Fargo · 58104
Eventide Fargo
3225 51st St S
Fargo, ND 58104
Bethany on 42nd
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⌖ Fargo, ND · Cass County
No photos yet
Medicare overall rating 5 of 5 stars
Certified beds116
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)
About Bethany on 42nd
Bethany on 42nd is a 116-bed nonprofit nursing home in Fargo, ND. Medicare rates it 5 out of 5 stars overall (much above average); the average in North Dakota is 3.2. At its last full inspection (Jul 2026), inspectors found 0 problems, fewer than the North Dakota average of 5.6. Nurses and aides spend about 5 hr 12 min a day with each resident, more than the North Dakota average of 4 hr 25 min. About 59% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are stronger for long-term care than for short-term rehab.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameBethany On 42nd
LocationCass County, North Dakota
Phone(701) 478-8900
Address4255 30th Ave S, Fargo, ND 58104 · Cass County
CMS provider number355123
Ownership typeNon-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJanuary 20, 2010 (16 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
3 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection0 (Jul 2026)North Dakota average: 5.6. Most citations are minor and corrected within weeks.Strength
- Nurse staffing per resident5 hr 12 min a dayNorth Dakota average: 4 hr 25 minStrength
Things to ask about
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- Registered nurse time per resident42 min a dayNorth Dakota average: 56 minWorse than state average
- Nursing staff turnover59% a yearNorth Dakota average: 49%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the North Dakota average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital21.8%State average: 19.9%About average
- Needed an emergency room visit10.4%State average: 11.4%About average
- Newly given antipsychotic drugs9.3%State average: 1.5%Worse than average
Physical therapist time: about 2 minutes per resident a day. That is about the same as the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury1.2%State average: 5.1%Better than average
- Pressure sores (bedsores)1.9%State average: 4.9%Better than average
- Given antipsychotic drugs16.9%State average: 22.7%Better than average
- Hospital stays per 1,000 resident days1.3State average: 1.5About average
Source: Medicare (CMS) quality measures, compared with the North Dakota average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In North Dakota, Medicaid pays for 52% of resident days at a typical home.
- 54% Medicaid
- 5% Medicare
- 41% Private pay, insurance and other
Beds in use, on average100%North Dakota typical: 95%
Cost of care per resident day$493North Dakota typical: $424
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 5 stars now, the same as 5 stars in January 2019. It has ranged from 2 to 5 stars and changed 7 times.
Overall rating5★
Health inspections5★
Staffing4★
Quality of care3★
Nurse hours per resident per day5.2
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 4 | 5 | 5 | 5.1 |
| Jan 2020 | 5 | 5 | 5 | 5 | 5.2 |
| Jan 2021 | 5 | 4 | 5 | 5 | 4.9 |
| Jan 2022 | 5 | 4 | 4 | 5 | 4.7 |
| Jan 2023 | 5 | 4 | 4 | 5 | 4.8 |
| Jan 2024 | 2 | 2 | 4 | 4 | 5.2 |
| Feb 2025 | 3 | 3 | 4 | 3 | 5.2 |
| Feb 2026 | 5 | 4 | 4 | 5 | 5.3 |
| Sep 2026 | 5 | 5 | 4 | 3 | 5.2 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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