Skilled nursing facility · CMS certification number 355123
BETHANY ON 42ND
FARGO, North Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 116
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 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 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 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 August 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 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 July 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 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 July 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 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 September 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 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 July 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 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 September 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 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 July 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 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 July 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 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 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 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 May 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 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 July 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 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 12 August 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 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 November 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 31 December 2010
Cost report for 20 January 2010 to 31 December 2010 — a reporting period of 345 days, on form CMS-2540-96, settled, processed by CMS on 31 August 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, stated at moderate confidence: −$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 1 August 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 1 August 2026 (Medicare enrollment ownership), under the enrollment of BETHANY ON 42ND (enrollment ID O20090819000795).
| 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 | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
| BETHANY HOMES, INC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/10/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| BETHANY ON 42ND | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2009 | Private equity company: No Real estate investment trust: No Holding company: No |
| BLUE STONE THERAPY INC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/4/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| EIDE BAILLY LLP | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/8/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| KAYE ANGUS | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PARUL GUPTA | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/1/2020 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SHAWN A STUHAUG | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/9/2007 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BETH RENNER | Individual | CORPORATE DIRECTOR | 0 | 4/18/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BRUCE L DAVIDSON | Individual | CORPORATE DIRECTOR | 0 | 5/13/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CHERYL ANDERSON | Individual | CORPORATE DIRECTOR | 0 | 4/18/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JACK RYDELL | Individual | CORPORATE DIRECTOR | 0 | 5/13/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JERILYNN BRANTNER-ADAMS | Individual | CORPORATE DIRECTOR | 0 | 4/18/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN HERTSGAARD | Individual | CORPORATE DIRECTOR | 0 | 4/9/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOSEPH WENDT | Individual | CORPORATE DIRECTOR | 0 | 5/13/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LAURA NESS OWENS | Individual | CORPORATE DIRECTOR | 0 | 4/9/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LIANNE ROCKSTAD | Individual | CORPORATE DIRECTOR | 0 | 4/9/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RICK STEEN | Individual | CORPORATE DIRECTOR | 0 | 4/9/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ROGER OLSON | Individual | CORPORATE DIRECTOR | 0 | 4/19/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KAYE ANGUS | Individual | CORPORATE OFFICER | 0 | 10/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SHAWN A STUHAUG | Individual | CORPORATE OFFICER | 0 | 6/23/2009 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BELL BANK ARROWHEAD OFFICE | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/1/1996 | Private equity company: No Real estate investment trust: No Holding company: No |
| BETHANY HOMES, INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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 | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| EIDE BAILLY LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/1998 | Private equity company: No Real estate investment trust: No Holding company: No |
| KAYE ANGUS | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PARUL GUPTA | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/1/2020 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SHAWN A STUHAUG | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/23/2009 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: BETHANY ON 42ND no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BETHANY ON 42ND no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOSEPH WENDT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BETHANY ON 42ND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BETHANY ON 42ND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOSEPH WENDT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 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
- 1 July 2025: BEN CARLSRUD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PAULETTE AMUNDSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: BRUCE L DAVIDSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JACK RYDELL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JOSEPH WENDT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 May 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
- 1 May 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
- 1 May 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
- 1 May 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
- 1 May 2025: EIDE BAILLY LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: PARUL GUPTA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: PARUL GUPTA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: BELL BANK ARROWHEAD OFFICE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: BELL BANK ARROWHEAD OFFICE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: BELL BANK ARROWHEAD OFFICE appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: SHAWN A STUHAUG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: SHAWN A STUHAUG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 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
- 1 May 2025: BLUE STONE THERAPY INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KAYE ANGUS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KAYE ANGUS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 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
- 1 May 2025: BETHANY HOMES, INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: BETHANY ON 42ND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 3 June 2024: BRUCE L DAVIDSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: JACK RYDELL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: MARTHA K LECLERC no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: NEAL ERIKSMOEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: LIANNE ROCKSTAD appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: JOHN HERTSGAARD appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: LAURA NESS OWENS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: RICK STEEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 15 June 2023: CHARLOTTE RUSCH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: LIANNE ROCKSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: JERILYNN BRANTNER-ADAMS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: BETH RENNER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: CHERYL ANDERSON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 31 October 2022: DAVID J GLATT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 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
- 31 October 2022: JANE M KELLY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: KAYE ANGUS appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 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
- 1 July 2026: BETHANY ON 42ND no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BETHANY ON 42ND no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOSEPH WENDT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BETHANY ON 42ND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BETHANY ON 42ND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOSEPH WENDT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 July 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
- 1 July 2025: BEN CARLSRUD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PAULETTE AMUNDSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: BRUCE L DAVIDSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JACK RYDELL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JOSEPH WENDT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 May 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
- 1 May 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
- 1 May 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
- 1 May 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
- 1 May 2025: EIDE BAILLY LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: PARUL GUPTA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: PARUL GUPTA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: BELL BANK ARROWHEAD OFFICE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: BELL BANK ARROWHEAD OFFICE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: BELL BANK ARROWHEAD OFFICE appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: SHAWN A STUHAUG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: SHAWN A STUHAUG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 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
- 1 May 2025: BLUE STONE THERAPY INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KAYE ANGUS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KAYE ANGUS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 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
- 1 May 2025: BETHANY HOMES, INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: BETHANY ON 42ND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 6 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 3 June 2024: BRUCE L DAVIDSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: JACK RYDELL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: MARTHA K LECLERC no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: NEAL ERIKSMOEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: LIANNE ROCKSTAD appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: JOHN HERTSGAARD appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: LAURA NESS OWENS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 23 July 2026 | 1 May 2025 | 0 | 0 |
| 2 | 1 May 2025 | 14 March 2024 | 1 | 0 |
| 3 | 14 March 2024 | 30 March 2023 | 2 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 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 |
|---|---|---|---|---|---|---|---|---|
| 1 May 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 23 May 2025 |
| 14 March 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 | 1 April 2024 |
| 14 March 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 | 1 April 2024 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
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 | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 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 1 July 2026: BETHANY ON 42ND no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
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.
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.