All states › North Dakota › Fargo › Bethany on 42ND
4255 30th Ave S Fargo, ND 58104 · Cass County
All 7 nursing homes in Fargo, ND (7 take Medicaid)
CMS certification number 355123 · See this home on Medicare Care Compare
Is Bethany on 42ND a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Bethany on 42ND as of October 2026.
CMS rates it 5 out of 5 stars overall, above the North Dakota average of 3.3.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 5.41 hours per resident per day at Bethany on 42ND, above the North Dakota median of 4.42 (US median: 3.72). About 0.88 of those hours are from registered nurses. On weekends it falls to 4.81 hours, 11% below its all-week average. 52.7% of nursing staff left within a year (North Dakota median 47.6%).
About this nursing home
Paying for care at Bethany on 42ND: Medicare and Medicaid
Bethany on 42ND is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 23, 2026 and found 0 deficiencies. In total, inspectors issued 3 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 3 citations at Bethany on 42ND across 2 inspection dates, 1 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 3 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (2) and infection control (1). The most serious was cited under the CMS rule to "ensure each resident receives an accurate assessment" (tag F0641, level E, March 14, 2024).
May 1, 2025 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
March 14, 2024 · 2 citations
EEnsure each resident receives an accurate assessment.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Questions to ask on a tour of Bethany on 42ND
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 5/5 | 4/5 | 2/5 |
| August 2026 | 5/5 | 5/5 | 4/5 | 3/5 |
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Location
Hospitals near Bethany on 42ND
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 1.3 mi
-
2.2 mi
Sanford Medical Center Fargo FargoEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 1m for patients treated and sent home
- 3.3 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.