Skilled nursing facility · CMS certification number 355123
BETHANY ON 42ND
FARGO, North Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 116
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,898,776 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $386,853 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,511,923 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,862,006 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,649,917 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $489,680 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,139,597 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,139,597 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 42,456 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,043 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 22,808 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 17,464 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 42,315 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 36 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 9 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 20 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,534.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 651 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1437578, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 6, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,968,881 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $461,530 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,507,351 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,449,789 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $57,562 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $365,107 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $422,669 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $422,669 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,093 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,772.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 584.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391239, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 21, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,680,449 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $299,334 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,381,115 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,820,219 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$439,104 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,420,225 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,981,121 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,981,121 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,222 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 27 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 4,123.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,563.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1359495, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,099,459 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $347,222 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,752,237 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,937,771 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $814,466 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $546,980 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,361,446 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,361,446 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,122 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 5,004.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,053.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327964, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,987,876 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $469,620 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,518,256 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,503,216 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,015,040 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $847,487 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,862,527 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,862,527 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,933 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 76.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,014.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 616.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1300037, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,778,246 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $948,222 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,830,024 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,505,056 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $324,968 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $107,537 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $432,505 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $432,075 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,060 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 177 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,782.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 237.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1261679, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 19, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,575,789 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,245,224 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,330,565 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,324,894 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $5,671 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $79,978 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $85,649 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $85,649 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,734 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 252 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,824.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1243123, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 31, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,146,315 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,174,762 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,971,553 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,802,661 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$831,108 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $79,418 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$751,690 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$751,690 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,484 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 338 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,434.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1203859, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,630,320 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,043,863 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,586,457 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,204,423 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $382,034 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $81,368 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $463,402 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $463,402 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,858 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,543.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 139.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169701, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,096,289 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,067,472 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,028,817 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,654,787 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $374,030 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,002 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $426,032 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $420,983 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,809 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 317 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,395.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1136459, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 21, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,603,254 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,265,722 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,337,532 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,186,637 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $150,895 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,507 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $158,402 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $156,179 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,802 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 373 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 688.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1091215, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,003,626 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $871,860 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,131,766 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,277,989 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$146,223 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,114 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$94,109 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$94,285 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,958 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 340 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 814.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 82.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1072776, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 12, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,503,434 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $842,047 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,661,387 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,956,064 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$294,677 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $98,666 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$196,011 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$198,368 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,058 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 315 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 604.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046118, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 9, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,940,815 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $483,343 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,457,472 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,777,221 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$319,749 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $35,382 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$284,367 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$286,010 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,948 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 288 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 589.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1019159, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 20, 2010 to December 31, 2010 — a reporting period of 345 days, on form CMS-2540-96, settled, processed by CMS on August 31, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,911,728 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,465,754 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,554,026 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,361 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $375 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$1,544,040 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,067 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 404 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 540.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 54.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 416787, read from the public cost report file SNFFY2010.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BELL BANK ARROWHEAD OFFICE | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 04/01/2010 |
| ANGUS, KAYE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| BELL BANK ARROWHEAD OFFICE | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2010 |
| BETHANY HOMES, INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/10/2025 |
| BETHANY ON 42ND | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2009 |
| BLUE STONE THERAPY INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/04/2025 |
| EIDE BAILLY LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/08/2025 |
| GUPTA, PARUL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2020 |
| STUHAUG, SHAWN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/09/2007 |
| ANDERSON, CHERYL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/18/2023 |
| BRANTNER-ADAMS, JERILYNN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/18/2023 |
| DAVIDSON, BRUCE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/13/2025 |
| HERTSGAARD, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/09/2024 |
| NESS OWENS, LAURA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/09/2024 |
| OLSON, ROGER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/19/2022 |
| RENNER, BETH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/18/2023 |
| ROCKSTAD, LIANNE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/09/2024 |
| RYDELL, JACK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/13/2025 |
| STEEN, RICK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/09/2024 |
| WENDT, JOSEPH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/13/2025 |
| ANGUS, KAYE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2022 |
| STUHAUG, SHAWN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/23/2009 |
| ANGUS, KAYE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2022 |
| BELL BANK ARROWHEAD OFFICE | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/01/1996 |
| BETHANY HOMES, INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2009 |
| BETHANY ON 42ND | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/14/2010 |
| BLUE STONE THERAPY INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/01/2019 |
| EIDE BAILLY LLP | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/1998 |
| GUPTA, PARUL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2020 |
| STUHAUG, SHAWN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/23/2009 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BETHANY ON 42ND (enrollment ID O20090819000795).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| BELL BANK ARROWHEAD OFFICE | Organization | 5% OR GREATER MORTGAGE INTEREST | 62 | 4/1/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
| BELL BANK ARROWHEAD OFFICE | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
| BETHANY HOMES, INC | Organization | ADP OF THE SNF | Not stated in the filing | 4/10/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| BETHANY ON 42ND | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2009 | Private equity company: No Real estate investment trust: No Holding company: No |
| BLUE STONE THERAPY INC | Organization | ADP OF THE SNF | Not stated in the filing | 4/4/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| EIDE BAILLY LLP | Organization | ADP OF THE SNF | Not stated in the filing | 4/8/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| KAYE ANGUS | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PARUL GUPTA | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHAWN A STUHAUG | Individual | ADP OF THE SNF | Not stated in the filing | 4/9/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BETH RENNER | Individual | CORPORATE DIRECTOR | 0 | 4/18/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRUCE L DAVIDSON | Individual | CORPORATE DIRECTOR | 0 | 5/13/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHERYL ANDERSON | Individual | CORPORATE DIRECTOR | 0 | 4/18/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JACK RYDELL | Individual | CORPORATE DIRECTOR | 0 | 5/13/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JERILYNN BRANTNER-ADAMS | Individual | CORPORATE DIRECTOR | 0 | 4/18/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN HERTSGAARD | Individual | CORPORATE DIRECTOR | 0 | 4/9/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH WENDT | Individual | CORPORATE DIRECTOR | 0 | 5/13/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURA NESS OWENS | Individual | CORPORATE DIRECTOR | 0 | 4/9/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LIANNE ROCKSTAD | Individual | CORPORATE DIRECTOR | 0 | 4/9/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICK STEEN | Individual | CORPORATE DIRECTOR | 0 | 4/9/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROGER OLSON | Individual | CORPORATE DIRECTOR | 0 | 4/19/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KAYE ANGUS | Individual | CORPORATE OFFICER | 0 | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHAWN A STUHAUG | Individual | CORPORATE OFFICER | 0 | 6/23/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BELL BANK ARROWHEAD OFFICE | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/1996 | Private equity company: No Real estate investment trust: No Holding company: No |
| BETHANY HOMES, INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2009 | Private equity company: No Real estate investment trust: No Holding company: No |
| BETHANY ON 42ND | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 1/14/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
| BLUE STONE THERAPY INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| EIDE BAILLY LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/1998 | Private equity company: No Real estate investment trust: No Holding company: No |
| KAYE ANGUS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PARUL GUPTA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHAWN A STUHAUG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/23/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2025: DAN L BEAUCHAMP no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BEN CARLSRUD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PAULETTE AMUNDSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BRUCE L DAVIDSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JACK RYDELL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOSEPH WENDT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- May 1, 2025: SHAWN A STUHAUG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: KAYE ANGUS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BETHANY HOMES, INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: EIDE BAILLY LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: EIDE BAILLY LLP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 1, 1998. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: PARUL GUPTA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: PARUL GUPTA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BELL BANK ARROWHEAD OFFICE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since April 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BELL BANK ARROWHEAD OFFICE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since March 1, 1996. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BELL BANK ARROWHEAD OFFICE (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since April 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: SHAWN A STUHAUG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since April 9, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: SHAWN A STUHAUG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since June 23, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BLUE STONE THERAPY INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BLUE STONE THERAPY INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since May 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: KAYE ANGUS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: KAYE ANGUS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BETHANY HOMES, INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BETHANY HOMES, INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 1, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BETHANY ON 42ND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 1, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- June 3, 2024: BRUCE L DAVIDSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JACK RYDELL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: MARTHA K LECLERC no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: NEAL ERIKSMOEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: LIANNE ROCKSTAD (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JOHN HERTSGAARD (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: LAURA NESS OWENS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: RICK STEEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 15, 2023: CHARLOTTE RUSCH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: LIANNE ROCKSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: JERILYNN BRANTNER-ADAMS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since April 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: BETH RENNER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since April 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: CHERYL ANDERSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since April 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- October 31, 2022: DAVID J GLATT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JANE M KELLY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JANE M KELLY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: KAYE ANGUS appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: KAYE ANGUS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- July 23, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 1, 2025: DAN L BEAUCHAMP no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BEN CARLSRUD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PAULETTE AMUNDSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BRUCE L DAVIDSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JACK RYDELL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOSEPH WENDT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- May 1, 2025: An inspection was recorded in inspection cycle 2. NH_SurveySummary_Sep2026_2.csv
- May 1, 2025: SHAWN A STUHAUG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: KAYE ANGUS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BETHANY HOMES, INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: EIDE BAILLY LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: EIDE BAILLY LLP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 1, 1998. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: PARUL GUPTA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: PARUL GUPTA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BELL BANK ARROWHEAD OFFICE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since April 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BELL BANK ARROWHEAD OFFICE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since March 1, 1996. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BELL BANK ARROWHEAD OFFICE (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since April 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: SHAWN A STUHAUG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since April 9, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: SHAWN A STUHAUG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since June 23, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BLUE STONE THERAPY INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BLUE STONE THERAPY INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since May 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: KAYE ANGUS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: KAYE ANGUS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BETHANY HOMES, INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BETHANY HOMES, INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 1, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BETHANY ON 42ND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 1, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- August 6, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- June 3, 2024: BRUCE L DAVIDSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JACK RYDELL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: MARTHA K LECLERC no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: NEAL ERIKSMOEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: LIANNE ROCKSTAD (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JOHN HERTSGAARD (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: LAURA NESS OWENS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: RICK STEEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- March 14, 2024: An inspection was recorded in inspection cycle 3. NH_SurveySummary_Sep2026_2.csv
- July 21, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- June 15, 2023: CHARLOTTE RUSCH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 23, 2026 | May 1, 2025 | 0 | 0 |
| 1 | July 23, 2026 | July 23, 2026 | 0 | 0 |
| 2 | May 1, 2025 | March 14, 2024 | 1 | 0 |
| 2 | May 1, 2025 | May 1, 2025 | 1 | 0 |
| 3 | March 14, 2024 | March 30, 2023 | 2 | 0 |
| 3 | March 14, 2024 | March 14, 2024 | 2 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on August 1, 2026.
Deficiencies cited
3 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 1, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | May 23, 2025 |
| March 14, 2024 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | April 1, 2024 |
| March 14, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | April 1, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | BETHANY ON 42ND |
| Date First Approved to Provide Medicare and Medicaid Services | 2010-01-20 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Cass |
| Telephone Number | 7014788900 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 116 |
| Average Number of Residents per Day | 113.5 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 3 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on BETHANY ON 42ND: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On July 23, 2026: An inspection was recorded in inspection cycle 1. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for BETHANY ON 42ND
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in North Dakota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in North Dakota
- MARVIN COMPOSITES, LLC, FARGO Water discharge permit
- LINEAGE LOGISTICS, GRAND FORKS Water discharge permit
- DAKOTA GASIFICATION CO, BEULAH Water discharge permit
- DAKOTA GASIFICATION CO, BEULAH Water discharge permit
- DAKOTA GASIFICATION CO, BEULAH Water discharge permit
- DAKOTA GASIFICATION CO, BEULAH Water discharge permit
- DAKOTA GASIFICATION CO, BEULAH Water discharge permit
- DAKOTA GASIFICATION CO, BEULAH Water discharge permit
- KNIFE RIVER CORPORATION - PLANT 4, PORTABLE Air emission source
- KELLER PAVING AND LANDSCAPING, INC., MINOT Air emission source
- TRI STATE PAVING, INC., DEVILS LAKE Air emission source
- AGGREGATE INDUSTRIES-NORTH CENTRAL REGIO, GRAND FORKS Air emission source
- CENTRAL SPECIALTIES, INC. - PLANT 4, PORTABLE Air emission source
- CENTRAL SPECIALTIES, INC. - PLANT 3, PORTABLE Air emission source
- GABRIEL CONSTRUCTION, INC, NORTHWOOD Air emission source
- SUNDRE SAND AND GRAVEL, INC., MINOT Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 355123.