Nursing Assistant (CNA) in Jamestown, ND

The Salary Picture: Where Jamestown Stands

As a local, I can tell you that the salary landscape for a Nursing Assistant (CNA) in Jamestown is straightforward, though it lags slightly behind the national average. The median salary for a CNA in Jamestown is $35,009 per year, which breaks down to an hourly rate of $16.83. For context, the national average for CNAs sits at $35,760 per year, meaning Jamestown's pay is roughly 2% below the U.S. norm. This is a common pattern in many smaller Midwestern markets, where the lower cost of living tends to be reflected in wages.

The local healthcare job market is stable but not explosive. There are 31 jobs for CNAs in the Jamestown metro area (which includes Stutsman County), indicating a consistent, but not high-volume, demand. The 10-year job growth is projected at 4%. This is slower than the national average for healthcare support roles, which often hover around 8-10%, but it's a reliable, slow-and-steady growth. You're not looking at a booming market, but you're also not entering a field on the decline. Most of the demand will come from replacement needs as current CNAs retire or move on, rather than from a flood of new positions.

To give you a clearer picture, here’s how Jamestown's pay stacks up against other major North Dakota cities. While the data varies slightly by source, the trend is consistent: the booming energy and tech hubs in western ND pay more, while the more agricultural and established eastern cities like Jamestown are more modest.

CNA Salary Comparison in North Dakota (Approximate)

City/Region	Median Annual Salary	Key Local Drivers
Jamestown	$35,009	State Hospital, long-term care, stable but slow growth
Fargo	$37,500 - $39,000	Major medical centers (Sanford, Essentia), university, higher volume
Bismarck	$36,500 - $38,000	State capital, major hospitals, government jobs
Williston	$40,000 - $42,000	Oil boom legacy, higher demand, more overtime opportunities
Grand Forks	$36,000 - $37,500	University Hospital, Air Force Base (medical services)

Insider Tip: Don't let the median number scare you. This figure includes all experience levels. Entry-level CNAs might start closer to $14.50-$15.50/hour, while those with specialized experience or who take on shift differentials (nights, weekends) can push their effective hourly rate closer to $18.00-$19.00. The key is to negotiate based on your certifications and willingness to work less desirable shifts.

The Real Take-Home: After Taxes and Rent

This is where Jamestown truly shines for a single individual. The Cost of Living Index is 93.0, meaning it's 7% more affordable than the U.S. average (100). The most significant factor is housing. The average 1-bedroom rent is just $837 per month, a fraction of what you'd pay in Fargo or Minneapolis.

Let's break down the monthly budget for a CNA earning the median salary of $35,009/year. For this calculation, we'll estimate take-home pay after federal taxes, FICA (Social Security and Medicare), and a rough state income tax estimate (North Dakota has a progressive system; we'll use a conservative 2.5% effective rate for this bracket).

• Gross Monthly Pay: $35,009 / 12 = $2,917.42
• Estimated Monthly Take-Home (after taxes): ~$2,350 (This can vary based on your W-4 withholdings, but it's a realistic baseline.)
• Rent (1-BR Average): $837
• Utilities (Electric, Gas, Internet): $150
• Groceries: $300
• Car Payment/Insurance/Gas: $350 (Owning a car is essential in Jamestown; public transit is limited.)
• Health Insurance (if not fully covered by employer): $100 (Employer contributions vary.)
• Miscellaneous/Personal: $150
• Remaining Buffer/Savings: $463

With a $463 monthly buffer, you have room for savings, debt repayment, or discretionary spending. This is a livable wage in Jamestown, not a luxury one.

Can they afford to buy a home? Yes, absolutely, and this is a major draw for long-term residents. With a $35,009 income and a decent credit score, you would easily qualify for a mortgage. The median home price in Jamestown is approximately $170,000 - $180,000. A 20% down payment is $34,000-$36,000, which is a significant but achievable savings goal over 3-5 years. The monthly mortgage payment on a $140,000 loan (with a $30,000 down payment) at current rates would be roughly $900 - $1,000, which is only slightly higher than the average rent. For a dual-income household, buying a home here is very attainable.

Where the Jobs Are: Jamestown's Major Employers

Jamestown's healthcare ecosystem is anchored by a few key players, supplemented by smaller facilities. Hiring is steady, with a focus on reliability and compassion over flashy turnover.

1. North Dakota State Hospital (NDSH): This is the largest employer in the city and a major employer of CNAs. Located in the heart of the city's south side, it's a state-run facility serving individuals with mental health and substance use disorders. It's a unique work environment that requires specialized training but offers excellent benefits, union protections, and job security. Hiring Trend: Consistent, with openings posted on the state jobs website. They often participate in job fairs at the local college.

2. Jamestown Regional Medical Center (JRMC): The city's primary acute care hospital. They have a 24/7 ER, surgical services, and a long-term care wing. JRMC is part of the Quorum Health network, which can influence hiring from time to time. Hiring Trend: They prefer candidates with hospital experience, especially in Med-Surg or LTC. They post jobs on their website and on major boards like Indeed. They also have a CNA-to-RN pathway program.

3. Baptist Home & Trillium Place: A major long-term care and assisted living complex. This is a classic CNA employer, focusing on geriatric care. It's a large facility with a consistent need for staff across all shifts. Hiring Trend: High turnover is common in LTC, so they are almost always hiring. They often hire directly and have a quick onboarding process.

4. Northland Retirement & Health Services: Another key player in long-term care and senior living, located on the north side of the city. They offer independent living, assisted living, and skilled nursing. Hiring Trend: Similar to Baptist Home, they have a steady need for CNAs. They value experience with dementia care and mobility assistance.

5. Home Instead Senior Care (Jamestown Office): For those who prefer a non-facility environment, local home care agencies like Home Instead are a great option. They provide one-on-one care in clients' homes. Hiring Trend: Growing demand for in-home care as the population ages. Schedules can be more flexible but may be less consistent.

Insider Tip: The best way to find a job is often through word-of-mouth. Join the local "Jamestown, ND Jobs" Facebook group. Many smaller facilities and home care agencies post openings there before they hit the big job boards. Also, don't hesitate to drop off a resume in person at the HR offices of JRMC and the Baptist Home; it shows initiative in a community-oriented town.

Getting Licensed in ND

North Dakota's requirements are managed by the North Dakota Department of Health and Human Services (HHS) - Nursing Home Administrators and Nurse Aide Registry. The process is clear and regulated.

1. Complete a State-Approved Training Program: You must complete a minimum 75-hour training program that includes both classroom instruction and clinical practice. In Jamestown, these courses are offered at:

   • Joseph's College of Hair Design and Cosmetology: They have a CNA program (verify current offerings, as they can change).
   • Jamestown High School: Offers CNA training as part of its career and technical education (CTE) programs, primarily for current students and recent graduates.
   • North Dakota State College of Science (NDSCS) - Jamestown Campus: They may offer courses or have partnerships. It's worth checking their continuing education catalog.
   • Cost: Training programs typically cost between $800 - $1,200, which often includes the textbook and exam fee. Some employers, like the State Hospital, may offer tuition reimbursement after a period of employment.

2. Pass the Competency Exam: After completing training, you must pass the National Nurse Aide Assessment Program (NNAAP) exam, which consists of a written (or oral) and a skills demonstration portion. The exam is administered at approved test sites; there is one in Jamestown (often at the training center itself).

3. Apply for the North Dakota Nurse Aide Registry: Once you pass the exam, you apply to be listed on the official registry. There is a registration fee (around $75-$100). You will need to provide proof of training, exam results, and a background check (which is standard for all healthcare jobs).

Timeline to Get Started: From enrollment to being on the registry, expect a 3 to 5-month process. This depends on course availability. Jamestown's classes are often small and may only run once or twice a year, so plan ahead. The fastest route is to find an employer who will sponsor your training as a condition of hiring (often in exchange for a 1-2 year commitment).

Key Resource: The official registry is maintained by the North Dakota HHS. Always verify current fees and approved program lists on their website: https://www.nd.gov/hhs/.

Best Neighborhoods for Nursing Assistant (CNA)s

Jamestown is a compact city, and commute times are minimal. Your neighborhood choice will be more about lifestyle and budget than logistics.

1. East Hill (Near JRMC): This is a classic, established residential neighborhood just east of the hospital. It's quiet, with older but well-kept homes and some apartments. Proximity to JRMC is a huge plus—your commute could be 5-7 minutes by car. You'll find mostly single-family homes and duplexes.

   • Rent Estimate: $750 - $950/month for a 1-BR apartment or a room in a shared house.

2. North Hill (Around 1st Ave N): This area is more affordable and offers a mix of older homes and apartment complexes. It's close to the North Dakota State Hospital and the northern commercial corridor (Walmart, grocery stores). It's a practical, no-frills neighborhood for someone focused on work and saving money.

   • Rent Estimate: $650 - $800/month for a 1-BR apartment.

3. South Side (Near the College & State Hospital): This area includes the Jamestown College campus and the North Dakota State Hospital. It's a mix of student housing, older homes, and some newer developments. It's walkable to the college and the hospital. The area feels a bit more active due to the college presence.

   • Rent Estimate: $800 - $1,000/month. The proximity to the college can sometimes keep prices slightly higher.

4. West End / Near 20th St SW: This is a more modern, suburban-style neighborhood with newer construction (1970s-1990s). It's close to the Jamestown Mall area and retail. A good option for someone with a family or who wants a bit more space and a quieter, residential feel. Commute to all major employers is still under 15 minutes.

   • Rent Estimate: $850 - $1,100/month for a 1-BR or a small 2-BR.

Insider Tip: Don't overlook the small towns within a 10-15 minute drive of Jamestown, like Edgeley or Carrington. Rent can be even lower, and some folks commute into Jamestown for work. However, you'll need reliable transportation, as amenities are limited in those towns.

The Long Game: Career Growth

While the base pay is modest, there are clear paths to increase your earning potential and advance your career in and around Jamestown.

• Specialty Premiums: Gaining certifications in specific areas can lead to a pay bump. In-demand specialties include:

  • Dementia/Alzheimer's Care: Highly valued in long-term care facilities like Baptist Home. Demonstrates patience and specialized skill.
  • Phlebotomy or EKG Technician: Some CNAs get cross-trained to draw blood or perform EKGs, especially in hospital settings like JRMC. This can add $1.00 - $2.00/hour to your wage.
  • Restorative Nursing Assistant (RNA): Focus on helping patients regain mobility and strength. This requires additional training but is a respected specialty.

• Advancement Paths:

  • Medication Aide: After gaining experience, you can take a state-approved course to become a Certified Medication Aide (CMA). This allows you to administer medications in a long-term care setting and comes with a significant pay increase (often $2-$4/hour more).
  • LPN/RN Bridge Programs: This is the most common and rewarding path. Jamestown has Jamestown College (a private liberal arts college) and North Dakota State College of Science (NDSCS) as local options. Both offer LPN and RN programs. Many local employers (especially JRMC and the State Hospital) offer tuition assistance. Many CNAs work full-time while going to school part-time. This is a 2-4 year commitment but can double your salary.

• 10-Year Outlook: The 4% job growth means stability, not rapid expansion. The key to growth will be advancing your skills. The aging population of North Dakota ensures a steady demand for long-term care, but the highest wage growth will be for those who move into licensed practical nursing (LPN) or registered nursing (RN) roles. Staying as a CNA in Jamestown is a stable, middle-class life, but for significant financial mobility, further education is the clearest path.

The Verdict: Is Jamestown Right for You?

To make your decision, here’s a balanced look at the pros and cons.

Pros	Cons
Very Low Cost of Living: Your $35,009 salary goes much further here than in most cities.	Slower Job Market: Growth is modest; competition for the best positions can be stiff.
Affordable Homeownership: A realistic goal on a CNA salary, offering long-term financial stability.	Limited Entertainment/Nightlife: It's a quiet, family-oriented town. Options are basic.
Strong Sense of Community: People know their neighbors. It's easy to feel connected.	Harsh Winters: Long, cold, and snowy winters. You must be prepared for seasonal driving challenges.
Stable Employers: Major healthcare facilities provide reliable jobs with good benefits.	Wage Lag: Pay is slightly below the national average for CNA work.
Minimal Commute: You can live and work within a 15-minute radius easily.	Limited Diversity: The community is relatively homogenous.
Gateway to Outdoor Recreation: Excellent hunting, fishing, and ice fishing in the surrounding region.	Dependence on a Car: Public transit is limited; owning a reliable vehicle is a necessity.

Final Recommendation:
Jamestown is an excellent choice for a CNA who values stability, a low cost of living, and long-term financial goals like homeownership. It's ideal for someone who is practical, independent, and enjoys a quieter, community-focused lifestyle. It's not ideal for someone seeking a bustling urban environment, high-energy nightlife, or rapid career acceleration without a commitment to further education. If you are willing to embrace the seasons and the pace of life, your $16.83/hour can build a very secure and comfortable future here.

FAQs

1. I'm a new CNA. How hard will it be to find a job in Jamestown?
It's very manageable. While there are only 31 jobs in the metro, turnover in long-term care is consistent. Apply to all major employers (State Hospital, JRMC, Baptist Home, Northland). A clean background and a reliable work history are your biggest assets. Having your North Dakota Nurse Aide Registry number will give you a significant edge.

2. Do I need my own transportation?
Yes, absolutely. Jamestown is a small city spread out, and public bus service (J-Town Transit) is limited. A reliable car is essential for commuting, especially for shift work at odd hours. Winter driving skills are a must.

3. How does the cost of living really compare?
With a Cost of Living Index of 93.0, you save about 7% compared to the U.S. average. The biggest savings are in