PlainNursing
CMS Nursing Home Compare · March 2026

Bethany on University

201 S University Dr, Fargo, ND 58103 · All homes in Fargo

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, 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
5.31
Well above average · nurse hrs/day · nat'l 3.89
9
Inspection findings · 1 serious
$0
Federal penalties (0)

Health Inspection

4/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
355086
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
172
Residents
167
In Hospital
No
County
Cass
Last Inspection
Oct 24, 2024

Staffing Data

How the 5.31 total nursing hours per resident-day are staffed:

RN Hours
1.05 (nat'l avg: 0.68)
LPN Hours
0.64
CNA Hours
3.62
Total Nursing Hours
5.31 (nat'l avg: 3.89)
PT Hours
0.08
Nursing Turnover
52.8%
RN Turnover
47.6%

What the CMS Record Reveals About Bethany on University

Bethany on University operates 172 certified beds in Fargo, ND with approximately 167 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (5★), and quality measures (4★). 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.

The inspection file contains 9 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues, if any, did not rise to the enforcement threshold. Staffing is reported at 5.31 total nursing hours per resident day (national average 3.89), with RN coverage at 1.05 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

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. 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. Reported nursing turnover at this facility is 52.8%, above the level where continuity of care typically begins to suffer. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (9 most recent)

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

D - Isolated - Minimal harm Feb 21, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 24, 2023

D - Isolated - Minimal harm Sep 29, 2022 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Oct 27, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.0% 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 1.8% 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 13.4% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 17.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 2.2% 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 99.6% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 35.2% 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 26.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.6% 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.

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 (4★).
What are the staffing levels at Bethany on University?
Bethany on University reports 5.31 total nursing hours per resident day (national average: 3.89). RN hours are 1.05 per resident day (national average: 0.68). Nursing staff turnover is 52.8%.
How many beds does Bethany on University have?
Bethany on University has 172 certified beds with approximately 167 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 9 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 Oct 24, 2024. 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. Always verify information directly 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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