Home / North Dakota / Fargo
Bethany on University
201 S University Dr, Fargo, ND 58103 · Cass County · (701) 239-3000
172 certified beds, about 164 residents a day · Non profit - Corporation · Medicare and Medicaid since 1978
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355086 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 12, 2026, inspectors cited 3 health deficiencies (the North Dakota average is 5.6, the national average 9.2).
Of 10 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.40 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 1.09 of those hours.
51.9% 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.
410/23
110/24
101/25
106/25
302/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
9D
0E
0F
Potential for minimal harm
0A
0B
0C
February 12, 2026Standard inspection, Complaint inspection · 3 citations
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on record review and review of facility policy the facility failed to provide the resident or resident representative with written discharge instructions for 1 of 2 sampled residents (Resident #190) who were discharged . Failure to provide written discharge instructions to residents leaving the facility may affect the continued health and safety of the residents discharged to the community.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review, review of facility policy, and staff interview, the facility failed to provide the State Long Term Care Ombudsman a written notice of transfer/discharge for 1 of 5 closed records (Resident #177) reviewed for discharge. Failure to notify the State Ombudsman of resident discharges does not allow the State Ombudsman to advocate for the resident and/or their representative regarding their options and rights.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, review of facility policy, and staff interviews, the facility failed to follow infection control standards for 3 of 8 sampled residents (Residents #11, #94, and #118) on enhanced barrier precautions (EBP). Failure to follow infection control practices has the potential to spread infection throughout the facility. Findings Include: Review of the facility policy titled, Hand Hygiene occurred on 02/12/26. This policy revised February 2021, stated, . Hand Hygiene Table . after removing personal protective equipment (PPE), including gloves . [cleanse hands with] Either Soap and Water or Alcohol Based Hand Rub . Review of the facility policy titled, Infection Control - Enhanced Barrier Precautions occurred on 02/12/26. This policy revised May 2025, stated, . Enhanced Barrier Precautions (EBP) . [...]
June 4, 2025Complaint inspection · 1 citation
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review, review of professional reference, and staff interview, the facility failed to ensure residents remained free from significant medication errors for 1 of 1 sampled resident (Resident #1). Failure to follow physician's orders may result in adverse health consequences and/or delayed treatment for the resident.
January 29, 2025Complaint inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and review of professional reference, the facility failed to follow professional standards of practice for 1 of 1 sampled resident (Resident #3) reviewed for pre-operative medication orders. Failure to hold scheduled medications prior to surgery according to physician's orders may result in adverse outcomes for the resident.
October 24, 2024Standard inspection, Complaint inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, review of professional reference, and resident and staff interview, the facility failed to follow standards of infection control and prevention for 3 of 8 sampled residents (Resident #34, #88, and #139) receiving treatment for a wound or pressure ulcer. Failure to practice infection control standards related to enhanced barrier precautions (EBP) has the potential to spread infection throughout the facility.
October 26, 2023Standard inspection · 4 citations
- G Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Inspectors wroteBased on observation, record review, review of the North Dakota Resident Rights Resident Guide, and resident, staff, and family interviews, the facility failed to respect the resident right to have visitors of their choosing and at the time of their choosing for 1 of 1 sampled resident (Resident #136) and 1 supplemental resident (Resident #96), a married couple whose visitation was discontinued due to behaviors and ended in one resident transferred to another facility. Failure to ensure visitation rights are respected may have been the cause and/or increase of behaviors and/or emotional distress, which negatively impacted the psychosocial well-being of both residents.
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on record review and staff and family interviews, the facility failed to ensure proper transfer/discharge and documentation processes were followed for 1 of 1 supplemental resident (Resident #96) and 1 of 2 closed records (Resident #161) discharged to another facility. Failure to complete the required facility and physician documentation did not show an appropriate reason the residents were unable to remain in the facility. Findings Include: - Review of Resident #96's medical record occurred on 10/26/23 and included the following progress notes: * 10/16/23 at 4:44 p.m. SS [social services] and UM [unit manager] for [Resident #96] and his wife called daughter [daughter's name] at this time and date. IDT [Interdisciplinary Team] members on the call explained the efforts that have been put forth to allow meaningful visits between [Resident #96] and his wife. [...]
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and staff interview, the facility failed to provide the resident or resident's representative and/or the State Long Term Care Ombudsman with the written notice of transfer or discharge for 1 of 2 closed records (Resident #161) and 1 of 1 supplemental resident (Resident #96) discharged to another facility. Failure to provide the resident and/or resident's family member/legal representative a written notice of transfer or discharge, including the destination and reason for the transfer and the residents' right to appeal the action does not allow the resident and/or representative to make an informed decision regarding their rights or inform the Ombudsman of the discharge.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, record review, and review of facility policy, the facility failed to ensure accurate labeling of medications for 1 of 3 residents (Resident #36) observed for insulin administration. Failure to correctly label medications to match the current physician orders increased the risk of residents receiving an inaccurate dose of insulin and placed the resident at risk for an adverse reaction (a blood sugar too high or too low).
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) | 5.40 | 4.42 | 3.86 |
| Registered nurses | 1.09 | 0.93 | 0.69 |
| All nursing staff on weekends | 4.81 | 3.80 | 3.42 |
| Nurse aides | 3.68 | ||
| Licensed practical nurses | 0.63 | ||
| Nursing staff turnover (share who left in a year) | 51.9% | 48.8% | 45.8% |
| Registered nurse turnover | 43.2% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.77 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 5.64 on weekdays and 4.81 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.54 in April to June 2025 to 5.40 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 | 5.40 | 1.09 | 5.64 | 4.81 | 5.0% | 0 of 90 | 164 |
| Oct to Dec 2025 | 5.44 | 1.07 | 5.66 | 4.89 | 4.2% | 0 of 92 | 164 |
| Jul to Sep 2025 | 5.31 | 1.05 | 5.54 | 4.71 | 1.9% | 0 of 92 | 167 |
| Apr to Jun 2025 | 5.54 | 1.06 | 5.82 | 4.84 | 1.8% | 0 of 91 | 164 |
| 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 | 9.4 | 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 | 2.5 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.8 | 5.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.5 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.6 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.2 | 22.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.3 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.1 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.9 | 1.8 |
Owners and operators
Legal business name: AMERICAN LUTHERAN HOMES INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bell Bank Arrowhead Office | 5% or greater mortgage interest | Organization | 12/01/2013 | |
| 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 | 04/09/2007 | |
| American Lutheran Homes Inc | Operational/managerial control | Organization | 01/01/1990 | |
| Bell Bank Arrowhead Office | Operational/managerial control | Organization | 03/01/1996 | |
| Bethany Homes, Inc | Operational/managerial control | Organization | 01/01/1986 | |
| 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 | 04/09/2007 | |
| American Lutheran Homes Inc | Adp of the SNF | Organization | 01/01/1990 | |
| Bell Bank Arrowhead Office | Adp of the SNF | Organization | 12/01/2013 | |
| Bethany Homes, Inc | Adp of the SNF | Organization | 04/10/2025 | |
| 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.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on February 12, 2026: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on February 12, 2026: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on June 4, 2025: "Ensure that residents are free from significant medication errors."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on January 29, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
Other nursing homes nearby
- The Meadows on University Fargo, 0.8 mi · 1 of 5 stars · 31 citations
- Smp Health - St. Catherine South Fargo, 1.4 mi · 4 of 5 stars · 10 citations
- Smp Health - St. Catherine North Fargo, 1.6 mi · 4 of 5 stars · 12 citations
- Eventide Lutheran Home Moorhead, 1.6 mi · 4 of 5 stars · 17 citations
- Bethany on 42nd Fargo, 3 mi · 5 of 5 stars · 3 citations
- Fargo Elim Health Care Center Fargo, 3.3 mi · 3 of 5 stars · 14 citations
- Eventide Fargo Fargo, 3.7 mi · 3 of 5 stars · 11 citations
- Sheyenne Crossings Care Center/Tcu West Fargo, 4.9 mi · 5 of 5 stars · 8 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 University's Medicare star rating?
- CMS rates Bethany on University 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bethany on University get at its last inspection?
- 3 health deficiencies at the standard inspection on February 12, 2026. The North Dakota average is 5.6.
- Has Bethany on University been fined?
- CMS lists no fines in the last three years.
- Does Bethany on University 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 University?
- CMS lists 30 owners and managers. Legal business name: AMERICAN LUTHERAN HOMES INC.
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.