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 Official CMS rating based on health inspections, staffing and quality measures.
5/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
4/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
Quality Measures Info Official CMS rating 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 99.4%
Residents per day (avg) 113
Occupancy rate
99.4%
Residents per day (avg)
113

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.

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 home
Other
Home revenue
$21.3M
Surplus of revenue
$422.7K
Voluntary non-profit home Other
Home revenue
$21,333,988.00
Surplus of revenue
$422,669.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$10.5M
49% 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 $20.9M
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?

Pets allowed icon
Pets allowed icon

Pets Allowed: Yes, Pets Allowed

Housing options icon
Housing options icon

Housing Options: Private Rooms

Building type icon
Building type icon

Building Type: Two-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

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

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
AMERICAN LUTHERAN HOMES INC
98.3%
$29,373,523.00
$15,800,402.00
53.8%
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 (Anderson Park)
116
Yes
A+
29
BETHANY HOMES, INC
99.4%
$20,968,881.00
$10,452,732.00
49.8%
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
43
No
A+
58
BERG, JONATHON
89.2%
$4,849,609.00
$2,082,390.00
42.9%
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 (Brunsdale)
-
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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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

Total Health inspections 3
29% below North Dakota average
North Dakota average: 4.2

Last Health inspection on May 2025

Total Health citations 11
33% below North Dakota average
North Dakota average: 16.5

3.67 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 11 citations
Complaint investigations 9 citations
Breakdown of citations
Critical Health citations 0
100% below North Dakota average
North Dakota average: 0.5
Serious Health citations 0
100% below North Dakota average
North Dakota average: 1.0
Moderate Health citations 11

Minor Health citations 0
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

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 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 7.2
37% better than North Dakota average
North Dakota average: 11.4
Functional decline score 14.6
34% better than North Dakota average
North Dakota average: 22.0
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 11.0%
46% below North Dakota average.

Walking Ability Worsened 12.3%
40% below North Dakota average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 20.6%
18% below North Dakota average.
Safety & clinical stability

Falls with Major Injury 2.8%
44% below North Dakota average.

High Risk Residents with Pressure Ulcers 5.8%
4% above North Dakota average.

Urinary Tract Infection 2.1%
38% below North Dakota average.
Emotional & behavioral wellbeing

Depressive Symptoms 1.0%
79% below North Dakota average.

Antipsychotic Use 15.6%
27% below North Dakota average.
Preventive care

Pneumococcal Vaccine 99.8%
1% above North Dakota average.

Influenza Vaccine 100.0%
1% above North Dakota average.
Nutrition & physical health

Lost Too Much Weight 4.1%
28% below North Dakota average.
Short-stay resident measures
Pneumococcal Vaccine 97.3%

Near North Dakota average
Antipsychotic medication increase 7.0%

237% worse than North Dakota average
Influenza Vaccine 95.6%

8% better than North Dakota average

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

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

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

Financial Aid for North Dakota Seniors

Get financial aid guidance

Aged and Disabled Waiver

ND Medicaid A&D Waiver

Age 65+ or disabled, North Dakota resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$3,000 (individual, higher than most states).

Higher asset limit; sparse population aids rural access.

Service Payments for Elderly and Disabled (SPED)

ND SPED

Age 65+ or disabled, North Dakota resident, at risk of decline.

~$1,732/month (individual, varies).

$50,000 (individual, higher limit).

Higher asset limit; rural focus.

Basic Care Assistance Program (BCAP)

North Dakota Basic Care Assistance Program

Age 65+ (or disabled 18+), ND resident, in licensed basic care facility, low-income.

~$1,255/month (individual, after facility costs); varies by facility rate.

$3,000 (individual).

Supplements SSI; covers ~50 facilities statewide.

Family Home Care Program

North Dakota Family Home Care Program

Age 60+, ND resident, need help with 1+ ADL, family caregiver available.

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed; need-based.

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

Medicare Savings Program (MSP)

North Dakota Medicare Savings Program

Age 65+ or disabled, ND resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

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

Low-Income Home Energy Assistance Program (LIHEAP)

North Dakota LIHEAP

Age 60+ prioritized, ND resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers oil, gas, electric; emergency aid available.

Family Caregiver Support Program (FCSP)

North Dakota Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; ND resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

8 regions; rural/low-income priority.

Senior Community Service Employment Program (SCSEP)

North Dakota SCSEP

Age 55+, unemployed, low-income, ND resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

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

North Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, ND resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

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

Property Tax Homestead Credit for Seniors

North Dakota Homestead Property Tax Credit

Age 65+ (or disabled), ND resident, homeowner, low-income.

~$22,500/year (individual), ~$29,500/year (couple).

Home value < $500,000; other assets not assessed.

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

Medicaid Personal Care Option (PCO)

North Dakota Medicaid Personal Care Option

Age 65+ (or disabled), ND resident, Medicaid-eligible, need help with 1+ ADL.

~$1,255/month (100% FPL, individual); QIT optional for excess income.

$3,000 (individual), $6,000 (couple) (excludes home up to $713,000, car).

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

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