Quick answers
- Where is Bethany on 42nd?
- 4255 30th Ave S, Fargo, ND 58104, in Cass County, North Dakota.
- What is the phone number of Bethany on 42nd?
- (701) 478-8900, as listed by Medicare (CMS).
- What is the Medicare star rating of Bethany on 42nd?
- Medicare overall rating: 5 out of 5 stars (CMS data updated 2026-10-01).
- Has Bethany on 42nd been fined?
- Medicare lists no fines for Bethany on 42nd.
- What did inspectors find at Bethany on 42nd?
- In its last three inspection cycles (March 14, 2024 to July 23, 2026), Medicare lists 3 health citations; the most serious was level E. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (March 14, 2024 to July 23, 2026), Bethany on 42nd had 3 health citations; the most serious was level E (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 5.41 hours per resident per day; the North Dakota average is 4.47 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: July 23, 2026 — no health citations
Inspections in this cycle: July 23, 2026 (standard health inspection).
Previous cycle: May 1, 2025 — 1 health citation
Inspections in this cycle: May 1, 2025 (complaint investigation); May 1, 2025 (standard health inspection).
Show 1 citation (levels A to F, no actual harm)
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: March 14, 2024 — 2 health citations
Inspections in this cycle: March 14, 2024 (standard health inspection).
Show 2 citations (levels A to F, no actual harm)
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0640 Level D
“Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | North Dakota | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.88 | 0.93 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.69 | 0.50 | 0.86 |
| Nurse aide hours per resident per day | 3.84 | 3.04 | 2.35 |
| Total nurse staff hours per resident per day | 5.41 | 4.47 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 4.81 | 3.80 | 3.43 |
| RN hours per resident per day on the weekend | 0.64 | 0.60 | 0.48 |
| Nursing staff turnover (per year) | 52.7% | 47.5% | 45.3% |
| RN turnover (per year) | 55.6% | 38.7% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.2 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Owners and managers Medicare lists (5)
| Name | Role | Share | Since |
|---|---|---|---|
| Bell Bank Arrowhead Office | Management company (operational or managerial control) | NOT APPLICABLE | March 1, 1996 |
| Bethany Homes, Inc | Management company (operational or managerial control) | NOT APPLICABLE | January 1, 2009 |
| Bethany on 42nd | Management company (operational or managerial control) | NOT APPLICABLE | January 14, 2010 |
| Blue Stone Therapy Inc | Management company (operational or managerial control) | NOT APPLICABLE | May 1, 2019 |
| Eide Bailly LLP | Management company (operational or managerial control) | NOT APPLICABLE | January 1, 1998 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 116 |
| Average residents per day | 113.1 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| First approved by Medicare/Medicaid | 2010-01-20 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 4255 30th Ave S, Fargo, ND 58104 |
| County | Cass County |
| State | North Dakota |
| Phone | (701) 478‑8900 |
| CMS Certification Number | 355123 |
| Name in Medicare records | BETHANY ON 42ND |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- SMP Health - St Catherine North1.5 mi · Fargo, ND · 4 of 5 stars
- Bethany on University3.0 mi · Fargo, ND · 5 of 5 stars
- The Meadows on University3.8 mi · Fargo, ND · 1 of 5 stars
- Eventide Lutheran Home4.1 mi · Moorhead, MN · 4 of 5 stars
- SMP Health - St Catherine South4.3 mi · Fargo, ND · 4 of 5 stars
Nearest hospital emergency rooms
- Fargo VA Medical Center1.2 mi · Fargo, ND · Federal/VA Acute Care Hospital
- Sanford Medical Center Fargo2.2 mi · Fargo, ND · Acute Care Hospital
- Essentia Health5.9 mi · Fargo, ND · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13