Home Health Aides in Fargo, ND: Hire In-Home Help

Local figures

Home Health Aides in Fargo, ND: the local picture

6

Medicare-certified home health agencies list Fargo ZIP codes in their service area

$18.96

median hourly wage of home care aides in North Dakota (BLS, May 2025)

17,510

residents 65 or older (13% of Fargo)

30%

of residents 65+ report a disability (30% in Cass County)

6 Medicare-certified home health agencies list Fargo ZIP codes in their service area; the highest-rated are below, and 5 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.

Home health and personal care aides in North Dakota earn a median $18.96 an hour (BLS, May 2025), with the middle half between $17.84 and $22.02.

Fargo has about 17,510 residents aged 65 or older, 30% of whom report a disability.

Fargo compared with Cass County and North Dakota

Census figure	Fargo	Cass County	North Dakota
Residents 65+ with a disability	30%	30%	31%
Residents 65 or older	13%	13%	17%
Residents 85 or older	1.6%	1.5%	2.2%
Residents 65+ in households who live alone	36%	33%	33%
Residents 65+ below the poverty line (approx.)	7.8%	7.6%	9.9%
Residents 5+ who speak a language other than English at home	11%	8.9%	6.7%
Median income, households headed by someone 65+	$60,225	$62,681	—

Older residents in towns around Fargo

Town	Distance	Residents 65+	65+ with a disability
West Fargo, ND	3.6 mi	4,963	34%
Moorhead, MN	4.0 mi	5,703	31%
Dilworth, MN	6.4 mi	571	39%
Horace, ND	8.4 mi	294	22%
Casselton, ND	18 mi	293	39%
Barnesville, MN	25 mi	359	37%

Medicare-certified home health agencies serving Fargo

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Essentia Health Home Care West	Detroit Lakes, MN	47 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(218) 847-0808
Sanford Home Care Fargo	Fargo, ND	1.0 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(701) 234-4900
Good Samaritan Society Home Care	Devils Lake, ND	128 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(877) 343-6217
Ethos Home Health	Fargo, ND	5.0 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(701) 356-3803
Nizhoni Healthcare Services, LLC	Fargo, ND	1.0 mi	not rated	—	(701) 639-4183
Healthy At Home	Fargo, ND	1.0 mi	not rated	nursing, physical therapy, occupational therapy, home health aides	(701) 478-4224

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

What it covers

What a home health aide can help with

Bathing, grooming, dressing and toileting
Transfers, walking and positioning
Meals and help with eating
Medication reminders

Cost

What home health aides costs in Fargo

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 33% of the $5,019 monthly median income of Fargo 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 home health aide

Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.

Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.

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

Questions

Home Health Aides in Fargo: common questions

Which home health agencies serve Fargo?

Medicare lists 6 certified agencies whose service area includes Fargo ZIP codes. The highest-rated on Medicare’s quality stars include Essentia Health Home Care West (4 of 5), Sanford Home Care Fargo (3.5 of 5), Good Samaritan Society Home Care (3.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Fargo?

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 33% of the $5,019 monthly median income of Fargo 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 is the difference between a home health aide and a CNA?

Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.

More near Fargo

More senior care near Fargo

Home Health Aides in nearby cities

Other care in Fargo

More for Fargo 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.

Home Health Aides in Fargo, ND