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North Dakota

Nursing Home Staffing Profile — 2025Q3

73 facilities4,528 residents4.43 avg HPRD

vs National Average

+0.53 HPRD

National avg: 3.90 · North Dakota: 4.43

📋

North Dakota ranks among the higher-performing states for nursing home staffing, with an average of 4.43 HPRD — 0.53 hours above the national average. Only 90.4% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.92 HPRD, with 75.3% of facilities meeting the 0.75 research recommendation.

4.43

Average Total HPRD

All nursing staff combined

▲ 0.53 vs national

0.92

Average RN HPRD

Recommended: 0.75

▲ 0.24 vs national

90.4%

Meet CMS Benchmark

66 of 73 facilities

19.4%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

15.8%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

4.35

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How North Dakota's 73 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

4.25

avg HPRD

5 facilities (7%)

Non-Profit

4.44

avg HPRD

65 facilities (89%)

Government

4.45

avg HPRD

3 facilities (4%)

💡 Non-profit facilities in North Dakota average 0.19 more HPRD than for-profit ones — about 4% higher staffing.

▲ Best Staffed in North Dakota

Top 5 by total nurse HPRD

TIOGA MEDICAL CENTER LTC

GARRISON MEM HOSP NSG FAC

SMP HEALTH - ST CATHERINE SOUTH

FARGO

5.70 HPRD

RN: 1.09

SMP HEALTH - AVE MARIA

JAMESTOWN

5.43 HPRD

RN: 0.99

▼ Most Understaffed in North Dakota

Bottom 5 by total nurse HPRD

BENEDICTINE LIVING CENTER OF GARRISON

GARRISON

3.14 HPRD

RN: 0.75

GOOD SAMARITAN SOCIETY - LARIMORE

LARIMORE

3.15 HPRD

RN: 0.72

SOURIS VALLEY CARE CENTER

VELVA

3.20 HPRD

RN: 0.47

GOOD SAMARITAN SOCIETY - PARK RIVER

PARK RIVER

3.27 HPRD

RN: 0.80

PRINCE OF PEACE CARE CENTER

ELLENDALE

3.40 HPRD

RN: 0.89

⚖️

Compare Two Facilities Side by Side

Pick any two North Dakota nursing homes and see how they stack up across every metric

Open Comparison Tool →

County Breakdown

Staffing metrics by county in North Dakota — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸Cass	8	4.90	0.86	100.0%	Mixed B/A+
▸Burleigh	6	4.76	0.87	100.0%	Mostly A
▸Morton	5	4.63	0.94	100.0%	Mostly A
▸Stark	3	4.58	1.13	100.0%	Mixed A+/A
▸Grand Forks	3	4.03	0.89	66.7%	Mixed A+/B
▸Ransom	3	4.38	0.80	100.0%	Mostly A
▸Traill	3	4.76	0.91	100.0%	Mixed A+/A
▸Nelson	3	3.98	0.89	100.0%	Mostly B
▸Williams	2	5.36	0.98	100.0%	Mostly A
▸Dickey	2	3.50	0.98	50.0%	Mixed B/C
▸Mcintosh	2	5.11	1.08	100.0%	Mixed A+/A
▸Mclean	2	4.47	1.50	50.0%	Mixed A+/C
▸Pembina	2	3.88	0.84	100.0%	Mostly B
▸Richland	2	4.24	0.80	100.0%	Mixed A/B
▸Rolette	2	4.02	0.88	100.0%	Mostly B
▸Stutsman	2	4.86	0.80	100.0%	Mixed A/B
▸Walsh	2	3.80	0.73	50.0%	Mixed B/C
▸Ward	2	4.06	1.14	100.0%	Mixed A/B
▸Adams	1	4.73	1.01	100.0%	Mostly A
▸Mercer	1	5.21	1.13	100.0%	Mostly A+
▸Eddy	1	4.35	0.87	100.0%	Mostly A
▸Mountrail	1	4.46	0.93	100.0%	Mostly A
▸Dunn	1	4.50	0.93	100.0%	Mostly A
▸Towner	1	4.32	1.50	100.0%	Mostly A
▸Ramsey	1	4.38	0.77	100.0%	Mostly A
▸Cavalier	1	3.69	0.84	100.0%	Mostly B
▸Barnes	1	4.82	0.63	100.0%	Mostly B
▸Wells	1	4.60	0.91	100.0%	Mostly A
▸Sargent	1	3.89	0.78	100.0%	Mostly B
▸Foster	1	3.62	1.10	100.0%	Mostly B
▸Emmons	1	4.29	1.13	100.0%	Mostly A
▸Griggs	1	4.03	0.75	100.0%	Mostly B
▸La Moure	1	3.43	0.62	0.0%	Mostly C
▸Logan	1	4.69	1.05	100.0%	Mostly A
▸Mchenry	1	3.20	0.47	0.0%	Mostly C
▸Bottineau	1	3.47	0.95	0.0%	Mostly C
▸Mckenzie	1	4.69	1.02	100.0%	Mostly A

HPRD Range in North Dakota

The spread between best and worst staffed facilities

3.89

25th pctile

4.35

Median

4.87

75th pctile

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.