Federal inspection record · CMS data as of October 1, 2026
Fargo Elim Health Care Center
3534 University Drive S, Fargo, ND · (701) 271-1862
- Certified beds
- 88
- Residents per day
- 83
- Ownership
- Non-Profit
- Chain
- Cassia
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 10, 2022
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Dakota.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Dakota homes
Fargo Elim Health Care Center carries 58 inspection points. That is fewer than 28% of North Dakota's 71 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Dakota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–10 pts
- 4★ 10–23 pts
- 3★ 23–42.5 pts
- 2★ 42.5–76 pts
- 1★ over 76 pts
Bars show every rated home in North Dakota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
14 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Rights3F
- F
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning3E
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure each resident receives an accurate assessment.
Quality of Life and Care2D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary2E
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service1D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspection history
2026-04-01
8 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-02-20
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2023-12-20
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 10 min of nursing staff time a day, 1 h 25 min of it from a registered nurse.
This home
5 h 10 min
North Dakota average
4 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 27% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 0.9 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 1.2 | 1.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better | 100.0% | 98.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.4 pts better | 98.7% | 98.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4 pts better | 1.1% | 5.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 1.9% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.7 pts better | 2.1% | 5.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.7 pts worse | 18.3% | 17.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10 pts better | 12.8% | 22.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.7 pts better | 15.6% | 16.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.6 pts better | 17.3% | 19.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts better | 0.8% | 2.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.8 pts better | 21.2% | 24.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3 pts better | 1.7% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.2 pts better | 96.5% | 91.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.2 pts better | 11.3% | 12.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts worse | 2.8% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.2 pts better | 98.9% | 85.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.1 pts worse | 25.9% | 19.8% | 23.4% |
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Who owns and runs it
11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Elim Care Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 11 facilities |
| Anderson, Paul | Corporate Director · Individual | 0% | 4 facilities |
| Cassia | Operational/Managerial Control · Organization | 0% | 17 facilities |
| Dahl, Robert | Corporate Officer · Individual | 0% | 14 facilities |
| Kern, Matthew | Corporate Officer · Individual | 0% | 17 facilities |
| Leff, William | Corporate Director · Individual | 0% | 9 facilities |
| Muhonen, Renee | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nuss, Patrick | Corporate Director · Individual | 0% | 5 facilities |
| Tangedahl, Guy | Corporate Director · Individual | 0% | 10 facilities |
| Weber-Daniels, Nicolette | Corporate Director · Individual | 0% | 5 facilities |
| Youngquist, Kathryn | Corporate Officer · Individual | 0% | 17 facilities |
·
Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous1E
- E
Have simulated fire drills held at unexpected times.
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