Douglas County, Minnesota · Nursing home
Bethany on the Lake LLC
3 of 5 overall from CMS
1020 Lark Street, Alexandria, MN 56308
At a glance
- Overall rating 3 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.81 hours Below the state average of 4.19
- Nursing staff who left in a year 40.4% Below the state average of 42.2%
- Health citations, last 3 inspection cycles 10 2 at the harm level or above
- Fines in 3 years $19,330 1 fine
- Certified beds in use 96.4% of 83 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Bethany on the Lake LLC is a 83-bed nursing home in Alexandria, Minnesota (Douglas County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 3.81 nurse staffing hours per resident per day, below the Minnesota average of 4.19. CMS lists 1 fine totaling $19,330 in the past three years.
- Certified beds
- 83
- Residents per day (average)
- 80.0
- Certified since
- 1987 (39 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Monarch Healthcare Management (45 homes)CMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Bethany on the Lake LLC
Chosen from this home's public data.
- CMS lists 1 fine totaling $19,330 in the past three years. What changed after the most recent one?Penalties in CMS data
- Reported nurse staffing is 3.32 hours per resident on weekends against 3.81 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 96.4% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Minnesota average 3.2
- Health inspections 2 of 5 Minnesota average 2.8
- Staffing 5 of 5 Minnesota average 4.1
- Quality measures 3 of 5 Minnesota average 3.1
The vertical line marks the Minnesota average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.81 h Minnesota average 4.19
- Nurse aides 1.72 h Minnesota average 2.52
- Licensed practical nurses 1.23 h Minnesota average 0.61
- Registered nurses 0.86 h Minnesota average 1.06
- All staff, weekends 3.32 h Minnesota average 3.71
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Minnesota average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover40.4%
- Minnesota average42.2%
- Registered nurse turnover25.0%
- Minnesota average38.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Minnesota and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Minnesota | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 12.6% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.1% | 4.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% | 1.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 4.2% | 2.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 6.2% | 4.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% | 4.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% | 97.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 15.0% | 20.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.5% | 12.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.5% | 96.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.3% | 5.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.2% | 24.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 13.4% | 17.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.61 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.90 | 1.78 |
Short-stay residents
| Measure | This home | Minnesota | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.3% | 88.1% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% | 1.9% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.6% | 82.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.7% | 23.5% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 22.2% | 14.8% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 10 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 4 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 26, 2026: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Aug 13, 2025 | 4 | 5 |
| Jun 5, 2024 | 5 | 2 |
| Apr 27, 2023 | 1 | 0 |
Minnesota homes averaged 7.1 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (10)
-
IActual harm, widespread
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Mar 13, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 15, 2026)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 3, 2025)
-
CPotential for minimal harm, widespread
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights · Deficient, Provider has date of correction (Sep 3, 2025)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Jan 7, 2025)
Show 5 more
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 26, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 26, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jun 26, 2024)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 26, 2024)
-
FPotential for more than minimal harm, widespread
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (May 10, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Mar 26, 2026 | Fine | $19,330 |
Minnesota homes averaged 0.8 fines and $24,507 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Minnesota
- Size91 of 338 by certified beds
- Minnesota average residents per day60.3
- ChainMonarch Healthcare Management
- Chain average overall rating2.2 of 5
- Resident or family councilBoth
- Homes in Douglas County4
Common questions
What is the CMS star rating for Bethany on the Lake LLC?
Bethany on the Lake LLC has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 5 and quality measures is 3.
How many beds does Bethany on the Lake LLC have?
Bethany on the Lake LLC has 83 certified beds. It averages 80.0 residents per day, about 96.4% of its certified beds.
How much nursing care do residents get at Bethany on the Lake LLC?
The home reports 3.81 hours of nurse staffing per resident per day, including 0.86 hours from registered nurses. The Minnesota average is 4.19 hours and 1.06 hours from registered nurses.
Has Bethany on the Lake LLC been fined?
Yes. CMS lists 1 fine totaling $19,330 in the past three years.
Does Bethany on the Lake LLC accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Knute Nelson Care Center 83beds 77.7%in use 4.16nurse hours a day
- 5 of 5 Galeon 40beds 78.2%in use 5.37nurse hours a day
- 2 of 5 Glenwood Village Care Center 64beds 91.1%in use 4.17nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Douglas County
Who to call in Minnesota
These offices serve residents of every nursing home in Minnesota.
- Long-term care ombudsman Office of Ombudsman for Long-Term Care (OOLTC) 1-800-657-3591 (Also 651-431-2555. Calls answered 8:00 AM - 4:00 PM, Monday to Friday. TDD/TTY: 711. Email MBA.OOLTC@state.mn.us; fax 651-431-7452.) An advocate for residents and their families.
- File a complaint about a nursing home Office of Health Facility Complaints (OHFC) 651-201-4200 (Email: health.ohfc-complaints@state.mn.us. MDH directs suspected maltreatment of a vulnerable adult (abuse, neglect, financial exploitation, unexplained injury) to the Minnesota Adult Abuse Reporting Center (MAARC), 844-880-1574 (toll free).) The state agency that inspects nursing homes.
Minnesota staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 245434. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.