Bethany On 42nd
Bethany On 42nd Information
| Facility Name | Bethany On 42nd |
| Location | 4255 30th Ave S, Fargo, ND 58104 |
| County (SSA Code) | Cass (80) |
| Phone Number | 701-478-8900 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 116 |
| Average Number of Residents | 113.6 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | BETHANY ON 42ND |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 2010-01-20 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.44481 |
| Reported LPN Staffing Hours per Resident per Day | 0.81283 |
| Reported RN Staffing - Hours per Resident per Day | 0.82651 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.63934 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.08415 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.05016 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.18121 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.7057 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.28651 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.17342 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.1078 |
| Total Weighted Health Survey Score for three cycles | 14 |
| Rating cycle 1 Standard Survey Health Date | 2020-02-06 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 4 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-01-24 |
| Rating cycle 2 - Health Deficiency Score | 4 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-02-28 |
| Rating cycle 3 - Health Deficiency Score | 16 |
| Rating cycle 3 - Total Health Inspection Score | 16 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |