Fargo Elim Health Care Center

Name: Fargo Elim Health Care Center
Address: 3534 UNIVERSITY DRIVE S, Fargo, ND, 58104, US
Telephone: 7012711862

3534 University Drive S, Fargo, ND 58104 · Cass County · 88 certified beds · avg 85 residents/day · certified since Oct 10, 2022

Part of chain: CASSIA (16 facilities, chain avg rating 4.4★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.80

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · 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 · Apr 1, 2026 · F-0684

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

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: Apr 16, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (14)

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
Apr 1, 2026	▲ G · Actual 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.
Apr 1, 2026	F · Potential for harm, facility-wide	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 1, 2026	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 1, 2026	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.
Apr 1, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 1, 2026	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.
Apr 1, 2026	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 1, 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.
Feb 20, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Feb 20, 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
Dec 20, 2023	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint
Dec 20, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Dec 20, 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. · from a complaint
Dec 20, 2023	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

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 8).

Year	Citations	Serious (G–L)	Worst severity that year
2023	4	0	D
2025	2	0	E
2026	8	1	G ▲

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)	5.80	5.15	3.95	top 19% in North Dakota; top 5% in the U.S.
Registered Nurse hours	1.55	1.09	0.69	top 10% in North Dakota; top 4% in the U.S.
Weekend total nurse staffing	5.09	4.43	3.50	top 19% in North Dakota; top 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.88	0.59	0.48	top 9% in North Dakota; top 9% in the U.S.
Total nursing staff turnover (%)	35.0	48.8	45.8	top 20% in North Dakota; top 24% in the U.S.
RN turnover (%)	35.7	40.3	42.9	top 47% in North Dakota; top 39% 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 5.12, RN 1.37, weekend 4.49. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Elim Care INC	Organization	5% or Greater Direct Ownership Interest	100%	01/29/1986
Anderson, Paul	Individual	Corporate Director	NOT APPLICABLE	06/24/2021
Cassia	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2018
Dahl, Robert	Individual	Corporate Officer	NOT APPLICABLE	01/29/1986
Kern, Matthew	Individual	Corporate Officer	NOT APPLICABLE	02/28/2019
Leff, William	Individual	Corporate Director	NOT APPLICABLE	05/18/2000
Muhonen, Renee	Individual	Operational/Managerial Control	NOT APPLICABLE	07/15/2015
Nuss, Patrick	Individual	Corporate Director	NOT APPLICABLE	05/19/2005
Tangedahl, Guy	Individual	Corporate Director	NOT APPLICABLE	05/17/2012
Weber-Daniels, Nicolette	Individual	Corporate Director	NOT APPLICABLE	06/24/2021
Youngquist, Kathryn	Individual	Corporate Officer	NOT APPLICABLE	01/29/1986

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
SMP Health - St Catherine South	1.9 mi	Fargo, ND	★★★★☆	5/5
The Meadows on University	2.4 mi	Fargo, ND	★☆☆☆☆	1/5
Eventide Lutheran Home	2.9 mi	Moorhead, MN	★★★★☆	3/5
Bethany on University	3.3 mi	Fargo, ND	★★★★★	4/5
Eventide Fargo	3.8 mi	Fargo, ND	★★★☆☆	3/5
SMP Health - St Catherine North	4.8 mi	Fargo, ND	★★★★☆	3/5
Sheyenne Crossings Care Center/Tcu	5.2 mi	West Fargo, ND	★★★★★	4/5
Bethany on 42nd	6.2 mi	Fargo, ND	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Fargo →

Facility data as of CMS processing date 2026-08-01. CCN 355129.

The Care File

Visit checklist — Fargo Elim Health Care Center

3534 University Drive S, Fargo, ND 58104 · 7012711862

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $0

Most serious findings on record:

▲ Apr 1, 2026 (F-0684, Actual 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.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 355129 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)