Skilled nursing facilities in North Dakota are licensed by the state and certified by the Centers for Medicare & Medicaid Services (CMS) to participate in the Medicare/Medicaid programs. The North Dakota Health and Human Services, Health Facilities Unit, has the contract for conducting the Medicare/Medicaid certification survey for CMS in these nursing facilities.  

Nurse Aide Registry and Abuse Investigation

The Health Facilities Unit is designated by the Centers for Medicare & Medicaid Services as the agency responsible for the registration of certified nursing assistants (CNAs). In addition to maintaining the registry, the Health Facilities Unit receives and investigates allegations of abuse in long-term care facilities. There are over 10,000 people registered to practice as certified nurse aides in the state of North Dakota. 

Certified Nurse Aide Validated Abuse List

Nurse Aide Training and Evaluation Program

 The Health Facilities Unit reviews and approves the certified nurse aide training programs throughout the state. Currently, approximately 56 of these training programs are approved by the Health Facilities Unit.  

Regulatory Code


SFN 14230 - Application for License to Operate A Nursing Facility.


Additional Information

Rural Health Information Hub

The Rural Health Information Hub (RHIhub) is the nation's rural health information source. The website offers an online library, coverage of rural issues, state guides, toolkits, program models, and more. RHIhub provides customized assistance by phone or email and is funded by the Federal Office of Rural Health Policy. For more information follow this link:

Rural Health Information Hub

Quality Health Associates of North Dakota serves as a link between healthcare providers and the community.

Quality Health Associates of North Dakota

Informal Dispute Resolution (IDR) Request

Download IDR Form

Public Posting of Funded CMP Projects

Music & Memory

  1. Project Title - Music & Memory Initiative
  2. Duration of the project - Phase 1 until 12/31/2019 and Phase II until 12/31/2022
  3. Dollar Amount Awarded for the Project- Phase I $125,997 and Phase II $150,821
  4. Project Purpose and Goals – The initiative’s purpose and goals are to develop a personalized music program as a non-pharmacological intervention strategy for nursing facilities that complements the CMS Partnership effort to reduce the use of antipsychotics for residents diagnosed with dementia and related disorders resulting in a marked improvement in affected residents’ quality of life.
  5. Awardee Name - Quality Health Associates of Minot
  6. Project Results (e.g., outcome and lessons learned) The project is nearing completion. Facility assessments via an online survey tool to understand program implementation, barriers, and successes will be conducted upon completion and reviewed along with the most current data available from CMS of antipsychotic use in long-stay residents. These two sources will be used to prepare the final report. Preliminary findings reflected an improvement in QMs. The final results will be reported here when available.
  7. Other key information, such as whether improvements have been institutionalized as a result of the project.  Recent comments indicate COVID has had an impact on the implementation of this project.

Additional information regarding the CMP program and the most current application can be found at:

Additional questions and inquiries can be sent to

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