Companion Care in Bismarck, ND: Senior Companions at Home

Local figures

Companion Care in Bismarck, ND: the local picture

14,738

residents 65 or older (20% of Bismarck)

36%

of residents 65+ in households live alone (32% in Burleigh County)

5.1%

of residents 5+ speak a language other than English at home

7.3%

of households have no vehicle (6.1% in Burleigh County)

About 4,985 residents of Bismarck aged 65 or older live alone, 36% of older residents in households (32% in Burleigh County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

7.3% of Bismarck households have no vehicle (6.1% in Burleigh County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 14,738 Bismarck residents aged 65 or older, 2,188 are 85 or older (15%). Before the first visit with someone in that oldest group, ask the family about hearing, eyesight, walking and any memory changes, so the visit is planned around them.

7,088 Bismarck households headed by someone 65 or older own their home and 2,427 rent. A companion visiting a house may also help with mail, light chores and keeping an eye on things; in an apartment building, ask whether visitors sign in.

About 1,265 older Bismarck residents (9.1%) live below the poverty line (8.1% in Burleigh County). For them, Medicaid home and community-based services or the local Area Agency on Aging may cover some companion or homemaker hours, depending on the state program; private pay is not the only route.

About 5.1% of Bismarck residents aged 5 and over speak a language other than English at home. The most common are Spanish (1,142), German or West Germanic languages (734), other languages (511). If the person you care for is more at ease in one of these languages, say so in your posting; many caregivers list the languages they speak.

Bismarck compared with Burleigh County and North Dakota

Census figure	Bismarck	Burleigh County	North Dakota
Residents 65+ in households who live alone	36%	32%	33%
Residents 65 or older	20%	18%	17%
Residents 5+ who speak a language other than English at home	5.1%	4.6%	6.7%
Households with no vehicle	7.3%	6.1%	5.9%
Residents 65+ below the poverty line (approx.)	9.1%	8.1%	9.9%
Residents 65+ with a disability	33%	31%	31%
Median income, households headed by someone 65+	$58,780	$61,483	—

Older residents in towns around Bismarck

Town	Distance	Residents 65+	Live alone (65+)
Lincoln, ND	4.7 mi	315	54%
Mandan, ND	5.6 mi	4,015	31%
Beulah, ND	57 mi	609	31%

Hospitals near Bismarck (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Chi St Alexius Health	Bismarck, ND	0.8 mi	4 of 5	(701) 530-7000
Sanford Medical Center Bismarck	Bismarck, ND	0.8 mi	4 of 5	(701) 323-6000

Straight-line miles from the center of Bismarck. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a companion caregiver can help with

Conversation, cards, puzzles and shared hobbies
Walks and outings to the park, library or senior center
Company at meals, and help preparing them
Rides or escort to appointments, church and visits

Cost

What companion care costs in Bismarck

At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 34% of the $4,898 monthly median income of Bismarck households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

What to know before hiring a companion caregiver

Isolation is a health risk, not only a mood. The National Academies of Sciences, Engineering, and Medicine found that nearly one in four Americans aged 65 and older living in the community is socially isolated, and linked isolation to higher risks of dementia, heart disease and early death (2020 report).

Questions worth asking: What do you enjoy doing with the people you care for? Are you comfortable driving, and is your car insured for passengers? How do you handle a client who does not want company at first? More in our companion care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Companion Care in Bismarck: common questions

How many seniors live alone in Bismarck?

About 4,985 residents aged 65 or older, 36% of older residents in households (Census ACS 2020–2024) (32% in Burleigh County).

How much does companion care cost in Bismarck?

At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 34% of the $4,898 monthly median income of Bismarck households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

What does a companion caregiver do in Bismarck?

A companion keeps an older adult company and helps around the visit: conversation, activities, walks, meals, errands, rides and reminders. It suits someone who is mostly independent but lonely, or a family that wants someone to check in on weekdays.

More near Bismarck

More senior care near Bismarck

Companion Care in nearby cities

Other care in Bismarck

More for Bismarck families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

Companion Care for Seniors in Bismarck, ND