 2 out of 5, even as the staffing rating reaches 4.
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.
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.
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.
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.
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.