Total health inspections
6
North Dakota average 4.2
Last Health inspection on Jun 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Bethany Retirement Living
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Fargo, ND
CMS overall rating
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.
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
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Fargo, ND
CMS overall rating
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.
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.
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 9th out of 25 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.
This home is ranked 9th out of 25 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 #9 / 25Nurse hours — State benchmarkedThis home is ranked 9th out of 25 homes in North Dakota. Shows adjusted nurse hours per resident per day benchmarked to the North Dakota average, with a ranking across 25 North Dakota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs North Dakota avg
+10%
Standout metric
Weekend Total Nursing is +25% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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 50m per day | ▲ 25% State avg: 3h 52m per day · National avg: 3h 25m per day |
Types of Care at Bethany Retirement Living
Assisted Living
Independent Living
Memory Care
Skilled Nursing
Capacity and availability
This home is often near full
Occupancy rate
98.3%
Rank #5 / 23Occupancy rate — State benchmarkedThis home is ranked 5th out of 23 homes in North Dakota. Shows this facility's occupancy rate versus the North Dakota average, with its Statewide rank out of 23. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
155 days
45-bed community Rank #37 / 53Bed count — State benchmarkedThis home is ranked 37th out of 53 homes in North Dakota. Shows this facility's certified or reported bed count compared to other North Dakota SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
39 years in operation Rank #5 / 14Years in operation — State benchmarkedThis home is ranked 5th out of 14 homes in North Dakota. Shows how long this facility has been in operation compared to other North Dakota SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 75 / 100 Rank #13 / 80Walk Score — State benchmarkedThis home is ranked 13th out of 80 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
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
How BBB ratings work
About this community
Facility TypeAssisted Living Facility
ExpirationDecember 31, 2025
CountyCass
Services
Bethany Retirement Living is legally operated by American Lutheran Home Inc.
Staffing
Key information about the people who lead and staff this community.
ContactShawn Stuhaug
Accept Medicaid
Rehabilitation Services
Respite Care
24-Hour Staffing
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
Food DescriptionDining options include University Café and 42nd Street Diner.
Health Inspection History
Inspections
Total health citations
9
Rank #5 / 25Health citations — State benchmarkedThis home is ranked 5th out of 25 homes in North Dakota. Shows this facility's total health deficiency citations benchmarked to the North Dakota State average, with a ranking across all 25 ND SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
North Dakota average 16.5
Citations per inspection
1.5
Rank #1 / 25Citations per inspection — State benchmarkedThis home is ranked 1st out of 25 homes in North Dakota. Shows average deficiency citations per CMS inspection for this facility versus the North Dakota mean across 25 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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
0
100% better than North Dakota averageNorth Dakota average: 0.5
Serious health citations
1
In line with North Dakota averageNorth Dakota average: 1
Citations history (last 4 years)
Pharmacy moderate citation
Jun 04, 2025
Corrected
Care Planning moderate citation
Jan 29, 2025
Corrected
Infection Control moderate citation
Oct 24, 2024
Corrected
Pharmacy moderate citation
Oct 26, 2023
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
424
Employees
383
Contractors
41
Staff to resident ratio
2.59:1
35% better than North Dakota average
Avg staff/day
139
Average shift
7.6 hours
0% compared with North Dakota average
Total staff hours (quarter)
97,374
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
35
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
34
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
230
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
9%
8,777 contractor hours this quarter
Speech Language Pathologist: 11
Physical Therapy Assistant: 6
Registered Nurse: 6
Respiratory Therapy Technician: 6
Physical Therapy Aide: 5
Licensed Practical Nurse: 4
Qualified Social Worker: 2
Medical Director: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 230 | 0 | 230 | 49,101 | 92 | 100% | 7.5 |
| Registered Nurse | 29 | 6 | 35 | 11,824 | 92 | 100% | 9.7 |
| Licensed Practical Nurse | 30 | 4 | 34 | 8,289 | 92 | 100% | 8.8 |
| Medication Aide/Technician | 27 | 0 | 27 | 6,951 | 92 | 100% | 7.8 |
| Other Dietary Services Staff | 30 | 0 | 30 | 4,024 | 92 | 100% | 5.5 |
| Clinical Nurse Specialist | 14 | 0 | 14 | 3,862 | 75 | 82% | 7.9 |
| Dental Services Staff | 4 | 0 | 4 | 1,840 | 65 | 71% | 7.9 |
| Respiratory Therapist | 7 | 0 | 7 | 1,757 | 90 | 98% | 7.3 |
| RN Director of Nursing | 5 | 0 | 5 | 1,565 | 65 | 71% | 8 |
| Speech Language Pathologist | 0 | 11 | 11 | 1,443 | 77 | 84% | 6.2 |
| Physical Therapy Assistant | 0 | 6 | 6 | 1,357 | 77 | 84% | 6.8 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 1,313 | 82 | 89% | 6 |
| Occupational Therapy Aide | 2 | 0 | 2 | 976 | 65 | 71% | 7.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 774 | 63 | 68% | 7.7 |
| Physical Therapy Aide | 0 | 5 | 5 | 768 | 69 | 75% | 6.1 |
| Nurse Practitioner | 1 | 0 | 1 | 485 | 62 | 67% | 7.8 |
| Qualified Social Worker | 0 | 2 | 2 | 421 | 68 | 74% | 3.5 |
| Dietitian | 1 | 0 | 1 | 316 | 40 | 43% | 7.9 |
| Administrator | 1 | 0 | 1 | 288 | 36 | 39% | 8 |
| Medical Director | 0 | 1 | 1 | 21 | 7 | 8% | 3 |
230 Certified Nursing Assistant
% of Days
100%
35 Registered Nurse
% of Days
100%
34 Licensed Practical Nurse
% of Days
100%
27 Medication Aide/Technician
% of Days
100%
30 Other Dietary Services Staff
% of Days
100%
14 Clinical Nurse Specialist
% of Days
82%
4 Dental Services Staff
% of Days
71%
7 Respiratory Therapist
% of Days
98%
5 RN Director of Nursing
% of Days
71%
11 Speech Language Pathologist
% of Days
84%
6 Physical Therapy Assistant
% of Days
84%
6 Respiratory Therapy Technician
% of Days
89%
2 Occupational Therapy Aide
% of Days
71%
2 Mental Health Service Worker
% of Days
68%
5 Physical Therapy Aide
% of Days
75%
1 Nurse Practitioner
% of Days
67%
2 Qualified Social Worker
% of Days
74%
1 Dietitian
% of Days
43%
1 Administrator
% of Days
39%
1 Medical Director
% of Days
8%
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.
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.
6.0
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 averageNorth Dakota average: 11.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.1
27% 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
8.6%
Percent of long-stay residents whose need for help with daily activities has increased
8.6%
58% better than North Dakota averageNorth Dakota average: 20.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
13.7%
Percent of long-stay residents whose ability to move independently worsened
13.7%
34% 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
26.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.1%
In line with North Dakota averageNorth Dakota average: 25.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
27% 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
2.4%
Percent of long-stay high risk residents with pressure ulcers
2.4%
57% better than North Dakota averageNorth Dakota average: 5.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.6%
Percent of long-stay residents with a urinary tract infection
1.6%
54% better than North Dakota averageNorth Dakota average: 3.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.6%
Percent of long-stay residents who lose too much weight
1.6%
72% better than North Dakota averageNorth Dakota average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.4%
Percent of long-stay residents who have depressive symptoms
2.4%
47% better than North Dakota averageNorth Dakota average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.5%
Percent of long-stay residents who received an antipsychotic medication
15.5%
28% 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
99.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.3%
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
99.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
5% better than North Dakota averageNorth Dakota average: 94.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.6%
25% worse than North Dakota averageNorth Dakota average: 2.1%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
9% 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.
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
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Bethany Retirement Living based on CMS SNF Cost Reports.
Occupancy Rate
98.3%
↓ 0.6pp vs 2022
Net Income
$1.1M
↓ ~$3.4M vs 2022
Total Payroll
$20.9M
↓ ~$317.4K vs 2022
Profit Margin
3.6%
↓ 11.7pp vs 2022
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 #3 / 22Revenue — State benchmarkedThis home is ranked 3rd out of 22 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 %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Surplus of revenue
$1.1M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #2 / 22Payroll — State benchmarkedThis home is ranked 2nd 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.
$20.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #2 / 22Payroll — State benchmarkedThis home is ranked 2nd 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$28.7M
What does this home offer?
Housing Options: Studio / 1 Bed
Building Type: 3-story
Fitness and Recreation
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Bethany Retirement Living
1.1 miles from city center
Estimated distance in miles from Fargo's city center to Bethany Retirement Living's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in North Dakota
Bethany Retirement Living is located in Fargo, North Dakota.
Here are the financial assistance programs available to residents in North Dakota.
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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