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.

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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.
May offer a more intimate, personalized care environment.
That suggests steady demand, but availability may be limited.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
43% of new residents, usually for short-term rehab.
40% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Bethany on 42nd is legally operated by American Lutheran Home Inc.
Key information about the people who lead and staff this community.
Pets Allowed: Yes, Pets Allowed
Housing Options: Private Rooms
Building Type: Two-story
Transportation Services
Fitness and Recreation
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Home Care
Hospice Care
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Home Care
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
6.5 miles from city center
4255 30th Ave S, Fargo, ND 58104
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Source: CMS Payroll-Based Journal (Q2 2025)
| 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 |
| 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 |
Source: CMS Health Citations (Mar 2023 – May 2025)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| May 01, 2025 | D | Infection Control | F0880 | Corrected |
| Mar 14, 2024 | D | Care Planning | F0640 | Corrected |
| Mar 14, 2024 | E | Care Planning | F0641 | Corrected |
| Mar 30, 2023 | D | Abuse/Neglect | F0609 | Corrected |
| Mar 30, 2023 | E | Infection Control | F0880 | Corrected |
| Mar 30, 2023 | E | Nutrition | F0804 | Corrected |
| Mar 30, 2023 | E | Nutrition | F0812 | Corrected |
| Mar 30, 2023 | E | Pharmacy | F0760 | Corrected |
| Mar 30, 2023 | D | Quality of Care | F0688 | Corrected |
| Mar 30, 2023 | E | Care Planning | F0641 | Corrected |
| Mar 30, 2023 | E | Resident Rights | F0550 | Corrected |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Active councils help families stay involved in care decisions and facility operations.
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)
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Composite score based on ADL decline, walking ability decline, and incontinence
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Measures for residents who stay 100 days or less (typically rehabilitation patients).
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