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    BETHANY ON 42ND

    4255 30TH AVE S, FARGO, ND 58104

    116 beds · Non profit - Corporation

    CMS Provider #355123

    Data updated: March 1, 2026

    85
    IQ ScoreA composite score from 0–100 combining federal ratings, staffing, inspections, penalties, and complaint history.

    Overall Rating

    ★★★★★

    Health Rating

    ★★★★

    Staffing Rating

    ★★★★

    Quality Rating

    ★★★★★

    Daily nursing care

    5.3 hrs/resident

    Steady

    Inspection findings

    1

    Fewer issues

    Ownership changes

    0

    Non-profit corporation ownership with 22 associated owners/managers.

    Complaint trend

    Fewer complaints

    The facility has had 9 complaint-related inspection findings in the most recent two cycles.

    Facility vs. North Dakota Averages

    Overall Rating

    Facility★★★★★
    State Avg★★★★★
    Exceeds State Avg

    Health Inspection

    Facility★★★★
    State Avg★★★★★
    Exceeds State Avg

    Staffing Rating

    Facility★★★★
    State Avg★★★★
    At State Avg

    Quality Rating

    Facility★★★★★
    State Avg★★★★★
    Exceeds State Avg
    State staffing benchmarks:Nursing hours/resident/day 4.4RN hours/resident/day 0.9

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    NursingHomeIQ Analysis

    Summary

    Bethany on 42nd is a 116-bed non-profit facility characterized by higher-than-average nursing hours per resident and improving inspection scores, offset by high staff turnover and a reliance on contract registered nurses.

    Detailed Analysis

    The data indicates that Bethany on 42nd maintains higher-than-average staffing levels, providing 5.27 hours of nursing care per resident per day compared to the North Dakota average of 4.41. The weekend staffing drop is approximately 9%, which suggests consistent care levels between weekdays and weekends. While the facility holds a high overall quality rating from federal records, the data shows a nursing staff turnover rate of 56.7%, which exceeds both the state average of 49.0% and the 50% threshold that often correlates with less continuity in resident care. Additionally, registered nurse turnover is recorded at 45.8%.

    Records show a significant improvement in health inspection outcomes, with findings decreasing from 10 in the second-most recent cycle to 1 in the most recent cycle. However, 9 of the 11 total findings across these cycles were related to complaints. The facility has received no financial penalties or fines in the reviewed period. While contract staffing remains relatively low at 3.1% overall, nearly 16% of registered nurse hours are provided by contract staff, which is a metric often used to track the consistency of high-level clinical personnel. Comparing this facility to regional peers, its quality measure scores for long-stay residents are at the highest possible level according to public data.

    Key Findings

    The facility reported 5.27 total hours of nursing care per resident per day, which is higher than the North Dakota state average of 4.41 hours.

    Total nursing staff turnover is recorded at 56.7%, which is higher than the state average of 49% and represents a significant frequency of staff changes.

    There have been 0 administrator departures in the last three years, indicating stability in facility leadership.

    Performance Trends (24 months)

    This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.

    CategoryApr 24Jun 24Aug 24Oct 24Dec 24Mar 25May 25Jul 25Nov 25Jan 26Mar 26Trend
    Overall3★3★3★3★3★3★3★4★5★5★5★
    Staffing4★4★4★4★4★4★4★4★4★4★4★
    Health3★3★3★3★3★3★3★4★4★4★4★
    4-5 Stars 3 Stars 1-2 Stars

    Staffing Deep Dive

    Staffing depth is the strongest predictor of care quality. Facilities routinely cut staff on evenings and weekends — the shifts when falls happen and call lights go unanswered.

    Weekend vs. Weekday Staffing

    Weekday5.3 hrs/resident/day
    Weekend4.8 hrs/resident/day
    Drop9% — Consistent

    RN Hours Specifically

    Weekday RN0.62
    Weekend RN0.48
    RN Drop22%

    State avg total staffing: 4.4 hrs/resident/day

    Administrator Turnover

    0

    administrators departed in past year

    Stable

    Nursing Staff Turnover

    Total NursingVery high

    56.7%

    State avg: 49.0%

    RN TurnoverElevated

    45.8%

    State avg: 36.5%

    Agency/Contract Staff

    3.1%

    of nursing hours from contract/agency staff

    Low — good continuity
    RN contract %15.9%
    CNA contract %0.0%

    Source: PBJ data, 2025Q3

    Location & Neighborhood

    A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.

    Walk Score

    60

    Somewhat Walkable

    Transit Score

    23

    Minimal Transit

    Neighborhood Demographics (58104)

    Median Income

    $85,919

    Median Home Value

    $332,200

    Poverty Rate

    7.7%

    Age 65+

    12.4%

    Median Age

    34

    Pop. Density

    46,165/mi²

    Median Rent

    $1,030

    Google Reviews

    Google reviews provide firsthand accounts from residents' families and visitors.

    Inspection & Deficiency History

    Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.

    DateTagCategoryDescriptionSeverityCorrectedTypeIC
    5/1/20250880Infection Control DeficienciesProvide and implement an infection prevention and control program.
    Minimal harm
    5/23/2025Complaint
    3/14/20240640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    Minimal harm
    4/1/2024Standard
    3/14/20240641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.
    Actual harm
    4/1/2024Standard
    3/30/20230550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Actual harm
    5/3/2023Complaint
    3/30/20230609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Minimal harm
    5/3/2023Complaint
    3/30/20230641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.
    Actual harm
    5/3/2023Complaint
    3/30/20230688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    Minimal harm
    5/3/2023Complaint
    3/30/20230760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.
    Actual harm
    5/3/2023Complaint
    3/30/20230804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    Actual harm
    5/3/2023Complaint
    3/30/20230812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Actual harm
    5/3/2023Complaint
    Page 1 of 2

    Penalties & Fines

    When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.

    No penalties or fines recorded for this facility.

    Ownership Records

    Ownership structure and changes can affect facility quality.

    Years Operating

    16

    Owner NameTypeRoleOwnership %Association Date
    BELL BANK ARROWHEAD OFFICEOrganization3/1/1996
    BETHANY HOMES, INCOrganization1/1/2009
    BETHANY ON 42NDOrganization1/14/2010
    BLUE STONE THERAPY INCOrganization5/1/2019
    EIDE BAILLY LLPOrganization1/1/1998
    ANGUS, KAYEIndividual10/1/2022
    GUPTA, PARULIndividual10/1/2020
    STUHAUG, SHAWNIndividual6/23/2009
    ANDERSON, CHERYLIndividual4/18/2023
    BRANTNER-ADAMS, JERILYNNIndividual4/18/2023
    DAVIDSON, BRUCEIndividual5/13/2025
    HERTSGAARD, JOHNIndividual4/9/2024
    NESS OWENS, LAURAIndividual4/9/2024
    OLSON, ROGERIndividual4/19/2022
    RENNER, BETHIndividual4/18/2023
    ROCKSTAD, LIANNEIndividual4/9/2024
    RYDELL, JACKIndividual5/13/2025
    STEEN, RICKIndividual4/9/2024
    WENDT, JOSEPHIndividual5/13/2025
    ANGUS, KAYEIndividual10/1/2022
    STUHAUG, SHAWNIndividual6/23/2009
    BELL BANK ARROWHEAD OFFICEOrganization4/1/2010
    BELL BANK ARROWHEAD OFFICEOrganization3/1/1996
    BETHANY HOMES, INCOrganization1/1/2009
    BETHANY ON 42NDOrganization1/14/2010
    BLUE STONE THERAPY INCOrganization5/1/2019
    EIDE BAILLY LLPOrganization1/1/1998
    ANGUS, KAYEIndividual10/1/2022
    GUPTA, PARULIndividual10/1/2020
    STUHAUG, SHAWNIndividual6/23/2009
    ANDERSON, CHERYLIndividual4/18/2023
    BRANTNER-ADAMS, JERILYNNIndividual4/18/2023
    DAVIDSON, BRUCEIndividual5/13/2025
    HERTSGAARD, JOHNIndividual4/9/2024
    NESS OWENS, LAURAIndividual4/9/2024
    OLSON, ROGERIndividual4/19/2022
    RENNER, BETHIndividual4/18/2023
    ROCKSTAD, LIANNEIndividual4/9/2024
    RYDELL, JACKIndividual5/13/2025
    STEEN, RICKIndividual4/9/2024
    WENDT, JOSEPHIndividual5/13/2025
    ANGUS, KAYEIndividual10/1/2022
    STUHAUG, SHAWNIndividual6/23/2009
    BELL BANK ARROWHEAD OFFICEOrganization4/1/2010

    News & Media

    Recent news articles, lawsuits, and media coverage mentioning this facility.

    No recent news coverage found for this facility.

    Data updated: March 1, 2026 · CMS, OSCAR, state inspection records

    NursingHomeIQ provides informational synthesis to help families make informed decisions. This does not constitute legal, financial, or medical advice.

    NursingHomeIQ

    Data sourced from CMS, OSCAR, and state inspection records. Not affiliated with the U.S. government.

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