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.
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Independent Living in Fargo
CMS overall rating
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.
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.
Bethany on 42nd
Independent Living in Fargo
CMS overall rating
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.
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.
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
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.
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.
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.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
$21.3M
Surplus of revenue
$422.7K
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
Facility TypeAssisted Living Facility
ExpirationDecember 31, 2025
CountyCass
CMS Certification Number355123
Bethany on 42nd is legally operated by American Lutheran Home Inc.
Staffing
Key information about the people who lead and staff this community.
ContactShawn Stuhaug
Rehabilitation Services
Short-Term Rehab
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Chapel
Diner
Pharmacy/Gift Shop
Library
Wellness Center
Movie Theater
Hair Salon
Specific ProgramsIndependent Living, Assisted Living, Memory Care, Rehabilitation Suites/TCU, Skilled Nursing, Ethos Hospice, Ethos Home Care, Pastoral Care, Classes
Religious ServicesYes
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
North Dakota average 16.5
Citations per inspection
3.67
North Dakota average 3.93
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
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 01, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 01, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 14, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 14, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 14, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 14, 2024
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 30, 2023
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
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.
Filter by care type
| Bethany Retirement Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Fargo (Jefferson) | 172 | No | 75 | Private Rooms | 39 | B- | Shawn Stuhaug |
| New Perspective – West Fargo |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | West Fargo | 119 | Yes | 30 | Private Rooms | 18 | A+ | Alex Massopust |
| Bethany on 42nd |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Fargo (Anderson Park) | 116 | Yes | 29 | Private Rooms | 18 | A+ | Shawn Stuhaug |
| Good Samaritan Society – Fargo |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Fargo (Brandt Crossing) | 43 | No | 58 | Private Rooms | 20 | A+ | Kiara Tuchscherer |
| One Oak Place |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Fargo (Brunsdale) | - | Yes | 34 | Private Rooms | - | - | - |
Places of interest near Bethany on 42nd
6.5 miles from city center
Estimated distance in miles from Fargo's city center to Bethany on 42nd's address, calculated via Google Maps.
— 0.44 miles to nearest hospital (MEDPark Medical Center)
Calculate Travel Distance to Bethany on 42nd
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
343
Employees
323
Contractors
20
Staff to resident ratio
3.04:1
54% better than North Dakota averageNorth Dakota average ratio: 1.97:1
Avg staff/day
89
Average shift
7.5 hours
5% worse than North Dakota averageNorth Dakota average: 7.9 hours
Total staff hours (quarter)
60,496
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
20
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
31
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
205
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
3.1%
1,855 contractor hours this quarter
Respiratory Therapy Technician: 5
Speech Language Pathologist: 4
Physical Therapy Assistant: 3
Physical Therapy Aide: 3
Qualified Social Worker: 3
Licensed Practical Nurse: 1
Medical Director: 1
Staff by category
| 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 |
205 Certified Nursing Assistant
% of Days
100%
31 Licensed Practical Nurse
% of Days
100%
20 Registered Nurse
% of Days
100%
21 Medication Aide/Technician
% of Days
100%
6 Clinical Nurse Specialist
% of Days
71%
22 Other Dietary Services Staff
% of Days
100%
5 Respiratory Therapist
% of Days
100%
3 Occupational Therapy Aide
% of Days
71%
3 RN Director of Nursing
% of Days
71%
2 Dental Services Staff
% of Days
63%
3 Dietitian
% of Days
48%
3 Physical Therapy Assistant
% of Days
71%
1 Nurse Practitioner
% of Days
67%
1 Mental Health Service Worker
% of Days
63%
4 Speech Language Pathologist
% of Days
66%
3 Physical Therapy Aide
% of Days
68%
5 Respiratory Therapy Technician
% of Days
66%
1 Administrator
% of Days
25%
3 Qualified Social Worker
% of Days
70%
1 Medical Director
% of Days
7%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
113
Medicare
6
5.3% of residents
Medicaid
62
54.9% of residents
Private pay or other
45
39.8% of residents
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
$422.7K
↓ ~$2.6M vs 2022
Total Payroll
$13.4M
↑ ~$653.6K vs 2022
Profit Margin
2.0%
↓ 13.1pp vs 2022
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