These are the top 20 highest-rated nursing homes in North Dakota according to the CMS 5-Star Quality Rating System (2026). All facilities listed have an overall rating of 4 stars or higher. The average rating across this list is 4.9/5. 17 of these 20 facilities have no fines on record.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Pembilier Nursing Center | Walhalla | $0 | |
| 2 | Missouri Slope | Bismarck | $0 | |
| 3 | St Lukes Home | Dickinson | $0 | |
| 4 | Smp Health - St Catherine South | Fargo | $0 | |
| 5 | St Benedicts Health Center | Dickinson | $0 | |
| 6 | Aneta Parkview Health Ctr | Aneta | $0 | |
| 7 | Dakota Alpha | Mandan | $0 | |
| 8 | Smp Health - Maryhill | Enderlin | $10,036 | |
| 9 | Richardton Health Center INC | Richardton | $0 | |
| 10 | Smp Health - St Aloisius | Harvey | $0 | |
| 11 | Hatton Prairie Village | Hatton | $0 | |
| 12 | Towner County Living Ctr | Cando | $0 | |
| 13 | Smp Health - St Raphael | Valley City | $0 | |
| 14 | Smp Health - Ave Maria | Jamestown | $6,788 | |
| 15 | Bethany on University | Fargo | $0 | |
| 16 | Bethany on 42nd | Fargo | $0 | |
| 17 | St Gabriel's Community | Bismarck | $0 | |
| 18 | Fargo Elim Health Care Center | Fargo | $0 | |
| 19 | Griggs County Care Center | Cooperstown | $0 | |
| 20 | Smp Health - St Catherine North | Fargo | $6,168 |
Rankings are based on the CMS 5-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing, and quality measures. Ratings range from 1 star (much below average) to 5 stars (much above average). Data is updated monthly by CMS.