Bethany on the Lake LLC
1020 Lark Street, Alexandria, MN 56308 · Douglas County · 83 certified beds · avg 80 residents/day · certified since Feb 1, 1987
Abuse citation flag (CMS)
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.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · 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): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 7, 2025 (Past Non-Compliance)
▲ Actual harm, facility-wide · 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): Residents were actually harmed and the failure existed throughout the facility. Rare and serious.
Corrected: Mar 13, 2026 (Past Non-Compliance)
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 26, 2026 | ▲ I · Actual harm, facility-wide | 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 |
| Mar 26, 2026 | D · Potential for harm, one-off | 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 |
| Aug 13, 2025 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 13, 2025 | C · Minimal risk, facility-wide | The 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. |
| Jan 10, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 12, 2024 | D · Potential for harm, one-off | The 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 |
| Jun 5, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 5, 2024 | D · Potential for harm, one-off | The 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. |
| Jun 5, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 27, 2023 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | F |
| 2024 | 4 | 0 | D |
| 2025 | 3 | 1 | J ▲ |
| 2026 | 2 | 1 | I ▲ |
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)
1 fine totaling $19,330.
| Date | Type | Amount / length |
|---|---|---|
| Mar 26, 2026 | Fine | $19,330 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Minnesota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.52 | 4.83 | 3.95 | bottom 38% in Minnesota; top 22% in the U.S. |
| Registered Nurse hours | 1.02 | 1.22 | 0.69 | bottom 37% in Minnesota; top 15% in the U.S. |
| Weekend total nurse staffing | 3.94 | 4.27 | 3.50 | bottom 36% in Minnesota; top 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.69 | 0.48 | bottom 41% in Minnesota; top 30% in the U.S. |
| Total nursing staff turnover (%) | 40.4 | 42.2 | 45.8 | bottom 49% in Minnesota; top 37% in the U.S. |
| RN turnover (%) | 25.0 | 38.6 | 42.9 | top 27% in Minnesota; top 20% in the U.S. |
Hours are per resident per day, 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. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 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 |
| Jca Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 15% | 12/29/2017 |
| Legum, Joshua | Individual | 5% or Greater Indirect Ownership Interest | 28% | 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 |
| Stern, William | Individual | 5% or Greater Indirect Ownership Interest | 19% | 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 | Corporate Officer | NOT APPLICABLE | 12/29/2017 |
| Jaffa, Noam | Individual | Corporate Director | NOT APPLICABLE | 12/29/2017 |
| Legum, Joshua | Individual | Contracted Managing Employee | NOT APPLICABLE | 12/29/2017 |
| Monarch Healthcare Operating V LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/29/2017 |
| Stern, William | Individual | Corporate Officer | NOT APPLICABLE | 12/29/2017 |
Questions to ask on your visit
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?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Knute Nelson Care Center | 0.8 mi | Alexandria, MN | ★★★★★ | 5/5 | |
| Galeon | 11.0 mi | Osakis, MN | ★★★★★ | 5/5 | |
| Glenwood Village Care Center | 16.4 mi | Glenwood, MN | ★☆☆☆☆ | 1/5 | |
| Evansville Care Center | 17.2 mi | Evansville, MN | ★★★★★ | 4/5 | |
| St Williams Living Center | 19.0 mi | Parkers Prairie, MN | ★★★★★ | 4/5 | |
| Minnewaska Community Health Services | 19.7 mi | Starbuck, MN | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 245434.