| Title | State | Located Within a Hospital? | Number of Certified Beds | Total Number of Residents | |||
| NELSON COUNTY HEALTH SYSTEM CARE CENTER | ND | No | 39 | 33 | |||
| ST GERARD'S COMMUNITY OF CARE | ND | No | 37 | 32 | |||
| ROLETTE COMMUNITY CARE CENTER | ND | No | 36 | 32 | |||
| ROANE GENERAL HOSPITAL, D/P | WV | Yes | 35 | 31 | |||
| PIONEER MEDICAL CENTER LTC | MT | Yes | 25 | 31 | |||
| POWDER RIVER MANOR | MT | No | 41 | 31 | |||
| FOUR SEASONS HEALTH CARE INC | ND | No | 32 | 30 | |||
| BLACKFEET CARE CENTER | MT | No | 47 | 30 | |||
| DANIELS MEMORIAL NURSING HOME | MT | Yes | 30 | 30 | |||
| ST ROSE CARE CENTER | ND | No | 40 | 29 | |||