The Nursing Assistant's Guide to Williston, ND: A Local's Perspective

So you're thinking about moving to Williston to work as a CNA? As a local who’s watched this town go through boom cycles and quiet winters, I can tell you it’s a place of stark contrasts. It’s not the bustling city life of Fargo, and it’s definitely not a tourist town like Medora. Williston is a work town, built on grit and the energy industry. For a Nursing Assistant, that means your career is tied to the health of the community—literally and economically.

This guide breaks down the real numbers, the real employers, and the day-to-day reality of living and working here. We’re not selling you a dream; we’re giving you the data you need to make a smart decision.

The Salary Picture: Where Williston Stands

Let’s start with the numbers that matter. The median salary for a CNA in Williston is $35,009 per year, which comes out to an hourly rate of $16.83. This is slightly below the national average of $35,760, but the context is everything. Williston’s cost of living index is 93.0 (US avg = 100), meaning your dollar goes further here than in most of the country.

The local job market for CNAs is stable but not explosive. There are roughly 55 jobs in the metro area at any given time, with a 10-year job growth projection of 4%. This isn’t a field seeing a massive boom, but it’s consistent, especially with the aging population in North Dakota. The real story is in the experience levels and how they compare to the rest of the state.

Experience-Level Breakdown

Experience Level	Typical Hours/Week	Estimated Annual Pay (Williston)	Key Responsibilities
Entry-Level (0-2 yrs)	32-40	$31,000 - $34,000	Basic personal care, mobility assistance, vital signs, reporting changes.
Mid-Level (2-5 yrs)	40	$35,000 - $38,000	Increased patient load, training new aides, specialized unit experience (e.g., rehab).
Senior (5-10 yrs)	40+	$38,000 - $42,000	Charge aide duties, complex patient care, mentoring, potential for weekend differentials.
Expert/Specialized (10+ yrs)	40+	$42,000+	Lead roles, specialty certifications (e.g., hospice, dementia care), possible overtime.

Comparison to Other ND Cities

Williston’s CNA salary is competitive within North Dakota, especially when paired with our lower cost of living.

• Bismarck (State Capital): Median pay is higher (approx. $37,000), but the cost of living is nearly equal to the national average. Your disposable income might be similar.
• Fargo (Largest City): Slightly higher median pay (approx. $36,500), but housing costs are significantly higher. Rent for a 1BR averages $950+.
• Minot: Very similar to Williston in both pay and cost of living. It’s often a direct competitor for healthcare workers.

Insider Tip: Don't just look at the base pay. Many local facilities offer shift differentials for evenings and weekends, and overtime is common during flu season or when staff call out. This can push your effective hourly rate well above $17.50.

The Real Take-Home: After Taxes and Rent

A median salary of $35,009 means a monthly gross pay of about $2,917. After federal, state (ND has a progressive income tax), FICA, and local taxes, your take-home pay is roughly $2,350 - $2,450 per month. Here’s how a typical CNA budget breaks down in Williston.

Monthly Budget Breakdown (Based on $2,400 Take-Home)

Expense Category	Estimated Cost	Notes
Rent (1BR Apartment)	$837	This is the city average. You can find cheaper ($700) or more luxurious ($1,100+).
Utilities (Electric/Heat/Water)	$180	Winters are harsh; heating bills can spike. Newer apartments are more efficient.
Groceries	$300	Shopping at Hornbacher's or Walmart. Eating out is expensive.
Car Payment/Insurance/Gas	$400	Public transit is limited. A car is a necessity.
Health Insurance (if not covered)	$150	Many employers offer plans, but premiums vary.
Misc. (Phone, Internet, Personal)	$250
Savings/Debt	$283	Leftover for student loans, savings, or emergencies.

Can They Afford to Buy a Home?
It’s a challenge on this salary, but not impossible, especially with a partner. The median home price in Williston is around $240,000. A $5,000 down payment (FHA loan) would require a monthly mortgage payment (including taxes/insurance) of roughly $1,600. This is 66% of the take-home pay for a single earner, which is unsustainable. Most single CNAs rent. However, if you have a dual-income household, a home purchase becomes very feasible.

Where the Jobs Are: Williston's Major Employers

Williston’s healthcare scene is dominated by a few key players. The energy industry’s volatility (boom and bust) directly impacts hospital census, but the core need for care remains.

1. CHI St. Alexius Health Williston: The largest hospital in the region. They run a full-service ICU, med/surg, rehab, and birthing center. They are the primary employer for acute care CNAs. Hiring is steady, and they are known for good benefits. Insider Tip: They often have a "float pool" for CNAs willing to work across different units. This offers variety and often a higher differential.

2. Williston Medical Center (now part of Sanford Health): This facility has undergone significant changes but remains a key player, especially in primary care and outpatient services. Sanford’s system offers clear pathways for advancement and tuition reimbursement if you want to pursue an LPN or RN license.

3. Bethel Home & Village: A major long-term care and skilled nursing facility. This is the go-to for CNAs who prefer consistent, predictable schedules and building relationships with residents over years. The pace is different from the hospital—more about daily routines and less about emergencies.

4. The Arbors at St. Alexius (Assisted Living): Part of the CHI system, this is a growing sector. Work here is less physically demanding than a hospital or SNF, focusing more on independence support. It’s a great option for CNAs who want a slower pace.

5. Northland Skilled Nursing & Rehabilitation: Another key SNF in town. They often have high demand for CNAs due to their rehabilitation focus. They work closely with the hospitals for patient transitions.

6. Home Health Agencies (e.g., Home Instead, private contractors): The home health sector is growing as the population ages. This offers flexibility and one-on-one care. Pay can be slightly higher, but benefits are often less comprehensive. You’re typically paid per visit, so consistency can vary.

Hiring Trends: Hiring is most active in late summer (preparing for flu season) and early winter. The 4% growth is slow, so turnover is the main source of new openings. Networking with nurses and administrators during clinical rotations or per-diem work is crucial.

Getting Licensed in ND

North Dakota’s requirements are straightforward and nationally standardized.

• Education: Complete a state-approved CNA training program. In Williston, this is typically offered at Williston State College or through the hospital’s own training programs (CHI St. Alexius and Sanford often run their own classes for employees). The course is usually 75-100 hours.
• Cost: Tuition ranges from $500 - $1,200. Some employers will reimburse this cost if you commit to working for them for a set period (e.g., 1 year).
• Exam: After training, you must pass the state competency exam (written and skills test). The fee is approximately $100.
• Background Check: A clean criminal background check is mandatory.
• Registry: Once passed, you’re listed on the North Dakota Nurse Aide Registry.

Timeline: From start to finish, you can be a certified CNA in 3-4 months. An accelerated program can do it in 8-10 weeks.

Insider Tip: The most valuable thing you can do is network before you’re certified. Volunteer at a local nursing home, shadow a CNA at the hospital. Williston is a small town—people know people. A personal recommendation can get your application to the top of the pile.

Best Neighborhoods for Nursing Assistant (CNA)s

Williston is a spread-out city. Location matters for your commute, especially in winter.

1. Central Williston (Downtown/Williston Heights): Close to CHI St. Alexius Hospital and Bethel Home. Walkable to some amenities. Older homes, some rentals. Rent: $700 - $900. Commute: 5-10 minutes to major employers.
2. Southside (near the Mall & Walmart): The most developed suburban area. Newer apartment complexes, big-box stores, chain restaurants. Rent: $800 - $1,100. Commute: 10-15 minutes to hospital.
3. East Williston/Highway 2 Bypass: More residential, lower density. Quieter, good for families. Older houses, some new developments. Rent: $750 - $950. Commute: 10-15 minutes.
4. West Williston (near the University): Around Williston State College. Mix of student housing and family homes. Rent: $700 - $1,000. Commute: 10 minutes to hospital.
5. Rural/Outskirts (e.g., near the Arboretum): For those who want space and don’t mind driving. Larger lots, but fewer rental options. Rent: $600 - $800 (if you find a rental). Commute: 15-20 minutes.

Winter Commute Note: In January, a 10-minute drive can become 20-30 minutes with bad snow. Living close to work is a significant quality-of-life advantage.

The Long Game: Career Growth

A CNA license is a fantastic entry point, but growth in Williston often means moving beyond the CNA role.

• Specialty Premiums: While there isn’t a formal "premium" for specialties, CNAs with experience in ICU, Labor & Delivery, or Hospice are highly valued and can negotiate slightly higher starting pay. Certifications in dementia care or as a Certified Medication Aide (CMA) are also advantageous.
• Advancement Paths:
  1. Licensed Practical Nurse (LPN): The most natural step. Williston State College offers an LPN program. An LPN in Williston earns a median of $49,000+. Many employers offer tuition assistance.
  2. Registered Nurse (RN): Requires an Associate's or Bachelor's degree. RNs in Williston have a median salary of $65,000+. The local ADN program is competitive.
  3. Healthcare Administration: With experience, moving into unit secretary, scheduling, or management roles is possible.
• 10-Year Outlook: The 4% job growth is modest, mirroring national trends for an aging population. The key will be the stability of the local economy. If the oil industry has a major downturn, the hospital may see reduced elective procedures and lower census, but the need for long-term care (Bethel, The Arbors) will remain steady. Your best bet for job security is in long-term care or home health, which are less tied to economic cycles.

The Verdict: Is Williston Right for You?

Williston offers a low cost of living and a stable, if not booming, job market for CNAs. It’s a place for someone who values financial stability over urban excitement and is willing to embrace a tight-knit, often challenging, community.

Pros	Cons
Low Cost of Living: Your salary goes further here than in most metro areas.	Harsh Winters: Long, cold, dark winters can be mentally taxing.
Stable Demand: CNAs are always needed, especially in long-term care.	Limited Entertainment: Nightlife, dining, and cultural scene are very limited.
Strong Employer Benefits: Major hospitals offer good health insurance and retirement plans.	Job Growth is Slow: Career advancement often requires further education.
Community Feel: It’s easy to get to know people and feel connected.	Economic Reliance: Tied to the energy sector, which can lead to boom/bust cycles.
Outdoor Access: Great for hunting, fishing, and hiking.	Isolation: It’s a long drive to a major city (3+ hours to Fargo).

Final Recommendation: Williston is an excellent choice for a CNA who is financially motivated, enjoys a slower pace of life, and is independent. It’s not for someone who craves big-city amenities or is looking for rapid career advancement without further education. If you can handle the winters, you can build a solid, stable life here.

FAQs

1. Is it hard to find a CNA job in Williston?
No, but it’s competitive. With only 55 jobs in the metro, openings don’t last forever. Having your North Dakota license (or a compact state license) is essential. Applying directly to the major employers (CHI, Sanford, Bethel) is the best strategy.

2. Do I need a car?
Absolutely. Public transportation (Williston Transit) is limited. Most CNAs work early morning or late-night shifts when buses aren’t running. A reliable car is non-negotiable, especially in winter.

3. What’s the biggest surprise for new CNAs moving to Williston?
The weather and the sense of isolation. The community is friendly, but it’s not a cultural melting pot. The winter darkness (sunset at 4:45 PM in December) and the need to drive everywhere can be a shock.

4. Can I live comfortably on the median salary?
Yes, if you budget carefully. The $837 average rent is manageable. You won’t have a lot of disposable income for luxury items or frequent travel, but you can cover your essentials, save a little, and live without financial panic. Sharing an apartment is a common way to increase savings.

5. Are there opportunities for overtime?
Yes, especially at the hospital and SNFs. During peak flu season (Oct-Feb) and summer (when people are more active), patient volumes increase. CNAs willing to pick up extra shifts can significantly boost their annual income. It’s not uncommon for a CNA to earn an extra $5,000-$8,000 a year through overtime.