Assisted living in North Dakota: how it is licensed.
Who licenses assisted living in North Dakota, and what to check before you choose.
What North Dakota calls it
In North Dakota, assisted living is licensed under the term “Assisted Living Facility”. Other states use different names, so it helps to know the exact term when you search.
Who licenses and inspects
North Dakota Department of Health and Human Services is the agency that licenses these communities. It is the official place to check a community’s license and inspection history.
Paying for care
Medicare generally does not cover long term custodial care.
North Dakota's Medicaid Waiver for Home and Community Based Services (for people 65 and older and adults 18-64 with disabilities) may help pay for some care at home or in the community, and the Medicaid State Plan Personal Care daily rate option lists people who live in a basic care facility and require daily service as possibly eligible. Eligibility rules apply.
Checking a community
A Deficiency Statement Search that can be filtered by facility name, program (including Basic Care Facility), city and county.
Help and complaints
North Dakota Long Term Care Ombudsman Program supports residents of long term care and their families.
Also worth knowing in North Dakota
North Dakota licenses basic care facilities, but they are not certified by CMS for Medicare or Medicaid; licensure makes them eligible for state funding for basic care services.
Sources we checked (October 2026)
Licensing rules change. We checked the pages below. Confirm with the state agency.
Questions
Who regulates assisted living in North Dakota?
North Dakota Department of Health and Human Services.