North Dakota › Cass County › Fargo
Bethany On 42nd
4255 30th Ave S, Fargo, ND 58104
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Bethany On 42nd is a Non-profit, corporation nursing home in Fargo, North Dakota, certified for 116 beds and caring for about 114 residents a day.
CMS gives it 5 of 5 stars overall, above the North Dakota median of 3; the health inspection rating is 5, staffing 4 and quality measures 3.
Inspectors recorded 3 health deficiencies across the three most recent survey cycles (0, 1, 2 by cycle, most recent first), none at the actual-harm level. That is 2.6 per 100 beds, fewer than the state median of 27.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 5.2 hours per resident per day (0.7 RN), close to the North Dakota median of 4.4; nursing staff turnover is 59.0%.
Compared with county, state and nation
| Measure | This facility | Cass Co. median | North Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 3 | 11 | 13 | 28.7 |
| Citations per 100 beds | 2.6 | 11.2 | 27.1 | 26.8 |
| Total nurse hours per resident day | 5.2 | 5.1 | 4.4 | 3.9 |
| RN hours per resident day | 0.7 | 0.8 | 0.9 | 0.7 |
| Nursing staff turnover | 59.0% | 47.7% | 50.0% | 45.8% |
| Fines listed | $0 | $0 | $9,030 | — |
County and state figures are medians across facilities (8 in the county, 72 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Jul 2026, 1 May 2025.
Severity mix: D ×2 E ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 23 May 2025 |
| 14 Mar 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 1 Apr 2024 |
| 14 Mar 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 1 Apr 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Dakota average. Turnover: nursing staff 59.0%, RNs 53.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.2% | 19.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 2.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.2% | 4.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 9.3% | 0.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.9% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.9% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bell Bank Arrowhead Office | 5% or greater mortgage interest | NOT APPLICABLE | 04/01/2010 |
| Bell Bank Arrowhead Office | Operational/managerial control | NOT APPLICABLE | 03/01/1996 |
| Bethany Homes, Inc | Operational/managerial control | NOT APPLICABLE | 01/01/2009 |
| Bethany On 42nd | Operational/managerial control | NOT APPLICABLE | 01/14/2010 |
| Blue Stone Therapy Inc | Operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| Eide Bailly LLP | Operational/managerial control | NOT APPLICABLE | 01/01/1998 |
| Bell Bank Arrowhead Office | Adp of the snf | NOT APPLICABLE | 04/01/2010 |
| Bethany Homes, Inc | Adp of the snf | NOT APPLICABLE | 04/10/2025 |
| Bethany On 42nd | Adp of the snf | NOT APPLICABLE | 01/01/2009 |
| Blue Stone Therapy Inc | Adp of the snf | NOT APPLICABLE | 04/04/2025 |
| Eide Bailly LLP | Adp of the snf | NOT APPLICABLE | 04/08/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cass County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bethany On University | Fargo | 172 | 5 | 4 | 5 | 10 | 5.8 | — | 12 Feb 2026 |
| Sheyenne Crossings Care Center/Tcu | West Fargo | 64 | 5 | 4 | 5 | 8 | 12.5 | — | 25 Feb 2026 |
| Smp Health - St Catherine North | Fargo | 125 | 4 | 3 | 5 | 12 | 9.6 | $6K | 11 Feb 2026 |
| Smp Health - St Catherine South | Fargo | 98 | 4 | 5 | 5 | 10 | 10.2 | — | 12 Jun 2025 |
| Eventide Fargo | Fargo | 98 | 3 | 3 | 4 | 11 | 11.2 | $9K | 18 Sep 2025 |
| Fargo Elim Health Care Center | Fargo | 88 | 3 | 2 | 5 | 14 | 15.9 | — | 1 Apr 2026 |
| The Meadows On University | Fargo | 95 | 1 | 1 | 2 | 31 | 32.6 | $41K | 10 Jun 2026 |
All 8 facilities in Cass County
Questions and answers
How many deficiencies has Bethany On 42nd been cited for?
3 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The North Dakota median is 13 per facility.
Has Bethany On 42nd been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Bethany On 42nd compare?
Reported total nurse staffing is 5.2 hours per resident per day against a North Dakota median of 4.4 and a national average of 3.9.
Who operates Bethany On 42nd?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Bell Bank Arrowhead Office, Bethany Homes, Inc and Bethany On 42nd. Individual owners and managers are not listed on this site.
When was Bethany On 42nd last inspected?
The most recent survey or investigation in the CMS record is dated 1 May 2025; the most recent standard health survey was 23 Jul 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.