Nursing home · Top rated by CMS
Bethany on 42nd (Skilled Nursing)
4255 30Th Ave S, Fargo, ND 58104 · Map
Non profit - Corporation · 116 certified beds
Bethany on 42nd (Skilled Nursing) is a Medicare-certified nursing home in Fargo, North Dakota. CMS rates it 5 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 5.27 hours per resident per day, above the North Dakota average of 4.41. Its most recent inspection on May 1, 2025 cited 1 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Bethany on 42nd (Skilled Nursing) compares
This facility vs. the North Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.27 | 4.41 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.62 | 0.93 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.77 | 2.99 | 2.34 | above avg |
| Nursing staff turnover | 56.7% | 49.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 1.0 | 5.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the May 1, 2025 inspection was corrected by May 23, 2025
What inspectors found at Bethany on 42nd (Skilled Nursing)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Mar 14, 2024 · Full report (PDF) - Potential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Mar 14, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 30, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 30, 2023
Show all 11 deficiencies
- Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Mar 30, 2023 - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Mar 30, 2023 - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Mar 30, 2023 - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Mar 30, 2023 - Potential for harm
Provide 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.
Quality of Life and Care Deficiencies · Mar 30, 2023 - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 30, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4255 30Th Ave S
Fargo, ND 58104 - CMS certification #
- 355123
- Ownership
- Non profit - Corporation
- Certified beds
- 116
- Avg residents/day
- 114.2
- Provider type
- Medicare and Medicaid
- First certified
- 2010-01-20
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Bethany on 42nd (Skilled Nursing) using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Sanford Medical Center Fargo, Fargo. 2.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- SMP Health - St Catherine North, Fargo. 1.5 miles away, straight line.
- Nearest home health agency office
- Healthy At Home, Fargo. 3.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Medicine Shoppe. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 58104 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Sanford Dialysis Fargo, Fargo, 4.3 miles away, straight line (CMS rating 3 of 5 stars)
Davita Moorhead Dialysis, Dilworth, 5.4 miles away, straight line (CMS rating 3 of 5 stars)
Davita Fargo Dialysis Center, Fargo, 5.8 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 58104.
Sanford Fargo Hospice, office in Fargo, 2.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Ethos Hospice, office in Fargo, 6.7 miles away, straight line (CMS family survey rating 3 of 5 stars)
Hia Hospice, office in Fargo, 8.5 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Tapestry Telehealth PLLC, Fargo. 5.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively low, tornado very high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Bethany on 42nd (Skilled Nursing) a good nursing home?
CMS gives Bethany on 42nd (Skilled Nursing) an overall rating of 5 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Bethany on 42nd (Skilled Nursing) staffed?
Bethany on 42nd (Skilled Nursing) reports 5.27 total nurse hours per resident per day, compared with the North Dakota average of 4.41.
Has Bethany on 42nd (Skilled Nursing) had inspection problems?
Its most recent CMS inspection cited 1 deficiencies.
How many beds does Bethany on 42nd (Skilled Nursing) have?
Bethany on 42nd (Skilled Nursing) is certified for 116 beds.