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Bethany Retirement Living
Nursing Home, Assisted Living, Memory Care & Skilled Nursing · Fargo, ND
CMS overall rating Info 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.
Exterior view of Bethany Retirement Living entrance Exterior view of Bethany Retirement Living entrance Aerial view of a retirement living facility at sunset Exterior view of a senior living facility with parking area Exterior view of Bethany Retirement Living building Aerial view of a large senior living campus layout Aerial view of Bethany Retirement Living facility with parking lot Aerial view of Bethany Retirement Living facility building Aerial view of Bethany Retirement Living facility and parking lot Aerial view of building with parking and cloudy skies Aerial view of the building with parking lot and flagpole Aerial view of the Bethany Retirement Living facility Exterior view of Bethany Retirement Living building Cozy corner in a resident room with plants and seating Outdoor courtyard with seating and garden elements Cozy common area with a couch and armchair Cozy dining area with tables and chairs Comfortable seating area in a bright common room Cozy seating area with plants and a table by the window Bright and inviting common area with seating A cozy private resident room with a bed and decor Cozy common area with couches and lamps Cozy living room in a senior living facility Cozy common area with stone fireplace and seating Cozy kitchen area in a resident's unit Bright kitchen interior with modern appliances Cozy private room with a bed and window Interior space with desks and chairs in a common area Cozy interior of a resident's room with furniture Outdoor fountain surrounded by landscaping at a senior living facility Bright interior space with chairs, desks, and décor Cozy reading corner with armchair and bookshelf Cozy resident room with a bed and decor Card table set up for a game in a common area Interior view of a common area with stained glass windows Interior view of a decorated reception area Bookshelf in a common area with natural light Resident exercising in a therapy room Two residents enjoying drinks in a common area Residents playing cards in a common area

Bethany Retirement Living

Nursing Home, Assisted Living, Memory Care & Skilled Nursing · Fargo, ND
CMS overall rating Info 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.
201 S University Dr, Fargo, Nd 58103, United States ; 4255 30Th Avenue South Fargo, ND 58104 View map Calculator: See prices in your area
Bethany Retirement Living accepts Medicaid, Medicare, and private pay.
Calculator: See prices in your area
Bethany Retirement Living accepts Medicaid, Medicare, and private pay.

Overview of Bethany Retirement Living

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With two locations across Fargo, ND, Bethany Retirement Living is a venerable senior living provider offering a wide range of care options including independent living, assisted living, short-term stay, basic care, memory care, and skilled nursing. Experience convenience and safety like no other with warm and welcoming private accommodations. Keep worries at bay with a team of trustworthy and extremely talented professionals caring for seniors’ needs and aspirations around the clock. As a Christian, non-profit organization Bethany Retirement Living holds itself to a gold standard when it comes to providing a secure and comfortable place for residents to enjoy retirement.

The communities both foster a vibrant environment, conducting various fun activities and enjoyable wellness programs to empower residents to thrive and be the best version of themselves. Indulge in healthy and tasty meals catering to residents’ dietary requirements and tastes. With several recognitions under its wing, Bethany Retirement Living continues to provide the highest quality of care and support for seniors to experience a fabulous retirement.

Bethany Retirement Living currently operates both Bethany on University as well as Bethany on 42nd.

Facility Direct Line (701) 239-3000
Facility Direct Line (701) 239-3000
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 60.7% Above ND avg. ▲ 60.7% Above ND avg.ND average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 41.9% Above ND avg. ▲ 41.9% Above ND avg.ND average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 15.4% Above ND avg. ▲ 15.4% Above ND avg.ND average: 4.3Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 85.6% Above ND avg. ▲ 85.6% Above ND avg.ND average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs North Dakota averages

Rank #9 / 20Nurse hours — State benchmarkedThis home is ranked 9th out of 20 homes we track in North Dakota for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the North Dakota average, with a ranking across 20 North Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 9th out of 20 homes we track 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.

5h 30m

7% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
1h 6m
Avg State avg: 1h 5m per day · National avg: 42m per day
LPN / LVN Info 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.
39m
+7% State avg: 36m per day · National avg: 52m per day
Nurse Aide Info 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 45m
+8% State avg: 3h 28m per day · National avg: 2h 24m per day
Weekend Total Nursing Info 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 54m
+10% State avg: 4h 26m per day · National avg: 3h 30m per day
Physical Therapist Info 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.
6m
+114% State avg: 3m per day · National avg: 4m per day
Weekend RN Info 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.
49m
+38% State avg: 36m per day · National avg: 29m per day

0 of 6 metrics below state avg

Standout metric: Physical Therapist is +114% above North Dakota average

By The Numbers

Community insights.

Bed count Info A moderately sized community that may balance personal attention with shared amenities and social activities. 45 Rank #37 / 53Bed count — State benchmarkedThis home is ranked 37th out of 53 homes we track in North Dakota for bed count. Shows this facility's certified or reported bed count compared to other North Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. Rank #5 / 14Years in operation — State benchmarkedThis home is ranked 5th out of 14 homes we track in North Dakota for years in operation. Shows how long this facility has been in operation compared to other North Dakota facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
39 years
Walk Score Info Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk. Rank #12 / 78Walk Score — State benchmarkedThis home is ranked 12th out of 78 homes we track in North Dakota for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across North Dakota facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
75 / 100
Residents per day (avg) Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
164
Avg. Length of Stay Info 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.
155 days

About this community

License Details

Facility TypeAssisted Living Facility
CountyCass

Ownership & Operating Entity

Bethany Retirement Living is legally operated by American Lutheran Home Inc.

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactShawn Stuhaug (per state records, record updated Aug 2026)

Payment & Insurance

1 service
Accept Medicaid

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Chapel
Café
Gift Shop
Salon
Library
Wellness Center
Specific ProgramsAssisted Living Short Stay Suites, Basic Care, Rehabilitation Suites/TCU, Ethos Hospice, Ethos Home Care, Pastoral Care
Religious Services

Contact Bethany Retirement Living

CMS Health Inspection History

Inspections Since 2022 · 4 years of data
Total health inspections 6

North Dakota average 4.2

Last Health inspection on Jun 2025

Total health citations
9 Rank #5 / 20Health citations — State benchmarkedThis home is ranked 5th out of 20 homes we track in North Dakota for health citations. Shows this facility's total health deficiency citations benchmarked to the North Dakota State average, with a ranking across all 20 ND facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

North Dakota average 16.5

Citations per inspection
1.5 Rank #1 / 20Citations per inspection — State benchmarkedThis home is ranked 1st out of 20 homes we track in North Dakota for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the North Dakota mean across 20 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

North Dakota average 3.93

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

5 of 9 citations resulted from standard inspections; 3 of 9 resulted from complaint investigations; and 1 of 9 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)
Critical health citations
0
100% better than North Dakota average

North Dakota average: 0.5

Serious health citations
1
In line with North Dakota average

North Dakota average: 1

0 critical citations North Dakota average: 0.5
1 serious citation North Dakota average: 1
8 moderate citations North Dakota average: 14.8
0 minor citations North Dakota average: 0.2
Citations history (last 4 years)
Pharmacy moderate citation Jun 04, 2025
Corrected
Care Planning moderate citation Jan 29, 2025
Corrected
Infection Control moderate citation Oct 24, 2024
Corrected
Pharmacy moderate citation Oct 26, 2023
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 424
Employees 383
Contractors 41
Staff to resident ratio 2.59 : 1
35% more staff per resident than North Dakota average
North Dakota average ratio: 1.92 : 1 North Dakota average ratio: 1.92 : 1See full North Dakota ranking
Avg staff/day 139
Average shift 7.6 hours
0% compared with North Dakota average
North Dakota average: 7.9 hours North Dakota average shift: 7.9 hoursSee full North Dakota ranking
Total staff hours (quarter) 97,374

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 35 total: 29 full-time employees and 6 contractors. 35
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 34 total: 30 full-time employees and 4 contractors. 34
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 230 CNA Staff are full-time employees. No contractors work on this role. 230
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

9%

8,777 contractor hours this quarter

Speech Language Pathologist: 11 Physical Therapy Assistant: 6 Registered Nurse: 6 Respiratory Therapy Technician: 6 Physical Therapy Aide: 5 Licensed Practical Nurse: 4 Qualified Social Worker: 2 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant230023049,10192100%7.5
Registered Nurse2963511,82492100%9.7
Licensed Practical Nurse304348,28992100%8.8
Medication Aide/Technician270276,95192100%7.8
Other Dietary Services Staff300304,02492100%5.5
Clinical Nurse Specialist140143,8627582%7.9
Dental Services Staff4041,8406571%7.9
Respiratory Therapist7071,7579098%7.3
RN Director of Nursing5051,5656571%8
Speech Language Pathologist011111,4437784%6.2
Physical Therapy Assistant0661,3577784%6.8
Respiratory Therapy Technician0661,3138289%6
Occupational Therapy Aide2029766571%7.9
Mental Health Service Worker2027746368%7.7
Physical Therapy Aide0557686975%6.1
Nurse Practitioner1014856267%7.8
Qualified Social Worker0224216874%3.5
Dietitian1013164043%7.9
Administrator1012883639%8
Medical Director0112178%3
230 Certified Nursing Assistant
% of Days 100%
35 Registered Nurse
% of Days 100%
34 Licensed Practical Nurse
% of Days 100%
27 Medication Aide/Technician
% of Days 100%
View All Staffing Data in Fargo

Penalties and fines

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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 6.0
48% better than North Dakota average

North Dakota average: 11.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 16.1
27% better than North Dakota average

North Dakota average: 22.0

Long-stay resident measures
Significantly above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 8.6%
58% better than North Dakota average

North Dakota average: 20.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.7%
34% better than North Dakota average

North Dakota average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 26.1%
In line with North Dakota average

North Dakota average: 25.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.7%
27% better than North Dakota average

North Dakota average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.4%
57% better than North Dakota average

North Dakota average: 5.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.6%
54% better than North Dakota average

North Dakota average: 3.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.6%
72% better than North Dakota average

North Dakota average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.4%
47% better than North Dakota average

North Dakota average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.5%
28% better than North Dakota average

North Dakota average: 21.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.8%
In line with North Dakota average

North Dakota average: 98.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.3%
In line with North Dakota average

North Dakota average: 98.8%

Short-stay resident measures
Above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
5% better than North Dakota average

North Dakota average: 94.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.6%
25% worse than North Dakota average

North Dakota average: 2.1%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.9%
9% better than North Dakota average

North Dakota average: 88.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

81% of new residents, usually for short-term rehab.

Typical stay 20 days

Private pay

15% of new residents, often for short stays.

Typical stay 1 years

Medicaid

4% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 164
Medicare
26
15.9% of residents
Medicaid
64
39% of residents
Private pay or other
74
45.1% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Nonprofit Corporation
Net patient revenue Info 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."
$27.5M
Net patient income Info 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."
$703.2K
Nonprofit Nonprofit Corporation
Net patient revenue Info 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."
$27.5M Rank #3 / 18Net patient revenue — State benchmarkedThis home is ranked 3rd out of 18 homes we track in North Dakota. Shows this facility's net patient revenue compared to the North Dakota average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info 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."
$703.2K
Other income Info 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.
$361.4K
Payroll costs Info 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 #3 / 18Payroll costs — State benchmarkedThis home is ranked 3rd out of 18 homes we track in North Dakota. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the North Dakota average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$18.7M 68% of net patient revenue Info 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 #7 / 18Payroll % of net patient revenue — State benchmarkedThis home is ranked 7th out of 18 homes we track in North Dakota. Shows payroll as a percentage of net patient revenue versus the North Dakota average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info 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).
$8.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$26.8M
How we calculate these figures

This home is owned by American Lutheran Homes Inc

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 355086

Show certification details

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

Housing options icon
Housing options icon

Housing Options: Studio / 1 Bed

Building type icon
Building type icon

Building Type: 3-story

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (81% of admissions), and a typical Medicare stay runs around 20 days.

Admissions
488 total

Coverage residents most often arrive under.

Medicare 81%
Private pay 15%
Medicaid 4%
Discharges
398 total

Coverage residents most often leave under.

Medicare 62%
Private pay 31%
Medicaid 7%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Bethany Retirement Living

Address 1.1 miles from city center Info Estimated distance in miles from Fargo's city center to Bethany Retirement Living's address, calculated via Google Maps.

Calculate Travel Distance to Bethany Retirement Living

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Compare Nursing Homes around Fargo

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.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The North Dakota average is: 63.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Bethany Retirement Living ★ ★ ★ ★ ★
NH
AL
MC
SNF
Fargo (Jefferson)
45
Facility 45
ND AVG 75
Rank #37 / 53
--
5.50
Facility 5.50
ND AVG 5.16
Rank #9 / 20
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ -37%+7%
$0
Facility $0
ND AVG $38.3k
Rank #1 / 20
9
Facility 9
ND AVG 16.5
Rank #5 / 20
1.5
Facility 1.5
ND AVG 3.9
Rank #1 / 20
1164-
75
Facility 75
ND AVG 42
Rank #12 / 78
American Lutheran Homes Inc
$27.5MFiscal year ending 12/2023
Facility $27.5MFiscal year ending 12/2023
ND AVG $15.3M
Rank #3 / 18
$18.7MFiscal year ending 12/2023
Facility $18.7MFiscal year ending 12/2023
ND AVG $9.7M
Rank #3 / 18
68%Fiscal year ending 12/2023
Facility 68%Fiscal year ending 12/2023
ND AVG 63.6%
Rank #7 / 18
355086
Bethany on 42nd ★ ★ ★ ★ ★
NH
AL
MC
SNF
Fargo (Anderson Park)
40
Facility 40
ND AVG 75
Rank #43 / 53
--
5.14
Facility 5.14
ND AVG 5.16
Rank #11 / 20
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ -51%0%
$0
Facility $0
ND AVG $38.3k
Rank #1 / 20
11
Facility 11
ND AVG 16.5
Rank #7 / 20
3.7
Facility 3.7
ND AVG 3.9
Rank #12 / 20
-114A+
29
Facility 29
ND AVG 42
Rank #49 / 78
Bethany Homes, Inc
$20.5MFiscal year ending 12/2023
Facility $20.5MFiscal year ending 12/2023
ND AVG $15.3M
Rank #5 / 18
$12.3MFiscal year ending 12/2023
Facility $12.3MFiscal year ending 12/2023
ND AVG $9.7M
Rank #5 / 18
59.9%Fiscal year ending 12/2023
Facility 59.9%Fiscal year ending 12/2023
ND AVG 63.6%
Rank #14 / 18
355123
SMP Health – St. Catherine North ★ ★ ★ ★ ☆
NH
HOS
MC
PC
SNF
Fargo (Horace Mann)
125
Facility 125
ND AVG 75
Rank #7 / 53
95.7%
Facility 95.7%
ND AVG 88.6%
Rank #6 / 12
+8%
5.80
Facility 5.80
ND AVG 5.16
Rank #3 / 20
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ -45%+12%
$6.2k
Facility $6.2k
ND AVG $38.3k
Rank #9 / 20
12
Facility 12
ND AVG 16.5
Rank #9 / 20
3.0
Facility 3.0
ND AVG 3.9
Rank #8 / 20
1120-
42
Facility 42
ND AVG 42
Rank #37 / 78
Aaron Alton
$16.7MFiscal year ending 09/2023
Facility $16.7MFiscal year ending 09/2023
ND AVG $15.3M
Rank #7 / 18
$12.0MFiscal year ending 09/2023
Facility $12.0MFiscal year ending 09/2023
ND AVG $9.7M
Rank #6 / 18
72.1%Fiscal year ending 09/2023
Facility 72.1%Fiscal year ending 09/2023
ND AVG 63.6%
Rank #2 / 18
355047
SMP Health – St. Catherine South ★ ★ ★ ★ ☆
NH
HOS
MC
PC
SNF
Fargo (Lincoln)
98
Facility 98
ND AVG 75
Rank #14 / 53
93.7%
Facility 93.7%
ND AVG 88.6%
Rank #10 / 12
+6%
5.79
Facility 5.79
ND AVG 5.16
Rank #3 / 20
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ☆ +3%+12%
$0
Facility $0
ND AVG $38.3k
Rank #1 / 20
10
Facility 10
ND AVG 16.5
Rank #6 / 20
3.3
Facility 3.3
ND AVG 3.9
Rank #9 / 20
-92-
67
Facility 67
ND AVG 42
Rank #15 / 78
-
$13.4MFiscal year ending 09/2023
Facility $13.4MFiscal year ending 09/2023
ND AVG $15.3M
Rank #9 / 18
$9.6MFiscal year ending 09/2023
Facility $9.6MFiscal year ending 09/2023
ND AVG $9.7M
Rank #9 / 18
71.4%Fiscal year ending 09/2023
Facility 71.4%Fiscal year ending 09/2023
ND AVG 63.6%
Rank #4 / 18
355079
Elim Health Care Center ★ ★ ★ ☆ ☆
NH
AL
HOS
IL
RC
SNF
Fargo
88
Facility 88
ND AVG 75
Rank #18 / 53
96.0%
Facility 96.0%
ND AVG 88.6%
Rank #5 / 12
+8%
5.80
Facility 5.80
ND AVG 5.16
Rank #3 / 20
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ +5%+12%
$0
Facility $0
ND AVG $38.3k
Rank #1 / 20
7
Facility 7
ND AVG 16.5
Rank #2 / 20
2.3
Facility 2.3
ND AVG 3.9
Rank #6 / 20
-85-
52
Facility 52
ND AVG 42
Rank #30 / 78
-
$10.3MFiscal year ending 12/2023
Facility $10.3MFiscal year ending 12/2023
ND AVG $15.3M
Rank #11 / 18
$7.6MFiscal year ending 12/2023
Facility $7.6MFiscal year ending 12/2023
ND AVG $9.7M
Rank #10 / 18
73.6%Fiscal year ending 12/2023
Facility 73.6%Fiscal year ending 12/2023
ND AVG 63.6%
Rank #1 / 18
355129
Nursing Home Explorer

Financial Assistance for
Nursing Home in North Dakota

Bethany Retirement Living is located in Fargo, North Dakota.
Here are the financial assistance programs available to residents in North Dakota.

Get Financial aid guidance

Aged and Disabled Waiver

ND Medicaid A&D Waiver

Age 65+ or disabled
General North Dakota resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $3,000 individual, higher than most states
ND

Higher asset limit; sparse population aids rural access.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Service Payments for Elderly and Disabled (SPED)

ND SPED

Age 65+ or disabled
General North Dakota resident, at risk of decline.
Income Limits ~$1,732/month individual, varies
Asset Limits $50,000 individual, higher limit
ND

Higher asset limit; rural focus.

Benefits
In-home care (2-4 hours/week) Respite (up to 5 days/year) Transportation (~5 trips/month)

Basic Care Assistance Program (BCAP)

North Dakota Basic Care Assistance Program

Age 65+ (or disabled 18+)
General ND resident, in licensed basic care facility, low-income.
Income Limits (2025) ~$1,255/month (individual, after facility costs); varies by facility rate.
Asset Limits $3,000 individual
ND

Supplements SSI; covers ~50 facilities statewide.

Benefits
Cash (~$1,000-$1,500/month) for room/board/care in basic care facilities

Family Home Care Program

North Dakota Family Home Care Program

Age 60+
General ND resident, need help with 1+ ADL, family caregiver available.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
ND

Caregiver must be family; payment varies by hours/service.

Benefits
Family caregiver payment (~$10-$15/hour, up to 20 hours/week) Respite support

Medicare Savings Program (MSP)

North Dakota Medicare Savings Program

Age 65+ or disabled
General ND resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
ND

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

North Dakota Family Caregiver Support Program

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; ND resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
ND

8 regions; rural/low-income priority.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($50/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

North Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General ND resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
ND

High veteran demand in rural areas; ND Veterans Home option.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Property Tax Homestead Credit for Seniors

North Dakota Homestead Property Tax Credit

Age 65+ (or disabled)
General ND resident, homeowner, low-income.
Income Limits (2025) ~$22,500/year (individual), ~$29,500/year (couple).
Asset Limits Home value < $500,000; other assets not assessed.
ND

Credit up to $500-$1,000; applies to primary residence.

Benefits
Tax reduction (~$500-$1,000/year) on property taxes

Medicaid Personal Care Option (PCO)

North Dakota Medicaid Personal Care Option

Age 65+ (or disabled)
General ND resident, Medicaid-eligible, need help with 1+ ADL.
Income Limits (2025) ~$1,255/month (100% FPL, individual); QIT optional for excess income.
Asset Limits $3,000 (individual), $6,000 (couple) (excludes home up to $713,000, car).
ND

Self-directed option (hire family); part of Medicaid State Plan, not a waiver.

Benefits
Personal care (5-20 hours/week) Homemaker services Respite (~5 days/year)

Frequently Asked Questions about Bethany Retirement Living

What neighborhood is Bethany Retirement Living in?

Bethany Retirement Living is in the Jefferson neighborhood of United States ; 4255 30th Avenue South Fargo.

Who is the owner of Bethany Retirement Living?

Bethany Retirement Living is legally operated by American Lutheran Home Inc.

Is Bethany Retirement Living in a walkable area?

Bethany Retirement Living has a walk score of 75. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the occupancy rate at Bethany Retirement Living?

Bethany Retirement Living's occupancy is 98.3%.

How long has Bethany Retirement Living been in business?

Bethany Retirement Living has been operating for approximately 39 years, based on available licensing and registration records.

Are pets allowed at Bethany Retirement Living?

No, Bethany Retirement Living has a no-pet policy.

Does Bethany Retirement Living operate as a for-profit or non-profit?

Bethany Retirement Living is registered as a non-profit in ND.

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