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Senior living in North Dakota

North Dakota is known by many names, such as the Flickertail State, Peace Garden State, and even Heaven. If you're retiring, North Dakota can be the closest thing to heaven on earth, having gorgeous lands that spread as far as the eyes can see. Not only that, but North Dakota can have some fantastic weather. While the winters can be harsh, the summers are much more temperate and can be an excellent place to live, especially if you like long days. Best of all, the cost of living is reasonable, being less than the national average. Read below to learn more.

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Cost of living in North Dakota

The cost of living in North Dakota is over a point less than the national average. While some areas, such as groceries and transportation, cost more, North Dakota makes up for that with lower rent and housing. If you're going to buy a home, the median home cost can be over $100K less than the national average. The utilities are also decent in North Dakota, being around 6 points less than the average in the country. If you play your cards right, North Dakota can be an affordable and great place to retire, so keep that in mind if you want to retire well.

Cost-of-living indices

100 = US average. Higher means more expensive.

Overall
98.8
Grocery
102.1
Housing
93.7
Utilities
93.3
Transportation
105.2
Misc.
96.3

Housing & rent

Statewide medians and averages.

Median home
$193,900
Average rent
$826
Studio
$657
1 bedroom
$702
2 bedroom
$861
3 bedroom
$1,190

Local pricing

Assisted living monthly cost by city in North Dakota

Median monthly cost of assisted living, sourced from public data. Actual community pricing varies by apartment size, level of care, and amenities.

CityAvg. monthly cost
Abercrombie$6,113.00
Absaraka$6,010.00
Adams$6,010.00
Agate$6,010.00
Alamo$6,010.00
Alexander$5,955.00
Almont$5,928.00
Alsen$5,272.00
Ambrose$4,999.00
Amenia$4,917.00
Amidon$4,917.00
Anamoose$4,887.00
Aneta$4,753.00
Antler$4,521.00
Argusville$4,370.00
Arnegard$4,261.00
Arthur$4,020.00

Common questions about senior living in North Dakota

What types of senior care are available in North Dakota?
North Dakota has communities offering assisted living, memory care, independent living, home care, and skilled nursing. Larger metros have more depth of options across all care levels; smaller markets may have fewer choices in any single category.
How much does assisted living cost in North Dakota?
Assisted living costs in North Dakota vary widely by metro, apartment size, and the resident's level of care. The national median is roughly $5,000 per month; major metros tend to run higher and rural areas lower. Each community sets its own pricing - request a written cost breakdown when you tour.
Does North Dakota Medicaid pay for assisted living?
Medicaid does not pay for room-and-board in assisted living, but North Dakota's Home and Community Based Services (HCBS) waiver may cover some assisted-living services for eligible residents. Coverage and eligibility vary - check directly with your state's Medicaid agency or an elder-law attorney.
How do I evaluate a nursing home in North Dakota?
Start with the CMS 5-star rating on Medicare.gov for any Medicare-certified facility, then look at the underlying staffing data and the most recent state inspection report. Tour the facility, watch staff interact with residents, and ask about staffing levels during evenings and overnight.

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