5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
A Bethany Homes community, the 42nd branch provides housing for independent living, assisted living, memory care, skilled nursing, and rehabilitation. The senior living home strives to make a positive impact in the lives of each resident; they are ready to attend to any needs an individual may have. Bethany on 42nd practices a resident-centered approach to senior living so seniors can thrive and reach their fullest potential to be a new version of themselves.
Bethany Homes offer modern amenities, friendly staff, and senior care service like no other. From nursing home services to assisted living support– residential life is all about the amenities: housekeeping, physical therapy, social events, 24-hour concierge, hair salon, library, and restaurant-style dining.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 10th out of 21 homes in North Dakota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 39m per day | ▼ 30% State avg: 56m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 48m per day | ▲ 59% State avg: 30m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 44m per day | ▲ 25% State avg: 2h 59m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 48m per day | ▲ 28% State avg: 3h 45m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▲ 10% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 27m per day | ▼ 22% State avg: 35m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Bethany on 42nd is legally operated by American Lutheran Home Inc.
Key information about the people who lead and staff this community.
In North Dakota, the Department of Health and Human Services, Health Facilities Division is the agency authorized to perform unannounced inspections and issue official health quality reports.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the North Dakota state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | ND Average | vs. ND Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 20 | 22 | This facility has 9% fewer total deficiencies than a typical North Dakota nursing home (20 vs. ND avg 22).↓ 9% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
North Dakota average 4.2
Last Health inspection on May 2025
North Dakota average 16.5
North Dakota average 3.93
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
2 of 11 citations resulted from standard inspections; and 9 of 11 came from combined inspections (standard and complaint).
100% better than North Dakota averageNorth Dakota average: 0.5
100% better than North Dakota averageNorth Dakota average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
43% more staff per resident than North Dakota average
5% worse than North Dakota average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
20 total: 18 full-time employees and 2 contractors.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
32 total: 31 full-time employees and 1 contractor.
32
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursHelps with daily care and mobility.
All 176 CNA Staff are full-time employees. No contractors work on this role.
176
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,994 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 176 | 0 | 176 | 35,904 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 31 | 1 | 32 | 7,397 | 92 | 100% | 8.7 |
| Registered Nurse | 18 | 2 | 20 | 4,634 | 92 | 100% | 8.7 |
| Medication Aide/Technician | 17 | 0 | 17 | 2,857 | 92 | 100% | 8.3 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,624 | 67 | 73% | 7.8 |
| Other Dietary Services Staff | 16 | 0 | 16 | 1,479 | 92 | 100% | 5.9 |
| Occupational Therapy Aide | 3 | 0 | 3 | 1,192 | 65 | 71% | 6.7 |
| Respiratory Therapist | 9 | 0 | 9 | 1,093 | 85 | 92% | 7 |
| Dental Services Staff | 2 | 0 | 2 | 870 | 66 | 72% | 7.1 |
| RN Director of Nursing | 2 | 0 | 2 | 853 | 65 | 71% | 7.5 |
| Dietitian | 3 | 0 | 3 | 586 | 55 | 60% | 7.8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 526 | 70 | 76% | 6.8 |
| Speech Language Pathologist | 0 | 5 | 5 | 492 | 64 | 70% | 5.2 |
| Nurse Practitioner | 1 | 0 | 1 | 490 | 63 | 68% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 448 | 57 | 62% | 7.9 |
| Physical Therapy Aide | 0 | 4 | 4 | 435 | 64 | 70% | 6.1 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 379 | 63 | 68% | 5.1 |
| Qualified Social Worker | 0 | 1 | 1 | 158 | 59 | 64% | 2.7 |
| Administrator | 1 | 0 | 1 | 157 | 20 | 22% | 7.9 |
| Medical Director | 0 | 1 | 1 | 18 | 6 | 7% | 3 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.2
37% better than North Dakota averageNorth Dakota average: 11.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.6
34% better than North Dakota averageNorth Dakota average: 22.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
11.0%
46% better than North Dakota averageNorth Dakota average: 20.4%
Percent of long-stay residents whose ability to move independently worsened
12.3%
40% better than North Dakota averageNorth Dakota average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.6%
18% better than North Dakota averageNorth Dakota average: 25.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
44% better than North Dakota averageNorth Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
5.8%
In line with North Dakota averageNorth Dakota average: 5.6%
Percent of long-stay residents with a urinary tract infection
2.1%
38% better than North Dakota averageNorth Dakota average: 3.4%
Percent of long-stay residents who lose too much weight
4.1%
28% better than North Dakota averageNorth Dakota average: 5.7%
Percent of long-stay residents who have depressive symptoms
1.0%
79% better than North Dakota averageNorth Dakota average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
15.6%
27% better than North Dakota averageNorth Dakota average: 21.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
In line with North Dakota averageNorth Dakota average: 98.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with North Dakota averageNorth Dakota average: 98.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.47
In line with North Dakota averageNorth Dakota average: 1.45
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.45
77% better than North Dakota averageNorth Dakota average: 1.92
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
In line with North Dakota averageNorth Dakota average: 94.4%
Percent of short-stay residents who newly received an antipsychotic medication
7.0%
237% worse than North Dakota averageNorth Dakota average: 2.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
8% better than North Dakota averageNorth Dakota average: 88.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
12.2%
40% better than North Dakota averageNorth Dakota average: 20.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.9%
45% better than North Dakota averageNorth Dakota average: 10.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than North Dakota averageNorth Dakota average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
39.7%
26% worse than North Dakota averageNorth Dakota average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
43.8%
13% worse than North Dakota averageNorth Dakota average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
45% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
113Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Bethany on 42nd from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #5 / 20Payroll — State benchmarkedThis home is ranked 5th out of 20 homes in North Dakota for payroll. Shows total annual staff payroll benchmarked to the North Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #10 / 20Payroll % — State benchmarkedThis home is ranked 10th out of 20 homes in North Dakota for payroll %. Shows payroll as a percentage of revenue versus the North Dakota average. Well-run North Dakota facilities typically land around 67–77% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Housing Options: Private Rooms
Building Type: Two-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (45% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.1 miles from city center
Estimated distance in miles from Fargo's city center to Bethany on 42nd's address, calculated via Google Maps.
— 0.44 miles to nearest hospital (MEDPark Medical Center)
Add your location
Info below is compiled from CMS reports & the ND Dept. of Health & Human Services (NDHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Bethany Retirement Living | NH AL MC SNF | Fargo (Jefferson) | 45
Facility
45
ND AVG
75
Rank
#37 / 53 | - | - | 5.46
Facility
5.46
ND AVG
5.16
Rank
#8 / 21 | -37% | +6% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 21 | 9
Facility
9
ND AVG
16.5
Rank
#5 / 21 | 1.5
Facility
1.5
ND AVG
3.9
Rank
#1 / 21 | 1 | 164 | A+ |
75
Facility
75
ND AVG
42
Rank
#13 / 80 | American Lutheran Homes Inc | $27.5MFiscal year ending 12/2023
Facility
$27.5MFiscal year ending 12/2023
ND AVG
$11.5M
Rank
#3 / 20 | $18.7MFiscal year ending 12/2023
Facility
$18.7MFiscal year ending 12/2023
ND AVG
$5.6M
Rank
#2 / 20 | 68%Fiscal year ending 12/2023
Facility
68%Fiscal year ending 12/2023
ND AVG
48.6%
Rank
#6 / 20 | 355086 | ||||
| Elim Health Care Center | NH AL HOS IL RC SNF | Fargo (River Drive) | 88
Facility
88
ND AVG
75
Rank
#18 / 53 |
96.6%
Facility
96.6%
ND AVG
87.2
Rank
#4 / 12 | +11% | 5.55
Facility
5.55
ND AVG
5.16
Rank
#6 / 21 | +5% | +8% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 21 | 7
Facility
7
ND AVG
16.5
Rank
#2 / 21 | 2.3
Facility
2.3
ND AVG
3.9
Rank
#6 / 21 | - | 85 | - |
52
Facility
52
ND AVG
42
Rank
#31 / 80 | - | $10.3MFiscal year ending 12/2023
Facility
$10.3MFiscal year ending 12/2023
ND AVG
$11.5M
Rank
#11 / 20 | $7.6MFiscal year ending 12/2023
Facility
$7.6MFiscal year ending 12/2023
ND AVG
$5.6M
Rank
#12 / 20 | 73.6%Fiscal year ending 12/2023
Facility
73.6%Fiscal year ending 12/2023
ND AVG
48.6%
Rank
#17 / 20 | 355129 | ||||
| Bethany on 42nd | NH AL MC SNF | Fargo (Anderson Park) | 40
Facility
40
ND AVG
75
Rank
#43 / 53 | - | - | 5.11
Facility
5.11
ND AVG
5.16
Rank
#10 / 21 | -51% | -1% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 21 | 11
Facility
11
ND AVG
16.5
Rank
#7 / 21 | 3.7
Facility
3.7
ND AVG
3.9
Rank
#13 / 21 | - | 113 | A+ |
29
Facility
29
ND AVG
42
Rank
#50 / 80 | Bethany Homes, Inc | $20.5MFiscal year ending 12/2023
Facility
$20.5MFiscal year ending 12/2023
ND AVG
$11.5M
Rank
#5 / 20 | $12.3MFiscal year ending 12/2023
Facility
$12.3MFiscal year ending 12/2023
ND AVG
$5.6M
Rank
#5 / 20 | 59.9%Fiscal year ending 12/2023
Facility
59.9%Fiscal year ending 12/2023
ND AVG
48.6%
Rank
#10 / 20 | 355123 | ||||
| SMP Health – St. Catherine South | NH HOS MC PC SNF | Fargo (Lincoln) | 98
Facility
98
ND AVG
75
Rank
#14 / 53 |
90.1%
Facility
90.1%
ND AVG
87.2
Rank
#10 / 12 | +3% | 5.83
Facility
5.83
ND AVG
5.16
Rank
#4 / 21 | +3% | +13% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 21 | 10
Facility
10
ND AVG
16.5
Rank
#6 / 21 | 3.3
Facility
3.3
ND AVG
3.9
Rank
#10 / 21 | - | 88 | - |
67
Facility
67
ND AVG
42
Rank
#16 / 80 | - | $13.4MFiscal year ending 09/2023
Facility
$13.4MFiscal year ending 09/2023
ND AVG
$11.5M
Rank
#10 / 20 | $9.6MFiscal year ending 09/2023
Facility
$9.6MFiscal year ending 09/2023
ND AVG
$5.6M
Rank
#9 / 20 | 71.4%Fiscal year ending 09/2023
Facility
71.4%Fiscal year ending 09/2023
ND AVG
48.6%
Rank
#9 / 20 | 355079 | ||||
| SMP Health – St. Catherine North | NH HOS MC PC SNF | Fargo (Horace Mann) | 125
Facility
125
ND AVG
75
Rank
#7 / 53 |
96.2%
Facility
96.2%
ND AVG
87.2
Rank
#5 / 12 | +10% | 5.59
Facility
5.59
ND AVG
5.16
Rank
#6 / 21 | -45% | +8% | $6.2k
Facility
$6.2k
ND AVG
$38.3k
Rank
#10 / 21 | 12
Facility
12
ND AVG
16.5
Rank
#10 / 21 | 3.0
Facility
3.0
ND AVG
3.9
Rank
#9 / 21 | 1 | 120 | - |
42
Facility
42
ND AVG
42
Rank
#38 / 80 | Aaron Alton | $16.7MFiscal year ending 09/2023
Facility
$16.7MFiscal year ending 09/2023
ND AVG
$11.5M
Rank
#7 / 20 | $12.0MFiscal year ending 09/2023
Facility
$12.0MFiscal year ending 09/2023
ND AVG
$5.6M
Rank
#6 / 20 | 72.1%Fiscal year ending 09/2023
Facility
72.1%Fiscal year ending 09/2023
ND AVG
48.6%
Rank
#8 / 20 | 355047 |
Bethany on 42nd is located in Fargo, North Dakota.
Here are the financial assistance programs available to residents in North Dakota.
Bethany on 42nd is in the Anderson Park neighborhood of Fargo.
Bethany on 42nd is legally operated by American Lutheran Home Inc.
Bethany on 42nd has a walk score of 29. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Bethany on 42nd's occupancy is 99.4%.
Bethany on 42nd has been operating for approximately 18 years, based on available licensing and registration records.
Yes, Bethany on 42nd allows residents to bring their pets.
Bethany on 42nd is registered as a non-profit in ND.
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