These are the lowest-rated nursing homes in North Dakota based on CMS data (2026). The lowest CMS rating in this list is 1 star(s). Combined, these 20 facilities have been fined a total of $1,400,358. 8 have abuse flags. This ranking is based solely on official CMS data and does not represent editorial opinion.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Marian Manor Healthcare Center | Glen Ullin | $22,835 | |
| 2 | Western Horizons Care Center | Hettinger | $62,703 | |
| 3 | St Vincent's - a Prospera Community | Bismarck | $44,606 | |
| 4 | Sunset Drive - a Prospera Community | Mandan | $42,226 | |
| 5 | Trinity Homes | Minot | $75,611 | |
| 6 | Rolette Community Care Center | Rolette | $90,017 | |
| 7 | Wedgewood Manor | Cavalier | $54,925 | |
| 8 | Good Samaritan Society - Bottineau | Bottineau | $110,247 | |
| 9 | Four Seasons Health Care INC | Forman | $115,484 | |
| 10 | Souris Valley Care Center | Velva | $175,053 | |
| 11 | Minot Health and Rehab, LLC | Minot | $39,212 | |
| 12 | Maple Manor Care Center | Langdon | $31,694 | |
| 13 | Good Samaritan Society - Lakota | Lakota | $74,283 | |
| 14 | Parkside Lutheran Home | Lisbon | $0 | |
| 15 | Dunseith Com Nursing Home | Dunseith | $92,954 | |
| 16 | Hill Top Home of Comfort INC | Killdeer | $198,960 | |
| 17 | The Meadows on University | Fargo | $41,041 | |
| 18 | St Catherines Living Center | Wahpeton | $56,329 | |
| 19 | Nelson County Health System Care Center | Mcville | $36,855 | |
| 20 | Baptist Health & Rehab | Bismarck | $35,323 |
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.