The senior-care watchlist — North Dakota
14 facilities in North Dakota carry an official government warning that the referral sites — paid by those same facilities — will never show you: a CMS Special Focus designation, an active licensing probation, or an abuse-citation flag. Every one is a matter of public record, linked to its full file below.
What these labels mean. A Special Focus Facility (SFF) is one CMS has singled out nationally for a persistent pattern of serious problems; an SFF candidate is in the pool being considered. Probation means a state licensing agency has placed formal conditions on the facility's license. An abuse-citation flag marks a home cited by CMS for actual or potential resident harm. A warning is not a verdict — but it is exactly the kind of signal you want before you tour, not after.
| Grade | Facility & warning | Location | Subst. |
|---|---|---|---|
| D | Good Samaritan Society - Larimore Special Focus FacilityOn probation |
Larimore, ND | 6 |
| F | Sunset Drive - A Prospera Community SFF candidateAbuse-citation flag |
Mandan, ND | 34 |
| F | St Vincent'S - A Prospera Community SFF candidateAbuse-citation flag |
Bismarck, ND | 19 |
| F | Rolette Community Care Center SFF candidate |
Rolette, ND | 10 |
| F | Souris Valley Care Center SFF candidate |
Velva, ND | 10 |
| F | Wedgewood Manor SFF candidate |
Cavalier, ND | 0 |
| F | Minot Health And Rehab, LLC Abuse-citation flag |
Minot, ND | 11 |
| D | Dunseith Com Nursing Home Abuse-citation flag |
Dunseith, ND | 9 |
| D | St Catherines Living Center Abuse-citation flag |
Wahpeton, ND | 5 |
| F | Western Horizons Care Center Abuse-citation flag |
Hettinger, ND | 5 |
| D | Good Samaritan Society - Oakes Abuse-citation flag |
Oakes, ND | 3 |
| D | Nelson County Health System Care Center Abuse-citation flag |
Mcville, ND | 2 |
| F | Good Samaritan Society - Bottineau Abuse-citation flag |
Bottineau, ND | 2 |
| C | Smp Health - Ave Maria Abuse-citation flag |
Jamestown, ND | 1 |
Special Focus & abuse flags from CMS Care Compare / Medicare.gov (Jul 2026); probation from state licensing records (CA CDSS, Aug 2, 2026). One signal, not a verdict — verify directly with the facility and the licensing agency. How grades work →
Finding facilities to avoid in North Dakota
How do I find the nursing homes to avoid in North Dakota?
Start with the official warnings. This page lists the 14 facilities in North Dakota that federal or state regulators have formally flagged — 1 CMS Special Focus Facilities, 1 on licensing probation, and 10 cited for abuse. These are the homes to scrutinize hardest before you tour. A flag is a reason to ask hard questions, not an automatic disqualification — some flagged homes have since corrected.
What are the worst-rated senior-care facilities in North Dakota?
Senior Care Record Map doesn't crown a single "worst" home, but the strongest negative signal a regulator can give is the CMS Special Focus Facility designation — reserved for a persistent pattern of serious problems. Those, plus homes on probation or with abuse citations, are ranked at the top of the watchlist above by severity.
Why don't other senior-care sites show these warnings?
Most referral and listing sites are paid by the facilities they recommend, so surfacing a facility's Special Focus status, probation, or abuse citations works against their business. Senior Care Record Map takes zero referral fees, so it can show you the public records first.
Before you rule a facility in or out
A warning flag is a reason to ask hard questions, not always to walk away — some flagged homes have since corrected. Bring our free tour checklist, understand what care costs, and read when it's time to move. And know how referral sites make money so you can read their recommendations with clear eyes.
See exactly why a facility was flagged
$19.99 one-time · lifetime accessThe map and safety grades are free. When a home carries a Special Focus, probation, or abuse flag, Senior Care Record Map Pro shows you the specific deficiencies, citations and enforcement actions behind it — so you can ask the right questions instead of guessing. No referral fees, no salespeople, your data never sold.
- The full CMS deficiency, staffing & enforcement history behind every flag
- Direct links to the underlying government records
- Save, tag & rate facilities to follow up
- Side-by-side comparison & CSV shortlist export
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