North Dakota
Pressures could lead to more closures at ND nursing homes
BISMARCK — Federal requirements for nursing homes to have a registered nurse on duty 24 hours each day are expected to add pressure to an already challenging workforce situation for the 75 rural and urban facilities across the state.
A majority will have a hard time meeting the 24/7 requirement for RNs, according to the North Dakota Long Term Care Association.
Nikki Wegner, director of the NDLTCA, said most facilities across the state are currently well-staffed except for that RN requirement.
Cost pressures have already led to six facilities closing in the past 35 months, she said.
“We’ve never had that before in our history, and the majority of them were because of staffing issues,” Wegner said.
Urban facilities have until May 2026 to comply with the federal requirements, while those in rural areas have until May 2027.
Rules have also changed, with areas like Dickinson, Devils Lake, Jamestown, Valley City and Williston no longer considered rural, meaning they’ll need to meet requirements sooner.
“I worry about how many facilities might have to close because they can’t meet the standards,” said Reier Thompson, president and CEO of Missouri Slope in Bismarck, which has long-term care for over 250 residents.
“What’s that going to do to access to care, especially in the more rural area, where people are traveling 100 miles from their hometown to a nursing facility, and maybe a spouse is commuting that a couple times a week?” he said. “It’s going to be hard, especially in winter.”
Throughout the COVID-19 pandemic, staffing full-time nurses and nursing assistants at long-term care facilities became a huge challenge. Many turned to short-term contract nurses, and costs soared.
The situation has begun to turn around for Jill Foertsch, administrator at St. Gerard’s Community of Care in Hankinson. St. Gerard’s has added new certified nursing assistants while reducing the use of contract nurses from eight just a short time ago to two.
“We have improved significantly,” Foertsch said.
That being said, finding enough RNs to meet the new requirement is going to be tough.
“We are not able to meet the 24/7 staffing mandate,” she said.
The situation may mirror what happened during the pandemic, but contract RNs are in short supply and high priced, she said.
The one caveat is this time there’s no funding on the horizon.
“We will not be getting any help from the government like we did during COVID, and that’ll be what would most likely help us to shut down, because it’s just not sustainable that way,” Foertsch said.
The NDLTCA estimates contract nurses accounted for around $73 million of statewide nursing costs in 2023, up from around $24 million in 2020.
Staffing at nursing homes in the state is also now around 1,200 workers below what it was in early 2020 numbers, according to the NDLTCA.
The NDLTCA estimated that only 35% of urban facilities and only 14% of rural facilities would currently meet the future 24/7 RN staffing requirement.
Right now, most facilities rely on a mix of RNs, physician’s assistants, nurse practitioners or physicians through phone or telehealth if an RN isn’t on duty beyond the normal daytime shift. Finding RNs to fill overnight and other shifts is going to be difficult.
No funding is earmarked for those shortfalls, the numbers of RNs are just not available, and no pipeline is in the works to increase the availability of RNs.
“We’re still in a workforce crisis, we still rely on a lot of contract nurses, and it’s expensive, and then you add the mandate on there to increase even more,” Wegner said, adding that the state needs at least 80 if not more RNs to fulfill the mandates.
Several states have already met stringent requirements for waivers from the rule, but Wegner isn’t hopeful North Dakota will qualify.
Blake Kragnes, administrator at the 85-bed Knife River Care Center in Beulah, said his nursing home has been able to keep staffing at a good level, but the mandate of the 24/7 requirement for RNs is going to be tough to meet.
“When you look at the number of college grads graduating with a nursing and RN degree, it’s down, and that makes it complicated to meet a mandate that comes with no funding,” he said.
Kragnes is looking at how to increase recruitment and retention by connecting with area high schools to start people in a health care career that may lead them to full-time registered nursing status.
Foreign nurse visa freeze
One avenue most facilities are trying to use is immigration, but the U.S. State Department recently froze EB-3 visas used by foreign nurses for the rest of the fiscal year, leaving around 10,000 foreign nurses in limbo until resolved.
A cap of 40,000 visas for foreign nurses has been in place since 1990, and legislation to increase the cap stalled in the U.S. Congress after its introduction in November 2023.
According to the Migration Policy Institute, international nurses account for around 16% of the nursing workforce in the country.
National health care nonprofit KFF, formerly known as The Kaiser Family Foundation, estimates that 1 in 6 of the 3.2 million RNs in the U.S. is an immigrant nurse.
Amy Kreidt, administrator of St. Luke’s Home in Dickinson, which operates an 88-bed long-term care facility, echoed Foertch’s comments by saying the mandate coupled with the high cost of contract nursing could put more rural nursing homes out of business.
“Right now we’re not (in danger of closing), but if we can’t start getting nurses here, we have to keep that as an option and review,” she said.
St. Luke’s has had success with its foreign nurses, but the visa freezes and annual caps, along with the complicated immigration process, have led to it taking up to four years to get foreign nurses, Kreidt said.
“And that’s if it goes through relatively quickly, and it seems to always have taken that long, but now, with additional delays, it will continue to take that long and longer,” she said. “The contact is only three years long and it takes over four years to get them, so the numbers don’t add up.”
LeAnn Hokanson, vice president of resident services at Missouri Slope, said besides funding to cover nursing costs, there is a major need for both immigration and on expanding nursing programs.
“The (foreign nurses) that we’ve been interviewing most recently, they’ve been waiting and waiting and waiting,” she said. “Some of them wait for 10 years to get their call to have a facility interview them. It’s all stuck in that visa process.”
Contributed / Missouri Slope
Kreidt has previously tapped into the nursing program at Dickinson State University, but with its entire full-time nursing faculty resigning on July 10, the future of that program is uncertain.
The situation also adds further uncertainty regarding the nursing pipeline for health care facilities across the state and region.
North Dakota’s new Office of Legal Immigration is looking to pilot a cap-exempt H-1B visa program in the next several months specifically for foreign nurses, according to a study it released in late May.
This could help increase the numbers of RNs and nurse practitioners, though hurdles exist since the H-1B immigration process is more costly and facilities need to meet eligibility requirements.
This story was originally published on NewsCoopND.org
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North Dakota
State humanities group receives funding for ‘America 250’ activities
GRAND FORKS – The Study ND, formerly Humanities North Dakota, has received $15,000 from the National Endowment for the Arts for a statewide theater and humanities initiative in recognition of the 250th anniversary of the founding of the United States.
This commemorative investment is meant to bring historical events and figures – such as the framers of the U.S. Constitution – to life through virtual and live performances that celebrate the nation’s history.
The grant, along with funding from private sources, has made it possible for The Study ND to host “America 250” activities after the organization sustained a considerable cut in funding from the National Endowment for the Humanities last year, according to Brenna Gerhardt, The Study ND executive director.
“We absorbed a 50% budget cut, resulting in a loss of $467,645 in funding,” Gerhardt said. “As a result, we had to significantly scale back our American 250 initiatives focused on American history and civics education.”
Funds received from the National Endowment for the Arts will be used to present public readings, theatrical portrayals and guided discussions to encourage audience members to reflect on the nation’s founding in 1776 and on its democratic ideals, while engaging in contemporary conversations about civic life.
All of the programming in the series organized by The Study ND, titled “American Heroes,” will be livestreamed statewide.
In the grant application submitted to the National Endowment for the Arts, “we framed the project around a simple idea: democracy requires more than information, it requires citizens who can think historically, listen well, and argue in good faith,” Gerhardt said.
“This series uses living history performances to bring consequential figures into the room, then turns the room into a civic space through moderated dialogue and related public events. We define ‘heroism’ as civic courage under pressure, the willingness to contend with hard truths, and the capacity to enlarge a community’s moral imagination,” she said.
“The project does not ask audiences to agree on a single interpretation of a figure. It invites them to grapple with complexity together, and to connect the past to the responsibilities of the present.”
When Gerhardt and her colleagues received the application for grant proposals from the National Endowment for the Arts, “we were already planning a line-up of America 250 events and it fit perfectly with what we were already planning, so then we just wrote the grant,” she said.
Private funds, including matching funds from the Bismarck-based Tom and Frances Leach Foundation, have also been provided for this project.
Details about all the events will probably be posted on the website
www.TheStudyND.org
in March, Gerhardt said.
The America 250 events, which are planned to take place at Bismarck State College, are 5-6 p.m. July 8, “Reading of the Declaration of Independence, with John Adams,” and 6-7:30 p.m. July 9, “Alexander Hamilton Speaks,” both performed by William Chrystal.
The Living History programs are planned for 7-8:15 p.m. Sept. 17, “Thomas Paine,” performed by Doug Mishler, and Oct. 6, 7-8:15 p.m, “Frederick Douglass,” performed by Nathan Richardson. Both will be moderated by Susan Frontczak.
The performers Chrystal and Richardson live in Virginia, Frontczak in Colorado,and Mishler in Nevada.
Another program, “Hemingway and Gellhorn,” is set for Sept. 16-18 at Bismarck State College, Gerhardt said. “It is part of our broader Chautauqua/living history programming connected to America 250 … (and) will feature performances and discussion centered on Ernest Hemingway and Martha Gellhorn, using their lives and writing as a way to explore major questions about American identity, war reporting, public memory, and the stories we tell about freedom, conflict and responsibility.
“What I am excited about with this event is that it gives us a way to approach America 250 beyond founding-era material. In other words, it helps us show the American story is not just about 1776, but also about the generations that followed and how Americans wrestled with democracy, power, truth and moral courage.”
This program “expands the initiative beyond commemoration into reflection, dialogue and interpretation, which is where the humanities are especially valuable,” she said. “It helps us reach audiences who may be drawn in through literature, journalism and performance, not only traditional history events.”
The Hemingway and Gellhorn program fits in with America 250 in that “it broadens the frame and adds depth to the larger effort.”
Gerhardt is hoping that these activities will give participants “a better understanding of all the debates and issues going on when our country was founded, and how those debates are continuing today,” she said, “and just to be more thoughtful and informed citizens.”
College students and members of the general public will also be invited to participate in a workshop aimed at teaching participants how to build a living history performance from primary sources and historical research.
Last year, The Study ND lost a substantial amount of funding – nearly $468,000, about half of its annual budget – from the National Endowment for the Humanities for its fiscal 2025 year.
The loss of that much funding was discouraging, Gerhardt said. “Very much so, because we had a lot of activities planned for America 250 and we had to cancel a lot of them, or – like in this case – seek other funding, which we were lucky to get.”
The Study ND currently has four full-time employees, she said. “We eliminated a part-time marketing position after the cuts.”
A nonprofit organization, The Study ND provides civics, arts and cultural education programming. The organization’s programs – which include online classes, book talks, lectures and more – reached about 24,000 people in 2024, Gerhardt told the North Dakota Monitor in April 2025.
During the summer, the organization hosts a civics education program for high school and middle school social studies teachers, she said.
North Dakota
Today in History, 1943: 2 North Dakota men die in separate Army plane crashes
On this day in 1943, two North Dakota army officers, Second Lieut. Arthur B. Kuntz and First Lieut. Bernard A. Anderson, were killed in separate medium bomber training crashes in Florida and Georgia.
Here is the complete story as it appeared in the paper that day:
Army Plane Crashes Kill Two N. D. Men
Two North Dakota officers in the army air forces were killed Sunday in bomber crashes during training flights, Associated Press dispatches revealed Monday.
Second Lieut. Arthur B. Kuntz of Harvey (Wells county) was killed with 10 others from the Avon Park, Fla., army bomber base when two medium bombers collided during a routine formation flight. Both planes crashed and there were no survivors.
First Lieut. Bernard A. Anderson of Warwick (Benson county) was one of six killed when a medium bomber from MacDill field, Tampa, Fla., crashed near Savannah, Ga. Lieutenant Anderson was co-pilot of the plane.
None of the other victims of either accident was from the Dakotas or Minnesota.
Lieutenant Kuntz, son of Mr. and Mrs. Roy Kuntz of Harvey, was graduated from the army air force navigation school at Hondo, Texas, as a second lieutenant last October, and received his wings as a navigator.
Kate Almquist is the social media manager for InForum. After working as an intern, she joined The Forum full time starting in January 2022. Readers can reach her at kalmquist@forumcomm.com.
North Dakota
Presidential Searches at 3 North Dakota Colleges Narrowing
(Michael Achterling/North Dakota Monitor)
(North Dakota Monitor) – Two North Dakotans are semifinalists for the Bismarck State College president’s job as North Dakota State University narrows its presidential candidate list.
Valley City State University also is searching for a new president, with an application period closing this month..
Kevin Black, chair of the State Board of Higher Education and co-chair of the North Dakota State University Presidential Search Committee, said the committee reviewed over 60 applications. The committee is planning off-site interviews with candidates March 9-10 and campus visits with semifinal candidates March 23-27.
“We’re really excited about taking the next step and there’s some very quality people in there,” Black said.
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