These are the lowest-rated nursing homes in North Dakota based on CMS data (2026). All facilities listed have an overall rating of 1 star(s) or lower. Combined, these 20 facilities have been fined a total of $1,404,132. 9 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 | St Vincent's - a Prospera Community | Bismarck | $54,356 | |
| 3 | Sunset Drive - a Prospera Community | Mandan | $41,552 | |
| 4 | Trinity Homes | Minot | $81,188 | |
| 5 | Dunseith Com Nursing Home | Dunseith | $47,928 | |
| 6 | Rolette Community Care Center | Rolette | $42,817 | |
| 7 | Good Samaritan Society - Larimore | Larimore | $9,110 | |
| 8 | Four Seasons Health Care INC | Forman | $319,259 | |
| 9 | Souris Valley Care Center | Velva | $175,053 | |
| 10 | Minot Health and Rehab, LLC | Minot | $44,130 | |
| 11 | Tioga Medical Center Ltc | Tioga | $11,408 | |
| 12 | Western Horizons Care Center | Hettinger | $71,991 | |
| 13 | Maple Manor Care Center | Langdon | $31,694 | |
| 14 | Good Samaritan Society - Lakota | Lakota | $74,283 | |
| 15 | Wedgewood Manor | Cavalier | $54,925 | |
| 16 | Hill Top Home of Comfort INC | Killdeer | $198,960 | |
| 17 | The Meadows on University | Fargo | $41,041 | |
| 18 | St Catherines Living Center | Wahpeton | $39,114 | |
| 19 | Sanford Hillsboro Care Center | Hillsboro | $42,488 | |
| 20 | Good Samaritan Society - Park River | Park River | $0 |
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.