Alzheimers, Dementia & Memory
Care Facilities in North Dakota

If you are searching for a good memory care home for an elderly member of your family, then you already know how much work it can be to find the right fit. Not all dementia care facilities in North Dakota are the same, and although there are many great options, not all homes will be a good choice for your loved one.

Knowing what constitutes a good facility, and how to find ones that will give your loved one proper care doesn’t have to be difficult. With the information in this article, you will be able to make the right choice in no time.

Memory Care Costs in North Dakota

Below is an overview of memory care costs in North Dakota, focusing on the state average and the ten largest cities. Costs may vary depending on the facility, level of care, and additional services offered.

Memory care costs in North Dakota are generally in the midrange compared to the national average of approximately $5,500 per month. Fargo and West Fargo have the highest average costs in the state, reflecting their status as growing urban centers. Smaller cities like Wahpeton and Jamestown offer more affordable options.

When compared to nearby states:

• Minneapolis, MN: $5,600/month – significantly higher due to urban demand.
• Sioux Falls, SD: $4,800/month – comparable to North Dakota’s costs.
• Billings, MT: $5,200/month – slightly higher than North Dakota.

North Dakota offers competitive rates for memory care while maintaining quality services, making it an attractive option for families seeking care in the region.

Cost of Memory Care in Most and Least Expensive Zip Codes in North Dakota

Below is a comparison of the five most expensive and five least expensive zip codes in North Dakota for memory care. These costs reflect average monthly rates in each area.

The most expensive zip codes are concentrated in major urban areas like Fargo and Bismarck, reflecting higher demand and more amenities. The least expensive zip codes, such as Jamestown and Wahpeton, are in smaller cities, offering more affordable care while still maintaining quality services.

Comparison of Memory Care Costs to Other Types of Senior Living in North Dakota

Below is a table comparing the average costs of memory care to other types of senior living in North Dakota. These costs reflect the monthly rates for each care type.

Memory care in North Dakota is more expensive than assisted living and independent living but more affordable than skilled nursing care. Skilled nursing homes have the highest costs, often due to the higher level of medical care required. Adult day care is the most affordable option for seniors needing part-time assistance. Memory care sits in the middle range, reflecting the specialized care for individuals with dementia or Alzheimer’s disease.

Can You Use Medicare to Pay for Memory Care in North Dakota?

Medicare can help cover certain healthcare services for individuals needing memory care in North Dakota, but its coverage is limited and does not typically pay for the full cost of memory care. Memory care generally refers to specialized services and housing designed for individuals with Alzheimer’s disease or other forms of dementia, which are classified as custodial care. Here's what you need to know about Medicare's role in paying for memory care in North Dakota.

Medicare Coverage for Memory Care in North Dakota

Medicare does not cover long-term custodial care, which includes assistance with daily living tasks such as bathing, dressing, or supervision in a memory care facility. However, Medicare does cover certain medical services that may be required by individuals with memory care needs.

Covered Services

In North Dakota, Medicare can cover the following types of services related to memory care:

1. Medical Evaluations and Doctor Visits: Medicare Part B covers visits to healthcare providers for diagnosing and treating dementia-related conditions.
2. Hospital Stays: Medicare Part A covers inpatient hospital stays, including care for acute conditions related to dementia.
3. Skilled Nursing Facility Care: If someone with dementia requires skilled nursing care for a short period following a hospital stay, Medicare Part A may cover up to 100 days.
4. Home Health Services: For North Dakota residents, Medicare may cover home health care services, such as physical therapy or skilled nursing, if deemed medically necessary.
5. Prescription Medications: Medicare Part D or a Medicare Advantage Plan with drug coverage may help pay for medications used to manage symptoms of dementia.

Memory Care Costs and Limitations

In North Dakota, memory care costs can be significant, averaging between $4,500 and $7,000 per month, depending on the facility and level of care needed. These costs are generally not covered by Medicare, which focuses on short-term and medical care rather than ongoing custodial support.

Alternative Financial Assistance in North Dakota

Since Medicare does not cover most memory care expenses, families in North Dakota may need to explore additional resources, including:

1. Medicaid: North Dakota’s Medicaid program may cover memory care for eligible individuals who meet income and asset requirements. Medicaid waiver programs may help pay for care in assisted living or memory care settings.
2. Long-Term Care Insurance: If purchased before the onset of dementia, these policies can help cover memory care costs.
3. State Assistance Programs: North Dakota offers support through programs like the Older Americans Act or local aging services that provide assistance to families navigating memory care expenses.

Planning for Memory Care in North Dakota

Families in North Dakota should work with healthcare providers, financial advisors, and local aging services to create a comprehensive plan for memory care. While Medicare may help with certain medical aspects, it is crucial to explore other financial options to ensure adequate coverage for long-term needs.

Who Are North Dakota Dementia & Alzheimer's Care Facilities For?

Memory care facilities in North Dakota are specifically designed to cater to the needs of dementia and Alzheimer's sufferers. The symptoms that accompany these diseases can affect memory, critical thinking skills, as well as other cognitive functions. These patients need specialized care that allows for proper care of these symptoms, and memory care facilities do just that. 

Dementia care homes provide patients with the intensive medical and psychological care that they need to help prevent their symptoms from worsening. These treatments can involve medications, therapy, physical therapy and activity, as well as socialization and other forms of therapeutic activities like art or music therapy. 

Memory Care Admission Requirements in North Dakota

Admission requirements can vary by facility, but the following are general guidelines and factors typically considered:

1. Assessment of Cognitive and Medical Needs

Before admission, most memory care facilities in North Dakota require a comprehensive evaluation of the prospective resident's cognitive and physical health. This assessment often includes:

• Diagnosis of a memory-related condition by a healthcare provider.
• Medical history and current health conditions.
• Behavioral assessment to determine care needs.
• Evaluation of mobility and ability to perform activities of daily living (ADLs).

The assessment helps determine if the facility can meet the individual's needs and ensure the safety and well-being of all residents.

2. Physician’s Recommendation

A physician's statement or recommendation is commonly required for admission. This document typically verifies the diagnosis of a memory-related condition and may include specific care instructions or notes about required treatments.

3. Age Requirements

Most memory care facilities in North Dakota cater to older adults, usually aged 55 and above. However, some facilities may accept younger individuals diagnosed with early-onset dementia or other memory conditions.

4. Financial Considerations

Prospective residents or their families must demonstrate the ability to cover the costs of care. This can involve:

• Proof of private pay capability (savings, assets, or income).
• Enrollment in Medicaid, if applicable, as North Dakota has Medicaid programs that may cover memory care under specific conditions.
• Long-term care insurance policies that include memory care benefits.

It’s important to review the specific facility’s pricing and payment options, as costs can vary widely.

5. Behavioral and Safety Assessment

Some facilities may assess a potential resident’s behavior to ensure they can safely interact with other residents and the staff. Individuals with aggressive tendencies or behaviors that require specialized intervention may need additional evaluation to determine whether the facility is equipped to manage these needs.

6. Immunizations and Health Records

Residents are typically required to provide updated immunization records and health documentation, including:

• Proof of tuberculosis (TB) testing.
• Vaccination history, including influenza and COVID-19 vaccines.
• List of current medications.

7. Legal Documentation

Certain legal documents may be required upon admission, including:

• Durable Power of Attorney for Healthcare or other advanced directives.
• Guardianship papers, if applicable.
• A signed admission agreement outlining the terms and conditions of residency.

8. Emergency Contact and Care Plan

Facilities often request a detailed care plan and emergency contact information. This plan may include input from family members or caregivers about the resident’s preferences, routines, and triggers to ensure personalized care.

9. Pre-Admission Visit or Interview

Some memory care facilities in North Dakota may require a pre-admission visit or interview. This step allows the staff to evaluate the prospective resident and gives families an opportunity to ask questions and observe the environment.

10. Availability of Space

Admission also depends on whether the facility has available space. Memory care units in North Dakota may have waitlists, particularly in rural areas or highly sought-after communities.

The Amenities that are Offered in North Dakota Memory Care Facilities

North Dakota Dementia and Alzheimer's care homes offer specialized care that varies from the treatment and involvement of other types of facilities. Because of this, these Alzheimer's care facilities offer their patients several amenities that help them live a normal life with help with day to day activities.

These amenities often include services that provide clean clothes and bedsheets, room and facilities cleaning, and personal care services like bathing and feeding. Not all patients will require all of these services, but the home is prepared to offer it if it is needed.

Other amenities may include socialization skill-building activities like social events, group activities, and special games or movie nights. These activities are important as well because they stimulate the residents’ minds and enable them to interact with the other patients in the home. Keeping patients socialized can help them feel less isolated and can also help them prevent brain activity from deteriorating. Some North Dakota memory care facilities may also offer special events like outings for the residents to see a play or movie, or having a local church or choir come perform for the patients at the home.

Questions to ask North Dakota memory care facilities

When choosing a memory care facility in North Dakota for a loved one, it is essential to ask questions that help you assess the level of care, environment, and overall quality of life that can be expected. Here’s a comprehensive list of important questions to consider during your visit:

1. What types of memory care services do you offer?

• Ask about the facility's specific memory care programs and approaches for individuals with dementia or Alzheimer's disease. It's important to know whether they provide specialized therapies, cognitive stimulation, and personalized care plans tailored to residents' needs.

2. What is the staff-to-resident ratio?

• Inquire about the ratio of staff to residents during different shifts. A lower staff-to-resident ratio is often an indicator of more personalized care, which is particularly crucial in memory care settings.

3. What training and qualifications do the staff members have?

• Ensure that the caregivers and staff are trained in managing the unique needs of memory care residents. This includes training in dementia care, emergency response, and behavior management. Ask about certifications like those from the Alzheimer’s Association.

4. How do you handle medical emergencies?

• Ask about the facility's protocols for medical emergencies, including how quickly they respond, the involvement of healthcare professionals, and whether they have 24/7 nursing staff on-site. Knowing the emergency care plan is crucial for peace of mind.

5. What is your policy on resident safety and security?

• Inquire about the security measures in place to prevent wandering and ensure residents' safety, such as alarm systems, secure entrances and exits, and supervision protocols.

6. What activities and social engagement programs are offered?

• Ask about the facility’s daily activities and social engagement programs, such as arts and crafts, music therapy, exercise programs, and outings. These activities can be vital for maintaining mental and emotional health.

7. How do you address behavioral issues or changes in condition?

• Discuss how the facility handles difficult behaviors like aggression, confusion, or anxiety, which are common in memory care residents. Understanding their approach to behavior management and whether they work with a team of specialists can help you determine if their practices align with your loved one’s needs.

8. What is the food service like?

• Ask about the types of meals provided, including whether they can accommodate dietary restrictions or preferences, and if meals are prepared fresh on-site. Good nutrition is critical for the health of memory care residents.

9. How do you handle medication management?

• Learn about the facility’s medication management system, including how they administer and monitor medications, ensure correct dosages, and manage side effects. It’s important that medications are managed in a way that supports the residents’ health and well-being.

10. What is the facility’s visitation policy?

• Understand the policies surrounding family visits, including any restrictions, hours, and the ability to take your loved one out for special occasions. A supportive visitation policy allows families to maintain strong bonds.

11. How do you involve family members in care planning?

• Ask how the facility communicates with family members regarding the resident’s condition, treatment plans, and any changes in behavior or health. An open line of communication between the facility and family is essential for ensuring the best care.

12. What is your policy on moving a resident to a different level of care if needed?

• Discuss whether residents can remain in the facility as their care needs evolve or if there are specific circumstances under which they would be transferred to a different facility. This helps you understand how their care might change in the future.

13. How is the facility’s environment designed to support memory care?

• Ask about the design of the facility, including whether it has a calm, familiar, and stimulating environment. The layout should reduce confusion and offer spaces that promote engagement, security, and independence.

14. What is the cost structure and what is included in the fee?

• Make sure you understand the pricing structure, what is covered by the monthly fee, and whether there are additional costs for certain services like personal care, transportation, or specialized therapies.

15. Can you provide references or testimonials from current or past residents’ families?

• Request references from other families who have experience with the facility. Hearing from those who have firsthand experience can provide valuable insights into the quality of care and environment.

16. How does the facility handle end-of-life care?

• It’s important to know how the facility provides palliative and end-of-life care, including support for residents’ comfort and dignity, as well as the emotional support available for families during this time.

By asking these questions, you can gain a better understanding of whether a memory care facility in North Dakota will provide the level of care, attention, and support your loved one requires.

Memory Care in North Dakota vs Assisted Living or Nursing Homes

Although there are a number of different facilities that house elderly patients, not all of them offer the same level of care. Assisted living homes offer residents help with day to day activities and offer meal preparation and cleaning services, but they are typically made for those who still have much of their normal brain function and memory.

Nursing homes have patients live on-site, but these homes are built for elderly people who are aging at a normal rate and don’t have the severe symptoms that dementia and Alzheimer’s sufferers deal with.

Facilities that provide memory care in North Dakota house patients that are in need of more individualized care. The symptoms of dementia can manifest differently in each resident, and the treatment will vary because of that. This means that each patient needs the time and attention to receive a personalized treatment plan designed specifically for them. 

This type of intensive care at dementia care communities requires specialized staff and qualified medical professionals that will be able to handle the kind of treatment that these patients need, and give them the individualized therapy they deserve. So, the staff is specially trained on how to handle outbursts that are caused by confusion and frustration in patients, and learn to calm them so to diffuse the situation quickly.

Memory Care Regulations in North Dakota

Memory care in North Dakota is governed by specific regulations to ensure the safety, health, and well-being of individuals with Alzheimer’s disease, dementia, or other memory-related conditions. These regulations are outlined by the North Dakota Department of Health and Human Services (NDHHS) and apply to assisted living facilities, basic care facilities, and specialized memory care units.

Licensing Requirements

Facilities providing memory care must obtain appropriate licensing from the NDHHS. These licenses ensure that facilities meet established standards for care, staffing, safety, and operational procedures. Facilities must disclose their level of care, including any specialized services for individuals with memory impairments.

Staff Training and Ratios

North Dakota mandates specific training for staff working in memory care settings. This training focuses on understanding dementia, effective communication techniques, managing behavioral symptoms, and providing person-centered care. Ongoing education is often required to keep staff informed about best practices and advancements in dementia care.

Staff-to-resident ratios are not explicitly defined in North Dakota regulations but must be sufficient to meet the needs of residents, particularly during high-demand periods. Facilities are required to develop staffing plans that ensure adequate supervision and care for residents with cognitive impairments.

Environmental Standards

Memory care facilities in North Dakota must create secure and supportive environments tailored to residents with memory impairments. These facilities often include design features such as secured exits, clear signage, and wander prevention systems to minimize risks and promote independence. Regulations also emphasize maintaining a clean, comfortable, and safe living environment.

Care Plans and Assessments

Facilities are required to conduct comprehensive assessments of each resident upon admission and at regular intervals. These assessments help develop individualized care plans that address the unique needs of each resident. Care plans must outline specific strategies for managing cognitive and behavioral symptoms, ensuring proper nutrition, and promoting social engagement.

Resident Rights and Protections

North Dakota regulations uphold residents' rights in memory care facilities, ensuring they are treated with dignity and respect. Facilities must allow residents to participate in decisions regarding their care and provide access to family members and advocates. Additionally, facilities must implement policies to prevent abuse, neglect, and exploitation.

Medication Management

Memory care regulations include stringent guidelines for medication management. Only licensed healthcare professionals can administer medications, and facilities must have protocols for storing, documenting, and monitoring medication use. These measures aim to prevent medication errors and ensure residents' safety.

Inspections and Compliance

Facilities are subject to routine inspections by the NDHHS to ensure compliance with state regulations. Inspections review aspects such as staff qualifications, resident care, facility maintenance, and adherence to safety protocols. Non-compliant facilities may face penalties, corrective action plans, or, in severe cases, revocation of their licenses.

Special Considerations for Memory Care

North Dakota encourages facilities to adopt therapeutic approaches, such as reminiscence therapy, sensory stimulation, and structured activities, to enhance residents' quality of life. While these are not mandatory, they are considered best practices for dementia care.

By adhering to these regulations, memory care facilities in North Dakota aim to provide a safe, supportive, and enriching environment for individuals with memory impairments.