Occupancy rate
99%
In line with North Dakota averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Independent Living Home
Bethany on 42nd
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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.
Occupancy rate
99.4%
Residents per day (avg)
113
Occupancy rate
99.4%
Residents per day (avg)
113
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
45% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
38% of new residents, often for short stays.
Typical stay
10 - 11 months
Medicaid
17% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Voluntary non-profit community
Home revenue
$21.3M
Surplus of revenue
$422.7K
Voluntary non-profit community
Home revenue
$21,333,988.00
Surplus of revenue
$422,669.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$10.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$20.9M
40-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
18 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 29 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
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
How BBB ratings work
Services
About this community
Occupancy
In line with North Dakota averageOccupied beds
40 / 40
Average residents
62 per day
License details
Facility type
Assisted Living Facility
Expiration
December 31, 2025
County:
Cass
Additional licensing details
CMS Certification Number:
355123
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
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Independent Living, Assisted Living, Memory Care, Rehabilitation Suites/TCU, Skilled Nursing, Ethos Hospice, Ethos Home Care, Pastoral Care, Classes
Religious Services
Yes
What does this home offer?
Pets Allowed: Yes, Pets Allowed
Housing Options: Private Rooms
Building Type: Two-story
Transportation Services
Fitness and Recreation
Types of Care at Bethany on 42nd
Assisted Living
Independent Living
Memory Care
Hospice Care
Home Care
Nursing Home
Health Inspection History
Inspections
Total health inspections
3
North Dakota average 4.2
Last Health inspection on May 2025
Total health citations
11
Citations per inspection
3.67
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than North Dakota averageNorth Dakota average: 0.5
Serious Health citations
0
0
100% better than North Dakota averageNorth Dakota average: 1
0 critical citations
0 serious citations
11 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
May 01, 2025
Corrected
Care Planning moderate citation
Mar 14, 2024
Corrected
Care Planning moderate citation
Mar 14, 2024
Corrected
Abuse/Neglect moderate citation
Mar 30, 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.
Compare Independent Living around Fargo
The information below is reported by the North Dakota Department of Health and Human Services, Health Facilities Division.
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 (Jefferson)
172
No
B-
75
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
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 (Anderson Park)
116
Yes
A+
29
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
43
No
A+
58
Private Rooms
One Oak Place
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Fargo (Brunsdale)
-
Yes
-
34
Private Rooms
Places of interest near Bethany on 42nd
6.5 miles from city center — 0.44 miles to nearest hospital (MEDPark Medical Center)
4255 30th Ave S, Fargo, ND 58104
Calculate Travel Distance to Bethany on 42nd
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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 Nurse | 20 | 8.6 | No |
| Licensed Practical Nurse | 31 | 8.7 | Yes |
| Certified Nursing Assistant | 205 | 7.3 | 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 Assistant | 205 | 0 | 205 | 35,497 | 91 | 100% | 7.3 |
| Licensed Practical Nurse | 30 | 1 | 31 | 7,240 | 91 | 100% | 8.7 |
| Registered Nurse | 20 | 0 | 20 | 4,604 | 91 | 100% | 8.6 |
| Medication Aide/Technician | 21 | 0 | 21 | 2,757 | 91 | 100% | 8 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,687 | 65 | 71% | 7.9 |
| Other Dietary Services Staff | 22 | 0 | 22 | 1,484 | 91 | 100% | 5.6 |
| Respiratory Therapist | 5 | 0 | 5 | 1,445 | 91 | 100% | 7.4 |
| Occupational Therapy Aide | 3 | 0 | 3 | 1,126 | 65 | 71% | 6.7 |
| RN Director of Nursing | 3 | 0 | 3 | 822 | 65 | 71% | 7.8 |
| Dental Services Staff | 2 | 0 | 2 | 502 | 57 | 63% | 7.5 |
| Dietitian | 3 | 0 | 3 | 481 | 44 | 48% | 8.2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 468 | 65 | 71% | 6.6 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 61 | 67% | 7.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 439 | 57 | 63% | 7.7 |
| Speech Language Pathologist | 0 | 4 | 4 | 418 | 60 | 66% | 4.9 |
| Physical Therapy Aide | 0 | 3 | 3 | 382 | 62 | 68% | 6 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 332 | 60 | 66% | 5.2 |
| Administrator | 1 | 0 | 1 | 173 | 23 | 25% | 7.5 |
| Qualified Social Worker | 0 | 3 | 3 | 159 | 64 | 70% | 2.4 |
| Medical Director | 0 | 1 | 1 | 18 | 6 | 7% | 3 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
113 residents
Residents by payment source
Medicare
6 residents (5.3%)
Medicaid
62 residents (54.9%)
Private pay or other
45 residents (39.8%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.2
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.6
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
11.0%
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%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
12.3%
Percent of long-stay residents whose ability to move independently worsened
12.3%
40% better than North Dakota averageNorth Dakota average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
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%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.8%
Percent of long-stay high risk residents with pressure ulcers
5.8%
In line with North Dakota averageNorth Dakota average: 5.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.1%
Percent of long-stay residents with a urinary tract infection
2.1%
38% better than North Dakota averageNorth Dakota average: 3.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.1%
Percent of long-stay residents who lose too much weight
4.1%
28% better than North Dakota averageNorth Dakota average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.0%
Percent of long-stay residents who have depressive symptoms
1.0%
79% better than North Dakota averageNorth Dakota average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.6%
Percent of long-stay residents who received an antipsychotic medication
15.6%
27% better than North Dakota averageNorth Dakota average: 21.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
In line with North Dakota averageNorth Dakota average: 98.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
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%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
In line with North Dakota averageNorth Dakota average: 94.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
7.0%
Percent of short-stay residents who newly received an antipsychotic medication
7.0%
237% worse than North Dakota averageNorth Dakota average: 2.1%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
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%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Bethany on 42nd based on CMS SNF Cost Reports.
Occupancy Rate
99.4%
↓ 0.3pp vs 2022
Net Income
$422,669
↓ ~$2.6M vs 2022
Total Payroll
$13,357,789
↑ ~$654K vs 2022
Profit Margin
2.0%
↓ 13.1pp vs 2022
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Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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