Bethany on University
201 S University Dr, Fargo, ND 58103 · Cass County · 172 certified beds · avg 164 residents/day · certified since Dec 1, 1978
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 26, 2023 · F-0563
The facility did not honor residents' right to receive the visitors they choose, at the times they choose.
Why it matters: Restricting visits cuts residents off from the family and friends who support their well-being.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 20, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 4, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jan 29, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Oct 26, 2023 | ▲ G · Actual harm, one-off | The facility did not honor residents' right to receive the visitors they choose, at the times they choose. |
| Oct 26, 2023 | D · Potential for harm, one-off | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. |
| Oct 26, 2023 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Oct 26, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 1 | G ▲ |
| 2024 | 1 | 0 | D |
| 2025 | 2 | 0 | D |
| 2026 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.50 | 5.15 | 3.95 | top 37% in North Dakota; top 7% in the U.S. |
| Registered Nurse hours | 1.11 | 1.09 | 0.69 | top 39% in North Dakota; top 12% in the U.S. |
| Weekend total nurse staffing | 4.90 | 4.43 | 3.50 | top 23% in North Dakota; top 7% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.82 | 0.59 | 0.48 | top 14% in North Dakota; top 11% in the U.S. |
| Total nursing staff turnover (%) | 51.9 | 48.8 | 45.8 | bottom 43% in North Dakota; bottom 32% in the U.S. |
| RN turnover (%) | 43.2 | 40.3 | 42.9 | bottom 38% in North Dakota; bottom 47% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.40, RN 1.09, weekend 4.81. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| American Lutheran Homes INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/1990 |
| American Lutheran Homes INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/1990 |
| Anderson, Cheryl | Individual | Corporate Director | NOT APPLICABLE | 04/18/2023 |
| Angus, Kaye | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2022 |
| Angus, Kaye | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Angus, Kaye | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Bell Bank Arrowhead Office | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 12/01/2013 |
| Bell Bank Arrowhead Office | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/1996 |
| Bell Bank Arrowhead Office | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2013 |
| Bethany Homes, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/1986 |
| Bethany Homes, INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/10/2025 |
| Blue Stone Therapy INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2019 |
| Blue Stone Therapy INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/04/2025 |
| Brantner-Adams, Jerilynn | Individual | Corporate Director | NOT APPLICABLE | 04/18/2023 |
| Davidson, Bruce | Individual | Corporate Director | NOT APPLICABLE | 05/13/2025 |
| Eide Bailly LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/1998 |
| Eide Bailly LLP | Organization | ADP of the SNF | NOT APPLICABLE | 04/08/2025 |
| Gupta, Parul | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2020 |
| Gupta, Parul | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2020 |
| Hertsgaard, John | Individual | Corporate Director | NOT APPLICABLE | 04/09/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What are your visiting policies — can family visit any time the resident wants?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| The Meadows on University | 0.8 mi | Fargo, ND | ★☆☆☆☆ | 1/5 | |
| SMP Health - St Catherine South | 1.4 mi | Fargo, ND | ★★★★☆ | 5/5 | |
| SMP Health - St Catherine North | 1.6 mi | Fargo, ND | ★★★★☆ | 3/5 | |
| Eventide Lutheran Home | 1.6 mi | Moorhead, MN | ★★★★☆ | 3/5 | |
| Bethany on 42nd | 3.0 mi | Fargo, ND | ★★★★★ | 5/5 | |
| Fargo Elim Health Care Center | 3.3 mi | Fargo, ND | ★★★☆☆ | 2/5 | |
| Eventide Fargo | 3.7 mi | Fargo, ND | ★★★☆☆ | 3/5 | |
| Sheyenne Crossings Care Center/Tcu | 4.9 mi | West Fargo, ND | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 355086.