Bethany Retirement Living
Assisted Living, Independent Living, Memory Care & Skilled Nursing · Fargo, ND
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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 Retirement Living

Assisted Living, Independent Living, Memory Care & Skilled Nursing · Fargo, ND
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
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Bethany Retirement Living accepts Medicaid, Medicare, and private pay.

Overview of Bethany Retirement Living

With two locations across Fargo, ND, Bethany Retirement Living is a venerable senior living provider offering a wide range of care options including independent living, assisted living, short-term stay, basic care, memory care, and skilled nursing. Experience convenience and safety like no other with warm and welcoming private accommodations. Keep worries at bay with a team of trustworthy and extremely talented professionals caring for seniors’ needs and aspirations around the clock. As a Christian, non-profit organization Bethany Retirement Living holds itself to a gold standard when it comes to providing a secure and comfortable place for residents to enjoy retirement.

The communities both foster a vibrant environment, conducting various fun activities and enjoyable wellness programs to empower residents to thrive and be the best version of themselves. Indulge in healthy and tasty meals catering to residents’ dietary requirements and tastes. With several recognitions under its wing, Bethany Retirement Living continues to provide the highest quality of care and support for seniors to experience a fabulous retirement.

Bethany Retirement Living currently operates both Bethany on University as well as Bethany on 42nd.

(701) 239-3000

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 31.6% Above ND avg.
Health Inspection Info 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.
▲ 29.0% Above ND avg.
Staffing Info 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.
▲ 13.6% Above ND avg.
Quality Measures Info 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.
▲ 29.0% Above ND avg.

Staffing hours breakdown

Info 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.

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

Total nursing care / resident Info This home is ranked 6th out of 19 homes in North Dakota.

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.
5h 27m per day
Rank #6 / 19Nurse hours — state benchmarkedThis home is ranked 6th out of 19 homes in North Dakota.Shows adjusted nurse hours per resident per day benchmarked to the North Dakota average, with a ranking across 19 North Dakota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility North Dakota avg (4h 58m per day)
vs North Dakota avg
+10%
Staff typeHours / dayvs state avg
Total Nursing (Weekend) Info 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 50m per day

Capacity and availability

This home is often near full

Occupancy higher than 95% suggests steady demand, but availability may be limited.

Higher occupancy than the North Dakota average: 87.8%
Occupancy rate 98.3% Rank #5 / 19Occupancy rate — state benchmarkedThis home is ranked 5th out of 19 homes in North Dakota.Shows this facility's occupancy rate versus the North Dakota average, with its statewide rank out of 19. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay 155 days
Occupancy rate
98.3% Rank #5 / 19Occupancy rate — state benchmarkedThis home is ranked 5th out of 19 homes in North Dakota.Shows this facility's occupancy rate versus the North Dakota average, with its statewide rank out of 19. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
155 days

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.

Breakdown by payment type

Medicare

81% of new residents, usually for short-term rehab.

Typical stay 20 days

Private pay

15% of new residents, often for short stays.

Typical stay 1 years

Medicaid

4% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Finances and operations

Voluntary non-profit community
Home revenue
$29.7M
Surplus of revenue
$1.1M
Voluntary non-profit community
Home revenue
$29.7M Rank #4 / 18Revenue — state benchmarkedThis home is ranked 4th out of 18 homes in North Dakota.Shows this facility's annual revenue compared to the North Dakota SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Surplus of revenue
$1.1M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #4 / 18Payroll — state benchmarkedThis home is ranked 4th out of 18 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.
$20.9M
70.2% of revenue Rank #6 / 18Payroll % — state benchmarkedThis home is ranked 6th out of 18 homes in North Dakota.Shows payroll as a percentage of revenue versus the North Dakota average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.8M
Total costs $28.7M
Bed community size
45-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
39 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 75 / 100 Rank #2 / 18Walk Score — state benchmarkedThis home is ranked 2nd out of 18 homes in North Dakota.Shows how walkable this facility's neighborhood is compared to the average Walk Score across North Dakota SNFs. Higher scores benefit residents, families, and staff.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating
BBB Rating: B- (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
Personal Hygiene
Meal Preparation
Housekeeping

About this community

License Details

Facility TypeAssisted Living Facility
ExpirationDecember 31, 2025
CountyCass

Ownership & Operating Entity

Bethany Retirement Living is legally operated by American Lutheran Home Inc.

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactShawn Stuhaug

Payment & Insurance

1 service
Accept Medicaid

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

2 services
Nursing Services
24-Hour Staffing

Amenities & Lifestyle

Chapel
University Café
Gift Shop
Hair Salon
Library
Wellness Center
Specific ProgramsAssisted Living Short Stay Suites, Basic Care, Rehabilitation Suites/TCU, Ethos Hospice, Ethos Home Care, Pastoral Care
Religious ServicesYes

Dining & Nutrition

Food DescriptionDining options include University Café and 42nd Street Diner.

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Studio / 1 Bed

Building type icon
Building type icon

Building Type: 3-story

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Bethany Retirement Living

Assisted Living Independent Living Memory Care Skilled Nursing

Contact Bethany Retirement Living

Health Inspection History

Inspections
Total health inspections 6

North Dakota average 4.2


Last Health inspection on Jun 2025

Total health citations
9 Rank #3 / 19Health citations — state benchmarkedThis home is ranked 3rd out of 19 homes in North Dakota.Shows this facility's total health deficiency citations benchmarked to the North Dakota state average, with a ranking across all 19 ND SNFs. Lower citation counts earn a better rank.

North Dakota average 16.5

Citations per inspection
1.5 Rank #1 / 19Citations per inspection — state benchmarkedThis home is ranked 1st out of 19 homes in North Dakota.Shows average deficiency citations per CMS inspection for this facility versus the North Dakota mean across 19 SNFs with citation data. Lower is better.

North Dakota average 3.93


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

5 of 9 citations resulted from standard inspections; 3 of 9 resulted from complaint investigations; and 1 of 9 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)
Critical Health citations More info
0
100% better than North Dakota average

North Dakota average: 0.5


Serious Health citations More info 1
In line with North Dakota average

North Dakota average: 1

0 critical citations More info North Dakota average: 0.5

1 serious citation More info North Dakota average: 1

8 moderate citations More info North Dakota average: 14.8

0 minor citations More info North Dakota average: 0.2
Citations history (last 4 years)
Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jun 04, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Jan 29, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Oct 24, 2024
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Oct 26, 2023
Corrected

Financial Assistance for
Assisted Living in North Dakota

Bethany Retirement Living is located in Fargo, North Dakota.
Here are the financial assistance programs available to residents in North Dakota.

Get Financial aid guidance

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
ND

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
ND

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
ND

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.
ND

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).
ND

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.
ND

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
ND

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.
ND

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).
ND

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)

Places of interest near Bethany Retirement Living

Address 1.1 miles from city center Info Estimated distance in miles from Fargo's city center to Bethany Retirement Living's address, calculated via Google Maps.

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 455
Employees 420
Contractors 35
Staff to resident ratio 2.77:1
41% better than North Dakota average

North Dakota average ratio: 1.97:1

Avg staff/day 143
Average shift 7.6 hours
0% compared with North Dakota average

North Dakota average: 7.9 hours

Total staff hours (quarter) 98,824

Nursing staff breakdown

Registered Nurse

Manages medical care and health needs.

Total count 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 38
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 256
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

7.5%

7,374 contractor hours this quarter

Physical Therapy Assistant: 10 Speech Language Pathologist: 9 Physical Therapy Aide: 5 Respiratory Therapy Technician: 5 Registered Nurse: 2 Qualified Social Worker: 2 Licensed Practical Nurse: 1 Medical Director: 1

Staff by category

Certified Nursing Assistant256025649,50591100%7.5
Registered Nurse2722911,16691100%9.7
Licensed Practical Nurse371389,02191100%9
Medication Aide/Technician330337,00991100%7.6
Clinical Nurse Specialist130134,1756875%7.9
Other Dietary Services Staff310313,89791100%5.5
Dental Services Staff5052,0566673%7.8
Physical Therapy Assistant010101,5707380%6.4
Speech Language Pathologist0991,5677785%6.5
Respiratory Therapist5051,5598897%6.7
RN Director of Nursing4041,5126875%7.9
Respiratory Therapy Technician0551,3787987%6.4
Mental Health Service Worker2029796571%7.8
Occupational Therapy Aide2029206470%7.9
Physical Therapy Aide0557987684%6.4
Qualified Social Worker0225556470%4.4
Nurse Practitioner1014646167%7.6
Dietitian3033964246%7.9
Administrator1012803538%8
Medical Director0111867%3
256 Certified Nursing Assistant
% of Days 100%
29 Registered Nurse
% of Days 100%
38 Licensed Practical Nurse
% of Days 100%
33 Medication Aide/Technician
% of Days 100%
13 Clinical Nurse Specialist
% of Days 75%
31 Other Dietary Services Staff
% of Days 100%
5 Dental Services Staff
% of Days 73%
10 Physical Therapy Assistant
% of Days 80%
9 Speech Language Pathologist
% of Days 85%
5 Respiratory Therapist
% of Days 97%
4 RN Director of Nursing
% of Days 75%
5 Respiratory Therapy Technician
% of Days 87%
2 Mental Health Service Worker
% of Days 71%
2 Occupational Therapy Aide
% of Days 70%
5 Physical Therapy Aide
% of Days 84%
2 Qualified Social Worker
% of Days 70%
1 Nurse Practitioner
% of Days 67%
3 Dietitian
% of Days 46%
1 Administrator
% of Days 38%
1 Medical Director
% of Days 7%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 164
Medicare
26
15.9% of residents
Medicaid
64
39% of residents
Private pay or other
74
45.1% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 6.0
48% better than North Dakota average

North Dakota average: 11.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 16.1
27% better than North Dakota average

North Dakota average: 22.0

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 8.6%
58% better than North Dakota average

North Dakota average: 20.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.7%
34% better than North Dakota average

North Dakota average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 26.1%
In line with North Dakota average

North Dakota average: 25.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.7%
27% better than North Dakota average

North Dakota average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.4%
57% better than North Dakota average

North Dakota average: 5.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.6%
54% better than North Dakota average

North Dakota average: 3.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.6%
72% better than North Dakota average

North Dakota average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.4%
47% better than North Dakota average

North Dakota average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.5%
28% better than North Dakota average

North Dakota average: 21.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.8%
In line with North Dakota average

North Dakota average: 98.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.3%
In line with North Dakota average

North Dakota average: 98.8%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
5% better than North Dakota average

North Dakota average: 94.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.6%
25% worse than North Dakota average

North Dakota average: 2.1%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.9%
9% better than North Dakota average

North Dakota average: 88.6%

Penalties and fines

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.

Compare Assisted Living around Fargo

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

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Frequently Asked Questions about Bethany Retirement Living

What neighborhood is Bethany Retirement Living in?

Bethany Retirement Living is in the Jefferson neighborhood of United States ; 4255 30th Avenue South Fargo.

Who is the owner of Bethany Retirement Living?

The legal owner and operator of Bethany Retirement Living is American Lutheran Home Inc.

Is Bethany Retirement Living in a walkable area?

Bethany Retirement Living has a walk score of 75. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

When does Bethany Retirement Living's license expire?

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

How many beds does Bethany Retirement Living have?

Bethany Retirement Living has 45 beds.

Are there photos of Bethany Retirement Living?

Yes — there are 34 photos of Bethany Retirement Living in the photo gallery on this page.

What is the phone number of Bethany Retirement Living?

(701) 239-3000 will put you in contact with the team at Bethany Retirement Living.

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