Eventide Fargo
3225 51st St S, Fargo, ND 58104 · Cass County · 98 certified beds · avg 94 residents/day · certified since May 25, 2016
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 · Nov 7, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Dec 1, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (11)
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 |
|---|---|---|
| Sep 18, 2025 | E · Potential for harm, repeated | 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 |
| Sep 18, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Sep 18, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint |
| Sep 18, 2025 | 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. · from a complaint |
| Aug 6, 2025 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · from a complaint |
| Aug 28, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Aug 28, 2024 | 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. |
| Aug 28, 2024 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Nov 7, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 31, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 31, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 1 | G ▲ |
| 2024 | 3 | 0 | D |
| 2025 | 5 | 0 | E |
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)
1 fine totaling $9,030.
| Date | Type | Amount / length |
|---|---|---|
| Nov 7, 2023 | Fine | $9,030 |
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) | 4.98 | 5.15 | 3.95 | bottom 39% in North Dakota; top 13% in the U.S. |
| Registered Nurse hours | 0.81 | 1.09 | 0.69 | bottom 21% in North Dakota; top 26% in the U.S. |
| Weekend total nurse staffing | 4.64 | 4.43 | 3.50 | top 44% in North Dakota; top 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.50 | 0.59 | 0.48 | bottom 41% in North Dakota; top 32% in the U.S. |
| Total nursing staff turnover (%) | 47.7 | 48.8 | 45.8 | top 42% in North Dakota; bottom 43% in the U.S. |
| RN turnover (%) | 52.6 | 40.3 | 42.9 | bottom 27% in North Dakota; bottom 32% 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 4.66, RN 0.76, weekend 4.35. Staffing rating: 4/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Eventide | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/10/2013 |
| Blue Stone Therapy INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2020 |
| Brandt, Terry | Individual | Corporate Director | NOT APPLICABLE | 03/01/2026 |
| Bye, Robert | Individual | Corporate Director | NOT APPLICABLE | 12/06/2022 |
| Gilson, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/22/2013 |
| Gilson, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 03/27/2025 |
| Gulbranson, Patrick | Individual | Corporate Director | NOT APPLICABLE | 12/06/2022 |
| Hewson, Alyssa | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/14/2024 |
| Johnson, Vikki | Individual | Corporate Director | NOT APPLICABLE | 09/30/2023 |
| Johnson, Vikki | Individual | Corporate Officer | NOT APPLICABLE | 09/30/2023 |
| Kirchner, Maycen | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/05/2024 |
| Lunak, Brandon | Individual | Corporate Director | NOT APPLICABLE | 03/01/2026 |
| Lunak, Brandon | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2026 |
| Musielewicz, Katherine | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/28/2018 |
| Ohe, Darin | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/27/2023 |
| Otteson, Michelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/20/2023 |
| Riewer, Jon | Individual | Corporate Officer | NOT APPLICABLE | 08/05/2015 |
| Riewer, Jon | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/05/2015 |
| Sand, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Sand, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 03/27/2025 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How is routine foot care handled here, and does a podiatrist visit regularly?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "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 |
|---|---|---|---|---|---|
| Sheyenne Crossings Care Center/Tcu | 1.5 mi | West Fargo, ND | ★★★★★ | 4/5 | |
| SMP Health - St Catherine South | 3.4 mi | Fargo, ND | ★★★★☆ | 5/5 | |
| The Meadows on University | 3.5 mi | Fargo, ND | ★☆☆☆☆ | 1/5 | |
| Bethany on University | 3.7 mi | Fargo, ND | ★★★★★ | 4/5 | |
| Fargo Elim Health Care Center | 3.8 mi | Fargo, ND | ★★★☆☆ | 2/5 | |
| SMP Health - St Catherine North | 4.8 mi | Fargo, ND | ★★★★☆ | 3/5 | |
| Eventide Lutheran Home | 4.8 mi | Moorhead, MN | ★★★★☆ | 3/5 | |
| Bethany on 42nd | 5.4 mi | Fargo, ND | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 355127.