ElderGrade
B

78/100

Above average

Bethany On 42Nd

4255 30Th Ave S, Fargo, ND 58104

CMS 5/5 stars #7 of 8 in Cass County (701) 478-8900
Certified beds
116
Occupancy
98%
Ownership
Non-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 30/30 Staffing 24/30 Stability 5/15 Outcomes 9/15 Enforcement 10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

24/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.14 total nurse hours per resident per day (national median 3.77)
  • 0.69 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 59% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 5.19 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.69 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.78 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 59.00%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 11 citations

Last standard health inspection: May 1, 2025 (1 year ago).

D May 1, 2025 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Mar 14, 2024 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

D Mar 14, 2024 F0640

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

No actual harm, potential for more than minimal harm

E Mar 30, 2023 F0550

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

E Mar 30, 2023 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

E Mar 30, 2023 F0760

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

E Mar 30, 2023 F0804

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

E Mar 30, 2023 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
BELL BANK ARROWHEAD OFFICE Organization 5% OR GREATER MORTGAGE INTEREST
ANDERSON, CHERYL Individual CORPORATE DIRECTOR
BRANTNER-ADAMS, JERILYNN Individual CORPORATE DIRECTOR
DAVIDSON, BRUCE Individual CORPORATE DIRECTOR
HERTSGAARD, JOHN Individual CORPORATE DIRECTOR
NESS OWENS, LAURA Individual CORPORATE DIRECTOR
OLSON, ROGER Individual CORPORATE DIRECTOR
RENNER, BETH Individual CORPORATE DIRECTOR
ROCKSTAD, LIANNE Individual CORPORATE DIRECTOR
RYDELL, JACK Individual CORPORATE DIRECTOR
STEEN, RICK Individual CORPORATE DIRECTOR
WENDT, JOSEPH Individual CORPORATE DIRECTOR

What families say

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Common questions about Bethany On 42Nd

What is the ElderGrade for Bethany On 42Nd? +

Bethany On 42Nd holds an ElderGrade of B (78 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Bethany On 42Nd? +

Residents receive an average of 5.19 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Bethany On 42Nd been cited for harming residents? +

No. None of the 11 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Bethany On 42Nd accept Medicaid? +

Yes, Bethany On 42Nd is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.