During the first quarter of 2026, North Dakota Veterans Home was recognized as the largest nursing facility in Ransom County, according to the Centers for Medicare and Medicaid Services (CMS).
Records indicate the facility housed 52 available beds, which is 7 more than the county average for that period. The average number of residents served reached 51.8.
North Dakota Veterans Home received a 5 out of 5 overall rating from CMS, topping North Dakota’s average nursing home rating of 3.3 for the quarter.
For this timeframe, SMP Health – Maryhill had 42 available beds, making it the second largest, while Parkside Lutheran Home followed with 40 beds.
Reports show that by Q1 2026, North Dakota Veterans Home incurred a total of $32,128 across two fines and faced two recorded penalties.
There was one public nursing home operational in Ransom County, North Dakota, at that time.
The U.S. Census Bureau reports that the nation’s older adult population is growing as numbers among younger groups decline. Between 2020 and 2024, Americans aged 65 and older grew by 13%, while those under 18 decreased by 1.7%. Over the past century, the older adult segment in the United States has surged from 4.9 million in 1920 to more than 61 million by 2024.
A study published in 2021 estimates nearly half of these older adults—about 28 million people—could need long-term support services. The study also observes that over one-third may eventually enter nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | North Dakota Veterans Home | 5 |
| 2 | SMP Health – Maryhill | 5 |
| 3 | Parkside Lutheran Home | 1 |
Information in this article was obtained from the Centers for Medicare and Medicaid Services. The source data can be found here.


