We arrange tours, appointments, and even moving support so you don’t have to
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Calculator: See prices in your area
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 9th out of 25 homes in North Dakota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 4m per day | ▲ 16% 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.
| 39m per day | ▲ 28% State avg: 31m 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 43m per day | ▲ 25% State avg: 2h 58m 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 53m per day | ▲ 28% State avg: 3h 50m per day · National avg: 3h 27m 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.
| 5m per day | ▲ 103% State avg: 3m 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.
| 46m per day | ▲ 31% State avg: 35m per day · National avg: 29m per day |
Higher than the North Dakota average: 87.8%Bethany Retirement Living is legally operated by American Lutheran Home Inc.
Key information about the people who lead and staff this community.
North Dakota average 4.2
Last Health inspection on Jun 2025
North Dakota average 16.5
North Dakota average 3.93
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
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).
100% better than North Dakota averageNorth Dakota average: 0.5
In line with North Dakota averageNorth Dakota average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
35% more staff per resident than North Dakota average
0% compared with North Dakota average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
35 total: 29 full-time employees and 6 contractors.
35
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursAssists with medical care and medications.
34 total: 30 full-time employees and 4 contractors.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 230 CNA Staff are full-time employees. No contractors work on this role.
230
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
8,777 contractor hours this quarter
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 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.0
48% better than North Dakota averageNorth Dakota average: 11.4
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
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%
Percent of long-stay residents whose ability to move independently worsened
13.7%
34% better than North Dakota averageNorth Dakota average: 20.6%
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%
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%
Percent of long-stay high risk residents with pressure ulcers
2.4%
57% better than North Dakota averageNorth Dakota average: 5.6%
Percent of long-stay residents with a urinary tract infection
1.6%
54% better than North Dakota averageNorth Dakota average: 3.4%
Percent of long-stay residents who lose too much weight
1.6%
72% better than North Dakota averageNorth Dakota average: 5.7%
Percent of long-stay residents who have depressive symptoms
2.4%
47% better than North Dakota averageNorth Dakota average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
15.5%
28% better than North Dakota averageNorth Dakota average: 21.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
In line with North Dakota averageNorth Dakota average: 98.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.3%
In line with North Dakota averageNorth Dakota average: 98.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
5% better than North Dakota averageNorth Dakota average: 94.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.6%
25% worse than North Dakota averageNorth Dakota average: 2.1%
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.
81% of new residents, usually for short-term rehab.
15% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
164Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Bethany Retirement Living from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Studio / 1 Bed
Building Type: 3-story
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (81% of admissions), and a typical Medicare stay runs around 20 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
Add your location
Bethany Retirement Living is located in Fargo, North Dakota.
Here are the financial assistance programs available to residents in North Dakota.
The information below is reported by the North Dakota Department of Health and Human Services, Health Facilities Division.
| SMP Health – St. Catherine South |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
PC Palliative Care | Fargo (Lincoln) | 98
Facility
98
ND AVG
75
Rank
#14 / 53 |
93.8%
Facility
93.8%
ND AVG
87.8%
Rank
#13 / 23 | +7% | 5.83
Facility
5.83
ND AVG
5.16
Rank
#4 / 25 | +3% | +13% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 25 | 10
Facility
10
ND AVG
16.5
Rank
#6 / 25 | 3.3
Facility
3.3
ND AVG
3.9
Rank
#12 / 25 | - | 88 | - |
67
Facility
67
ND AVG
42
Rank
#16 / 80 | - | $15.0M
Facility
$15.0M
ND AVG
$11.5M
Rank
#11 / 22 | $9.6M
Facility
$9.6M
ND AVG
$5.6M
Rank
#10 / 22 | 63.9%
Facility
63.9%
ND AVG
48.6%
Rank
#9 / 22 | 355079 | ||||
| Bethany on 42nd |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Fargo (Anderson Park) | 40
Facility
40
ND AVG
75
Rank
#43 / 53 |
99.4%
Facility
99.4%
ND AVG
87.8%
Rank
#1 / 23 | +13% | 5.11
Facility
5.11
ND AVG
5.16
Rank
#11 / 25 | -51% | -1% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 25 | 11
Facility
11
ND AVG
16.5
Rank
#7 / 25 | 3.7
Facility
3.7
ND AVG
3.9
Rank
#16 / 25 | - | 113 | A+ |
29
Facility
29
ND AVG
42
Rank
#50 / 80 | Bethany Homes, Inc | $21.3M
Facility
$21.3M
ND AVG
$11.5M
Rank
#6 / 22 | $13.4M
Facility
$13.4M
ND AVG
$5.6M
Rank
#6 / 22 | 62.6%
Facility
62.6%
ND AVG
48.6%
Rank
#10 / 22 | 355123 | ||||
| Elim Health Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Fargo (River Drive) | 88
Facility
88
ND AVG
75
Rank
#18 / 53 |
75.6%
Facility
75.6%
ND AVG
87.8%
Rank
#18 / 23 | -14% | 5.55
Facility
5.55
ND AVG
5.16
Rank
#7 / 25 | +5% | +8% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 25 | 7
Facility
7
ND AVG
16.5
Rank
#2 / 25 | 2.3
Facility
2.3
ND AVG
3.9
Rank
#6 / 25 | - | 85 | - |
52
Facility
52
ND AVG
42
Rank
#31 / 80 | - | $14.9M
Facility
$14.9M
ND AVG
$11.5M
Rank
#12 / 22 | $8.3M
Facility
$8.3M
ND AVG
$5.6M
Rank
#13 / 22 | 55.6%
Facility
55.6%
ND AVG
48.6%
Rank
#18 / 22 | 355129 | ||||
| Bethany Retirement Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Fargo (Jefferson) | 45
Facility
45
ND AVG
75
Rank
#37 / 53 |
98.3%
Facility
98.3%
ND AVG
87.8%
Rank
#5 / 23 | +12% | 5.46
Facility
5.46
ND AVG
5.16
Rank
#9 / 25 | -37% | +6% | $0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 25 | 9
Facility
9
ND AVG
16.5
Rank
#5 / 25 | 1.5
Facility
1.5
ND AVG
3.9
Rank
#1 / 25 | 1 | 164 | A+ |
75
Facility
75
ND AVG
42
Rank
#13 / 80 | American Lutheran Homes Inc | $29.7M
Facility
$29.7M
ND AVG
$11.5M
Rank
#3 / 22 | $20.9M
Facility
$20.9M
ND AVG
$5.6M
Rank
#2 / 22 | 70.2%
Facility
70.2%
ND AVG
48.6%
Rank
#5 / 22 | 355086 | ||||
| SMP Health – St. Catherine North |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
PC Palliative Care | Fargo (Horace Mann) | 125
Facility
125
ND AVG
75
Rank
#7 / 53 |
95.4%
Facility
95.4%
ND AVG
87.8%
Rank
#10 / 23 | +9% | 5.59
Facility
5.59
ND AVG
5.16
Rank
#7 / 25 | -45% | +8% | $6.2k
Facility
$6.2k
ND AVG
$38.3k
Rank
#11 / 25 | 12
Facility
12
ND AVG
16.5
Rank
#10 / 25 | 3.0
Facility
3.0
ND AVG
3.9
Rank
#9 / 25 | 1 | 120 | - |
42
Facility
42
ND AVG
42
Rank
#38 / 80 | Aaron Alton | $18.1M
Facility
$18.1M
ND AVG
$11.5M
Rank
#8 / 22 | $12.0M
Facility
$12.0M
ND AVG
$5.6M
Rank
#7 / 22 | 66.5%
Facility
66.5%
ND AVG
48.6%
Rank
#8 / 22 | 355047 |
Bethany Retirement Living is in the Jefferson neighborhood of United States ; 4255 30th Avenue South Fargo.
The legal owner and operator of Bethany Retirement Living is American Lutheran Home Inc.
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.
According to ND state health department records, Bethany Retirement Living's license expires on December 31, 2025.
Bethany Retirement Living's occupancy is 98%.
Bethany Retirement Living has 45 beds.
Yes — there are 42 photos of Bethany Retirement Living in the photo gallery on this page.
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
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
