Bethany on 42nd

Bethany on 42nd

4255 30th Ave S, Fargo, ND 58104 View Map

Bethany on 42nd is an Independent Living Home in North Dakota

Bethany on 42nd is an Independent Living Home in North Dakota

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Overview of Bethany on 42nd

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.

701-478-8900

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 5.11/day
Overall rating Info Based on health inspections, staffing and quality measures.
5/5
Health Inspection Info Based on deficiencies found during state health inspections.
4/5
Staffing Info Based on nurse staffing hours per resident per day.
4/5
Quality Measures Info Based on clinical outcomes for residents.
5/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 40

This home is often near full

That suggests steady demand, but availability may be limited.

Higher demand than most homes in North Dakota
Occupancy rate 99%
Residents per day (avg) 113
Occupancy rate
99%
Residents per day (avg)
113

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

43% of new residents, usually for short-term rehab.

Typical stay 2 years

Private pay

40% of new residents, often for short stays.

Typical stay 1 - 2 years

Medicaid

17% of new residents, often for long-term daily care.

Typical stay 3 - 4 months

Finances and operations

Governmental home
City
Home revenue
$23.1M
Surplus of revenue
$3.0M
Governmental home City
Home revenue
$23,100,674.00
Surplus of revenue
$2,981,121.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$9.6M
41.6% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.5M
Total costs $20.1M
Bed community size
40-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
18 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 29 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

Services

Bathing
Dressing
Toileting
Transferring
Eating
Medication Management
Personal Hygiene
Meal Preparation

About this community

Facility Type
Assisted Living Facility
License Expiration
December 31, 2025

Additional licensing details

CMS Certification Number: 355123
County: Cass

Ownership & operating entity

Bethany on 42nd is legally operated by American Lutheran Home Inc.

Staffing

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

Leadership

Contact: Shawn Stuhaug

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Housing Options: Private Rooms

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Building Type: Two-story

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Transportation Services

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Fitness and Recreation

Types of Care at Bethany on 42nd

Assisted Living Independent Living Memory Care Hospice Care Home Care Nursing Home
Contact Bethany on 42nd

Comparison Chart

The information below is reported by the North Dakota Department of Health and Human Services, Health Facilities Division.
Compare Independent Living around Fargo
Bethany Retirement Living
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Fargo
172
No
B-
75
AMERICAN LUTHERAN HOMES INC
96.1%
$29,108,705.00
$14,381,175.00
49.4%
164.30
5/5
5.4553
4/5
5/5
4/5
-
Private Rooms
New Perspective – West Fargo
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

West Fargo
119
Yes
A+
30
New Perspective
-
-
-
-
-
-
-
-
-
-
-
Private Rooms
Bethany on 42nd
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Home Care

HC

Hospice Care

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

Fargo
116
Yes
A+
29
BETHANY HOMES, INC
99.0%
$19,680,449.00
$9,617,131.00
48.9%
113.20
5/5
5.1059
4/5
4/5
5/5
-
Private Rooms
Good Samaritan Society – Fargo
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Home Care

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

Fargo
38
No
A+
58
BERG, JONATHON
87.1%
$4,006,979.00
$1,985,006.00
49.5%
36.00
1/5
3.7043
1/5
3/5
1/5
2
Private Rooms
One Oak Place
IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

Fargo
-
Yes
-
34
-
-
-
-
-
-
-
-
-
-
-
-
Private Rooms

Places of interest near Bethany on 42nd

Address 6.5 miles from city center

Address 4255 30th Ave S, Fargo, ND 58104

Calculate Travel Distance to Bethany on 42nd

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

343
Total Staff
323
Employees
20
Contractors
60,496
Total Hours (Quarter)
89
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse208.6 No
Licensed Practical Nurse318.7 Yes
Certified Nursing Assistant2057.3 No
Staff by Category
Administration
2 staff
6.6hs shift avg
Nursing Staff
280 staff
7.6hs shift avg
Physicians & Practitioners
7 staff
7.8hs shift avg
Therapy Services
23 staff
6.5hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
3 staff
2.4hs shift avg
Dietary Services
25 staff
6.1hs shift avg
Other Services
3 staff
7.6hs shift avg
Contractor Analysis
3.1%
of total hours from contractors
1,855 contractor hours this quarter
Licensed Practical Nurse: 1 Respiratory Therapy Technician: 5 Physical Therapy Assistant: 3 Speech Language Pathologist: 4 Physical Therapy Aide: 3 Qualified Social Worker: 3 Medical Director: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant205020535,49791100%7.3
Licensed Practical Nurse301317,24091100%8.7
Registered Nurse200204,60491100%8.6
Medication Aide/Technician210212,75791100%8
Clinical Nurse Specialist6061,6876571%7.9
Other Dietary Services Staff220221,48491100%5.6
Respiratory Therapist5051,44591100%7.4
Occupational Therapy Aide3031,1266571%6.7
RN Director of Nursing3038226571%7.8
Dental Services Staff2025025763%7.5
Dietitian3034814448%8.2
Physical Therapy Assistant0334686571%6.6
Nurse Practitioner1014646167%7.6
Mental Health Service Worker1014395763%7.7
Speech Language Pathologist0444186066%4.9
Physical Therapy Aide0333826268%6
Respiratory Therapy Technician0553326066%5.2
Administrator1011732325%7.5
Qualified Social Worker0331596470%2.4
Medical Director0111867%3

Health Inspection History

Source: CMS Health Citations (Mar 2023 – May 2025)

3
Inspections
11
Total Citations
0
Critical (J-L)
0
Serious (G-I)
3.67
Citations/Inspection
May 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
11
Serious (G-I)
0
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Infection Control
2
18% of total
Resident Rights
1
9% of total
Quality of Life & Care
1
9% of total
Abuse, Neglect & Exploitation
1
9% of total
Pharmacy Services
1
9% of total
Citation Sources
Standard Inspections 11
Complaint Investigations 9
State Comparison (ND)
Avg Citations (State)
16.5
This Facility: 11
Avg Critical (State)
0.5
This Facility: 0
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
May 01, 2025 D Infection ControlF0880 Corrected
Mar 14, 2024 D Care PlanningF0640 Corrected
Mar 14, 2024 E Care PlanningF0641 Corrected
Mar 30, 2023 D Abuse/NeglectF0609 Corrected
Mar 30, 2023 E Infection ControlF0880 Corrected
Mar 30, 2023 E NutritionF0804 Corrected
Mar 30, 2023 E NutritionF0812 Corrected
Mar 30, 2023 E PharmacyF0760 Corrected
Mar 30, 2023 D Quality of CareF0688 Corrected
Mar 30, 2023 E Care PlanningF0641 Corrected
Mar 30, 2023 E Resident RightsF0550 Corrected

Facility Characteristics

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

Ownership: Non-Profit Corporation
Part of: Bethany Retirement Living
Resident Census by Payment Source
113 Total Residents
Medicare 6 (5.3%)
Medicaid 62 (54.9%)
Private Pay/Other 45 (39.8%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
7.2 Score
37% better than avg North Dakota avg: 11.4

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
14.6 Score
34% better than avg North Dakota avg: 22.0

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
11.0%
Lost Too Much Weight
4.1%
Urinary Tract Infection
2.1%
Depressive Symptoms
1.0%
Falls with Major Injury
2.8%
Pneumococcal Vaccine
99.8%
Antipsychotic Use
15.6%
Walking Ability Worsened
12.3%
Influenza Vaccine
100.0%
High Risk Residents with Pressure Ulcers
5.8%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
20.6%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
97.3% Near average North Dakota: 94.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
7.0% 237% worse than avg North Dakota: 2.1%
Influenza Vaccine
95.6% 8% better than avg North Dakota: 88.6%

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Claim What’s Yours: Financial Aid for North Dakota Seniors

Program
State Program Name
Eligibility
Benefits
Aged and Disabled Waiver
ND Medicaid A&D Waiver
  • General: Age 65+ or disabled, 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 Specifics: Higher asset limit; sparse population aids rural access.
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
Service Payments for Elderly and Disabled (SPED)
  • General: Age 65+ or disabled, North Dakota resident, at risk of decline.
  • Income Limits: ~$1,732/month (individual, varies).
  • Asset Limits: $50,000 (individual, higher limit).
  • ND Specifics: Higher asset limit; rural focus.
  • Services: 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
Official government program page
  • General: Age 65+ (or disabled 18+), 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 Specifics: Supplements SSI; covers ~50 facilities statewide.
  • Services: Cash (~$1,000-$1,500/month) for room/board/care in basic care facilities.
Family Home Care Program
North Dakota Family Home Care Program
  • General: Age 60+, 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 Specifics: Caregiver must be family; payment varies by hours/service.
  • Services: Family caregiver payment (~$10-$15/hour, up to 20 hours/week), respite support.
Medicare Savings Program (MSP)
North Dakota Medicare Savings Program
Official government program page
  • General: Age 65+ or disabled, 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 Specifics: Three tiers; no waitlist; includes Extra Help for Part D.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Low-Income Home Energy Assistance Program (LIHEAP)
North Dakota LIHEAP
  • General: Age 60+ prioritized, ND resident, low-income household.
  • Income Limits (2025): ~$3,970/month (individual, 185% FPL).
  • Asset Limits: Not assessed; income-focused.
  • ND Specifics: Covers oil, gas, electric; emergency aid available.
  • Services: Heating/cooling aid ($300-$1,000/season), emergency fuel ($600 max), weatherization.
Family Caregiver Support Program (FCSP)
North Dakota Family Caregiver Support Program
  • 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 Specifics: 8 regions; rural/low-income priority.
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($50/day), training, supplies (~$500/year).
Senior Community Service Employment Program (SCSEP)
North Dakota SCSEP
  • General: Age 55+, unemployed, low-income, ND resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified; income-focused.
  • ND Specifics: Priority for veterans, rural residents; AARP partnership.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
North Dakota VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, 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 Specifics: High veteran demand in rural areas; ND Veterans Home option.
  • Services: 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
Official government program page
  • General: Age 65+ (or disabled), 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 Specifics: Credit up to $500-$1,000; applies to primary residence.
  • Services: Tax reduction (~$500-$1,000/year) on property taxes.
Medicaid Personal Care Option (PCO)
North Dakota Medicaid Personal Care Option
  • General: Age 65+ (or disabled), 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 Specifics: Self-directed option (hire family); part of Medicaid State Plan, not a waiver.
  • Services: Personal care (5-20 hours/week), homemaker services, respite (~5 days/year).

Claim What’s Yours Financial Aid for North Dakota Seniors

ND Medicaid A&D Waiver

Aged and Disabled Waiver

Requirements:
  • General:
    Age 65+ or disabled, 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 Specifics:
    Higher asset limit; sparse population aids rural access.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
ND SPED

Service Payments for Elderly and Disabled (SPED)

Requirements:
  • General:
    Age 65+ or disabled, North Dakota resident, at risk of decline.
  • Income Limits:
    ~$1,732/month (individual, varies).
  • Asset Limits:
    $50,000 (individual, higher limit).
  • ND Specifics:
    Higher asset limit; rural focus.
Benefits without Contact:
  • Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).
North Dakota Basic Care Assistance Program

Basic Care Assistance Program (BCAP)

Requirements:
  • General:
    Age 65+ (or disabled 18+), 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 Specifics:
    Supplements SSI; covers ~50 facilities statewide.
Benefits without Contact:
  • Services: Cash (~$1,000-$1,500/month) for room/board/care in basic care facilities.
North Dakota Family Home Care Program

Family Home Care Program

Requirements:
  • General:
    Age 60+, 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 Specifics:
    Caregiver must be family; payment varies by hours/service.
Benefits without Contact:
  • Services: Family caregiver payment (~$10-$15/hour, up to 20 hours/week), respite support.
North Dakota Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, 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 Specifics:
    Three tiers; no waitlist; includes Extra Help for Part D.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
North Dakota LIHEAP

Low-Income Home Energy Assistance Program (LIHEAP)

Requirements:
  • General:
    Age 60+ prioritized, ND resident, low-income household.
  • Income Limits (2025):
    ~$3,970/month (individual, 185% FPL).
  • Asset Limits:
    Not assessed; income-focused.
  • ND Specifics:
    Covers oil, gas, electric; emergency aid available.
Benefits without Contact:
  • Services: Heating/cooling aid ($300-$1,000/season), emergency fuel ($600 max), weatherization.
North Dakota Family Caregiver Support Program

Family Caregiver Support Program (FCSP)

Requirements:
  • 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 Specifics:
    8 regions; rural/low-income priority.
Benefits without Contact:
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($50/day), training, supplies (~$500/year).
North Dakota SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, ND resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified; income-focused.
  • ND Specifics:
    Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
North Dakota VA Aid and Attendance/Housebound

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

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, 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 Specifics:
    High veteran demand in rural areas; ND Veterans Home option.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
North Dakota Homestead Property Tax Credit

Property Tax Homestead Credit for Seniors

Requirements:
  • General:
    Age 65+ (or disabled), 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 Specifics:
    Credit up to $500-$1,000; applies to primary residence.
Benefits without Contact:
  • Services: Tax reduction (~$500-$1,000/year) on property taxes.
North Dakota Medicaid Personal Care Option

Medicaid Personal Care Option (PCO)

Requirements:
  • General:
    Age 65+ (or disabled), 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 Specifics:
    Self-directed option (hire family); part of Medicaid State Plan, not a waiver.
Benefits without Contact:
  • Services: Personal care (5-20 hours/week), homemaker services, respite (~5 days/year).
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