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5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 11th out of 25 homes in North Dakota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 39m per day | ▼ 30% State avg: 56m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 48m per day | ▲ 59% State avg: 30m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 44m per day | ▲ 25% State avg: 2h 59m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 48m per day | ▲ 28% State avg: 3h 45m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▲ 10% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 27m per day | ▼ 22% State avg: 35m per day · National avg: 28m per day |
Higher than the North Dakota average: 87.8%Bethany on 42nd is legally operated by American Lutheran Home Inc.
Key information about the people who lead and staff this community.
In North Dakota, the Department of Health and Human Services, Health Facilities Division is the agency authorized to perform unannounced inspections and issue official health quality reports.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the North Dakota state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | ND Average | vs. ND Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 20 | 22 | This facility has 9% fewer total deficiencies than a typical North Dakota nursing home (20 vs. ND avg 22).↓ 9% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 6.7 | 7.3 | This facility has 8% fewer deficiencies per year than a typical North Dakota nursing home (6.7 vs. ND avg 7.3).↓ 8% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
North Dakota average 4.2
Last Health inspection on May 2025
North Dakota average 16.5
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).
100% better than North Dakota averageNorth Dakota average: 0.5
100% better than North Dakota averageNorth Dakota average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
43% more staff per resident than North Dakota average
5% worse than North Dakota average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
20 total: 18 full-time employees and 2 contractors.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
32 total: 31 full-time employees and 1 contractor.
32
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursHelps with daily care and mobility.
All 176 CNA Staff are full-time employees. No contractors work on this role.
176
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,994 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 176 | 0 | 176 | 35,904 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 31 | 1 | 32 | 7,397 | 92 | 100% | 8.7 |
| Registered Nurse | 18 | 2 | 20 | 4,634 | 92 | 100% | 8.7 |
| Medication Aide/Technician | 17 | 0 | 17 | 2,857 | 92 | 100% | 8.3 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,624 | 67 | 73% | 7.8 |
| Other Dietary Services Staff | 16 | 0 | 16 | 1,479 | 92 | 100% | 5.9 |
| Occupational Therapy Aide | 3 | 0 | 3 | 1,192 | 65 | 71% | 6.7 |
| Respiratory Therapist | 9 | 0 | 9 | 1,093 | 85 | 92% | 7 |
| Dental Services Staff | 2 | 0 | 2 | 870 | 66 | 72% | 7.1 |
| RN Director of Nursing | 2 | 0 | 2 | 853 | 65 | 71% | 7.5 |
| Dietitian | 3 | 0 | 3 | 586 | 55 | 60% | 7.8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 526 | 70 | 76% | 6.8 |
| Speech Language Pathologist | 0 | 5 | 5 | 492 | 64 | 70% | 5.2 |
| Nurse Practitioner | 1 | 0 | 1 | 490 | 63 | 68% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 448 | 57 | 62% | 7.9 |
| Physical Therapy Aide | 0 | 4 | 4 | 435 | 64 | 70% | 6.1 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 379 | 63 | 68% | 5.1 |
| Qualified Social Worker | 0 | 1 | 1 | 158 | 59 | 64% | 2.7 |
| Administrator | 1 | 0 | 1 | 157 | 20 | 22% | 7.9 |
| Medical Director | 0 | 1 | 1 | 18 | 6 | 7% | 3 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Percent of long-stay residents whose ability to move independently worsened
12.3%
40% better than North Dakota averageNorth Dakota average: 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%
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%
Percent of long-stay high risk residents with pressure ulcers
5.8%
In line with North Dakota averageNorth Dakota average: 5.6%
Percent of long-stay residents with a urinary tract infection
2.1%
38% better than North Dakota averageNorth Dakota average: 3.4%
Percent of long-stay residents who lose too much weight
4.1%
28% better than North Dakota averageNorth Dakota average: 5.7%
Percent of long-stay residents who have depressive symptoms
1.0%
79% better than North Dakota averageNorth Dakota average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
15.6%
27% better than North Dakota averageNorth Dakota average: 21.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
In line with North Dakota averageNorth Dakota average: 98.4%
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%
Number of hospitalizations per 1,000 long-stay resident days.
1.47
In line with North Dakota averageNorth Dakota average: 1.45
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.45
77% better than North Dakota averageNorth Dakota average: 1.92
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
In line with North Dakota averageNorth Dakota average: 94.4%
Percent of short-stay residents who newly received an antipsychotic medication
7.0%
237% worse than North Dakota averageNorth Dakota average: 2.1%
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%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
12.2%
40% better than North Dakota averageNorth Dakota average: 20.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.9%
45% better than North Dakota averageNorth Dakota average: 10.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than North Dakota averageNorth Dakota average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
39.7%
26% worse than North Dakota averageNorth Dakota average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
43.8%
13% worse than North Dakota averageNorth Dakota average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
45% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
113Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Bethany on 42nd from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #6 / 22Payroll — State benchmarkedThis home is ranked 6th out of 22 homes in North Dakota. Shows total annual staff payroll benchmarked to the North Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Pets Allowed
Housing Options: Private Rooms
Building Type: Two-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (45% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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)
Add your location
Bethany on 42nd is located in Fargo, North Dakota.
Here are the financial assistance programs available to residents in North Dakota.
The information below is reported by the North Dakota Department of Health and Human Services, Health Facilities Division.
| SMP Health – St. Catherine South |
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).
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.
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.
PC Palliative Care | Fargo (Lincoln) | 98
Facility
98
ND AVG
75
Rank
#14 / 53 |
93.8%
Facility
93.8%
ND AVG
87.8%
Rank
#13 / 23 | +7% | 5.83
Facility
5.83
ND AVG
5.16
Rank
#4 / 25 | +3% | +13% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 25 | 10
Facility
10
ND AVG
16.5
Rank
#6 / 25 | 3.3
Facility
3.3
ND AVG
3.9
Rank
#12 / 25 | - | 88 | - |
67
Facility
67
ND AVG
42
Rank
#16 / 80 | - | $15.0M
Facility
$15.0M
ND AVG
$11.5M
Rank
#11 / 22 | $9.6M
Facility
$9.6M
ND AVG
$5.6M
Rank
#10 / 22 | 63.9%
Facility
63.9%
ND AVG
48.6%
Rank
#9 / 22 | 355079 | ||||
| Bethany on 42nd |
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.
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 (Anderson Park) | 40
Facility
40
ND AVG
75
Rank
#43 / 53 |
99.4%
Facility
99.4%
ND AVG
87.8%
Rank
#1 / 23 | +13% | 5.11
Facility
5.11
ND AVG
5.16
Rank
#11 / 25 | -51% | -1% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 25 | 11
Facility
11
ND AVG
16.5
Rank
#7 / 25 | 3.7
Facility
3.7
ND AVG
3.9
Rank
#16 / 25 | - | 113 | A+ |
29
Facility
29
ND AVG
42
Rank
#50 / 80 | Bethany Homes, Inc | $21.3M
Facility
$21.3M
ND AVG
$11.5M
Rank
#6 / 22 | $13.4M
Facility
$13.4M
ND AVG
$5.6M
Rank
#6 / 22 | 62.6%
Facility
62.6%
ND AVG
48.6%
Rank
#10 / 22 | 355123 | ||||
| Elim Health Care Center |
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.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Fargo (River Drive) | 88
Facility
88
ND AVG
75
Rank
#18 / 53 |
75.6%
Facility
75.6%
ND AVG
87.8%
Rank
#18 / 23 | -14% | 5.55
Facility
5.55
ND AVG
5.16
Rank
#7 / 25 | +5% | +8% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 25 | 7
Facility
7
ND AVG
16.5
Rank
#2 / 25 | 2.3
Facility
2.3
ND AVG
3.9
Rank
#6 / 25 | - | 85 | - |
52
Facility
52
ND AVG
42
Rank
#31 / 80 | - | $14.9M
Facility
$14.9M
ND AVG
$11.5M
Rank
#12 / 22 | $8.3M
Facility
$8.3M
ND AVG
$5.6M
Rank
#13 / 22 | 55.6%
Facility
55.6%
ND AVG
48.6%
Rank
#18 / 22 | 355129 | ||||
| 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.
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) | 45
Facility
45
ND AVG
75
Rank
#37 / 53 |
98.3%
Facility
98.3%
ND AVG
87.8%
Rank
#5 / 23 | +12% | 5.46
Facility
5.46
ND AVG
5.16
Rank
#9 / 25 | -37% | +6% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 25 | 9
Facility
9
ND AVG
16.5
Rank
#5 / 25 | 1.5
Facility
1.5
ND AVG
3.9
Rank
#1 / 25 | 1 | 164 | A+ |
75
Facility
75
ND AVG
42
Rank
#13 / 80 | American Lutheran Homes Inc | $29.7M
Facility
$29.7M
ND AVG
$11.5M
Rank
#3 / 22 | $20.9M
Facility
$20.9M
ND AVG
$5.6M
Rank
#2 / 22 | 70.2%
Facility
70.2%
ND AVG
48.6%
Rank
#5 / 22 | 355086 | ||||
| SMP Health – St. Catherine North |
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).
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.
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.
PC Palliative Care | Fargo (Horace Mann) | 125
Facility
125
ND AVG
75
Rank
#7 / 53 |
95.4%
Facility
95.4%
ND AVG
87.8%
Rank
#10 / 23 | +9% | 5.59
Facility
5.59
ND AVG
5.16
Rank
#7 / 25 | -45% | +8% | $6.2k
Facility
$6.2k
ND AVG
$38.3k
Rank
#11 / 25 | 12
Facility
12
ND AVG
16.5
Rank
#10 / 25 | 3.0
Facility
3.0
ND AVG
3.9
Rank
#9 / 25 | 1 | 120 | - |
42
Facility
42
ND AVG
42
Rank
#38 / 80 | Aaron Alton | $18.1M
Facility
$18.1M
ND AVG
$11.5M
Rank
#8 / 22 | $12.0M
Facility
$12.0M
ND AVG
$5.6M
Rank
#7 / 22 | 66.5%
Facility
66.5%
ND AVG
48.6%
Rank
#8 / 22 | 355047 |
Bethany on 42nd is in the Anderson Park neighborhood of Fargo.
The legal owner and operator of Bethany on 42nd is American Lutheran Home Inc.
Bethany on 42nd has a walk score of 29. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to ND state health department records, Bethany on 42nd's license expires on December 31, 2025.
Bethany on 42nd's occupancy is 99%.
Bethany on 42nd has 40 beds.
Yes — there are 4 photos of Bethany on 42nd in the photo gallery on this page.
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