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Assisted Living in ND

A Caregiver's Guide to Assisted Living Facilities in North Dakota

What they're called

Official name: Basic Care Facility and Assisted Living Facility

Common name: Assisted living facility

To compare assisted living to board and care, skilled nursing, and other long-term residential care communities, see Residential Care Options: How to Decide.

What they offer
  • Basic Care Facilities offer shared living spaces; Assisted Living Facilities offer individual living units for up to two people per unit (from single rooms to multiroom apartments), often with some cooking facilities, and with a private bathroom.
  • Meals, up to three per day, usually in a common dining area.
  • Monitoring, management, and administration of medications.
  • Personal care services, including help with activities of daily living (ADLs) such as eating, dressing, and bathing; a Basic Care Facility provides minimal hands-on assistance with ADLs; an Assisted Living Facility can provide direct assistance for people who need moderate or extensive help with one or more ADLS or IADLs, if contracted for by the resident.
  • In Assisted Living Facilities, residents select and pay for specific services offered by the facility.
  • Social and exercise activities.

Note: Some facilities also offer respite care and other special services.

What they cost

Median monthly fees: $2,500 (higher for residents requiring memory care)

State of North Dakota requirements
  • A Basic Care Facility must have 24-hour on-site staffing; an Assisted Living Facility must have staff "available," but not necessarily on-site, 24 hours a day to meet resident needs.
  • A Basic Care Facility may contract with a licensed home healthcare agency to provide nursing services not provided by the facility.
  • In an Assisted Living Facility, a resident may contract directly with a home healthcare agency to provide any offered services to the resident.
  • Memory care units are offered in some Basic Care Facilities; memory care units aren't offered in Assisted Living Facilities.
State of North Dakota oversight

The North Dakota Department of Health, Division of Health Facilities for Basic Care Facilities (701-328-2352) licenses Basic Care Facilities. The North Dakota Department of Human Services for Assisted Living Facilities (701) 328-2321) licenses Assisted Living Facilities.

How to resolve problems or offer feedback
How to pay for assisted living in North Dakota
  • Most assisted living is paid for privately by the resident and/or his or her family.
  • For Medicaid-eligible low-income residents, different home and community-based long-term care programs pay part of the monthly fees for personal care services provided in participating Basic Care Facilities and Assisted Living Facilities.
  • Low-income veterans or surviving spouses of veterans may be eligible for Aid and Attendance or other payments from the Department of Veterans Affairs (VA), which can help pay for assisted living.
  • Some assisted living facilities offer sliding scale fees, making a higher level of care available to families that might not otherwise be able to afford it. Be sure to ask -- or ask a geriatric care manager in the area if he or she knows which facilities offer sliding scale fees.
Help finding and choosing a facility
  • Hire a geriatric care manager (most have extensive local knowledge about assisted living facilities in a particular geographic area, including space availability, resident needs assessments, sliding scale fees, and resident satisfaction). To find a geriatric care manager, see's Senior Living Directory.
  • For details about assisted living facilities in each of the 50 U.S. states plus the District of Columbia, see A Caregiver's Guide to Assisted Living Facilities.

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