North Dakota Assisted Living Complaint Resources
How to report a North Dakota assisted living facility. Immediate reporting tools, residents' rights, and legal advocacy for residents and families.
Reviewed by Nick Kassatly, Esq. · Published June 30, 2026 · Updated July 23, 2026
North Dakota Department of Health and Human Services, Health Facilities Unit
North Dakota Adult Protective Services
To report suspected abuse, neglect, or exploitation of vulnerable adults.
Long-Term Care Ombudsman
Serving as an advocacy program to protect the health, safety, and welfare of residents in long-term care facilities.
To report an assisted living facility in North Dakota, contact North Dakota Department of Health and Human Services, Health Facilities Unit at (701) 328-2352 or file a complaint online. Complaints can be filed anonymously. For advocacy help, the North Dakota Long-Term Care Ombudsman can be reached at (855) 462-5465 opt. 3 or (701) 328-4617.
If you are concerned about the care your loved one is receiving in a North Dakota assisted living facility, you have the right to file a complaint with the state — and you can do so anonymously. In North Dakota, assisted living facilities are licensed as Assisted Living Facilities and are regulated separately from skilled nursing homes.
Who Regulates Assisted Living Facilities in North Dakota
The North Dakota Department of Health and Human Services, through its Health Facilities Unit, licenses and inspects assisted living facilities and investigates complaints about them. Because assisted living is not certified by Medicare the way skilled nursing homes are, the state — not the federal government — is the primary authority responsible for oversight and enforcement at these facilities.
How to File an Assisted Living Complaint in North Dakota
You can report concerns by calling the Health Facilities Unit at (701) 328-2352 or by submitting the Health Facility Program Complaint Intake Form online. You may file orally or in writing, and you may remain anonymous. To help investigators, provide as much detail as you can — the facility name, the resident's name, specific dates and times, the names of staff involved, and a clear description of what happened. You can also contact the Long-Term Care Ombudsman at (855) 462-5465, option 3, for advocacy support.
Memory Care and Dementia Care in North Dakota
In North Dakota, memory care for residents with Alzheimer's disease or dementia is provided within licensed assisted living and basic care settings. Facilities that market specialized dementia care are expected to disclose how their staffing, training, and security differ for memory-care residents and to maintain a safe environment for residents who may wander. Concerns about a memory care unit are handled through the same complaint process — call the Health Facilities Unit at (701) 328-2352 to report abuse, neglect, elopement, or other unsafe conditions.
North DakotaAssisted Living Regulations & Resources
How North Dakota Licenses Assisted Living
North Dakota licenses assisted living facilities as Assisted Living Facilities under the Department of Health and Human Services, Health Facilities Unit. Facilities that provide a higher level of personal and health care may instead be licensed as Basic Care Facilities. Memory care is provided within these licensed settings, with additional dementia-training, disclosure, and safety expectations for facilities that serve residents with Alzheimer's disease or dementia.
Statute of Limitations
2 to 6 years
In North Dakota, the statute of limitations depends on the type of claim. General negligence claims have a 6-year deadline, while medical malpractice claims must be filed within 2 years. Assisted living negligence may fall under either category depending on the circumstances. It is critical to consult with an attorney as soon as possible to determine which deadline applies to your case.
Complaint Types Investigated
Abuse and neglect, medication errors, inadequate staffing, unsafe or unsanitary conditions, financial exploitation, improper evictions or transfers, and violations of residents' rights.
What Happens After You File
Investigation Timeline
After a complaint is received, the Health Facilities Unit reviews and prioritizes it based on the severity of the allegation. Complaints alleging immediate danger to a resident's health or safety are investigated on an expedited basis, while other complaints are scheduled according to risk. Investigators may review records, interview residents and staff, and conduct an on-site visit.
Unannounced Inspections
Complaint investigations and routine surveys of assisted living facilities are generally conducted unannounced so that surveyors can observe normal conditions and care as residents actually experience them.
Complainant Notification
If you provide your contact information, the Health Facilities Unit will generally notify you of the outcome of the investigation, including whether the allegations were substantiated and what action, if any, was taken.
Enforcement Actions
When violations are found, the Health Facilities Unit may require a plan of correction and can impose enforcement actions including civil penalties (fines), conditions or limitations on the license, and suspension or revocation of the facility's license. Cases involving abuse, neglect, or financial exploitation may also be referred to law enforcement or Adult Protective Services.
Anonymous Complaints
Yes, you can file an assisted living complaint anonymously in North Dakota. The Department of Health and Human Services, Health Facilities Unit accepts anonymous complaints, and your identity as a complainant is protected. Providing your contact information allows investigators to follow up for additional details, which can strengthen the investigation.
Official Sources
- Complaint filing — North Dakota Department of Health and Human Services, Health Facilities Unit: hhs.nd.gov
- Resident rights — N.D. Cent. Code Ch. 50-32: ndlegis.gov
- North Dakota Long-Term Care Ombudsman: hhs.nd.gov
- Mailing address — North Dakota Department of Health and Human Services, Health Facilities Unit: Health Facilities Unit, North Dakota Department of Health and Human Services, 1720 Burlington Drive, Suite A, Bismarck, ND 58504-7736
Frequently Asked Questions
Can I file an assisted living complaint anonymously in North Dakota?expand_more
What number do I call, and how quickly is a complaint investigated?expand_more
What is the difference between a nursing home and an assisted living facility in North Dakota?expand_more
Not Sure Where to Start?
Speak with an advocate who can guide you through the reporting process and help evaluate your family's legal options.