Minnesota ›Alexandria

Bethany on the Lake LLC

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1020 Lark Street, Alexandria, MN 56308 (opens Google Maps) · Douglas County · (320) 762-1567· 83 certified beds · avg 80 residents/day · certified since Feb 1, 1987 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Abuse citation flag (CMS)

What the abuse flag means →

Part of chain: MONARCH HEALTHCARE MANAGEMENT (45 facilities, chain avg rating 2.2★)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

2/5
Health inspection rating (on-site)
inspected Aug 13, 2025
2
Serious findings on record
most recent Mar 26, 2026
$19,330
Fines, last 3 years
4.52
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Jan 10, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jan 7, 2025 (Past Non-Compliance)

▲ Actual harm, widespread · Mar 26, 2026 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (I): Actual harm was cited, below immediate jeopardy. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 13, 2026 (Past Non-Compliance)

Inspection findings in the public record

Showing the latest 3 of 10 inspection findings. Open the full record below to read every finding.

  1. I · Actual harm, widespread

    The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint F-0600

  2. D · Potential for more than minimal harm, isolated

    The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint F-0609

  3. E · Potential for more than minimal harm, pattern

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689

View all 10 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Mar 26, 2026▲ I · Actual harm, widespreadThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Mar 26, 2026D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Aug 13, 2025E · Potential for more than minimal harm, patternThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Aug 13, 2025C · Potential for minimal harm, widespreadThe facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · F-0577
Jan 10, 2025▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Dec 12, 2024D · Potential for more than minimal harm, isolatedThe facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint · F-0622
Jun 5, 2024D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jun 5, 2024D · Potential for more than minimal harm, isolatedThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Jun 5, 2024D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Apr 27, 2023F · Potential for more than minimal harm, widespreadThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (3 → 2).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 4
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 1
2026
All citations: 2
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202310F
202440D
202531J ▲
202621I ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

1 fine totaling $19,330.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Mar 26, 2026Fine$19,330

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMinnesota averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.52
Minnesota average: 4.83
U.S. average: 3.95
Registered Nurse hours
This facility: 1.02
Minnesota average: 1.22
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.94
Minnesota average: 4.27
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMinnesota avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.524.833.95bottom 38% in Minnesota; top 22% in the U.S.
Registered Nurse hours1.021.220.69bottom 37% in Minnesota; top 15% in the U.S.
Weekend total nurse staffing3.944.273.50bottom 36% in Minnesota; top 25% in the U.S.
Weekend RN hours (not acuity-adjusted)0.530.690.48bottom 41% in Minnesota; top 30% in the U.S.
Total nursing staff turnover (%)40.442.245.8bottom 49% in Minnesota; top 37% in the U.S.
RN turnover (%)25.038.642.9top 27% in Minnesota; top 20% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.81, RN 0.86, weekend 3.32.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.81 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Bethany on the Lake LLC. CMS inspection and staffing records do not tell us what this home will charge you.

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Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

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Before you compare prices

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  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Halpert, MarcIndividual5% or Greater Indirect Ownership Interest28%12/29/2017
Jaffa, NoamIndividual5% or Greater Indirect Ownership Interest10%12/29/2017
Jca Holdings LLCOrganization5% or Greater Direct Ownership Interest15%12/29/2017
Legum, JoshuaIndividual5% or Greater Indirect Ownership Interest28%12/29/2017
Nij LLCOrganization5% or Greater Direct Ownership Interest10%12/29/2017
Spartan Healthcare LLCOrganization5% or Greater Direct Ownership Interest28%12/29/2017
Stern, WilliamIndividual5% or Greater Indirect Ownership Interest19%12/29/2017
WBS Holdings LLCOrganization5% or Greater Direct Ownership Interest19%12/29/2017
Yazoma Holdings, LLCOrganization5% or Greater Direct Ownership Interest28%12/29/2017
Halpert, MarcIndividualCorporate OfficerNOT APPLICABLE12/29/2017
Jaffa, NoamIndividualCorporate DirectorNOT APPLICABLE12/29/2017
Legum, JoshuaIndividualContracted Managing EmployeeNOT APPLICABLE12/29/2017
Monarch Healthcare Operating V LLCOrganizationOperational/Managerial ControlNOT APPLICABLE12/29/2017
Stern, WilliamIndividualCorporate OfficerNOT APPLICABLE12/29/2017

All 14 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Monarch Healthcare Management — 45 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 44 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
  • "Where do you post your latest state inspection results and the ombudsman's contact information?"
  • "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"
  • "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
  • "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Minnesota midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 40% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Knute Nelson Care Center0.8 miAlexandria, MN★★★★★5/5
Galeon11.0 miOsakis, MN★★★★★5/5
Glenwood Village Care Center16.4 miGlenwood, MN★☆☆☆☆1/5
Evansville Care Center17.2 miEvansville, MN★★★★★4/5
St Williams Living Center19.0 miParkers Prairie, MN★★★★★4/5
Minnewaska Community Health Services19.7 miStarbuck, MN★★☆☆☆2/5

Compare this facility with the 3 closest →

All facilities in Alexandria →

Facility data as of CMS processing date 2026-08-01. CCN 245434.

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