Cost to Build an Assisted Living Facility in North Dakota: 2026 Construction Guide
Building an assisted living facility in North Dakota requires careful financial planning. The Peace Garden State offers some of the most affordable construction costs in the nation, making it attractive for ALF development.
North Dakota Construction Cost Overview
Statewide Cost Summary
Total Development Cost per Bed (2026):
| Market Type |
Low Range |
Mid Range |
High Range |
| Urban (Fargo) |
$195,000 |
$225,000 |
$270,000 |
| Bismarck/Mandan |
$185,000 |
$215,000 |
$255,000 |
| Suburban |
$175,000 |
$205,000 |
$245,000 |
| Rural |
$155,000 |
$185,000 |
$220,000 |
Cost Comparison
| State |
Avg Cost/Bed |
vs. ND |
| North Dakota |
$200,000 |
- |
| South Dakota |
$195,000 |
-2.5% |
| Montana |
$225,000 |
+12.5% |
| Minnesota |
$265,000 |
+32.5% |
| National Average |
$275,000 |
+37.5% |
Land Costs
Regional Land Prices
| Region |
Low |
Average |
High |
| Fargo/Moorhead |
$150K |
$275K |
$450K |
| Bismarck/Mandan |
$100K |
$200K |
$350K |
| Grand Forks |
$80K |
$165K |
$280K |
| Minot |
$75K |
$150K |
$250K |
| Rural ND |
$25K |
$65K |
$125K |
Hard Construction Costs
Building Costs per Square Foot
| Quality Level |
Cost/SF |
Features |
| Basic |
$165-210 |
Standard finishes |
| Mid-Range |
$210-270 |
Quality finishes |
| Premium |
$270-340 |
High-end finishes |
| Memory Care |
$230-300 |
Specialized design |
Sample Project Budget
40-Bed Facility - Fargo
| Category |
Cost |
% of Total |
| Land (2 acres) |
$550,000 |
6% |
| Hard Construction |
$6,720,000 |
75% |
| Soft Costs |
$870,000 |
10% |
| FF&E |
$400,000 |
4% |
| Working Capital |
$280,000 |
3% |
| Interest Reserve |
$540,000 |
6% |
| Contingency |
$440,000 |
5% |
| Total |
$9,800,000 |
100% |
| Cost per Bed |
$245,000 |
- |
Climate Considerations
Winter Construction Impacts
| Factor |
Cost Impact |
Mitigation |
| Heated Enclosures |
+8-12% |
Schedule around winter |
| Concrete Heating |
+4-6% |
Early pour scheduling |
| Extended Timeline |
+6-10% |
Realistic scheduling |
Related Resources
Ready to Build Your North Dakota ALF?
Jaken Finance Group specializes in construction financing for assisted living facilities throughout North Dakota.
Get Your Free Construction Quote →
Disclaimer: Construction costs vary significantly based on location, design, and market conditions. Obtain detailed bids from qualified contractors for accurate budgeting. All financing provided by Jaken Finance Group, subject to approval.