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.
Fargo Elim Health Care Center,ffers a welcoming neighborhood for retirees, fostering a sense of rich amenities and genuine hospitality. This retirement community stands as a hub for a specialized rehabilitation and skilled nursing facility. It caters to a spectrum of needs, providing residents with a comprehensive range of choices. With a dedication to adaptability and quality, Fargo Elim boasts a state-of-the-art healthcare center designed to meet the evolving needs of residents. This forward-looking approach ensures it remains a high-quality option for generations to come.
The community also considers transitions and changing needs, providing well-designed apartments with emergency call systems for added peace of mind. Practical features like scheduled transportation, sunrooms, lounges, a beauty salon, and a barbershop enhance the convenience and comfort of residents. Additionally, the center offers outdoor patios, gardens, and a vibrant array of activities, creating an engaging environment for seniors to enjoy.
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 7th out of 26 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 |
|---|---|---|
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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 16m per day | ▲ 37% State avg: 55m 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.
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26m per day | ▼ 13% State avg: 30m per day · National avg: 52m per day |
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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.
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3h 22m per day | ▲ 12% State avg: 3h 0m per day · National avg: 2h 21m per day |
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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 25m per day | ▲ 17% State avg: 3h 46m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
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4m per day | ▲ 117% State avg: 2m per day · National avg: 4m per day |
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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.
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50m per day | ▲ 42% State avg: 35m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% fewer staff per resident than North Dakota average
5% better than 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.
All 20 RN Staff are full-time employees. No contractors work on this role.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Assists with medical care and medications.
All 9 LPN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Helps with daily care and mobility.
All 64 CNA Staff are full-time employees. No contractors work on this role.
64
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,402 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 64 | 0 | 64 | 21,471 | 92 | 100% | 8.2 |
| Registered Nurse | 20 | 0 | 20 | 6,477 | 92 | 100% | 9.6 |
| Medication Aide/Technician | 16 | 0 | 16 | 4,850 | 92 | 100% | 10.1 |
| Licensed Practical Nurse | 9 | 0 | 9 | 2,916 | 92 | 100% | 8.7 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 2,909 | 75 | 82% | 7.5 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,412 | 64 | 70% | 8 |
| Speech Language Pathologist | 0 | 3 | 3 | 1,079 | 67 | 73% | 7.2 |
| Dental Services Staff | 2 | 0 | 2 | 927 | 63 | 68% | 7.8 |
| Physical Therapy Aide | 0 | 4 | 4 | 778 | 63 | 68% | 7.1 |
| Physical Therapy Assistant | 0 | 2 | 2 | 578 | 60 | 65% | 7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 565 | 60 | 65% | 6.4 |
| RN Director of Nursing | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Other Social Services Staff | 1 | 0 | 1 | 454 | 59 | 64% | 7.7 |
| Administrator | 1 | 0 | 1 | 403 | 56 | 61% | 7.2 |
| Qualified Social Worker | 0 | 2 | 2 | 394 | 50 | 54% | 7.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 216 | 49 | 53% | 4.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 6 | 4 | 4% | 1.5 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
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.
8.0
30% better than North Dakota average
North Dakota average: 11.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.3
In line with North Dakota average
North Dakota average: 22.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.1%
26% better than North Dakota average
North Dakota average: 20.4%
Percent of long-stay residents whose ability to move independently worsened
16.1%
22% better than North Dakota average
North Dakota average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.6%
30% worse than North Dakota average
North Dakota average: 25.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
49% better than North Dakota average
North Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
5.0%
10% better than North Dakota average
North Dakota average: 5.6%
Percent of long-stay residents with a urinary tract infection
3.3%
In line with North Dakota average
North Dakota average: 3.4%
Percent of long-stay residents who lose too much weight
1.2%
78% better than North Dakota average
North Dakota average: 5.7%
Percent of long-stay residents who have depressive symptoms
4.5%
In line with North Dakota average
North Dakota average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
12.4%
42% better than North Dakota average
North Dakota average: 21.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
In line with North Dakota average
North Dakota average: 98.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.3%
In line with North Dakota average
North Dakota average: 98.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.28
14% better than North Dakota average
North Dakota average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.27
33% better than North Dakota average
North Dakota average: 1.90
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
In line with North Dakota average
North Dakota average: 94.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
29% better than North Dakota average
North Dakota average: 2.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.3%
5% better than North Dakota average
North Dakota average: 88.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.9%
29% worse than North Dakota average
North Dakota average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.4%
17% worse than North Dakota average
North Dakota average: 10.6%
Percentage of SNF residents who experience falls with major injury during their stay.
1.3%
65% worse than North Dakota average
North Dakota average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.8%
6% better than North Dakota average
North Dakota average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
51.1%
In line with North Dakota average
North Dakota average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
63% of new residents, usually for short-term rehab.
28% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
87
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 Elim Health Care Center from 2022–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #13 / 23Payroll — State benchmarkedThis home is ranked 13th out of 23 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.Rankings are based only on facilities in North Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #19 / 23Payroll % — State benchmarkedThis home is ranked 19th out of 23 homes in North Dakota. Shows payroll as a percentage of revenue versus the North Dakota average. Well-run North Dakota facilities typically land around 67–77% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in North Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (63% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.2 miles from city center
Estimated distance in miles from Fargo's city center to Elim Health Care Center's address, calculated via Google Maps.
— 1.28 miles to nearest hospital (Essentia Health ER Ambulance Bay Entrance)
Add your location
The information below is reported by the North Dakota Department of Health and Human Services, Health Facilities Division.
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| SMP Health – St. Catherine South |
NH
HC
MC
PC
|
Fargo (Lincoln) |
98
Facility
98
ND AVG
75
Rank
#14 / 53
|
93.8%
Facility
93.8%
ND AVG
87.8%
Rank
#13 / 24
| +7% |
5.83
Facility
5.83
ND AVG
5.16
Rank
#4 / 26
| +3% | +13% |
$0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 26
|
10
Facility
10
ND AVG
16.5
Rank
#6 / 26
|
3.3
Facility
3.3
ND AVG
3.9
Rank
#12 / 26
| - | 88 | - |
67
Facility
67
ND AVG
42
Rank
#16 / 80
| - |
$13.4M
Facility
$13.4M
ND AVG
$11.5M
Rank
#11 / 23
|
$9.6M
Facility
$9.6M
ND AVG
$5.6M
Rank
#10 / 23
|
71.4%
Facility
71.4%
ND AVG
48.6%
Rank
#10 / 23
| 355079 | ||||
| Bethany on 42nd |
NH
AL
MC
|
Fargo (Anderson Park) |
40
Facility
40
ND AVG
75
Rank
#43 / 53
|
99.4%
Facility
99.4%
ND AVG
87.8%
Rank
#1 / 24
| +13% |
5.11
Facility
5.11
ND AVG
5.16
Rank
#11 / 26
| -51% | -1% |
$0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 26
|
11
Facility
11
ND AVG
16.5
Rank
#7 / 26
|
3.7
Facility
3.7
ND AVG
3.9
Rank
#16 / 26
| - | 113 | A+ |
29
Facility
29
ND AVG
42
Rank
#50 / 80
| Bethany Homes, Inc |
$20.5M
Facility
$20.5M
ND AVG
$11.5M
Rank
#6 / 23
|
$12.3M
Facility
$12.3M
ND AVG
$5.6M
Rank
#6 / 23
|
59.9%
Facility
59.9%
ND AVG
48.6%
Rank
#11 / 23
| 355123 | ||||
| Elim Health Care Center |
NH
AL
HC
IL
RC
|
Fargo (River Drive) |
88
Facility
88
ND AVG
75
Rank
#18 / 53
|
75.6%
Facility
75.6%
ND AVG
87.8%
Rank
#18 / 24
| -14% |
5.55
Facility
5.55
ND AVG
5.16
Rank
#7 / 26
| +5% | +8% |
$0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 26
|
7
Facility
7
ND AVG
16.5
Rank
#2 / 26
|
2.3
Facility
2.3
ND AVG
3.9
Rank
#6 / 26
| - | 85 | - |
52
Facility
52
ND AVG
42
Rank
#31 / 80
| - |
$10.3M
Facility
$10.3M
ND AVG
$11.5M
Rank
#12 / 23
|
$7.6M
Facility
$7.6M
ND AVG
$5.6M
Rank
#13 / 23
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73.6%
Facility
73.6%
ND AVG
48.6%
Rank
#19 / 23
| 355129 | ||||
| Bethany Retirement Living |
NH
AL
MC
|
Fargo (Jefferson) |
45
Facility
45
ND AVG
75
Rank
#37 / 53
|
98.3%
Facility
98.3%
ND AVG
87.8%
Rank
#5 / 24
| +12% |
5.46
Facility
5.46
ND AVG
5.16
Rank
#9 / 26
| -37% | +6% |
$0
Facility
$0
ND AVG
$38.3k
Rank
#1 / 26
|
9
Facility
9
ND AVG
16.5
Rank
#5 / 26
|
1.5
Facility
1.5
ND AVG
3.9
Rank
#1 / 26
| 1 | 164 | A+ |
75
Facility
75
ND AVG
42
Rank
#13 / 80
| American Lutheran Homes Inc |
$27.5M
Facility
$27.5M
ND AVG
$11.5M
Rank
#3 / 23
|
$18.7M
Facility
$18.7M
ND AVG
$5.6M
Rank
#2 / 23
|
68%
Facility
68%
ND AVG
48.6%
Rank
#6 / 23
| 355086 | ||||
| SMP Health – St. Catherine North |
NH
HC
MC
PC
|
Fargo (Horace Mann) |
125
Facility
125
ND AVG
75
Rank
#7 / 53
|
95.4%
Facility
95.4%
ND AVG
87.8%
Rank
#10 / 24
| +9% |
5.59
Facility
5.59
ND AVG
5.16
Rank
#7 / 26
| -45% | +8% |
$6.2k
Facility
$6.2k
ND AVG
$38.3k
Rank
#11 / 26
|
12
Facility
12
ND AVG
16.5
Rank
#10 / 26
|
3.0
Facility
3.0
ND AVG
3.9
Rank
#9 / 26
| 1 | 120 | - |
42
Facility
42
ND AVG
42
Rank
#38 / 80
| Aaron Alton |
$16.7M
Facility
$16.7M
ND AVG
$11.5M
Rank
#8 / 23
|
$12.0M
Facility
$12.0M
ND AVG
$5.6M
Rank
#7 / 23
|
72.1%
Facility
72.1%
ND AVG
48.6%
Rank
#9 / 23
| 355047 |
Elim Health Care Center is located in Fargo, North Dakota.
Here are the financial assistance programs available to residents in North Dakota.
Elim Health Care Center is in the River Drive neighborhood.
Elim Health Care Center has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Elim Health Care Center's occupancy is 75.6%.
Yes — see the floorplan options available at Elim Health Care Center on this page.
Elim Health Care Center is registered as a non-profit.
Yes — there are 18 photos of Elim Health Care Center in the photo gallery on this page.
Elim Health Care Center is located at 3534 S University Dr, Fargo, ND 58104.
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