Minnesota › Douglas County › Alexandria
Bethany On the Lake LLC
1020 Lark Street, Alexandria, MN 56308
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 83 beds, Bethany On the Lake LLC serves Alexandria in Douglas County, Minnesota and has taken Medicare and Medicaid residents since 1987.
CMS gives it 3 of 5 stars overall, equal to the Minnesota median; the health inspection rating is 2, staffing 5 and quality measures 3.
Inspectors recorded 10 health deficiencies across the three most recent survey cycles (4, 5, 1 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 12.0 per 100 beds, fewer than the state median of 30.0.
CMS lists 1 penalty in the period covered: fines totalling $19K.
Reported nurse staffing is 3.8 hours per resident per day (0.9 RN), close to the Minnesota median of 4.2; nursing staff turnover is 40.4%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Douglas Co. median | Minnesota median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 10 | 10 | 20 | 28.7 |
| Citations per 100 beds | 12.0 | 14.5 | 30.0 | 26.8 |
| Total nurse hours per resident day | 3.8 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.9 | 1.1 | 1.0 | 0.7 |
| Nursing staff turnover | 40.4% | 29.1% | 40.0% | 45.8% |
| Fines listed | $19,330 | $0 | $0 | — |
County and state figures are medians across facilities (4 in the county, 338 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Aug 2025, 5 Jun 2024.
Severity mix: J ×1 I ×1 D ×5 E ×1 F ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 26 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | I | Complaint investigation | 13 Mar 2026 |
| 26 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Apr 2026 |
| 13 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 3 Sep 2025 |
| 13 Aug 2025 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 3 Sep 2025 |
| 10 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 7 Jan 2025 |
| 12 Dec 2024 | F0622 | 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. | D | Complaint investigation | 26 Dec 2024 |
| 5 Jun 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 26 Jun 2024 |
| 5 Jun 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 26 Jun 2024 |
| 5 Jun 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 26 Jun 2024 |
| 27 Apr 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 10 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Mar 2026 | Fine | $19,330 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 40.4%, RNs 25.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Minnesota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.6% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.2% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.7% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 1.4% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.0% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.3% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.4% | 15.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Chain: Monarch Healthcare Management (45 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Jca Holdings LLC | 5% or greater direct ownership interest | 15% | 12/29/2017 |
| Nij LLC | 5% or greater direct ownership interest | 10% | 12/29/2017 |
| Spartan Healthcare LLC | 5% or greater direct ownership interest | 28% | 12/29/2017 |
| Wbs Holdings LLC | 5% or greater direct ownership interest | 19% | 12/29/2017 |
| Yazoma Holdings, LLC | 5% or greater direct ownership interest | 28% | 12/29/2017 |
| Monarch Healthcare Operating V LLC | Operational/managerial control | NOT APPLICABLE | 12/29/2017 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Douglas County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Evansville Care Center | Evansville | 27 | 5 | 4 | 5 | 8 | 29.6 | — | 21 Jan 2026 |
| Galeon | Osakis | 40 | 5 | 5 | 5 | 5 | 12.5 | — | 20 Feb 2025 |
| Knute Nelson Care Center | Alexandria | 83 | 5 | 5 | 5 | 12 | 14.5 | — | 13 May 2026 |
All 4 facilities in Douglas County
Questions and answers
How many deficiencies has Bethany On the Lake LLC been cited for?
10 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.
Has Bethany On the Lake LLC been fined?
Yes. CMS lists fines totalling $19K in the period covered.
How does staffing at Bethany On the Lake LLC compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.
Who operates Bethany On the Lake LLC?
It is part of the Monarch Healthcare Management chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Jca Holdings LLC, Nij LLC and Spartan Healthcare LLC. Individual owners and managers are not listed on this site.
When was Bethany On the Lake LLC last inspected?
The most recent survey or investigation in the CMS record is dated 26 Mar 2026; the most recent standard health survey was 13 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.