BETHANY ON 42ND
4255 30TH AVE S
FARGO, ND, 58104
7014788900
CCN: 355123
5
Overall4
Health4
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| BELL BANK ARROWHEAD OFFICE | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| HERTSGAARD, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| ANDERSON, CHERYL | CORPORATE DIRECTOR | NOT APPLICABLE |
| BRANTNER-ADAMS, JERILYNN | CORPORATE DIRECTOR | NOT APPLICABLE |
| DAVIDSON, BRUCE | CORPORATE DIRECTOR | NOT APPLICABLE |
| NESS OWENS, LAURA | CORPORATE DIRECTOR | NOT APPLICABLE |
| OLSON, ROGER | CORPORATE DIRECTOR | NOT APPLICABLE |
| RENNER, BETH | CORPORATE DIRECTOR | NOT APPLICABLE |
| ROCKSTAD, LIANNE | CORPORATE DIRECTOR | NOT APPLICABLE |
| RYDELL, JACK | CORPORATE DIRECTOR | NOT APPLICABLE |
| STEEN, RICK | CORPORATE DIRECTOR | NOT APPLICABLE |
| WENDT, JOSEPH | CORPORATE DIRECTOR | NOT APPLICABLE |
| STUHAUG, SHAWN | CORPORATE OFFICER | NOT APPLICABLE |
| ANGUS, KAYE | CORPORATE OFFICER | NOT APPLICABLE |
| EIDE BAILLY LLP | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ANGUS, KAYE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GUPTA, PARUL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| STUHAUG, SHAWN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BETHANY HOMES, INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BETHANY ON 42ND | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BELL BANK ARROWHEAD OFFICE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BLUE STONE THERAPY INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (11)
2025-05-01 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2024-03-14 · Health
E
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
2023-03-30 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F688 · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
E
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
5.27
RN Hrs/Resident/Day0.54
0.62
LPN Hrs/Resident/Day0.81
0.88
CNA Hrs/Resident/Day2.33
3.77
PT Hrs/Resident/Day0.12
0.03
Data as of 2026-03-01