Nursing homeActive
Bethany On The Lake LLC
1020 Lark Street, Alexandria, MN 56308320762156783 certified beds · 80 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
10
● 1● 7● 2
Penalties · 3 yrs
$19,330
1 fine
Last survey
2026-03-26
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 5
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Minnesota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-26 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2025-08-13 | Standard | 110 | CMS-2567 (Care Compare) | — |
| 2025-01-10 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-12-12 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-06-05 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-04-27 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Minnesota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity IHarm
Abuse & neglect
Widespread; actual harm that is not immediate jeopardy.Corrected 2026-03-13Record 245434-20260326-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 245434-20260326-F609
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 245434-20250813-F689
F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2025-09-03Record 245434-20250813-F577
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-01-07Record 245434-20250110-F689
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-26Record 245434-20241212-F622
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-26Record 245434-20240605-F641
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-26Record 245434-20240605-F655
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-26Record 245434-20240605-F658
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 245434-20230427-F921
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-03-26 | Civil money penalty | $19,330 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.86
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day3.81
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours3.32
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover40%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover25%
Facility
Minnesota
National
Minnesota 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Minnesota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.3% | 5.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.7% | 4.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 13.4% | 17.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.2% | 2.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 12.6% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.1% | 4.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 25.5% | 12.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Jca Holdings LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | — | — |
| Nij LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | — | — |
| Spartan Healthcare LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 28% | — | — |
| Wbs Holdings LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 19% | — | — |
| Yazoma Holdings, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 28% | — | — |
| Halpert, Marc Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 28% | — | — |
| Jaffa, Noam Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | — | — |
| Legum, Joshua Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 28% | — | — |
| Stern, William Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 19% | — | — |
| Monarch Healthcare Operating V LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Halpert, Marc Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Jaffa, Noam Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Legum, Joshua Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Stern, William Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Monarch Healthcare Management — 45 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Minnesota.
No county cost figures on file for Douglas.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Knute Nelson Care Center Alexandria | 0.8 mi | 2026-05-13 | 2100 |
| Galeon Osakis | 11.0 mi | 2025-12-17 | 050 |
| Glenwood Village Care Center Glenwood | 16.4 mi | 2026-07-01 | 0222 |
| St Williams Living Center Parkers Prairie | 19.0 mi | 2026-02-25 | 082 |
| Minnewaska Community Health Services Starbuck | 19.7 mi | 2026-04-29 | 1152 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |