The nursing home failed to honor a resident’s right to receive visitors of their choosing at the time they wanted. Cited October 2023 — isolated incident, actual harm.
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F-Tag 563 — 42 CFR §483.10 — S/S: G
Nursing home report
BETHANY ON UNIVERSITY
FARGO, ND · Medicare-certified · 172 beds
In good standing
Non-profit
5 of 5 overall
Bethany on University in Fargo has a 5-star overall rating, with strong staffing at 5.44 hours per resident day versus the 4.1 federal benchmark and no fines in the last 24 months. Its health inspection and quality measures are both 4 stars, though recent inspection citations included visitor rights, infection control, and transfer/discharge issues.
Facility ratings
Health inspections
Staffing
5.4417 hrs/resident/day
Quality measures
Last inspection: February 12, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.4417.
Staffing detail
- Registered nurses
- 1.07
- Licensed practical nurses
- 0.65
- Nurse aides
- 3.72
- Weekend nursing
- 4.89
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 34%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16.5%Improving
Residents with a fall causing major injury
3.6%Steady
Residents with pressure ulcers (bedsores)
1.3%Worsening
Residents with a urinary tract infection
1.8%Improving
Residents who lost too much weight
1.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.5%Steady
Residents whose ability to walk got worse
12.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
37%Worsening
Short-stay residents newly given an antipsychotic
2.6%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
24.3%Improving
Residents with depressive symptoms
2.2%Improving
Long-stay residents given the seasonal flu vaccine
99.3%Steady
Long-stay residents given the pneumonia vaccine
99.6%Worsening
Short-stay residents given the seasonal flu vaccine
96.9%Steady
Short-stay residents given the pneumonia vaccine
98.5%Steady
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
The home failed to make sure the resident’s transfer or discharge met their needs and preferences and was safe. Cited February 2026 — isolated incident, potential for harm.
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F-Tag 627 — 42 CFR §483.15(c) — S/S: D
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited February 2026 — isolated incident, potential for harm.
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F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: D
The nursing home failed to ensure residents were free from significant medication errors. Cited June 2025 — isolated incident, potential for harm.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 163.9 residents on an average day (95% of 172 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.