Best places to open an assisted living home in North Dakota
The top markets for residential assisted living in North Dakota, ranked by demand versus supply — plus the cities where the homes are.
Updated July 2026
The top markets for assisted living in North Dakota right now are Cass, Burleigh, Grand Forks counties — ranked by RAL Market Scout's opportunity score, which weighs 75+ demand and projected senior growth against current bed supply. Statewide there are 73 licensed assisted living homes serving 54,697 residents aged 75+, at a median cost of about $4,729/mo.
Licensed homes
73
state roster
Population 75+
54,697
ACS
Median AL cost
$4,729/mo
below the national median
Bed supply
96.9/1k
saturated supply
Top 10 markets for assisted living in North Dakota
RAL Market Scout's opportunity score blends 75+ demand and projected senior growth against current bed supply — a saturated market is scored down even when demand is high. Higher means more room for a new small home.
Cass County — opportunity 5.0/10 (Moderate); 10,044 seniors 75+, growing 13.2%, with 13 licensed homes.
Burleigh County — opportunity 4.7/10 (Moderate); 7,789 seniors 75+, growing 17.7%, with 8 licensed homes.
Grand Forks County — opportunity 4.1/10 (Thin); 4,362 seniors 75+, growing 17.9%, with 3 licensed homes.
Ward County — opportunity 4.0/10 (Thin); 4,119 seniors 75+, growing 4.4%, with 7 licensed homes.
Morton County — opportunity 3.6/10 (Thin); 2,312 seniors 75+, growing 5.0%, with 3 licensed homes.
Ramsey County — opportunity 3.4/10 (Thin); 1,203 seniors 75+, growing 15.9%, with 1 licensed homes.
McLean County — opportunity 3.3/10 (Thin); 1,034 seniors 75+, growing 13.8%, with 1 licensed homes.
Stutsman County — opportunity 3.1/10 (Thin); 1,837 seniors 75+, growing -0.9%, with 4 licensed homes.
Richland County — opportunity 3.0/10 (Thin); 1,459 seniors 75+, growing 7.0%, with 1 licensed homes.
Williams County — opportunity 2.9/10 (Thin); 1,461 seniors 75+, growing -1.2%, with 1 licensed homes.
Where the homes actually are. Each linked city has its own page with local supply and market context.
City
County
Homes
Beds
Avg size
Fargo
9
497
55.2
Bismarck
8
424
53.0
Minot
7
228
45.6
Frequently asked questions
What are the top markets for assisted living in North Dakota?
The strongest North Dakota markets on RAL Market Scout's opportunity scoring are Cass, Burleigh, Grand Forks, Ward, Morton counties — based on 75+ demand and projected senior growth versus current bed supply.
Which North Dakota city has the most assisted living homes?
Fargo has the most, with 9 licensed assisted living homes (about 497 beds).
How much does assisted living cost in North Dakota?
The median assisted living cost in North Dakota is about $4,729 per month — below the national median.
How many assisted living homes are in North Dakota?
North Dakota has approximately 73 licensed assisted living homes serving 54,697 residents aged 75 and older.
See the full North Dakota picture
RAL Market Scout scores every county and ZIP in North Dakota on demand, supply gaps, and referral capacity — and builds a site-level report for any address you're evaluating.
Sources: Licensed-home and city counts from North Dakota state licensing rosters (RAL Market Scout data pipeline). 75+ population and growth from U.S. Census ACS. Bed supply from NIC MAP / state surveys. Cost figures are market medians. Data snapshot: 2026-07. Informational only — not legal, financial, or investment advice.