Bethany on 42nd

Q: What neighborhood is Bethany on 42nd in?

Bethany on 42nd is in the Anderson Park neighborhood of Fargo.

Q: Is Bethany on 42nd in a walkable area?

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.

Q: When does Bethany on 42nd's license expire?

According to ND state health department records, Bethany on 42nd's license expires on December 31, 2025.

Q: What is the occupancy rate at Bethany on 42nd?

Bethany on 42nd's occupancy is 99%.

Q: Does Bethany on 42nd operate as a for-profit or non-profit?

Bethany on 42nd is registered as a non-profit in ND.

Nursing Home, Assisted Living & Memory Care · Fargo, ND

CMS overall rating

4255 30Th Ave S, Fargo, ND 58104 View map

Calculator: See prices in your area

Bethany on 42nd accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Bethany on 42nd accepts Medicare, Medicaid, and private pay.

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.

Facility Direct Line (701) 478-8900

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to North Dakota state averages

Total nursing care / resident

5h 6m per day

This facility North Dakota avg (5h 10m per day)

vs North Dakota avg

-1%

2 of 6 metrics below state avg

Standout metric LPN / LVN is +59% above state avg

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

Capacity and availability

585 days

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

About this community

Occupancy

Occupancy rate

99%

Higher than the North Dakota average: 87.8%

Occupied beds

40 / 40

Average occupied beds in North Dakota homes 62 beds

Facility TypeAssisted Living Facility

ExpirationDecember 31, 2025 Expired

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

24-Hour Staffing

Chapel

Diner

Pharmacy/Gift Shop

Library

Wellness Center

Movie Theater

Hair Salon

Religious Services

Since 2023 · 3 years of data 20 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2023 vs. North Dakota state average

Overall vs. ND average

Latest Inspection May 1, 2025 Routine

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	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

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The March 30, 2023 complaint investigation substantiated eight deficiencies including failure to maintain resident dignity, medication errors, inaccurate assessments, unsafe food temperatures, and poor infection control.
The March 14, 2024 inspection found two deficiencies related to untimely and inaccurate Minimum Data Set (MDS) submissions affecting resident care planning.
The May 1, 2025 routine inspection found three infection control deficiencies involving hand hygiene and failure to use gowns during high-contact wound care.

Show Inspection Reports

Inspections since 2023

Total health inspections 3

North Dakota average 4.2

Last Health inspection on May 2025

Total health citations

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

100% better than North Dakota average

North Dakota average: 0.5

Serious health citations

100% better than North Dakota average

North Dakota average: 1

0 critical citations North Dakota average: 0.5

0 serious citations North Dakota average: 1

11 moderate citations North Dakota average: 14.8

0 minor citations North Dakota average: 0.2

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

Total staff 311

Employees 286

Contractors 25

Staff to resident ratio 2.75 : 1

43% more staff per resident than North Dakota average

Avg staff/day 89

Average shift 7.5 hours

5% worse than North Dakota average

Total staff hours (quarter) 61,591

Nursing staff breakdown

8.7 hours

176

7.4 hours

Contractor staffing

2,994 contractor hours this quarter

Respiratory Therapy Technician: 7 Speech Language Pathologist: 5 Physical Therapy Assistant: 4 Physical Therapy Aide: 4 Registered Nurse: 2 Licensed Practical Nurse: 1 Qualified Social Worker: 1 Medical Director: 1

Staff by category


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

176 Certified Nursing Assistant

% of Days 100%

32 Licensed Practical Nurse

% of Days 100%

20 Registered Nurse

% of Days 100%

17 Medication Aide/Technician

% of Days 100%

6 Clinical Nurse Specialist

% of Days 73%

16 Other Dietary Services Staff

% of Days 100%

3 Occupational Therapy Aide

% of Days 71%

9 Respiratory Therapist

% of Days 92%

2 Dental Services Staff

% of Days 72%

2 RN Director of Nursing

% of Days 71%

3 Dietitian

% of Days 60%

4 Physical Therapy Assistant

% of Days 76%

5 Speech Language Pathologist

% of Days 70%

1 Nurse Practitioner

% of Days 68%

1 Mental Health Service Worker

% of Days 62%

4 Physical Therapy Aide

% of Days 70%

7 Respiratory Therapy Technician

% of Days 68%

1 Qualified Social Worker

% of Days 64%

1 Administrator

% of Days 22%

1 Medical Director

% of Days 7%

View All Staffing Data in Fargo

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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

Significantly above average North Dakota avg: 3.0

Need for Help with Daily Activities Increased 11.0%

46% better than North Dakota average

North Dakota average: 20.4%

Walking Ability Worsened 12.3%

40% better than North Dakota average

North Dakota average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 20.6%

18% better than North Dakota average

North Dakota average: 25.0%

Falls with Major Injury 2.8%

44% better than North Dakota average

North Dakota average: 5.0%

High Risk Residents with Pressure Ulcers 5.8%

In line with North Dakota average

North Dakota average: 5.6%

Urinary Tract Infection 2.1%

38% better than North Dakota average

North Dakota average: 3.4%

Lost Too Much Weight 4.1%

28% better than North Dakota average

North Dakota average: 5.7%

Depressive Symptoms 1.0%

79% better than North Dakota average

North Dakota average: 4.4%

Antipsychotic Use 15.6%

27% better than North Dakota average

North Dakota average: 21.4%

Pneumococcal Vaccine 99.8%

In line with North Dakota average

North Dakota average: 98.4%

Influenza Vaccine 100.0%

In line with North Dakota average

North Dakota average: 98.8%

Hospitalizations per 1,000 days 1.47

In line with North Dakota average

North Dakota average: 1.45

ED visits per 1,000 days 0.45

77% better than North Dakota average

North Dakota average: 1.92

Short-stay resident measures

Above average North Dakota avg: 2.3

Pneumococcal Vaccine 97.3%

In line with North Dakota average

North Dakota average: 94.4%

Antipsychotic medication increase 7.0%

237% worse than North Dakota average

North Dakota average: 2.1%

Influenza Vaccine 95.6%

8% better than North Dakota average

North Dakota average: 88.6%

Re-hospitalized after SNF stay 12.2%

40% better than North Dakota average

North Dakota average: 20.5%

Emergency department visits 5.9%

45% better than North Dakota average

North Dakota average: 10.7%

Falls with major injury 0.0%

100% better than North Dakota average

North Dakota average: 0.8%

Ability to care for self at discharge 39.7%

26% worse than North Dakota average

North Dakota average: 53.7%

Successful return to home or community 43.8%

13% worse than North Dakota average

North Dakota average: 50.6%

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

Total residents 113

Medicare

5.3% of residents

Medicaid

54.9% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Bethany on 42nd from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 288.3% ↑ 188.6pp vs 2022

Net Patient Income $57.6K ↑ ~$496.7K vs 2022

Payroll Costs $12.3M ↑ ~$978.4K vs 2022

Operating Margin 0.3% ↑ 2.6pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	98.2%	98.3%	98.2%	117.8%	98.8%	98.6%	98.0%	98.6%	99.3%	98.8%	99.5%	99.7%	288.3%
Beds	78	78	78	116	116	116	116	116	116	116	116	116	40
Net Income	-$286,010	-$198,368	-$94,285	$156,179	$420,983	$463,402	-$751,690	$85,649	$432,075	$1,862,527	$1,361,446	$2,981,121	$422,669
Gross Revenue	$9,940,815	$10,503,434	$11,003,626	$15,603,254	$16,096,289	$16,630,320	$17,146,315	$18,575,789	$18,778,246	$18,987,876	$19,099,459	$19,680,449	$20,968,881
Operating Expenses	$9,777,221	$9,956,064	$10,277,989	$14,186,637	$14,654,787	$15,204,423	$16,802,661	$17,324,894	$17,505,056	$17,503,216	$17,937,771	$19,820,219	$20,449,789
Net Patient Income	-$319,749	-$294,677	-$146,223	$150,895	$374,030	$382,034	-$831,108	$5,671	$324,968	$1,015,040	$814,466	-$439,104	$57,562
Net Patient Revenue	$9,457,472	$9,661,387	$10,131,766	$14,337,532	$15,028,817	$15,586,457	$15,971,553	$17,330,565	$17,830,024	$18,518,256	$18,752,237	$19,381,115	$20,507,351
Payroll Costs	$5,055,516	$5,116,759	$5,617,856	$8,159,798	$8,889,319	$9,189,068	$9,541,229	$9,824,041	$10,127,939	$10,189,148	$10,219,893	$11,305,846	$12,284,213
Operating Margin %	-3.4%	-3.1%	-1.4%	1.1%	2.5%	2.5%	-5.2%	0.0%	1.8%	5.5%	4.3%	-2.3%	0.3%
Medicare %	17.9%	16.9%	16.2%	14.5%	12.9%	13.8%	15.8%	14.5%	10.6%	6.8%	4.2%	3.3%	5.6%
Medicaid %	48.5%	47.4%	49.5%	47.3%	46.7%	48.0%	45.0%	43.7%	50.9%	55.7%	59.4%	58.6%	52.7%
Private %	33.5%	35.7%	34.2%	38.2%	40.4%	38.2%	39.2%	41.7%	38.5%	37.6%	36.4%	38.1%	41.7%
Net Patient Revenue/Day	$338	$344	$362	$351	$359	$372	$385	$415	$424	$442	$445	$459	$487
Cost/Day	$350	$355	$368	$348	$351	$363	$405	$415	$416	$417	$426	$469	$486
Avg Length of Stay	97.0 days	89.1 days	82.2 days	109.4 days	131.9 days	139.5 days	122.7 days	165.6 days	237.6 days	616.7 days	1,053.1 days	1,563.8 days	584.6 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$20.5M

Net patient income

$57.6K

Nonprofit Nonprofit Corporation

Net patient revenue

$20.5M

Net patient income

$57.6K

Other income

$365.1K

Payroll costs

$12.3M 59.9% of net patient revenue

Other operating costs

$8.2M

Total costs

$20.4M

What does this home offer?

Pets Allowed

Housing Options: Private Rooms

Building Type: Two-story

Transportation Services

Fitness and Recreation

TYPE OF STAY

Mostly short-term rehab stays

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.

Medicare 45%

Private pay 38%

Medicaid 17%

Coverage residents most often leave under.

Medicare 60%

Private pay 29%

Medicaid 11%

4.1 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)

Quick search

Calculate Travel Distance to Bethany on 42nd

Add your location

Compare Nursing Homes around Fargo

The information below is reported by the North Dakota Department of Health and Human Services, Health Facilities Division.

5 facilities compared · CMS & ND Dept. of Health data


SMP Health – St. Catherine South	NH HC MC PC	Fargo (Lincoln)	98 Facility 98 ND AVG 75 Rank #14 / 53	93.8% Facility 93.8% ND AVG 87.8% Rank #13 / 24	+7%	5.83 Facility 5.83 ND AVG 5.16 Rank #4 / 26	+3%	+13%	$0 Facility $0 ND AVG $38.3k Rank #1 / 26	10 Facility 10 ND AVG 16.5 Rank #6 / 26	3.3 Facility 3.3 ND AVG 3.9 Rank #12 / 26	-	88	-	67 Facility 67 ND AVG 42 Rank #16 / 80	-	$13.4M Facility $13.4M ND AVG $11.5M Rank #11 / 23	$9.6M Facility $9.6M ND AVG $5.6M Rank #10 / 23	71.4% Facility 71.4% ND AVG 48.6% Rank #10 / 23	355079
Bethany on 42nd	NH AL MC	Fargo (Anderson Park)	40 Facility 40 ND AVG 75 Rank #43 / 53	99.4% Facility 99.4% ND AVG 87.8% Rank #1 / 24	+13%	5.11 Facility 5.11 ND AVG 5.16 Rank #11 / 26	-51%	-1%	$0 Facility $0 ND AVG $38.3k Rank #1 / 26	11 Facility 11 ND AVG 16.5 Rank #7 / 26	3.7 Facility 3.7 ND AVG 3.9 Rank #16 / 26	-	113	A+	29 Facility 29 ND AVG 42 Rank #50 / 80	Bethany Homes, Inc	$20.5M Facility $20.5M ND AVG $11.5M Rank #6 / 23	$12.3M Facility $12.3M ND AVG $5.6M Rank #6 / 23	59.9% Facility 59.9% ND AVG 48.6% Rank #11 / 23	355123
Elim Health Care Center	NH AL HC IL RC	Fargo (River Drive)	88 Facility 88 ND AVG 75 Rank #18 / 53	75.6% Facility 75.6% ND AVG 87.8% Rank #18 / 24	-14%	5.55 Facility 5.55 ND AVG 5.16 Rank #7 / 26	+5%	+8%	$0 Facility $0 ND AVG $38.3k Rank #1 / 26	7 Facility 7 ND AVG 16.5 Rank #2 / 26	2.3 Facility 2.3 ND AVG 3.9 Rank #6 / 26	-	85	-	52 Facility 52 ND AVG 42 Rank #31 / 80	-	$10.3M Facility $10.3M ND AVG $11.5M Rank #12 / 23	$7.6M Facility $7.6M ND AVG $5.6M Rank #13 / 23	73.6% Facility 73.6% ND AVG 48.6% Rank #19 / 23	355129
Bethany Retirement Living	NH AL MC	Fargo (Jefferson)	45 Facility 45 ND AVG 75 Rank #37 / 53	98.3% Facility 98.3% ND AVG 87.8% Rank #5 / 24	+12%	5.46 Facility 5.46 ND AVG 5.16 Rank #9 / 26	-37%	+6%	$0 Facility $0 ND AVG $38.3k Rank #1 / 26	9 Facility 9 ND AVG 16.5 Rank #5 / 26	1.5 Facility 1.5 ND AVG 3.9 Rank #1 / 26	1	164	A+	75 Facility 75 ND AVG 42 Rank #13 / 80	American Lutheran Homes Inc	$27.5M Facility $27.5M ND AVG $11.5M Rank #3 / 23	$18.7M Facility $18.7M ND AVG $5.6M Rank #2 / 23	68% Facility 68% ND AVG 48.6% Rank #6 / 23	355086
SMP Health – St. Catherine North	NH HC MC PC	Fargo (Horace Mann)	125 Facility 125 ND AVG 75 Rank #7 / 53	95.4% Facility 95.4% ND AVG 87.8% Rank #10 / 24	+9%	5.59 Facility 5.59 ND AVG 5.16 Rank #7 / 26	-45%	+8%	$6.2k Facility $6.2k ND AVG $38.3k Rank #11 / 26	12 Facility 12 ND AVG 16.5 Rank #10 / 26	3.0 Facility 3.0 ND AVG 3.9 Rank #9 / 26	1	120	-	42 Facility 42 ND AVG 42 Rank #38 / 80	Aaron Alton	$16.7M Facility $16.7M ND AVG $11.5M Rank #8 / 23	$12.0M Facility $12.0M ND AVG $5.6M Rank #7 / 23	72.1% Facility 72.1% ND AVG 48.6% Rank #9 / 23	355047

Nursing Home Explorer

Aged and Disabled Waiver

ND Medicaid A&D Waiver

Age 65+ or disabled

General North Dakota resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $3,000 individual, higher than most states

Higher asset limit; sparse population aids rural access.

Benefits

Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Service Payments for Elderly and Disabled (SPED)

ND SPED

Age 65+ or disabled

General North Dakota resident, at risk of decline.

Income Limits ~$1,732/month individual, varies

Asset Limits $50,000 individual, higher limit

Higher asset limit; rural focus.

Benefits

In-home care (2-4 hours/week) Respite (up to 5 days/year) Transportation (~5 trips/month)

Basic Care Assistance Program (BCAP)

North Dakota Basic Care Assistance Program

Age 65+ (or disabled 18+)

General ND resident, in licensed basic care facility, low-income.

Income Limits (2025) ~$1,255/month (individual, after facility costs); varies by facility rate.

Asset Limits $3,000 individual

Supplements SSI; covers ~50 facilities statewide.

Benefits

Cash (~$1,000-$1,500/month) for room/board/care in basic care facilities

Family Home Care Program

North Dakota Family Home Care Program

Age 60+

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

Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year

Asset Limits Not assessed; need-based.

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

Benefits

Family caregiver payment (~$10-$15/hour, up to 20 hours/week) Respite support

Medicare Savings Program (MSP)

North Dakota Medicare Savings Program

Age 65+ or disabled

General ND resident, Medicare Part A/B.

Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

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

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

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

North Dakota Family Caregiver Support Program

Age —

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

Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.

Asset Limits Not assessed; need-based.

8 regions; rural/low-income priority.

Benefits

Respite (4-6 hours/week or 5 days/year) Adult day care ($50/day) Training Supplies (~$500/year)

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

North Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General ND resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits ~$155,356 net worth limit

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

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Property Tax Homestead Credit for Seniors

North Dakota Homestead Property Tax Credit

Age 65+ (or disabled)

General ND resident, homeowner, low-income.

Income Limits (2025) ~$22,500/year (individual), ~$29,500/year (couple).

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

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

Benefits

Tax reduction (~$500-$1,000/year) on property taxes

Medicaid Personal Care Option (PCO)

North Dakota Medicaid Personal Care Option

Age 65+ (or disabled)

General ND resident, Medicaid-eligible, need help with 1+ ADL.

Income Limits (2025) ~$1,255/month (100% FPL, individual); QIT optional for excess income.

Asset Limits $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.

Benefits

Personal care (5-20 hours/week) Homemaker services Respite (~5 days/year)

What neighborhood is Bethany on 42nd in?

Bethany on 42nd is in the Anderson Park neighborhood of Fargo.

Who is the owner of Bethany on 42nd?

Bethany on 42nd is legally operated by American Lutheran Home Inc.

Is Bethany on 42nd in a walkable area?

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.

When does Bethany on 42nd's license expire?

According to ND state health department records, Bethany on 42nd's license expires on December 31, 2025.

What is the occupancy rate at Bethany on 42nd?

Bethany on 42nd's occupancy is 99%.

Does Bethany on 42nd operate as a for-profit or non-profit?

Bethany on 42nd is registered as a non-profit in ND.

How many beds does Bethany on 42nd have?

Bethany on 42nd has 40 beds.

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

Bethany on 42nd

Overview of Bethany on 42nd

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Staffing

Leadership

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Contact Bethany on 42nd

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

176 Certified Nursing Assistant

32 Licensed Practical Nurse

20 Registered Nurse

17 Medication Aide/Technician

6 Clinical Nurse Specialist

16 Other Dietary Services Staff

3 Occupational Therapy Aide

9 Respiratory Therapist

2 Dental Services Staff

2 RN Director of Nursing

3 Dietitian

4 Physical Therapy Assistant

5 Speech Language Pathologist

1 Nurse Practitioner

1 Mental Health Service Worker

4 Physical Therapy Aide

7 Respiratory Therapy Technician

1 Qualified Social Worker

1 Administrator

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

What does this home offer?

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Bethany on 42nd

Calculate Travel Distance to Bethany on 42nd

Compare Nursing Homes around Fargo

Financial Assistance for Nursing Home in North Dakota

Aged and Disabled Waiver

Service Payments for Elderly and Disabled (SPED)

Basic Care Assistance Program (BCAP)

Family Home Care Program

Financial Assistance for
Nursing Home in North Dakota