nursing home in Alexandria, MN
Bethany on the Lake LLC
1020 Lark Street, Alexandria, MN 56308 · (320) 762-1567
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★5
- Quality measures★★★★★3
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Bethany on the Lake LLC at a glance
Bethany on the Lake LLC is a 83-bed for-profit nursing home in Alexandria, Minnesota (Douglas County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Minnesota average of 3.2.
Residents receive about 3.8 hours of nursing care per day (0.9 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (August 13, 2025) found 4 health citations. The Minnesota average is 7.1.
Federal regulators fined it 1 time in the past three years, totaling $19,330.
Nursing staff turnover is 40.4% per year (state average 42.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 83
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Monarch Healthcare Management
- Medicare-certified since
- February 1, 1987
- Resident/family council
- Both
- County
- Douglas County
- CMS Certification Number
- 245434
Ratings
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 4.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 2.9 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.81 hrs | 4.19 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.86 hrs | 1.06 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.72 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.32 hrs | 3.71 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 40.4% | 42.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 25% | 38.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 55.5 | 63.9 | 80.6 | Better |
Penalties
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $19,330 | $24,507 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 83 | 71 | 107 | |
| Average residents per day | 80 | 60 | 86 | |
| Occupancy | 96.4% | 84.1% | 80.9% |
Long-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.7% | 4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.3% | 5.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 13.4% | 17.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 4.2% | 2.6% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.1% | 1.9% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 12.6% | 18.2% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 15% | 20.5% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.1% | 4.1% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 6.3% | 4.1% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 25.5% | 12.5% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 23.2% | 24.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 98.5% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.6% | 97.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.3% | 1.9% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 94.6% | 82.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 97.3% | 88.1% | 82% | Better |
Inspection citations
State inspectors cited this home for 10 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 26, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | I Actual harm, widespread | Corrected March 13, 2026 |
| March 26, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected April 15, 2026 |
| August 13, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected September 5, 2025 |
| August 13, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected September 5, 2025 |
| August 13, 2025 Fire safety | Install properly constructed windows in hallway walls or doors. Smoke Deficiencies · Tag K0364 | D Potential harm, isolated | Corrected September 5, 2025 |
| August 13, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected September 30, 2025 |
| August 13, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected September 5, 2025 |
| August 13, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected September 3, 2025 |
| August 13, 2025 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | C No harm, widespread | Corrected September 3, 2025 |
| January 10, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected January 7, 2025 |
| December 12, 2024 Complaint | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected December 26, 2024 |
| June 5, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected June 25, 2024 |
| June 5, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected June 25, 2024 |
| June 5, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 26, 2024 |
| June 5, 2024 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected June 26, 2024 |
| June 5, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected June 26, 2024 |
| April 27, 2023 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected May 10, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $19,330 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 26, 2026 | Fine | $19,330 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| JCA HOLDINGS LLC Organization | 5% or greater direct ownership interest | 15% | 12/29/2017 |
| NIJ LLC Organization | 5% or greater direct ownership interest | 10% | 12/29/2017 |
| SPARTAN HEALTHCARE LLC Organization | 5% or greater direct ownership interest | 28% | 12/29/2017 |
| WBS HOLDINGS LLC Organization | 5% or greater direct ownership interest | 19% | 12/29/2017 |
| YAZOMA HOLDINGS, LLC Organization | 5% or greater direct ownership interest | 28% | 12/29/2017 |
| HALPERT, MARC Individual | 5% or greater indirect ownership interest | 28% | 12/29/2017 |
| JAFFA, NOAM Individual | 5% or greater indirect ownership interest | 10% | 12/29/2017 |
| LEGUM, JOSHUA Individual | 5% or greater indirect ownership interest | 28% | 12/29/2017 |
| STERN, WILLIAM Individual | 5% or greater indirect ownership interest | 19% | 12/29/2017 |
| LEGUM, JOSHUA Individual | contracted managing employee | NOT APPLICABLE | 12/29/2017 |
| JAFFA, NOAM Individual | corporate director | NOT APPLICABLE | 12/29/2017 |
| HALPERT, MARC Individual | corporate officer | NOT APPLICABLE | 12/29/2017 |
| STERN, WILLIAM Individual | corporate officer | NOT APPLICABLE | 12/29/2017 |
| MONARCH HEALTHCARE OPERATING V LLC Organization | operational/managerial control | NOT APPLICABLE | 12/29/2017 |
Other nursing homes near Bethany on the Lake LLC
Knute Nelson Care Center
420 12th Avenue East, Alexandria, MN 56308 · under 1 mi
Non-profit · 83 beds · Part of Vivie
- CMS high performer
★★★★★5Much above average- ★★★★★5Much above average
Glenwood Village Care Center
719 Southeast 2nd Street, Glenwood, MN 56334 · 16.4 mi
Non-profit · 64 beds · Part of Vivie
★★★★★2Below averageEvansville Care Center
649 State Street Northwest, Evansville, MN 56326 · 17.2 mi
For-profit · 27 beds
★★★★★5Much above averageSt Williams Living Center
212 West Soo Street, Box 30, Parkers Prairie, MN 56361 · 19 mi
Non-profit · 53 beds
- CMS high performer
★★★★★5Much above averageMinnewaska Community Health Services
605 Main Street, Starbuck, MN 56381 · 19.7 mi
Non-profit · 39 beds
★★★★★2Below average
Frequently asked questions
What is Bethany on the Lake LLC's rating?
Bethany on the Lake LLC has 3 out of 5 stars on the CMS overall star rating. The average for Minnesota nursing homes is 3.2 stars.
How many inspection citations did Bethany on the Lake LLC receive?
Its most recent standard health inspection found 4 citations, compared with a Minnesota average of 7.1. Every citation is listed on this page with its severity.
Does Bethany on the Lake LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Bethany on the Lake LLC?
It is for profit - corporation and part of Monarch Healthcare Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Bethany on the Lake LLC and how do I contact it?
Bethany on the Lake LLC is at 1020 Lark Street, Alexandria, MN 56308. Phone: (320) 762-1567.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.