What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

Assisted Living in Fargo

CMS overall rating

Bethany Retirement Living

201 S University Dr, Fargo, ND 58103, United States ; 4255 30th Avenue South Fargo, ND 58104 View map

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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

5/5

North Dakota average: 3.8/5

Health Inspection

4/5

North Dakota average: 3.1/5

Staffing

5/5

North Dakota average: 4.4/5

Quality Measures

4/5

North Dakota average: 3.1/5

Nursing care per resident

5h 27m per day

This home provides 10% more nursing time per resident than the North Dakota average.

North Dakota average: 4h 58m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 45

This home is often near full

That suggests steady demand, but availability may be limited.

98.3%

164

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for

Short stays Recovery Medicare-covered care

How we assess these insights Show admissions and discharges

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

Home revenue

$29.7M

Surplus of revenue

$1.1M

Voluntary non-profit community

Home revenue

$29.7M

Surplus of revenue

$1.1M

Payroll costs

$15.8M

53.1% of revenue

Other operating costs

$12.9M

Total costs $28.7M

45-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

39 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 75 / 100

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

Services

Bathing

Dressing

Toileting

Transferring

Eating

Medication Management

Personal Hygiene

Meal Preparation

About this community

Facility TypeAssisted Living Facility

ExpirationDecember 31, 2025

CountyCass

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

Nursing Services

Skilled Nursing

24-Hour Staffing

Chapel

University Café

Gift Shop

Hair Salon

Library

Wellness Center

Specific ProgramsIndependent Living, Assisted Living, Assisted Living Short Stay Suites, Basic Care, Memory Care, Rehabilitation Suites/TCU, Skilled Nursing, Ethos Hospice, Ethos Home Care, Pastoral Care

Religious ServicesYes

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

What does this home offer?

Housing Options: Studio / 1 Bed

Building Type: 3-story

Fitness and Recreation

Types of Care at Bethany Retirement Living

Assisted Living Independent Living Memory Care Skilled Nursing

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Payment & Funding Options

Medicaid

Inspections

Total health inspections 6

North Dakota average 4.2

Last Health inspection on Jun 2025

Total health citations 9

North Dakota average 16.5

Citations per inspection

1.5

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 3 years)

Critical Health citations 0

100% better than North Dakota average

North Dakota average: 0.5

Serious Health citations 1

In line with North Dakota average

North Dakota average: 1

0 critical citations North Dakota average: 0.5

1 serious citation North Dakota average: 1

8 moderate citations North Dakota average: 14.8

0 minor citations North Dakota average: 0.2

Citations history (last 3 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

Compare Assisted Living around Fargo

Filter by care type

Bethany Retirement Living

Fargo (Jefferson)

172

Studio / 1 Bed

B-

Shawn Stuhaug

Bethany on 42nd

Fargo (Anderson Park)

116

Yes

Studio / 1 Bed

A+

Shawn Stuhaug

Eventide Fargo Senior Living Apartments

Fargo

Yes

Studio / 1 Bed

Chris Gilson

Eventide Fargo Assisted Living

Fargo

Studio / 1 Bed

Edgewood Fargo

Fargo (Points West)

Yes

Studio / 1 Bed

Mitch Peters

Bethany Retirement Living

Type of care: NH AL IL MC

Community: Fargo (Jefferson)

Bed Count: 172

Pets Allowed: No

Bed Options: Studio / 1 Bed

Bethany on 42nd

Type of care: AL HC HC IL

Community: Fargo (Anderson Park)

Bed Count: 116

Pets Allowed: Yes

Bed Options: Studio / 1 Bed

Eventide Fargo Senior Living Apartments

Type of care: AL IL MC NH

Community: Fargo

Bed Count: 98

Pets Allowed: Yes

Bed Options: Private Rooms

Eventide Fargo Assisted Living

Type of care: AL

Community: Fargo

Bed Count: 76

Pets Allowed: No

Bed Options: Studio / 1 Bed

Edgewood Fargo

Type of care: AL IL MC

Community: Fargo (Points West)

Bed Count: 70

Pets Allowed: Yes

Bed Options: Studio / 1 Bed / 2 Bed

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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

Total count 29

9.7 hours

This role is partially covered by contractors.

Total count 38

9 hours

This role is partially covered by contractors.

Total count 256

7.5 hours

No contractors work on this role.

Contractor staffing

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 Assistant	256	0	256	49,505	91	100%	7.5
Registered Nurse	27	2	29	11,166	91	100%	9.7
Licensed Practical Nurse	37	1	38	9,021	91	100%	9
Medication Aide/Technician	33	0	33	7,009	91	100%	7.6
Clinical Nurse Specialist	13	0	13	4,175	68	75%	7.9
Other Dietary Services Staff	31	0	31	3,897	91	100%	5.5
Dental Services Staff	5	0	5	2,056	66	73%	7.8
Physical Therapy Assistant	0	10	10	1,570	73	80%	6.4
Speech Language Pathologist	0	9	9	1,567	77	85%	6.5
Respiratory Therapist	5	0	5	1,559	88	97%	6.7
RN Director of Nursing	4	0	4	1,512	68	75%	7.9
Respiratory Therapy Technician	0	5	5	1,378	79	87%	6.4
Mental Health Service Worker	2	0	2	979	65	71%	7.8
Occupational Therapy Aide	2	0	2	920	64	70%	7.9
Physical Therapy Aide	0	5	5	798	76	84%	6.4
Qualified Social Worker	0	2	2	555	64	70%	4.4
Nurse Practitioner	1	0	1	464	61	67%	7.6
Dietitian	3	0	3	396	42	46%	7.9
Administrator	1	0	1	280	35	38%	8
Medical Director	0	1	1	18	6	7%	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%

View All Staffing Data in Fargo

Total census

164 residents

Residents by payment source

Medicare

26 residents (15.9%)

Medicaid

64 residents (39%)

Private pay or other

74 residents (45.1%)

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.

High-risk clinical events score 6.0

48% better than North Dakota average

North Dakota average: 11.4

Functional decline score 16.1

27% better than North Dakota average

North Dakota average: 22.0

Long-stay resident measures

Need for Help with Daily Activities Increased 8.6%

58% better than North Dakota average

North Dakota average: 20.4%

Walking Ability Worsened 13.7%

34% better than North Dakota average

North Dakota average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 26.1%

In line with North Dakota average

North Dakota average: 25.0%

Falls with Major Injury 3.7%

27% better than North Dakota average

North Dakota average: 5.0%

High Risk Residents with Pressure Ulcers 2.4%

57% better than North Dakota average

North Dakota average: 5.6%

Urinary Tract Infection 1.6%

54% better than North Dakota average

North Dakota average: 3.4%

Lost Too Much Weight 1.6%

72% better than North Dakota average

North Dakota average: 5.7%

Depressive Symptoms 2.4%

47% better than North Dakota average

North Dakota average: 4.4%

Antipsychotic Use 15.5%

28% 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 99.3%

In line with North Dakota average

North Dakota average: 98.8%

Short-stay resident measures

Pneumococcal Vaccine 99.1%

5% better than North Dakota average

North Dakota average: 94.4%

Antipsychotic medication increase 2.6%

25% worse than North Dakota average

North Dakota average: 2.1%

Influenza Vaccine 96.9%

9% better than North Dakota average

North Dakota average: 88.6%

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

Loading trend charts...

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	99.4%	99.1%	99.0%	98.7%	98.8%	97.9%	93.4%	97.2%	98.1%	94.5%	97.3%	98.8%	98.3%
Beds	172	172	172	172	172	172	172	172	172	172	172	172	172
Net Income	$1,543,648	$1,079,267	$507,922	$192,549	-$88,001	$271,005	-$320,901	$345,882	$1,192,271	$2,841,746	$5,856,242	$4,453,658	$1,064,519
Gross Revenue	$15,131,578	$15,301,824	$15,739,006	$16,834,457	$17,289,043	$19,236,519	$20,002,185	$22,927,811	$24,128,631	$25,932,555	$26,156,464	$29,108,705	$29,373,523
Operating Expenses	$13,501,968	$13,961,493	$14,804,316	$15,990,512	$16,822,522	$18,195,097	$18,793,164	$20,913,862	$21,472,920	$23,208,573	$24,172,074	$27,467,756	$26,756,287
Net Patient Revenue	$15,035,998	$15,016,885	$15,305,890	$16,172,807	$16,705,152	$18,427,407	$18,720,960	$21,217,206	$22,611,143	$24,401,800	$24,501,875	$26,834,199	$27,459,453
Total Payroll	$10,797,393	$11,230,324	$11,996,281	$12,681,644	$13,884,620	$14,402,581	$14,347,550	$15,893,377	$16,260,848	$17,598,331	$18,520,167	$21,181,569	$20,864,139
Profit Margin %	10.2%	7.1%	3.2%	1.1%	-0.5%	1.4%	-1.6%	1.5%	4.9%	11.0%	22.4%	15.3%	3.6%
Medicare %	7.8%	5.9%	7.5%	8.6%	7.6%	7.5%	10.8%	12.8%	13.3%	21.5%	18.7%	17.3%	13.0%
Medicaid %	45.1%	47.9%	42.1%	42.2%	47.5%	49.3%	48.4%	48.7%	40.2%	37.1%	39.7%	36.5%	39.1%
Private %	47.0%	46.2%	50.4%	49.2%	44.9%	43.1%	40.8%	38.4%	46.5%	41.4%	41.6%	46.2%	47.9%
Revenue/Day	$241	$241	$246	$261	$269	$299	$319	$348	$367	$410	$401	$432	$445
Cost/Day	$216	$224	$238	$258	$271	$295	$321	$343	$349	$390	$396	$443	$434
Avg Length of Stay	449.0 days	364.7 days	244.7 days	231.3 days	331.8 days	350.3 days	217.1 days	160.6 days	149.4 days	96.5 days	119.5 days	158.7 days	155.0 days

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

Aged and Disabled Waiver

ND Medicaid A&D Waiver

General: Age 65+ or disabled, 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 Specifics: Higher asset limit; sparse population aids rural access.

Service Payments for Elderly and Disabled (SPED)

ND SPED

General: Age 65+ or disabled, North Dakota resident, at risk of decline.

Income Limits: ~$1,732/month (individual, varies).

Asset Limits: $50,000 (individual, higher limit).

ND Specifics: Higher asset limit; rural focus.

Basic Care Assistance Program (BCAP)

North Dakota Basic Care Assistance Program

General: Age 65+ (or disabled 18+), 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 Specifics: Supplements SSI; covers ~50 facilities statewide.

Family Home Care Program

North Dakota Family Home Care Program

General: Age 60+, 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 Specifics: Caregiver must be family; payment varies by hours/service.

Medicare Savings Program (MSP)

North Dakota Medicare Savings Program

General: Age 65+ or disabled, 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 Specifics: Three tiers; no waitlist; includes Extra Help for Part D.

Low-Income Home Energy Assistance Program (LIHEAP)

North Dakota LIHEAP

General: Age 60+ prioritized, ND resident, low-income household.

Income Limits (2025): ~$3,970/month (individual, 185% FPL).

Asset Limits: Not assessed; income-focused.

ND Specifics: Covers oil, gas, electric; emergency aid available.

Family Caregiver Support Program (FCSP)

North Dakota Family Caregiver Support Program

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 Specifics: 8 regions; rural/low-income priority.

Senior Community Service Employment Program (SCSEP)

North Dakota SCSEP

General: Age 55+, unemployed, low-income, ND resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

ND Specifics: Priority for veterans, rural residents; AARP partnership.

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

North Dakota VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, 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 Specifics: High veteran demand in rural areas; ND Veterans Home option.

Property Tax Homestead Credit for Seniors

North Dakota Homestead Property Tax Credit

General: Age 65+ (or disabled), 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 Specifics: Credit up to $500-$1,000; applies to primary residence.

Medicaid Personal Care Option (PCO)

North Dakota Medicaid Personal Care Option

General: Age 65+ (or disabled), 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 Specifics: Self-directed option (hire family); part of Medicaid State Plan, not a waiver.

Assisted Living in Fargo

Bethany Retirement Living

Assisted Living in Fargo

Bethany Retirement Living

Quality ratings

Nursing care per resident

Capacity and availability

Smaller home

This home is often near full

Who this home usually serves

Mostly short-term rehab stays

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

Services

About this community

License Details

Ownership & Operating Entity

Staffing

Leadership

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Dining & Nutrition

What does this home offer?

Types of Care at Bethany Retirement Living

Access & Eligibility

Payment & Funding Options

Health Inspection History

Inspections

Breakdown of citation severity (last 3 years)

Citations history (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.

Places of interest near Bethany Retirement Living

Calculate Travel Distance to Bethany Retirement Living

Staffing Data (Q2 2025)

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

256 Certified Nursing Assistant

29 Registered Nurse

38 Licensed Practical Nurse

33 Medication Aide/Technician

13 Clinical Nurse Specialist

31 Other Dietary Services Staff

5 Dental Services Staff

10 Physical Therapy Assistant

9 Speech Language Pathologist

5 Respiratory Therapist

4 RN Director of Nursing

5 Respiratory Therapy Technician

2 Mental Health Service Worker

2 Occupational Therapy Aide

5 Physical Therapy Aide

2 Qualified Social Worker

1 Nurse Practitioner

3 Dietitian

1 Administrator

1 Medical Director

Facility Characteristics

Residents by payment source

Programs & Services

Residents' Group

Nurse Aide Training

Active Resident Council

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Compare Assisted Living around Fargo