01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-12 | 3 | 2026-02-12 | 0 |
| Cycle 2 | 2024-10-24 | 3 | 2024-10-24 | 0 |
| Cycle 3 | 2023-10-26 | 4 | 2023-10-26 | 0 |
CMS CCN 3550862026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Bethany On University
201 S University Dr · Fargo, ND 58103 · Cass County
Certified beds172CMS provider file
Recent citation rows10current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
10 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-12 · HEALTHF0627Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Correction field: Deficient, Provider has date of correction · 2026-03-17 · complaint2026-02-12 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-03-17 · complaint2026-02-12 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-03-172025-06-04 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-07-07 · complaint2025-01-29 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-03-05 · complaint2024-10-24 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-11-13 · complaint2023-10-26 · HEALTHF0563Severity G · isolated actual harm
Resident Rights Deficiencies
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Correction field: Deficient, Provider has date of correction · 2023-11-202023-10-26 · HEALTHF0622Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-11-202023-10-26 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2023-11-202023-10-26 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-11-2003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BELL BANK ARROWHEAD OFFICEOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 12/01/2013
- ANDERSON, CHERYLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/18/2023
- BRANTNER-ADAMS, JERILYNNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/18/2023
- DAVIDSON, BRUCEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/13/2025
- HERTSGAARD, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/09/2024
- NESS OWENS, LAURAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/09/2024
- OLSON, ROGERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/19/2022
- RENNER, BETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/18/2023
- ROCKSTAD, LIANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/09/2024
- RYDELL, JACKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/13/2025
- STEEN, RICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/09/2024
- WENDT, JOSEPHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/13/2025
- ANGUS, KAYEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2022
- STUHAUG, SHAWNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/09/2007
- AMERICAN LUTHERAN HOMES INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/1990
- BELL BANK ARROWHEAD OFFICEOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/1996
- BETHANY HOMES, INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/1986
- BLUE STONE THERAPY INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2019
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.40per resident day
RN hours1.09per resident day
Weekend nurse hours4.81per resident day
Staff turnover51.9%CMS reported field
06 / LOCAL RECORDS
Open the Fargo ledger →Other published facilities nearby
Bethany On 42Nd116 beds · CMS overall 5/53 citation rowsEventide Fargo98 beds · CMS overall 3/513 citation rowsFargo Elim Health Care Center88 beds · CMS overall 3/515 citation rowsSmp Health - St Catherine North125 beds · CMS overall 4/515 citation rowsSmp Health - St Catherine South98 beds · CMS overall 4/510 citation rowsThe Meadows On University95 beds · CMS overall 1/540 citation rows