PlainNursing
CMS Nursing Home Compare · August 2026

Bethany on University

201 S University Dr, Fargo, ND 58103

Bethany on University, a 172-bed non profit - corporation nursing facility in Fargo, ND, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #3 of 71 rated homes in ND on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7012393000

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5 / 5
Much above average · CMS overall · nat'l 3.0
#3 of 71
In-state rank among rated ND homes
5.40
Well above average · nurse hrs/day · nat'l 3.86
10
Inspection findings · 1 serious

The verdict

Bethany on University, a 172-bed non profit - corporation nursing facility in Fargo, ND, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #3 of 71 rated homes in ND on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

5 / 5
CMS overall · national 3.0
#3 of 71
In-state rank among rated ND homes
5.40
Nurse hrs/resident-day · national 3.86
10
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 72 ND nursing homes split by ownership sector

This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

5/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
355086
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
172
Residents
164
In Hospital
No
County
Cass
Last Inspection
Feb 12, 2026

Staffing Data

How the 5.40 total nursing hours per resident-day are staffed:

RN Hours
1.09 (nat'l avg: 0.69)
LPN Hours
0.63
CNA Hours
3.68
Total Nursing Hours
5.40 (nat'l avg: 3.86)
PT Hours
0.09
Nursing Turnover
51.9%
RN Turnover
43.2%

What the CMS Record Reveals About Bethany on University

According to CMS Nursing Home Compare, Bethany on University ranks #3 of 71 rated nursing homes in ND on overall stars (tie-broken by health+staffing+quality, then fewer fines). Bethany on University operates 172 certified beds in Fargo, ND with approximately 164 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 4★ · staffing 5★ · quality 5★).

The inspection file contains 10 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Reported nurse staffing runs 5.40 total hours per resident day (national average 3.86); RN hours specifically are 1.09 per resident day.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Bethany on University falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 51.9% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (10 most recent)

D - Isolated - Minimal harm Feb 12, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 17, 2026

D - Isolated - Minimal harm Feb 12, 2026 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Mar 17, 2026

D - Isolated - Minimal harm Feb 12, 2026 Tag: 0627

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Category: Resident Rights Deficiencies

Corrected: Mar 17, 2026

D - Isolated - Minimal harm Jun 4, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jul 7, 2025

D - Isolated - Minimal harm Jan 29, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 5, 2025

D - Isolated - Minimal harm Oct 24, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 13, 2024

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Nov 20, 2023

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Nov 20, 2023

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0622

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Category: Resident Rights Deficiencies

Corrected: Nov 20, 2023

G - Isolated - Actual harm Oct 26, 2023 Tag: 0563

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Category: Resident Rights Deficiencies

Corrected: Nov 20, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.5% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.5% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 15.2% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.1% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 40.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 99.3% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 96.9% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Bethany on University, both outside ND so the neighborhoods are not the same-state geography list below.

What the CMS records show for Bethany on University

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The ND registry aggregates state averages and the highest-rated homes in this cohort. View ND registry
  • Peer homes near 172 beds show how CMS stars vary at a similar scale in ND. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Bethany on University?
Bethany on University has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (5★).
Where does Bethany on University rank among nursing homes in ND?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Bethany on University ranks 3rd among 71 rated nursing homes in ND (#3 of 71). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Bethany on University?
Bethany on University reports 5.40 total nursing hours per resident day (national average: 3.86). RN hours are 1.09 per resident day (national average: 0.69). Nursing staff turnover is 51.9%.
How many beds does Bethany on University have?
Bethany on University has 172 certified beds with approximately 164 residents. The facility is located at 201 S University Dr, Fargo, ND 58103.
Does Bethany on University have any deficiencies on record?
Yes, Bethany on University has 10 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Bethany on University received any fines or penalties?
No, Bethany on University has no fines or penalties on record.
Who owns Bethany on University?
Bethany on University is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Bethany on University last inspected?
The most recent health inspection for Bethany on University was on Feb 12, 2026. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Bethany on University?
Bethany on University is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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