Home / North Dakota / Fargo
Bethany on 42nd
4255 30th Ave S, Fargo, ND 58104 · Cass County · (701) 478-8900
116 certified beds, about 114 residents a day · Non profit - Corporation · Medicare and Medicaid since 2010
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355123 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 23, 2026, inspectors cited 0 health deficiencies (the North Dakota average is 5.6, the national average 9.2).
None of its 3 health citations since March 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.19 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
59.0% of nursing staff left within the year CMS measured (North Dakota average 48.8%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 3 health citations on file.
July 23, 2026Standard inspection · 0 citations
May 1, 2025Standard inspection, Complaint inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and review of facility policy, the facility failed to follow standards of infection control and prevention for 3 of 9 sampled residents (Resident #28, #55 and #95) observed during cares. Failure to practice infection control standards related to hand hygiene and enhanced barrier precautions (EBP) has the potential to spread infection throughout the facility.
March 14, 2024Standard inspection · 2 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.18.11), and staff interview, the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 3 of 25 sampled residents (Resident #6, #9 and #51) and two supplemental residents (Resident #44 and #85). Failure to accurately complete the MDS does not allow each resident's assessment to reflect their current status/needs and may affect the accurate development of a comprehensive care plan and the care provided to the residents.
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.16), and staff interview, the facility failed to ensure timely electronic data submission of required Minimum Data Sets (MDS) assessments for 1 of 1 supplemental residents (Resident #32) and one closed record (Resident #30). Failure to follow the MDS data submission specifications does not meet the intended regulatory requirements.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Dakota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.19 | 4.42 | 3.86 |
| Registered nurses | 0.69 | 0.93 | 0.69 |
| All nursing staff on weekends | 4.78 | 3.80 | 3.42 |
| Nurse aides | 3.71 | ||
| Licensed practical nurses | 0.79 | ||
| Nursing staff turnover (share who left in a year) | 59.0% | 48.8% | 45.8% |
| Registered nurse turnover | 53.8% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.88 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.36 on weekdays and 4.78 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.15 in April to June 2025 to 5.19 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.19 | 0.69 | 5.36 | 4.78 | 1.9% | 0 of 90 | 114 |
| Oct to Dec 2025 | 5.19 | 0.65 | 5.34 | 4.79 | 1.8% | 0 of 92 | 113 |
| Jul to Sep 2025 | 5.27 | 0.62 | 5.47 | 4.79 | 3.0% | 0 of 92 | 114 |
| Apr to Jun 2025 | 5.15 | 0.66 | 5.30 | 4.78 | 0.1% | 0 of 91 | 113 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Dakota, Jan to Mar 2026 | 4.57 | 0.92 | 4.81 | 3.96 | 11.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 15.2 | 19.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.2 | 5.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 9.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.4 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.9 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.9 | 22.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.8 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.4 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.9 | 1.8 |
Owners and operators
Legal business name: BETHANY ON 42ND.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bell Bank Arrowhead Office | 5% or greater mortgage interest | Organization | 04/01/2010 | |
| Anderson, Cheryl | Corporate director | Individual | 04/18/2023 | |
| Brantner-Adams, Jerilynn | Corporate director | Individual | 04/18/2023 | |
| Davidson, Bruce | Corporate director | Individual | 05/13/2025 | |
| Hertsgaard, John | Corporate director | Individual | 04/09/2024 | |
| Ness Owens, Laura | Corporate director | Individual | 04/09/2024 | |
| Olson, Roger | Corporate director | Individual | 04/19/2022 | |
| Renner, Beth | Corporate director | Individual | 04/18/2023 | |
| Rockstad, Lianne | Corporate director | Individual | 04/09/2024 | |
| Rydell, Jack | Corporate director | Individual | 05/13/2025 | |
| Steen, Rick | Corporate director | Individual | 04/09/2024 | |
| Wendt, Joseph | Corporate director | Individual | 05/13/2025 | |
| Angus, Kaye | Corporate officer | Individual | 10/01/2022 | |
| Stuhaug, Shawn | Corporate officer | Individual | 06/23/2009 | |
| Bell Bank Arrowhead Office | Operational/managerial control | Organization | 03/01/1996 | |
| Bethany Homes, Inc | Operational/managerial control | Organization | 01/01/2009 | |
| Bethany on 42nd | Operational/managerial control | Organization | 01/14/2010 | |
| Blue Stone Therapy Inc | Operational/managerial control | Organization | 05/01/2019 | |
| Eide Bailly LLP | Operational/managerial control | Organization | 01/01/1998 | |
| Angus, Kaye | Operational/managerial control | Individual | 10/01/2022 | |
| Gupta, Parul | Operational/managerial control | Individual | 10/01/2020 | |
| Stuhaug, Shawn | Operational/managerial control | Individual | 06/23/2009 | |
| Bell Bank Arrowhead Office | Adp of the SNF | Organization | 04/01/2010 | |
| Bethany Homes, Inc | Adp of the SNF | Organization | 04/10/2025 | |
| Bethany on 42nd | Adp of the SNF | Organization | 01/01/2009 | |
| Blue Stone Therapy Inc | Adp of the SNF | Organization | 04/04/2025 | |
| Eide Bailly LLP | Adp of the SNF | Organization | 04/08/2025 | |
| Angus, Kaye | Adp of the SNF | Individual | 10/01/2022 | |
| Gupta, Parul | Adp of the SNF | Individual | 10/01/2020 | |
| Stuhaug, Shawn | Adp of the SNF | Individual | 04/09/2007 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 14, 2024: "Ensure each resident receives an accurate assessment."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on May 1, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Smp Health - St. Catherine North Fargo, 1.5 mi · 4 of 5 stars · 12 citations
- Bethany on University Fargo, 3 mi · 5 of 5 stars · 10 citations
- The Meadows on University Fargo, 3.8 mi · 1 of 5 stars · 31 citations
- Eventide Lutheran Home Moorhead, 4.1 mi · 4 of 5 stars · 17 citations
- Smp Health - St. Catherine South Fargo, 4.3 mi · 4 of 5 stars · 10 citations
- Eventide Fargo Fargo, 5.4 mi · 3 of 5 stars · 11 citations
- Sheyenne Crossings Care Center/Tcu West Fargo, 6.1 mi · 5 of 5 stars · 8 citations
- Fargo Elim Health Care Center Fargo, 6.2 mi · 3 of 5 stars · 14 citations
North Dakota contacts for a concern about a nursing home
These are the official offices in North Dakota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: North Dakota Health and Human Services, Health Facilities Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Dakota Long-Term Care Ombudsman Program, (855) 462-5465. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: North Dakota Deficiency Statement Search, where North Dakota publishes its own records on licensed homes.
Common questions
- What is Bethany on 42nd's Medicare star rating?
- CMS rates Bethany on 42nd 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bethany on 42nd get at its last inspection?
- 0 health deficiencies at the standard inspection on July 23, 2026. The North Dakota average is 5.6.
- Has Bethany on 42nd been fined?
- CMS lists no fines in the last three years.
- Does Bethany on 42nd accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Bethany on 42nd?
- CMS lists 30 owners and managers. Legal business name: BETHANY ON 42ND.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.