1900 North 11th Street, Bismarck, ND 58501(701) 222-0660 • www.NDLTCA.org
North Dakota Long Term Care
FACTS & FIGURES
2017
Greetings to AllThe North Dakota Long Term Care Association (NDLTCA) is pleased to bring to you the 2017 Facts & Figures booklet. This publication provides information about the long term care profession, the challenge of caring for aging North Dakotans, and issues facing long term care. This publication is designed to give legislators, association members, and the public an overview of long term care in North Dakota. The biggest challenge continues to be staffing, with finances the second area of concern.
North Dakota’s population continues to grow despite an economy that has slowed. North Dakota today has over 14,000 open positions, and recruiting to long term care continues to be a significant challenge. 81% of North Dakotas 53 counties are designated as health professional shortage areas. North Dakota will have 4,430 RN openings through 2020, according to a national report from the Georgetown University Center on Education and the Workforce.
We hope you find the publication helpful. North Dakota is a great place to grow old. Over 16,000 individuals each year receive care in a basic care, assisted living or skilled nursing facility. We are proud of the outstanding care provided by long term care facilities in our state.
Sincerely yours,
Shelly PetersonPresident
Craig ChristiansonChair
Introduction
Table of ContentsLong Term Care Facts . . . . . . . . . . . . . . . . . . . 2-3Assisted Living Facts . . . . . . . . . . . . . . . . . . . 4-8NDLTCA Members – Assisted Living . . . . . . . . . 9Basic Care Facts . . . . . . . . . . . . . . . . . . . . . 10-13NDLTCA Members – Basic Care . . . . . . . . . . . 14
Nursing Facility Facts . . . . . . . . . . . . . . . . . 15-18NDLTCA Members – Nursing Facilities . . . . . . 19About NDLTCA . . . . . . . . . . . . . . . . . . . . . . . . 20NDLTCA Staff and Board Members . . . . . . . . . 20
3NDLTCA | Facts and Figures 2017
Long Term Care Facts
Risk of requiring long term care at sometime in life is 50%. If you have a spouse, overall risk that one of you would need long term care is 65%
1 out of 2 North Dakotanswill need long term care sometime during their lives
Aging In AmericaThe aging of America, together with extended life expectancy, will result in unprecedented demand for long term care.
Long term care services are provided in a variety of settings, including nursing facilities, basic care, assisted living, swing beds, and home and community based settings.
The nation as a whole grew as the oldest Baby Boomers became seniors. In 2015, the nation’s 65+ populations surged to 47.8 million, up to 3.2%.
32% projected growth in North Dakota’s population of individuals
age 65+ by 2025
107,6292015
142,1952025
North Dakota ranks in the nation in highest
proportion of individuals age 85+
7th
14.2% of North Dakota’s population is made up of individuals 65+
4 NDLTCA | Facts and Figures 2017
Caregivers of North Dakota
• Sufficient staffing is the number one concern facing long term care facilities.
• CNA turnover in nursing facilities is 62%.
• The oldest employee in long term care is 90 years old.
• Almost three out of every four nursing facilities (73%) rely upon contract nursing staff to provide daily resident care.
• Over $20 million was spent on contract nursing in 2016, compared to $4.7 million in 2010.
• One-third of caregivers in long term care are age 50 or older.
• 14% of the long term care workforce is at or over the age of 60.
Who Needs Care?Long term care facilities provide care for over 16,000 North Dakotans annually.
The need for personal assistance with everyday activities increases with age.
The three top factors impacting the need for nursing home care are being a woman, being 80 or older, and living alone.
The most common reasons given for nursing home placement are the need for assistance with daily care, the need for continuous supervision, and complications due to dementia and falls.
North Dakota has the oldest nursing home residents with 47% age 85-95 years (highest in the nation) and 9.2% over age 95 (second highest in nation).
nursing facilities reported
48669 open positions
in November 2016.
Long Term Care Facts
5NDLTCA | Facts and Figures 2017
Non-Profit66%
Profit34%
Home85%
NursingFacility7%
Hospital/SwingBed4%
OtherAssistedLivingFacility2%
BasicCareFacility1%
Other<1%
Non-Profit66%
Profit34%
Home85%
NursingFacility7%
Hospital/SwingBed4%
OtherAssistedLivingFacility2%
BasicCareFacility1%
Other<1%
Assisted Living Facts
n=65
Ownership of Assisted Living Facilities
Assisted Living Facts• An assisted living facility is a congregate residential setting with private apartments and contracted services.
• A la carte services are contracted based upon an agreed upon service plan.
• A basic rental package includes snacks, housekeeping, activities, transportation, and laundry.
• Facilities provide a full range of services from bathing to medication management to hospice care.
• Assistance with daily care, isolation and the need for supervision are the top issues precipitating the desire to move into an assisted living facility.
• Current tenants range in age from 53 to 104 with the average age being 85.
75 licensed assisted living facilities
2,924 licensed units
2016 average occupancy was 95%
ASSISTED LIVING AT A
GLANCE
Female Tenants Male Tenants
of tenants in North Dakota ASSISTED LIVING are female72%
n=1,544
Gender of Assisted
Living Residents
6 NDLTCA | Facts and Figures 2017
NursingFacility51%
Death17%
Home9%
BasicCareFacility8%
OtherAssistedLivingFacility7%
Hospital/SwingBed6%
Family2%
Other1%
14.20%
Non-Profit66%
Profit34%
Home85%
NursingFacility7%
Hospital/SwingBed4%
OtherAssistedLivingFacility2%
BasicCareFacility1%
Other<1%
Tenants - Moving In and Out
When individuals move into an assisted living facility, where do they come from?
Most individuals were living in their own home prior to moving into an assisted living facility. The top four reasons for assisted living move-in:1) Assistance with daily care
2) Social Isolation
3) Limited community services
4) Need for supervision
When individuals move out of an assisted living facility, where do they go?
Over half of tenants moving out of assisted living facilities are admitted to a skilled nursing facility. Advancing medical needs and growing cognition issues necessitate the move to a higher level of care.
Moving Out
Moving In
NursingFacility51%
Death17%
Home9%
BasicCareFacility8%
OtherAssistedLivingFacility7%
Hospital/SwingBed6%
Family2%
Other1%
14.20%
Non-Profit66%
Profit34%
Home85%
NursingFacility7%
Hospital/SwingBed4%
OtherAssistedLivingFacility2%
BasicCareFacility1%
Other<1%
7NDLTCA | Facts and Figures 2017
Assisted Living Facts
of tenants are fully independent in eating, 93% independent with transferring, 92% withtoileting, and 72% with dressing.
of tenants have impaired mental status ranging from mild confusing or forgetfulness to a mental health diagnosis.
Care needs of assisted living tenants42%
of tenants need full assistance with medication administration. These tenants on average take 10.4 over-the-counter and prescription medications daily.47%
98%
59% of tenants periodically use the assistance of a walker or cane.
71% of tenants are ambulatory (may use aids but not human assistance).
Assisted LivingWORKFORCE
• Top issues impacting assisted living facilities are staffing and occupancy.
• 1,139 individuals are employed in 42 assisted living facilities.
• As of November 1, 2016, of the 36 assisted living facilities reporting nursing hours the average was eight hours per day.
• Seven of 43 reporting assisted living facilities used contract nursing staff in 2016. Those seven reported spending $221,400 annually.
• Over one-third (35%) of the workforce is age 50 and older, the oldest employee is 93.
AG
E
10% 24% 16% 15% 20% 15%≤19 20-29 30-39 40-49 50-59 60≥
Age of Assisted Living Workforce
n=1127
8 NDLTCA | Facts and Figures 2017
Private Pay 98%*
Other 2%
Assisted Living FactsAssisted LivingCOST
WHO PAYS?
Who Pays the Bill in Assisted Living Facilities?
*of this amount 23% of tenants have LTC insurance that helps pay for their care.
n=1661
In 2016, the average charge for rent in a one bedroom assisted living facility was $2,341 per month, with a range of $923 to $4,380 per month.
The cost for services in an assisted living facility varies dramatically, with an average service package of $1,017, with a range of $13 to $4,000 per month.
The cost of assisted living is highly dependent on the size of the living space, the location in North Dakota, and the amenities in the rental package.
Most tenants pay for services from their own private funds, with long term care insurance assisting in 23% of the cases.
Satisfaction1-Poor 2-Average 3-Good 4-Very Good 5-Excellent
Overall Satisfaction (n=966) <1% 4% 13% 35% 47%
Quality of Staff (n=981) <1% 3% 12% 34% 51%
Quality of Care (n=974) <1% 3% 14% 36% 46%
Quality of Food (n=940) 4% 16% 28% 31% 21%
40 Assisted Living Facilities representing 1392 units participated in the survey October 2016
Assisted Living
Satisfaction Survey Results
9NDLTCA | Facts and Figures 2017
Assisted Living Facts NDLTCA Members Assisted Living
City
Bismarck
Bismarck
Bismarck
Bismarck
Bismarck
Bismarck
Bowman
Carrington
Cooperstown
Crosby
Devils Lake
Devils Lake
Dickinson
Dickinson
Dickinson
Dickinson
Ellendale
Fargo
Fargo
Fargo
Fargo
Fargo
Fargo
Fargo
Fargo
Forman
Garrison
Grafton
Grand Forks
Grand Forks
Hatton
Hettinger
Hillsboro
Facility Name
Augusta Place – a Prospera Community
Edgewood Vista - Dominion
Edgewood Vista at Edgewood Village
Primrose Retirement Community
Touchmark on West Century
Valley View Heights
Sunrise Village
Golden Acres Estate
Park Place
Northern Lights Villa
Good Samaritan Society - Lake Country Manor
Eventide Heartland Courts
Benedict Court
Evergreen
Hawks Point
Park Avenue Villa
Evergreen Place and Assisted Living
Bethany Gables
Bethany Towers
Edgewood Vista in Fargo
Eventide Fargo
Good Samaritan Society - Fargo
Pioneer House Assisted Living for Seniors
CHI Riverview
Touchmark at Harwood Groves
Four Seasons Healthcare Center, Inc.
The Meadows
Leisure Estates
Edgewood Parkwood Place
Wheatland Terrace
Hatton Prairie Village
Western Horizons Assisted Living
Sanford Health Comstock CC
City
Jamestown
Jamestown
Killdeer
Lakota
LaMoure
Larimore
Lisbon
Mandan
Mandan
Mayville
McVille
Minot
Minot
Minot
Minot
Minot
Napoleon
New Rockford
New Salem
New Town
Northwood
Oakes
Rugby
Valley City
Velva
Wahpeton
Walhalla
Watford City
West Fargo
West Fargo
Williston
Wishek
Facility Name
Edgewood Senior Living
Heritage Center of Jamestown, Inc.
Legacy Lodge
Good Samaritan Society - Prairie Rose
Rosewood Court Assisted Living
Good Samaritan Society - Larimore
Beverly Anne Assisted Living Center
Edgewood Vista Mandan
Lakewood Landing
Sun Centers
Nelson County Health System Assisted Living
Brookdale Brentmoor Minot
Edgewood Vista Minot Senior Living Care
ProHealth Home Care
The View on Elk Drive
The Wellington
Napoleon Congregate/Assisted Living Apartments
Heritage House
Elm Crest Assisted Living
Lakeside Community Living Center
Northwood Deaconess Health Center
Good Samaritan Society - Oakes
Haaland Estates - Assisted Living
The Legacy Place
Valley View Manor
Siena Court
North Border Estates
Horizon
Eventide at Sheyenne Crossings
Kinder Care
Arbor House
Prairie Hills Assisted Living
10 NDLTCA | Facts and Figures 2017
Non-Profit64%
Profit36%
Home54%
NursingFacility12%
AssistedLivingFacility10%
Hospital/Swing9%
AnotherBasicCareFacility7%
StateHospital3%
Family3%
Other2%
Basic Care Facts
Basic Care Facts• A basic care facility is a congregate residential setting with private and semi-private rooms, providing 24-hour
supervision and staffing.
• Basic Care provides an all-inclusive rate providing room, meals, personal care services, supervision, activities, transportation, medication administration, nursing assessment, and care planning.
• Current residents range in age from 40 to 105 years old, with the average age being 79.
Ownership of Basic Care Facilities
n=58
BASIC CARE AT A
GLANCE62 licensed basic care facilities
1,818 licensed units
2016 average occupancy was 82%
Non-Profit64%
Profit36%
Home54%
NursingFacility12%
AssistedLivingFacility10%
Hospital/Swing9%
AnotherBasicCareFacility7%
StateHospital3%
Family3%
Other2%
Female Tenants Male Tenants
of tenants in North DakotaBASIC CARE are female71%
n=1,031
Gender of Basic Care Residents
11NDLTCA | Facts and Figures 2017
Non-Profit64%
Profit36%
Home54%
NursingFacility12%
AssistedLivingFacility10%
Hospital/Swing9%
AnotherBasicCareFacility7%
StateHospital3%
Family3%
Other2%
Non-Profit64%
Profit36%
Home54%
NursingFacility12%
AssistedLivingFacility10%
Hospital/Swing9%
AnotherBasicCareFacility7%
StateHospital3%
Family3%
Other2%
Moving In
NursingFacility60%
Home13%
Hospital/SwingBed10%
Death8%
OtherBasicCareFacility5%
AdultChildren1%
Other3%
n=1030
NursingFacility60%
Home13%
Hospital/SwingBed10%
Death8%
OtherBasicCareFacility5%
AdultChildren1%
Other3%
Basic Care Facts
When individuals move into a basic care facility,where do they come from?
Top three reasons for basic care admission:1) Needs assistance2) Needs supervision3) Confusion
When individuals move out of a basic care facility, where do they go?
Well over half of residents discharged from a basic care facility are admitted to a skilled nursing facility. Medical needs, physical limitations, and growing cognitive issues necessitate the admission. The average length of stay is 1.48 years.
Moving Out
12 NDLTCA | Facts and Figures 2017
80% of residents have impaired mental status, ranging from early stage dementia to disorientation.
of residents have a mental health diagnosis.
of residents need full assistance with medication administration.
of residents receiving psychoactive drugs.
Basic Care Facts
53%
95%
19%
Care needs of basic care tenants
the number of medications the average basic care resident takes.
of residents are independent in dressing, with 6% requiring extensive assistance.
of residents are ambulatory and do not need any staff assistance, 55% use a walker or cane and very few use a wheelchair (7%).
of residents are independent in transferring and eating and 82% with toileting.
of residents need assistance bathing.71%
96%
60%
59%
12
n=1480
Basic CareWORKFORCE
• The top issue facing basic care facilities is staffing and financial viability.
• 1,610 individuals are employed in 36 basic care facilities.
• In 2016 the average wage increase provided was 3%, while most tried to maintain health insurance with premiums increasing just under 7%.
• Nine of the reporting basic care facilities used contract nursing staff in their facilities in 2016, with six facilities reporting they spent $132,500 on contract staffing.
AG
E
10% 25% 17% 16% 18% 15%≤19 20-29 30-39 40-49 50-59 60≥
Age of Basic Care Workforce
13NDLTCA | Facts and Figures 2017
Basic Care Assistance 57%
Other 2%
Private Pay 41%*
Basic Care FactsBasic CareCOST
WHO PAYS?
Who Pays the Bill in Basic Care Facilities?
*10% of residents have LTC insurance that helps
pay for their care
n=948
More than half (57%) of the residents living in basic care need assistance to pay for their care. The average monthly cost of basic care was reported at $3,668. The cost ranged from $2,300 to $5,100 per month.
Cost of a Private Room: One-third of reporting basic care facilities charge extra for a private room. The average daily cost for a private room is $8.53 per day, with a range of $1.18 to $25.00 per day.
Rate Equalization in Basic Care: It is allowable to charge private pay residents more than basic care assistance rates. Only a little over half (56%) of the reporting Basic Care Facilities charge the private pay more. Of those charging more, the range was 1 cent per day to $82.00 per day.
Satisfaction1-Poor 2-Average 3-Good 4-Very Good 5-Excellent
Overall Satisfaction (n=966) <1% 4% 13% 31% 51%
Quality of Staff (n=981) <1% 3% 13% 42% 41%
Quality of Care (n=974) <1% 3% 12% 40% 45%
Quality of Food (n=940) 4% 11% 27% 33% 26%
29 Basic Care Facilities and representing 834 beds participated in the survey October 2016
Basic Care Satisfaction Survey Results
14 NDLTCA | Facts and Figures 2017
City
Arthur
Bismarck
Bismarck
Bismarck
Bismarck
Bismarck
Bismarck
Cando
Crosby
Devils Lake
Devils Lake
Devils Lake
Dickinson
Dickinson
Edgeley
Edmore
Elgin
Ellendale
Fargo
Fargo
Fargo
Fargo
Fargo
Fargo
Gackle
Grand Forks
Grand Forks
Grand Forks
Grand Forks
Hazen
Facility Name
Good Samaritan Society - Arthur
Augusta Place – a Prospera Community
Edgewood Vista at Dominion
Edgewood Vista at Edgewood Village
Maple View
The Terrace
Touchmark on West Century
St. Francis Residence
St. Luke’s Sunrise Center
Good Samaritan Society - Devils Lake
Good Samaritan Society - Lake Country Manor
Odd Fellows Home
Dickinson Country House LLC
Evergreen
Manor St. Joseph
Edmore Memorial Rest Home
Dakota Hill Housing
Evergreen Place
Bethany Towers
Ecumen Evergreens of Fargo
Edgewood Vista at Edgewood Village
Good Samaritan Society - Fargo
Maple View Memory Care - Fargo
Touchmark at Harwood Groves
Gackle Care Center
Maple View Memory Care
Edgewood Parkwood Place
St. Anne’s Guest Home
Tufte Manor
Senior Suites at Sakakawea
City
Jamestown
Jamestown
Jamestown
Larimore
Lisbon
Lisbon
Maddock
Mandan
Mandan
Mandan
McClusky
Minot
Minot
Minot
Minot
Mountain
New Rockford
New Town
Northwood
Osnabrock
Park River
Rugby
Steele
Valley City
Wahpeton
Wahpeton
Watford City
West Fargo
Williston
Wilton
Facility Name
Edgewood Senior Living
Rock of Ages
Rosedale
Good Samaritan Society - Larimore
North Dakota Veterans Home
Parkside Lutheran Home
Maddock Memorial Home
Dakota Pointe
Edgewood
Lakewood Landing
Sheridan Memorial Home
Edgewood Vista Minot Senior Living Care
Edgewood Vista Memory Care
Emerald Court
Maple View Memory Care - Minot
Borg Pioneer Memorial Home
Lutheran Home of the Good Shepherd
Lakeside Community Living Center
Northwood Deaconess Health Center
Osnabrock Comunity Living Center
Good Samaritan Society - Park River
Haaland Estates - Basic Care
Golden Manor Inc.
Hi Soaring Eagle Ranch
St. Catherine’s Living Center
The Leach Home
McKenzie County Healthcare Systems
Eventide at Sheyenne Crossings
Bethel Lutheran Nursing & Rehabilitation Center
Redwood Village
NDLTCA Members Basic Care Facilities
15NDLTCA | Facts and Figures 2017
Nursing Facilities AT A
GLANCE
Nursing Facility Facts
• Resident needs are complex and they are in need of 24-hour nursing care.
• Most residents are admitted after a hospital stay or directly from their home.
• The most significant issue necessitating admission to a nursing facility is the need for care throughout the day. Residents are unable to meet their own needs for dressing, toileting, eating, an remaining safe. Most often their medical needs are complex, requiring continuous supervision.
• Current residents range in age from 33 to 109 years old, with the average age being 84.
• The average length of stay is less than a year.
• According to CMS data, in 2016 ND nursing facilities had the second highest percentage of residents age 95 and older, 9.24% of all residents compared to the US average in this age category of 5.18%. ND nursing facilities hold the highest record for the 85-94 age group at 47.2%, compared to the US average of 33%.
Nursing Facility Facts
Ownership of Nursing Facility
n=80
80 licensed nursing facilities
6,141 licensed beds
2016 average daily rate is $258.78
2016 average occupancy was 93.6%
Female Tenants Male Tenants
of tenants in North DakotaNURSING FACILITIES are female68%
n=3,502
Gender of Nursing Facility
Residents
16 NDLTCA | Facts and Figures 2017
7% 27% 18% 15% 19% 14%
Nursing Facility Facts
The top five reasons for nursing facility admission:1) Assistance with daily care2) Needs continuous supervision3) Falls4) Dementia5) Complex Medical needs
When residents are discharged from a
skilled nursing facility, where do they go?
According to CMS data,
49% of ND nursing home residents are discharged back home.
n=7,557
Why do individuals move into a nursing facility?
• The top issue facing nursing facilities is staffing; as of November 1, 2016, 48 nursing facilities reported 669 vacant positions.
• 7,639 individuals are employed in 50 nursing facilities.
• 12% (n=50) of reporting nursing facilities stopped admissions in 2016 because of lack of staff.
• 73% of nursing facilities used contract agency staff in 2016.
• In 2016 the most frequent salary increase reported was 3%. Health insurance cost has been unpredictable, ranging from zero to a 24% increase.
• Turnover and workforce age will create an unprecedented demand for employees in the next five years.
• One-third of the workforce is age 50 or older, with the oldest employee being 90.
• 81% of North Dakota’s 53 counties are designated as health professional shortage areas.
AG
E ≤19 20-29 30-39 40-49 50-59 60≥
Age of Nursing Facility Workforce
Nursing FacilityWORKFORCE
17NDLTCA | Facts and Figures 2017
North Dakota Nursing Facility Days by Payer
Nursing Facility Facts
62% 58% 35%
CNAs DietaryStaff
36%
House-keeping
42%
LPNs RNs
Nursing FacilityCOST
2016 Nursing Facility Staff Turnover
Cost of a Private RoomNursing facilities are allowed to charge extra for a private room. The average daily private room charge in 2016 was $13.31. The extra private room charge varies based upon size and location of the room. Private rooms are growing in number to meet the increased demand.
In 2016, the average cost for
ONE DAY of nursing facility care is
$258.78
18 NDLTCA | Facts and Figures 2017
When facilities face staffing shortages, one option is to use contract staff to provide daily resident care. In 2016, 57 of 78 nursing facilities or 73% used contract nursing agencies.
Nursing Facilities Salaries as of November 2016
Position
CNAs
LPNs
RNs
Dietary
Housekeeping
201062%
33%
40%
57%
34%
201258%
36%
32%
45%
33%
201456%
36%
33%
51%
42%
201662%
42%
35%
58%
36%
$4.7$6.1
$12.3 $12.9$15.5
$19.5 $20.4
0
5
10
15
20
25
Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16
DollarsinM
illions
Contract Nursing - Dollars Spent (Millions)
3944
48 47
5661
57
06
121824303642485460667278
Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16
Num
bero
fNursingFacili4e
s
Year
Number of Nursing Facilites Using Contract Nurses
156,503 175,633
352,000 339,911406,514
519,172 542,474
0
100,000
200,000
300,000
400,000
500,000
600,000
Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16
Hours
Use of Contract Nursing - Hours
$4.7$6.1
$12.3 $12.9$15.5
$19.5 $20.4
0
5
10
15
20
25
Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16
DollarsinM
illions
Contract Nursing - Dollars Spent (Millions)
3944
48 47
5661
57
06
121824303642485460667278
Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16
Num
bero
fNursingFacili4e
s
Year
Number of Nursing Facilites Using Contract Nurses
156,503 175,633
352,000 339,911406,514
519,172 542,474
0
100,000
200,000
300,000
400,000
500,000
600,000
Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16
Hours
Use of Contract Nursing - Hours
$4.7$6.1
$12.3 $12.9$15.5
$19.5 $20.4
0
5
10
15
20
25
Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16
DollarsinM
illions
Contract Nursing - Dollars Spent (Millions)
3944
48 47
5661
57
06
121824303642485460667278
Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16
Num
bero
fNursingFacili4e
s
Year
Number of Nursing Facilites Using Contract Nurses
156,503 175,633
352,000 339,911406,514
519,172 542,474
0
100,000
200,000
300,000
400,000
500,000
600,000
Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16
Hours
Use of Contract Nursing - Hours
CNA Entry WageCook Entry Wage
House Keeping Entry WageDietary Aide Entry Wage
$14.27 Avg$13.20 Avg
$11.77 Avg$11.68 Avg
History of Nursing FacilitySTAFF TURNOVER2010-2016
Nursing Facility Staffing
IN NURSING FACILITESContract Nursing
19NDLTCA | Facts and Figures 2017
City
Aneta
Ashley
Beulah
Bismarck
Bismarck
Bismarck
Bismarck
Bismarck
Bismarck
Bottineau
Bowman
Cando
Carrington
Cavalier
Cooperstown
Crosby
Devils Lake
Devils Lake
Dickinson
Dickinson
Dunseith
Ellendale
Enderlin
Fargo
Fargo
Fargo
Fargo
Fargo
Fargo
Fargo
Forman
Garrison
Garrison
Glen Ullin
Grafton
Grand Forks
Grand Forks
Hankinson
Harvey
Hatton
Facility Name
Aneta Parkview Health Center
Ashley Medical Center and Nursing Home
Knife River Care Center
Augusta Place – a Prospera Community
Baptist Home, Inc
Missouri Slope Lutheran Care
St. Vincent’s – a Prospera Community
CHI St. Alexius Medical Center - TCU
St. Gabriel’s Community
Good Samaritan Society - Bottineau
Southwest Healthcare Services
Towner County Living Center
Golden Acres Manor
Wedgewood Manor
Griggs County Care Center
St. Luke’s Sunrise Care Center
Good Samaritan Society - Devils Lake
Eventide Heartland Care Center
St. Benedict’s Health Center
St. Luke’s Home
Dunseith Community Nursing Home
Prince of Peace Care Center
Maryhill Manor
Bethany on 42nd Skilled Care
Bethany on University Skilled Care
Elim Care - A Caring Community
Eventide Fargo
Manor Care of Fargo ND, LLC
Rosewood on Broadway
Villa Maria
Four Seasons Healthcare Center, Inc
Benedictine Living Center of Garrison
CHI St. Alexius - Garrison
Marian Manor Healthcare Center
Lutheran Sunset Home
Valley Eldercare Center
Woodside Village
St. Gerard’s Community of Care
St. Aloisius Medical Center
Hatton Prairie Village
City
Hettinger
Hillsboro
Jamestown
Jamestown
Killdeer
Lakota
LaMoure
Langdon
Larimore
Lisbon
Lisbon
Mandan
Mandan
Mandan
Mayville
McVille
Minot
Minot
Mohall
Mott
Napoleon
New Rockford
New Salem
Northwood
Oakes
Park River
Richardton
Rolette
Rugby
Stanley
Strasburg
Tioga
Valley City
Velva
Wahpeton
Walhalla
Watford City
West Fargo
Williston
Wishek
Facility Name
Western Horizons Care Center
Sanford Health Hillsboro Care Center
Ave Maria Village
Eventide
Hill Top Home of Comfort
Good Samaritan Society - Lakota
St. Rose Care Center
Maple Manor Care Center
Good Samaritan Society - Larimore
North Dakota Veterans Home
Parkside Lutheran Home
Dakota Alpha
Miller Pointe – a Prospera Community
Sunset Drive – a Prospera Community
Luther Memorial Home
Nelson County Health Systems Care Center
Minot Health and Rehab
Trinity Homes
Good Samaritan Society - Mohall
Good Samaritan Society - Mott
Napoleon Care Center
Lutheran Home of the Good Shepherd
Elm Crest Manor
Northwood Deaconess Health Center
Good Samaritan Society - Oakes
Good Samaritan Society - Park River
Richardton Health Center
Rolette Community Care Center
Heart of America Medical Center
Mountrail Bethel Home
Strasburg Care Center
Tioga Medical Center Long Term Care
Sheyenne Care Center
Souris Valley Care Center
Benedictine Living Community
Pembilier Nursing Center
McKenzie County Healthcare Systems
Sheyenne Crossings Care Center/TCU
Bethel Lutheran Nursing & Rehabilitation Center
Wishek Living Center
NDLTCA Members Nursing Facilities
About NDLTCA
The North Dakota long Term Care Association is a professional association of long term care and community service providers who enhance the lives of people we serve thorough collaboration, education and advocacy.
The North Dakota Long Term Care Association is recognized as an innovative leader and pioneer in the continuum of care, which has a positive impact on the quality of life of those we serve.
• Competence • Honesty • Integrity • Responsiveness • Trust
Resources Most of the information provided in this publication was gathered from a comprehensive survey of assisted living, basic care and nursing facility members, completed in the Fall of 2016. Additional information was gathered from the US Census Bureau - July 2015, NDSU.edu/november2015, ND State Department Business Data, Nursing Facility cost reports and the North Dakota Center for Nursing.
About the North Dakota Long Term
Care Association
Mission Statement
Vision Statement
Core Values
ND
LTC
A S
taff
ND
LTC
A B
oard
Mem
bers
Shelly Peterson President
Peggy Krikava Education Director
Erin Keen Education Assistant
Carol Ternes Executive Assistant
Vanessa Raile Director of
Emergency Planning
Shawn Surface Account Tech
Craig Christianson, Chair Sheyenne Care Center, Valley City | (701) 845-8222
Greg Salwei, Past Chair Wishek Living Center, Wishek | (701) 452-2333
Cynthia Tredwell, Vice Chair Hatton Prairie Village, Hatton | (701) 543-3102
Cathy Eckmann, Secretary/Treasurer Valley View Heights, Bismarck | (701) 221-3018
Kari Dick, Assisted Living Director-At-Large Touchmark at Harwood Groves, Fargo | (701) 476-1200
Mary Jo Fries, Basic Care Director-At-Large Golden Manor Inc., Steele | (701) 475-2251
Tony Keelin, Nursing Facility Director-At-Large Rosewood on Broadway, Fargo | (701) 277-7999
The North Dakota Long Term Care Association (NDLTCA) is a non profit trade association representing long term care facilities in North Dakota. Membership includes nursing facilities, basic care facilities, and assisted living facilities. NDLTCA began operating in 1977 and currently represents 210 nursing, basic care, and assisted living facilities. NDLTCA works closely with State and Federal government agencies along with other profession associations in its efforts to advocate on behalf of long term care and promote sound legislative and regulatory policies. NDLTCA is an affiliate of the American Health Care Association (AHCA) and the National Centers for Assisted Living (NCAL). AHCA and NCAL, located in Washington, D.C., are the largest organizations of long term care facilities in the nation. NDLTCA is governed by a 14 member BOARD elected by the membership. Overall policy of the NDLTCA is the responsibility of the Board. NDLTCA is dedicated to serving our members who strive to maintain the highest quality of care for the elderly and disabled.
Jac McTaggart, Hospital Attached Director-At-Large Hillsboro Medical Center, Hillboro | (701)636-3200
Daniel Kelly, Region I Director Mckenzie County Health Care System, Watford City | (701) 842-3000
Pete Antonson, Region II Director Northwood Deaconess Health Center, Northwood | (701) 587-6060
Becky Hansen, Region III Director Southwest Healthcare Services, Bowman | (701) 523-3214
Tony Elsperger, Region IV Director Sunset Drive - a Prospera Community, Mandan | (701) 323-1411
Timothy Burchill, Region V Director Ave Maria Village, Jamestown | (701) 252-5660
Tim Kennedy, Region VI Director Parkside Lutheran Home, Lisbon | (701) 683-5239