Home / North Dakota / Fargo
Eventide Fargo
3225 51st St. S, Fargo, ND 58104 · Cass County · (701) 478-1800
98 certified beds, about 94 residents a day · Non profit - Church related · Medicare and Medicaid since 2016
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355127 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 18, 2025, inspectors cited 4 health deficiencies (the North Dakota average is 5.6, the national average 9.2).
Of 11 health citations since August 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $9,030 in the last three years; the largest was $9,030, and the latest is dated November 7, 2023.
Nurses and nurse aides worked 4.66 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.
47.7% 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.
208/23
111/23
308/24
108/25
409/25
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 11 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
1E
0F
Potential for minimal harm
0A
0B
0C
September 18, 2025Standard inspection, Complaint inspection · 4 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 4 of 12 sampled residents (Resident #3, #13, #17, and #45) observed during cares. Failure to practice infection control standards related to bodily fluid spills, hand hygiene, and enhanced barrier precautions (EBP) has the potential to spread infection throughout the facility.
- D 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 1.19.1), and staff interview, the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 2 of 22 sampled residents (Resident #7 and #8). Failure to accurately complete the MDS does not allow each resident's assessment to reflect their current status and may affect the accurate development of a comprehensive care plan and the care provided to the residents.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteThis REQUIREMENT is NOT MET as evidenced by: Based on record review, policy and procedure review, professional reference review, and staff interview, the facility failed to provide the care and services for 1 of 1 sampled resident (Resident #5) on hemodialysis with a Permacath (a type of vascular access for dialysis). Failure to assess the hemodialysis vascular access site may result in complications and adverse effects, such as clotting and possible loss of the access site.
- 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, review of facility policy, review of facility pharmacy guidelines, and staff interview, the facility failed to ensure accurate labeling of medications for 2 supplemental residents (Resident #22 and #55) observed during medication administration. Failure to obtain new medication labels from the pharmacy for oral medications and insulin or affix a label noting change in the directions, may result in residents receiving an incorrect dose of medications.
August 6, 2025Complaint inspection · 1 citation
- D Provide appropriate foot care.
Inspectors wroteBased on record review, review of facility policy, and staff interview, the facility failed to ensure 1 of 1 sampled resident (Resident #6) received proper treatment and care to maintain good foot health. Failure to confirm podiatry were aware of and assessed the wounds to Resident #6's right toes, may have contributed to the foot amputation.
August 28, 2024Standard inspection · 3 citations
- D 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 2 of 20 sampled residents (Resident #58 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 Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, review of facility policy, review of profession reference, and staff interview, the facility failed to follow professional standards of practice for 2 of 2 sampled residents (#28 and #51) and 1 supplemental resident (#47) observed for insulin preparations and administrations. Failure to clean the end of the insulin pens prior to placing on a new needle, and failure to prime the insulin pens correctly may result in infections and/or the residents receiving an inaccurate dose of insulin.
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on record review, review of the hospice contract, and staff interview, the facility failed to ensure residents' records contained the hospice election form, most recent hospice plan of care, and/or certification of terminal illness for 2 of 5 sampled residents (Resident #4 and #83) receiving hospice services. Failure to obtain these documents limits staff's ability to ensure coordination of care between the facility and the hospice.
November 7, 2023Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, review of facility investigation, and review of facility policy, the facility failed to ensure adequate supervision and assistance for 1 of 2 sampled residents (Resident #3) who required staff supervision while toileting. Failure to provide supervision in the bathroom resulted in an avoidable fall and fracture.
August 31, 2023Standard inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review, and resident and staff interview, the facility failed to provide treatment and care in accordance with professional standards for 1 of 1 sampled resident (Resident #38) observed to have an unprescribed over-the-counter medication on the bedside table. Failure to identify all medication may result in adverse health effects for the resident.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, review of facility policy, and staff interviews, the facility failed to provide respiratory care consistent with professional standards of practice for 1 of 3 sampled residents (Residents #48) receiving oxygen by nasal cannula. Failure to administer oxygen according to the physician's order may result in complications and compromise the residents' respiratory status.
Fire safety inspections
2 fire safety citations on file: 2 on August 28, 2024.
Every fire safety citation2 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| November 7, 2023 | Fine | $9,030 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 4.66 | 4.42 | 3.86 |
| Registered nurses | 0.76 | 0.93 | 0.69 |
| All nursing staff on weekends | 4.35 | 3.80 | 3.42 |
| Nurse aides | 3.14 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 47.7% | 48.8% | 45.8% |
| Registered nurse turnover | 52.6% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.59 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 4.79 on weekdays and 4.35 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.68 in April to June 2025 to 4.66 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 | 4.66 | 0.76 | 4.79 | 4.35 | 0.7% | 0 of 90 | 94 |
| Oct to Dec 2025 | 4.66 | 0.74 | 4.79 | 4.30 | 0.5% | 0 of 92 | 96 |
| Jul to Sep 2025 | 4.65 | 0.84 | 4.79 | 4.31 | 0.0% | 0 of 92 | 95 |
| Apr to Jun 2025 | 4.68 | 0.82 | 4.83 | 4.31 | 0.0% | 0 of 91 | 95 |
| 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 | 16.4 | 19.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.7 | 5.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 29.4 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.6 | 22.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.7 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.7 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.9 | 1.8 |
Owners and operators
Legal business name: EVENTIDE FARGO LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Eventide | 5% or greater direct ownership interest | Organization | 100% | 06/10/2013 |
| Brandt, Terry | Corporate director | Individual | 03/01/2026 | |
| Bye, Robert | Corporate director | Individual | 12/06/2022 | |
| Gulbranson, Patrick | Corporate director | Individual | 12/06/2022 | |
| Johnson, Vikki | Corporate director | Individual | 09/30/2023 | |
| Lunak, Brandon | Corporate director | Individual | 03/01/2026 | |
| Seljevold, Peter | Corporate director | Individual | 06/10/2013 | |
| Johnson, Vikki | Corporate officer | Individual | 09/30/2023 | |
| Lunak, Brandon | Corporate officer | Individual | 03/01/2026 | |
| Riewer, Jon | Corporate officer | Individual | 08/05/2015 | |
| Blue Stone Therapy Inc | Operational/managerial control | Organization | 11/01/2020 | |
| Gilson, Christopher | Operational/managerial control | Individual | 04/22/2013 | |
| Hewson, Alyssa | Operational/managerial control | Individual | 04/14/2024 | |
| Kirchner, Maycen | Operational/managerial control | Individual | 02/05/2024 | |
| Musielewicz, Katherine | Operational/managerial control | Individual | 11/28/2018 | |
| Ohe, Darin | Operational/managerial control | Individual | 04/27/2023 | |
| Otteson, Michelle | Operational/managerial control | Individual | 02/20/2023 | |
| Riewer, Jon | Operational/managerial control | Individual | 08/05/2015 | |
| Sand, Michael | Operational/managerial control | Individual | 01/01/2024 | |
| Whitmore, Ashton | Operational/managerial control | Individual | 09/17/2023 | |
| Gilson, Christopher | Adp of the SNF | Individual | 03/27/2025 | |
| Sand, Michael | Adp of the SNF | Individual | 03/27/2025 |
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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on September 18, 2025: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on September 18, 2025: "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 September 18, 2025: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on September 18, 2025: "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."
Other nursing homes nearby
- Sheyenne Crossings Care Center/Tcu West Fargo, 1.5 mi · 5 of 5 stars · 8 citations
- Smp Health - St. Catherine South Fargo, 3.4 mi · 4 of 5 stars · 10 citations
- The Meadows on University Fargo, 3.5 mi · 1 of 5 stars · 31 citations
- Bethany on University Fargo, 3.7 mi · 5 of 5 stars · 10 citations
- Fargo Elim Health Care Center Fargo, 3.8 mi · 3 of 5 stars · 14 citations
- Smp Health - St. Catherine North Fargo, 4.8 mi · 4 of 5 stars · 12 citations
- Eventide Lutheran Home Moorhead, 4.8 mi · 4 of 5 stars · 17 citations
- Bethany on 42nd Fargo, 5.4 mi · 5 of 5 stars · 3 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 Eventide Fargo's Medicare star rating?
- CMS rates Eventide Fargo 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Eventide Fargo get at its last inspection?
- 4 health deficiencies at the standard inspection on September 18, 2025. The North Dakota average is 5.6.
- Has Eventide Fargo been fined?
- Yes. CMS lists 1 fine totaling $9,030 in the last three years.
- Does Eventide Fargo 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 Eventide Fargo?
- CMS lists 22 owners and managers. Legal business name: EVENTIDE FARGO LLC.
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.