North Dakota vs Washington: Senior Care Cost Comparison (2026)
Side-by-side comparison of nursing home, assisted living, and home care costs.
Which State is More Affordable for Senior Care?
North Dakota has lower nursing home costs by $609/month ($7,308/year). Over 5 years, that's a difference of $36,540.
Detailed Cost Comparison
| Care Type | North Dakota | Washington | Difference |
|---|---|---|---|
| Nursing Home (Private) | $10,373/mo | $10,982/mo | $609 |
| Nursing Home (Semi-Private) | $9,354/mo | $9,963/mo | $609 |
| Assisted Living | $4,250/mo | $5,750/mo | $1,500 |
| Home Health Aide | $28.00/hr | $31.00/hr | $3.00 |
| Adult Day Care | $1,733/mo | $2,017/mo | $284 |
| Homemaker Services | $26.00/hr | $29.00/hr | $3.00 |
Annual Cost Comparison
North Dakota Annual Costs
Nursing Home (Private)$124,476/yr
Assisted Living$51,000/yr
Home Health Aide (8hr/day)$59,136/yr
Adult Day Care$20,796/yr
Washington Annual Costs
Nursing Home (Private)$131,784/yr
Assisted Living$69,000/yr
Home Health Aide (8hr/day)$65,472/yr
Adult Day Care$24,204/yr
Senior Care Planning Resources
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Medicare Part A Coverage
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Elder Law Attorneys
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Frequently Asked Questions
Which state has cheaper nursing homes: North Dakota or Washington?
North Dakota has lower nursing home costs. North Dakota averages $10,373/month while Washington averages $10,982/month, a difference of $609/month.
How do assisted living costs compare between North Dakota and Washington?
Assisted living in North Dakota costs $4,250/month compared to $5,750/month in Washington.
What about home health aide costs?
Home health aides charge $28.00/hour in North Dakota and $31.00/hour in Washington.
Which state has better Medicaid coverage for senior care?
Both states offer Medicaid coverage for nursing home care. North Dakota: North Dakota Medicaid covers nursing homes. SPED waiver for home-based services.... Washington: Washington Medicaid covers nursing facilities. COPES waiver for home and community-based alternatives....
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Data verified March 2026 · Source: Genworth Cost of Care Survey