2026 monthly care rates for Keene (Mckenzie County), local Census affordability metrics, and 0 CMS-certified care facilities.
Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.
At Keene, ND's average caregiver rate of $32.57/hr, hiring in-home care equals the $5,770/mo cost of Assisted Living at exactly 40.9 hours per week (~5.8 hrs/day).
Saves $2,947/mo vs. Assisted Living (excludes home mortgage/utilities).
Full-time home care costs $440/mo more than Assisted Living (where meals & utilities are included).
Assisted Living saves $5,520/mo; Memory Care averages $7,040/mo.
Monthly Assisted Living cost comparison adjusted for Mckenzie County economic indicators.
Official ACS 5-Year benchmarks used to model local care affordability (see methodology).
| Median Household Income | $88,289/yr ($7,357/mo) |
| Median Home Value | $357,300 |
| Median Gross Rent | $1,153/mo |
| North Dakota Medicaid Limit (2026) | $2,901/mo |
Official Medicare provider registry showing certified bed capacity, ownership structure, and CMS 5-star quality ratings.
No Medicare-certified skilled nursing facilities are registered directly within Keene city limits. Check nearby communities in Mckenzie County below.