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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

Our read on Bethany On 42Nd

Bethany On 42Nd runs a tight ship on the clinical side. Its most recent inspection was in May 2025 and it holds a five-star health inspection rating, with eleven deficiencies on record and none at the harm or jeopardy level. Nurse staffing sits at 5.19 hours per resident day, roughly 35% above the national average, which is genuinely high. The caveats matter though: one deficiency was abuse-related, staff turnover is 59% against a national average of 45.8%, and weekend coverage drops about 8% below weekday levels. Quality measures land at three stars, middling. Strong inspection history and generous staffing, but the abuse finding and churn are worth asking about directly.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

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

Inspection30/30Staffing24/30Stability5/15Outcomes9/15Enforcement10/10

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.

  • →No citations recorded in the last 3 years

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 day5.19 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours0.69 hrs
National average 0.69 hrsBetter than average

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

Weekend nurse hours4.78 hrs
National average 3.42 hrsBetter than average

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

Nursing staff turnover59.00%
National average 45.80%Below average

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

Recent inspection findings

Last standard health inspection: July 23, 2026 (3 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

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 0 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.