State plate · ND
Assisted living in North Dakota
North Dakota licenses assisted living through HHS, under the license types Assisted Living Facility; Basic Care Facility. North Dakota does not publish a downloadable list with capacity. CDC's 2020 survey estimated 110 residential care communities with 4,900 beds. HUD's active-loan file shows no FHA-insured assisted living loans in North Dakota as of September 30, 2026.
Licensing
- Licensing agency
- HHS
- License types
- Assisted Living Facility; Basic Care Facility
- Official program page
- hhs.nd.gov
- Facility list
- PDFs only (2025-08-28)
Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.
CDC survey profile (2020)
The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.
| Measure | North Dakota | US |
|---|---|---|
| Communities | 110 | 30,600 |
| Beds | 4,900 | 1,197,600 |
| Average beds per community | 43 | 39 |
| For-profit | 36.0% | 81.9% |
| Chain affiliated | 61.3% | 61.4% |
| Medicaid certified | 57.1% | 43.6% |
| Dementia-only communities | n/a | 10.5% |
| Dementia-only or with a dementia unit | n/a | 20.5% |
| Residents 85 and older | 53.3% | 49.9% |
| Residents with Alzheimer disease or other dementias | 26.1% | 42.1% |
Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.
HUD Section 232 assisted living loans
- Active FHA loans
- 0
- Outstanding
- $0
- Median note rate
- n/a
- Endorsed since FY2001
- 1
Since fiscal 2001 HUD has endorsed 1 FHA-insured assisted living loans in North Dakota for $2.6 million of original principal, and 0 since fiscal 2021.
Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.
Own or are buying an assisted living or memory care building in North Dakota? See what HUD, Fannie Mae and Freddie Mac would lend against your NOI.
Compare the three programsOther states
Alabama · Alaska · Arizona · Arkansas · California · Colorado · Connecticut · Delaware · District of Columbia · Florida · Georgia · Hawaii · Idaho · Illinois · Indiana · Iowa · Kansas · Kentucky · Louisiana · Maine · Maryland · Massachusetts · Michigan · Minnesota · Mississippi · Missouri · Montana · Nebraska · Nevada · New Hampshire · New Jersey · New Mexico · New York · North Carolina · Ohio · Oklahoma · Oregon · Pennsylvania · Rhode Island · South Carolina · South Dakota · Tennessee · Texas · Utah · Vermont · Virginia · Washington · West Virginia · Wisconsin · Wyoming
ALF Atlas is operated by Janover Capital LLC and is not affiliated with HUD, FHA, CDC or any state agency. Methodology.