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Bethany On The Lake LLC

1020 Lark Street, Alexandria, MN 563083207621567Ownership: For profit - CorporationCertified beds: 83Avg. daily residents: 80Chain: Monarch Healthcare Management (45 facilities)County: Douglas
Abuse icon — CMS displays this icon when a facility was cited for abuse that led to resident harm in the past year, or for abuse that could have led to harm in each of the last two years.

The complete public record on Bethany On The Lake LLC, a Medicare & Medicaid–certified nursing home in Alexandria, Minnesota, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★☆☆
CMS’s composite of the three ratings below. Minnesota average: 3.2 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★★★
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Bethany On The Lake LLC holds a 3-star overall rating, CMS’s middle tier. Its health-inspection rating is lower than its overall rating — the overall score is being lifted by staffing or quality-measure ratings, which draw partly on facility-reported data. Federal regulators have fined this facility $19,330 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.81 total nurse staff hours per resident per day
below the state average (4.19)
0.86 RN hours per resident per day
below the state average (1.06)
3.32 weekend nurse staff hours per resident per day
40.4% total nursing staff turnover
about the state average (42.2)
25.0% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

August 13, 2025 most recent standard health inspection
4 health deficiencies cited in the most recent inspection cycle
below the state average (7.0)
5 health deficiencies in the two prior cycles combined
$19,330 in federal fines across 1 penalty (last 3 years)
below the state average ($23,053)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

10 citations on record across recent inspections, 2 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
March 26, 20260600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintI · Actual harm
March 26, 20260609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. ComplaintD · Potential for more than minimal harm
August 13, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E · Potential for more than minimal harm
August 13, 20250577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C · Minimal harm potential
January 10, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintJ · Immediate jeopardy
December 12, 20240622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a… ComplaintD · Potential for more than minimal harm
June 5, 20240641Ensure each resident receives an accurate assessment.D · Potential for more than minimal harm
June 5, 20240655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD · Potential for more than minimal harm
June 5, 20240658Ensure services provided by the nursing facility meet professional standards of quality.D · Potential for more than minimal harm
April 27, 20230921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.