Nursing HomeInspections

Bethany on the Lake LLC

Nursing home in Alexandria, MN

Medicare & Medicaid certified3★ overall (CMS)CMS abuse icon

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Public-record details

Address
1020 Lark Street, Alexandria, MN 56308
Phone
(320) 762-1567
Listed under
For-profit
Medicare CCN
245434
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
5 of 5
Quality measures rating
3 of 5
Certified beds
83
Average residents per day
80
Ownership
For-profit, corporation
Chain
Monarch Healthcare Management (45 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 1, 1987
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 245434. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 13, 2025. CMS lists 10 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 27, 2023 to Mar 26, 2026): 4 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Mar 26, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 26, 2026Protect 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 · complaint inspection
I
Actual harm, widespread
Aug 13, 2025Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights
C
Potential for minimal harm, widespread
Aug 13, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Jan 10, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
J
Immediate jeopardy, isolated
Dec 12, 2024Not 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 · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 5, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jun 5, 2024Create 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
D
Potential for more than minimal harm, isolated
Jun 5, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Apr 27, 2023Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental
F
Potential for more than minimal harm, widespread

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $19,330 in the last three years.

Mar 26, 2026Fine: $19,330

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.81 hours
Registered nurse (RN) time per resident per day
0.86 hours
Nurse aide time per resident per day
1.72 hours
Total nurse staffing on weekends
3.32 hours
Nursing staff turnover (yearly)
40%
RN turnover (yearly)
25%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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