Home / North Dakota / West Fargo
125 13th Avenue West, West Fargo, ND 58078 · Cass County · (701) 478-6100
64 certified beds, about 59 residents a day · Non profit - Corporation · Medicare and Medicaid since 2010
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355124 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 25, 2026, inspectors cited 1 health deficiency (the North Dakota average is 5.6, the national average 9.2).
None of its 8 health citations since November 2023 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 4.72 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 0.81 of those hours.
33.0% of nursing staff left within the year CMS measured (North Dakota average 48.8%).
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.
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 8 health citations on file.
Inspectors wroteBased on observation, record review, review of facility policy, and staff interviews, the facility failed to follow infection control standards for 2 of 4 sampled residents (Resident #3 and #79) and 1 supplemental resident (Resident #10) on enhanced barrier precautions (EBP). Failure to follow infection control practices has the potential to spread infection throughout the facility.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure safe and secure storage of medications and controlled substances (narcotics) in 1 of 1 unit (Transitional Care Unit (TCU)) observed. Failure to secure medications and controlled substances may result in unauthorized access to medications.
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 5 of 16 sampled residents (Resident #8, #9, #17, #32, and #36) and 2 supplemental residents (#7 and #46) observed during cares/dressing change. Failure to practice infection control standards related to hand hygiene, enhanced barrier precautions (EBP), during a dressing change, and disinfection of equipment has the potential to spread infection throughout the facility.
Inspectors wroteBased on record review, review of facility policy, resident, family, and staff interview, the facility failed to ensure all forms of communication related to code level status accurately reflected the residents' wishes for 2 of 18 sampled residents (Resident #30 and #48) and 1 supplemental resident (#14) reviewed for advance directives. Failure to ensure the medical record and other forms of communication accurately reflected the resident's code status limited the facility's ability to communicate to direct care staff and emergency personnel the resident's choice in the event of a medical emergency. Findings Include: Review of the facility policy titled CPR [cardiopulmonary resuscitation]/AED [automated external defibrillator]/Code Level occurred on [DATE]. This policy, revised [DATE], stated, . [...]
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 1 of 18 sampled residents (Resident #29). Failure to accurately code 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.
Inspectors wroteBased on observation, record review, review of facility policy, and staff interview, the facility failed to provide adequate supervision and assistive devices for 1 of 2 sampled residents (Resident #1) observed during a transfer. Failure to use a gait belt during transfers placed the resident at risk for accidents, falls, or injuries.
Inspectors wroteBased on observation, review of the Food and Drug Administration (FDA) 2022 Food Code, and staff interview, the facility failed to store food under sanitary conditions in 1 of 1 kitchen. Failure to store food in a sanitary environment in the walk-in freezer has the potential to result in contamination of food and could result in a foodborne illness.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure acceptable parameters of nutritional status for 1 of 6 sampled residents (Resident #22) with significant weight loss. Failure to change and/or implement additional interventions to prevent further loss weight loss resulted in continued significant weight loss for the resident.
5 fire safety citations on file: 2 on February 25, 2026, 3 on November 16, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 4.72 | 4.42 | 3.86 |
| Registered nurses | 0.81 | 0.93 | 0.69 |
| All nursing staff on weekends | 4.36 | 3.80 | 3.42 |
| Nurse aides | 3.27 | ||
| Licensed practical nurses | 0.63 | ||
| Nursing staff turnover (share who left in a year) | 33.0% | 48.8% | 45.8% |
| Registered nurse turnover | 42.9% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.34 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.86 on weekdays and 4.36 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.82 in April to June 2025 to 4.72 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 | 4.72 | 0.81 | 4.86 | 4.36 | 5.5% | 1 of 90 | 59 |
| Oct to Dec 2025 | 4.70 | 0.63 | 4.87 | 4.27 | 3.0% | 0 of 92 | 60 |
| Jul to Sep 2025 | 4.58 | 0.61 | 4.72 | 4.22 | 2.2% | 0 of 92 | 60 |
| Apr to Jun 2025 | 4.82 | 0.61 | 4.98 | 4.43 | 1.9% | 0 of 91 | 59 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| North Dakota, all employers | |||
| CNAs (nursing assistants) | $22.03 | $17.51 to $23.06 | 6,840 |
| LPNs and LVNs | $29.95 | $28.03 to $31.26 | 1,920 |
| Registered nurses | $38.81 | $33.47 to $44.75 | 11,340 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 15.0 | 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 | 4.1 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.5 | 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 | 23.0 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.1 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.6 | 22.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.6 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.0 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 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 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Sheyenne Crossings Care Center/Tcu's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (39.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
39.3% this home
Worse than the national rate
US median of homes 51.5% · North Dakota: 0 better, 21 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 141 eligible stays.
9.0% this home
No different from the national rate
US median of homes 10.7% · North Dakota: 2 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 140 eligible stays.
7.0% this home
No different from the national rate
US median of homes 7.1% · North Dakota: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 80 eligible stays.
56.2% this home
Median of homes: North Dakota50.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 89 residents counted.
1.9% this home
Median of homes: North Dakota0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 106 residents counted.
4.0% this home
Median of homes: North Dakota2.9% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 106 residents counted.
100.0% this home
Median of homes: North Dakota100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 31 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: EVENTIDE.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Eventide | 5% or greater direct ownership interest | Organization | 11/18/2009 | |
| Bock, Jodee | Corporate director | Individual | 08/03/2023 | |
| Brandt, Terry | Corporate director | Individual | 08/03/2023 | |
| Fischbach, Tyler | Corporate director | Individual | 08/03/2023 | |
| Gulbranson, Patrick | Corporate director | Individual | 08/03/2023 | |
| Johnson, Vikki | Corporate director | Individual | 08/03/2023 | |
| Larson-Casselton, Cindy | Corporate director | Individual | 01/01/2018 | |
| Lee, Judith | Corporate director | Individual | 01/01/2018 | |
| Lunak, Brandon | Corporate director | Individual | 08/03/2023 | |
| Schafer, Eric | Corporate director | Individual | 10/10/2024 | |
| Seljevold, Peter | Corporate director | Individual | 08/03/2023 | |
| Swenson, Karla | Corporate director | Individual | 08/03/2023 | |
| Bye, Robert | Corporate officer | Individual | 08/03/2023 | |
| Johnson, Vikki | Corporate officer | Individual | 08/03/2023 | |
| Lunak, Brandon | Corporate officer | Individual | 03/01/2026 | |
| Riewer, Jon | Corporate officer | Individual | 11/24/2009 | |
| Blue Stone Therapy Inc | Operational/managerial control | Organization | 11/01/2020 | |
| Brasel, Melissa | Operational/managerial control | Individual | 11/28/2018 | |
| Dahl-Wagner, Maegan | Operational/managerial control | Individual | 11/10/2024 | |
| Heppner, Alexandra | Operational/managerial control | Individual | 06/25/2023 | |
| Johnsrud, Jackson | Operational/managerial control | Individual | 06/17/2024 | |
| Ohe, Darin | Operational/managerial control | Individual | 01/07/2019 | |
| Rahman, Cassidy | Operational/managerial control | Individual | 04/28/2024 | |
| Sand, Michael | Operational/managerial control | Individual | 01/01/2024 | |
| Whitmore, Ashton | Operational/managerial control | Individual | 09/17/2023 | |
| Johnsrud, Jackson | Adp of the SNF | Individual | 03/21/2025 | |
| Sand, Michael | Adp of the SNF | Individual | 03/21/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in North Dakota. NursingHomeClear cannot take or act on complaints.