Sanford Home Care Fargo
A home health agency in Fargo, North Dakota 58103
3223 32nd Ave S, Fargo, North Dakota 58103. (701) 234-4900.
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The short answer
Record last released by CMS on Oct 21, 2026.
- 3.5of 5 quality of patient care rating
- 4of 5 patient survey rating
- 1 deficiencies cited in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Mar 19, 2026: a recertification inspection.
1 deficiency cited in the last three years.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Jul 2025. Most serious: Element-level. The last 3 years, to Oct 24, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Jul 29, 2025: complaint inspection1 deficiency
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Rn Performs Assessment
The inspectors’ words, 587 words
“RN performs assessment CFR(s): 484.55(a)(1) A registered nurse must conduct an initial assessment visit to determine the immediate care and support needs of the patient; and, for Medicare patients, to determine eligibility for the Medicare home health benefit, including homebound status. The initial assessment visit must be held either within 48 hours of referral, or within 48 hours of the patient’s return home, or on the physician or allowed practitioner - ordered start of care date. This Element is not met as evidenced by: Based on record review, policy review, and staff interview, the Agency failed to ensure the registered nurse (RN) conducted the initial assessment to determine the immediate care and support needs of the patient and determine Medicare eligibility within 48 hours of referral or return home for 1 of 1 sampled patient (Patient #1) reviewed with a wound VAC (vacuum-assisted closure; a medical device used to promote healing by applying negative pressure to the wound site). Failure to perform the initial assessment within 48 hours of Patient #1’s return home did not allow the nurse to determine his immediate wound care needs. Findings include: Review of the agency policy titled “Admissions Process, Home Health” occurred on 07/29/25. This policy, dated 12/12/24, stated, “. . . Patients who are accepted for service should be admitted into the agency within 48 hours of referral unless otherwise specified by the provider. . . . When skilled nursing is ordered, the RN [registered nurse] must conduct an initial assessment visit to determine the immediate care and support needs of the patient. . . .” Review of Patient #1’s medical record occurred on 07/29/25. Diagnoses included diabetes mellitus with foot ulcer, non-pressure chronic ulcer of right foot with necrosis (premature cell or tissue death), diabetic peripheral angiopathy (blood vessel disease of lower limbs), atherosclerosis (hardening of arteries) of right leg, and left leg below the knee amputation. A physician’s order, dated 06/06/25, stated, “Clinic referral Home Health . . . Referral (New Request): . . . Reason: Continuity of Care . . . Type: Home Health Evaluation . . . Start Date: 6/6/2025 . . . Surgical Case Request: versijet [sic] debridement [method used for removal of damaged tissue from a wound] of right foot ulceration with application of integra [synthetic material used for wound healing] and a wound VAC 5/23/2025-6/30/2025 . . . Comments: Duration of care, frequency of visits, and homebound status to be assessed by Home Health. . . .” A nurse’s initial assessment, dated 06/13/25, stated, “. . . Problem: Orders and Wound Therapy: Starting:6/13/2025 . . . Intervention: Negative pressure wound therapy orders . . . Encounter Notes: Home Health by [nurse’s name] at 6/13/2025 12:20 PM . . . Primary focus of care: diabetic foot ulcer . . . Plan for future visits: SN [skilled nurse] 2x [two times] week . . . Additional Narrative: SN removed wound vac per orders and was unable to remove fully as staples have molded to vac drape and have to be removed in order to remove wound vac. . . .” A nurse’s note, dated 06/18/25 at 10:30 a.m., stated, “. . . Transferred to an inpatient facility . . . wound infection . . .” During an interview on 07/29/25 at 3:15 p.m., a supervisory nurse (#1) verified the agency received Patient #1’s referral order on 06/06/25. Failure to conduct the initial assessment within 48 hours of referral may have contributed to the nurse’s inability to change the wound dressing and the patient’s subsequent infection.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 19, 2026 | Recertification inspection | No deficiencies cited |
| Jul 29, 2025 | Complaint inspection | 1 deficiency cited |
Is it certified?
- Medicare-certified home health agency since Aug 30, 1985.
- Ownership: non-profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Who does the caring?
- Offers nursing care, physical therapy, occupational therapy, speech pathology, medical social services and home health aide services.
- CMS doesn’t publish staffing levels for home health agencies.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
Who owns it?
- Sanford North owns 100% directly since Mar 1, 2011.
- 21 owners or officers are people: Mark Allen Lundeen (corporate director); Marnie Lynn Ventling-Herrmann (corporate director); Tony Lee Morrison (corporate officer); Tony Lee Morrison (managing employee (on the payroll)); James Edward Cain (corporate director); Karin Louise Dulski (managing employee (on the payroll)); Brent Gerard Teiken (corporate director, 0%); Jolyn Joy Munson (managing employee (on the payroll)); Dana James Dykhouse (corporate director); Andrew Stewart North (corporate director); Stephanie Marie Swenson (managing employee (on the payroll)); Stephanie Marie Herseth Sandlin (corporate director); William Joseph Gassen (corporate officer); William Joseph Gassen (corporate director); William Joseph Gassen (managing employee (on the payroll)); Wesley Owen Engbrecht (corporate director); David Jonathan Shulkin (corporate director); Neil Leslie Gulsvig (corporate director); Lauris Nelson Molbert (corporate director); Nicholas Wayne Olson (corporate officer); Nicholas Wayne Olson (managing employee (on the payroll)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Sanford | Owns 5% or more through other companies | 100% | Nov 2, 2009 |
| Sanford North | Owns 5% or more directly | 100% | Mar 1, 2011 |
How do patients fare?
- CMS rates its quality of patient care 3.5 of 5.
- Patients rate it 4 of 5 in CMS’s patient survey (377 surveys completed): 89% rated it 9 or 10 out of 10, and 82% would definitely recommend it.
- CMS compares it with the national rate: discharged to the community, better; potentially preventable hospital stays, better; potentially preventable readmissions after discharge, the same.
CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Quality of patient care ratingCMS star rating, 1 to 5 in half stars | 3.5 of 5 |
| Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5 | 4 of 5 |
| Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate | 101.65% (better than the national rate) |
| Potentially preventable hospital staysCMS’s risk-adjusted rate, compared with the national rate | 7.93% (better than the national rate) |
| Potentially preventable readmissions after dischargeCMS’s risk-adjusted rate, compared with the national rate | 4.03% (same as the national rate) |
How does it compare nearby?
- Of the 5 agencies CMS’s data show serving patients in ZIP code 58103, where this agency’s office is, 3 have a quality of patient care rating; the middle one is 3.5 of 5, and this one is rated 3.5 of 5.
CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
| Place | Quality rating |
|---|---|
| Sanford Home Care Fargo This home health agency | 3.5 |
| Healthy at Home | Not given |
| Nizhoni Healthcare Services, LLC | Not given |
| Ethos Home Health | 2.5 |
| Essentia Health Home Care West | 4 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
- Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.
Sources
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Centers for Medicare & Medicaid Services, Home Health Care Agencies (6jpm-sxkc).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Patient Survey (ccn4-8vby).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR home health inspection reports (HHA_2567s_2018_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 24, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency All Owners (fc009b2d-7846-44b1-b4a1-692f0c143879).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency Enrollments (15f64ab4-3172-4a27-b589-ebd67a6d28aa).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health ZIP Codes (m5eg-upu5).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 24, 2026.
From the agency
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Replies
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Paid listing
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