Skilled care(nursing homes) provide the highest level of care, with 24-hour licensed nursing and medical supervision. These facilities are ideal for individuals who need ongoing medical management, rehabilitation, or assistance with most daily activities due to illness, injury, or chronic conditions.

Definition: A facility that provides room and board plus 24-hour nursing care and supervision, medical and rehabilitative services.

Services: Intensive support with nursing care, medical monitoring, rehabilitation, assistance with all ADLs, protective supervision.

Nursing/Medical: Licensed nursing staff on duty at all times in ND.

Licensing & oversight: Heavily regulated (state + federal standards for Medicare/Medicaid), annual surveys, must meet skilled nursing facility requirements.

Typical resident: Someone with complex medical needs, requiring constant nursing supervision, perhaps post-acute care, long-term chronic care, or serious cognitive/physical impairments.

Basic Care Facilities, like Borg Pioneer Memorial Home, serve individuals who are mostly independent but require assistance with daily living activities such as bathing, dressing, medication administration, meals, and general supervision. Nursing staff are available to oversee health needs and coordinate care, offering a safe, comfortable, and homelike environment.

Definition: A residential setting providing room and board plus health/social/personal care services. Residents need assistance with daily living tasks and supervision, but do not require full 24-hour skilled nursing.

Services: Assistance with Activities of Daily Living (ADLs) such as bathing, dressing, toileting, transferring; medication administration; supervision.

Nursing/Medical: Does not require regular 24-hour nursing care (in contrast to skilled nursing). Staff must be available to meet scheduled and unscheduled needs, but aren’t necessarily licensed for full nursing functions.

Licensing & oversight: Licensed by the Department of Health and subject to state survey/inspections.

Typical resident: Someone who needs more help than an assisted-living resident (greater support/supervision) but does not require intensive nursing care.

Assisted Living Facilities provide similar supportive services but in a more private, apartment-style setting. Assisted living is suited for those who value independence but want access to help and personal care as needed. While both Basic Care and Assisted Living promote autonomy, Basic Care offers more structured oversight and daily health-related support under North Dakota’s licensing standards.

Definition: An apartment-style residential setting that provides or coordinates individualized support services to help residents maintain as much independence as possible.

Services: May include meals, housekeeping, laundry, transportation, personal care (e.g., bathing, dressing), medication reminders, social/recreational activities.

Nursing/Medical: Regular 24-hour nurse or medical services are not required. Staff may respond to scheduled/unscheduled resident needs but are not necessarily licensed nursing personnel.

Licensing & oversight: Licensed by the state’s Department of Human Services/Health, but there is less intensive regulatory nursing requirement compared with skilled nursing.

Typical resident: Someone who needs some assistance with daily tasks but does not need full-time nursing supervision.