BETHANY ON UNIVERSITY

FARGO, ND · 172 beds · Non profit - Corporation

91 Trust Score
Grade: A LOW Risk → Stable

Red Flags

  • 1 citation(s) where residents suffered actual harm

Green Flags

  • 4-star health inspection rating
  • 5-star staffing rating
  • Below-average deficiency count (2 vs 5 state avg)
  • No fines or penalties on record

Quick Facts

★★★★★
CMS Overall
★★★★☆
Health Inspection
2
0.4x state avg
Deficiencies
$0
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

June 3, 2025

2 deficiencyies
F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure that residents are free from significant medication errors.

January 28, 2025

2 deficiencyies
F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

October 23, 2024

2 deficiencyies
F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

October 25, 2023

8 deficiencyies
F0563 Actual Harm Scope/Severity: G

Resident Rights Deficiencies

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

F0622 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0563 Actual Harm Scope/Severity: G

Resident Rights Deficiencies

Show details

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

F0622 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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.

February 20, 2023

2 deficiencyies
F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

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

September 28, 2022

2 deficiencyies
F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure that residents are free from significant medication errors.

F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure that residents are free from significant medication errors.

See full violation history →

Staffing

1.04
RN hrs/res/day
0.63
LPN hrs/res/day
3.57
CNA hrs/res/day
4.64
Weekend hrs/res/day
53%
Total nurse turnover
48%
RN turnover

A nurse checks on each resident roughly every 4.6 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

Non profit - Corporation Independent (not part of a chain)
  • AMERICAN LUTHERAN HOMES INC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/1990

    Organization
  • BELL BANK ARROWHEAD OFFICE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/01/1996

    Organization
  • BETHANY HOMES, INC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/1986

    Organization
  • BLUE STONE THERAPY INC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 05/01/2019

    Organization
  • EIDE BAILLY LLP

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/1998

    Organization
  • ANGUS, KAYE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/01/2022

    Individual
  • GUPTA, PARUL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/01/2020

    Individual
  • STUHAUG, SHAWN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/09/2007

    Individual
  • ANDERSON, CHERYL

    CORPORATE DIRECTOR

    Since since 04/18/2023

    Individual
  • BRANTNER-ADAMS, JERILYNN

    CORPORATE DIRECTOR

    Since since 04/18/2023

    Individual
  • DAVIDSON, BRUCE

    CORPORATE DIRECTOR

    Since since 05/13/2025

    Individual
  • HERTSGAARD, JOHN

    CORPORATE DIRECTOR

    Since since 04/09/2024

    Individual
  • NESS OWENS, LAURA

    CORPORATE DIRECTOR

    Since since 04/09/2024

    Individual
  • OLSON, ROGER

    CORPORATE DIRECTOR

    Since since 04/19/2022

    Individual
  • RENNER, BETH

    CORPORATE DIRECTOR

    Since since 04/18/2023

    Individual
  • ROCKSTAD, LIANNE

    CORPORATE DIRECTOR

    Since since 04/09/2024

    Individual
  • RYDELL, JACK

    CORPORATE DIRECTOR

    Since since 05/13/2025

    Individual
  • STEEN, RICK

    CORPORATE DIRECTOR

    Since since 04/09/2024

    Individual
  • WENDT, JOSEPH

    CORPORATE DIRECTOR

    Since since 05/13/2025

    Individual
  • ANGUS, KAYE

    CORPORATE OFFICER

    Since since 10/01/2022

    Individual
  • STUHAUG, SHAWN

    CORPORATE OFFICER

    Since since 04/09/2007

    Individual
  • BELL BANK ARROWHEAD OFFICE

    5% OR GREATER MORTGAGE INTEREST

    Since since 12/01/2013

    Organization

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