Elder Care Record

North Dakota › Cass County › Fargo

Bethany On University

201 S University Dr, Fargo, ND 58103

CCN 355086 · Non-profit, corporation · 172 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 University is a Non-profit, corporation nursing home in Fargo, North Dakota, certified for 172 beds and caring for about 164 residents a day.

CMS gives it 5 of 5 stars overall, above the North Dakota median of 3; the health inspection rating is 4, staffing 5 and quality measures 5.

Inspectors recorded 10 health deficiencies across the three most recent survey cycles (3, 3, 4 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 5.8 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 5.4 hours per resident per day (1.1 RN), close to the North Dakota median of 4.4; nursing staff turnover is 51.9%.

10health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
5.4nurse hours per resident per daystate median 4.4
95%occupancy (residents ÷ beds)164 residents a day

Compared with county, state and nation

MeasureThis facilityCass Co. medianNorth Dakota medianUS average
Overall star rating5433.0
Health citations, 3 cycles10111328.7
Citations per 100 beds5.811.227.126.8
Total nurse hours per resident day5.45.14.43.9
RN hours per resident day1.10.80.90.7
Nursing staff turnover51.9%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

Cycle 1 (latest)3
Cycle 23
Cycle 34

Dark bar: this facility. Grey bar: North Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Feb 2026, 24 Oct 2024.

Severity mix: G ×1 D ×9

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
12 Feb 2026F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint investigation17 Mar 2026
12 Feb 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation17 Mar 2026
12 Feb 2026F0880Provide and implement an infection prevention and control program.DStandard survey17 Mar 2026
4 Jun 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation7 Jul 2025
29 Jan 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation5 Mar 2025
24 Oct 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation13 Nov 2024
26 Oct 2023F0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.GStandard survey20 Nov 2023
26 Oct 2023F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey20 Nov 2023
26 Oct 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey20 Nov 2023
26 Oct 2023F0761Ensure 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.DStandard survey20 Nov 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing5.4 h
Nurse aides3.68 h
LPN0.63 h
RN1.09 h
Weekend total4.81 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Dakota average. Turnover: nursing staff 51.9%, RNs 43.2%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityNorth Dakota medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay9.4%19.8%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%1.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.5%2.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.8%4.7%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.6%0.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay12.5%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.6%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay15.2%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. Legal business name: American Lutheran Homes Inc.

OrganisationRole in the CMS recordInterestSince
Bell Bank Arrowhead Office5% or greater mortgage interestNOT APPLICABLE12/01/2013
American Lutheran Homes IncOperational/managerial controlNOT APPLICABLE01/01/1990
Bell Bank Arrowhead OfficeOperational/managerial controlNOT APPLICABLE03/01/1996
Bethany Homes, IncOperational/managerial controlNOT APPLICABLE01/01/1986
Blue Stone Therapy IncOperational/managerial controlNOT APPLICABLE05/01/2019
Eide Bailly LLPOperational/managerial controlNOT APPLICABLE01/01/1998
American Lutheran Homes IncAdp of the snfNOT APPLICABLE01/01/1990
Bell Bank Arrowhead OfficeAdp of the snfNOT APPLICABLE12/01/2013
Bethany Homes, IncAdp of the snfNOT APPLICABLE04/10/2025
Blue Stone Therapy IncAdp of the snfNOT APPLICABLE04/04/2025
Eide Bailly LLPAdp of the snfNOT APPLICABLE04/08/2025

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Bethany On 42ndFargo11655432.6—1 May 2025
Sheyenne Crossings Care Center/TcuWest Fargo64545812.5—25 Feb 2026
Smp Health - St Catherine NorthFargo125435129.6$6K11 Feb 2026
Smp Health - St Catherine SouthFargo984551010.2—12 Jun 2025
Eventide FargoFargo983341111.2$9K18 Sep 2025
Fargo Elim Health Care CenterFargo883251415.9—1 Apr 2026
The Meadows On UniversityFargo951123132.6$41K10 Jun 2026

All 8 facilities in Cass County

Questions and answers

How many deficiencies has Bethany On University been cited for?

10 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The North Dakota median is 13 per facility.

Has Bethany On University been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Bethany On University compare?

Reported total nurse staffing is 5.4 hours per resident per day against a North Dakota median of 4.4 and a national average of 3.9.

Who operates Bethany On University?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include American Lutheran Homes Inc, Bell Bank Arrowhead Office and Bethany Homes, Inc. Individual owners and managers are not listed on this site.

When was Bethany On University last inspected?

The most recent survey or investigation in the CMS record is dated 12 Feb 2026; the most recent standard health survey was 12 Feb 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.