facebook tracking Bethany on the Lake, Alexandria MN: CMS Ratings
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Bethany on the Lake

All states › Minnesota › Alexandria › Bethany on the Lake

1020 Lark Street Alexandria, MN 56308 · Douglas County

(320) 762-1567

All 2 nursing homes in Alexandria, MN (2 take Medicaid)

Cited for abuse Accepts Medicare Accepts Medicaid 83 certified beds For profit

CMS certification number 245434 · See this home on Medicare Care Compare

CMS abuse icon CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years. Shown as of October 2026. Details on Care Compare.

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Bethany on the Lake a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Bethany on the Lake as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Minnesota average of 3.2. Inspectors issued 11 citations in the last three years. CMS imposed 1 penalty, including $19,330 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 3 out of 5. Those results differ a lot, so ask about the unit your family member would be on. CMS currently shows its abuse icon for this home (see above).

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.85 hours per resident per day at Bethany on the Lake, below the Minnesota median of 4.18 (US median: 3.72). About 0.96 of those hours are from registered nurses. On weekends it falls to 3.27 hours, 15% below its all-week average. 36.4% of nursing staff left within a year (Minnesota median 39.7%).

Nursing care per resident per day 3.85 hours
Below the Minnesota median of 4.18 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.96 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.27 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 36.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 26.9% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds83
Residents per day 78 About 94% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceFebruary 1987
Part of a chainMonarch Healthcare Management
Legal business nameBETHANY ON THE LAKE LLC

Paying for care at Bethany on the Lake: Medicare and Medicaid

Bethany on the Lake is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Minnesota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on September 23, 2026 and found 2 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 11 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 11 citations at Bethany on the Lake across 6 inspection dates, 4 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 10, 2025 (complaint inspection). The most common areas cited were quality of life and care (3) and resident assessment and care planning (3). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, January 10, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.

September 23, 2026 · 2 citations

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has no plan of correction

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has no plan of correction

March 26, 2026 · 2 citations, includes actual harm · includes complaint inspection

IProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Mar 13, 2026)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Apr 15, 2026)

August 13, 2025 · 2 citations

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Sep 3, 2025)

CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0577 · Deficient, Provider has date of correction (Sep 3, 2025)

January 10, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Jan 7, 2025)

December 12, 2024 · 1 citation · includes complaint inspection

DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0622 · Complaint inspection · Deficient, Provider has date of correction (Dec 26, 2024)

June 5, 2024 · 3 citations

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jun 26, 2024)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Jun 26, 2024)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Jun 26, 2024)

Questions to ask on a tour of Bethany on the Lake

  1. Inspectors cited the home at the immediate-jeopardy level on January 10, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on March 26, 2026. How are staff trained, and how are concerns reported?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $19,330 in fines.

DateTypeAmount or length
Mar 26, 2026 Fine $19,330

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 2/5 5/5 4/5
August 2026 3/5 2/5 5/5 3/5
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Location

Hospitals near Bethany on the Lake

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Knute Nelson Care Center Alexandria · 0.8 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 83 beds · Medicaid
Galeon Osakis · 11.0 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 40 beds · Medicaid
Glenwood Village Care Center Glenwood · 16.4 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 64 beds · Medicaid
Evansville Care Center Evansville · 17.2 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 27 beds · Medicaid
St Williams Living Center Parkers Prairie · 19.0 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 53 beds · Medicaid

More nursing homes near Bethany on the Lake ›   All nursing homes in Alexandria ›

Compare Bethany on the Lake with the 3 closest homes side by side ›

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Other Monarch Healthcare Management nursing homes in Minnesota

Affiliation comes from CMS's affiliated-entity data, October 2026. All 45 Monarch Healthcare Management nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/minnesota/alexandria/bethany-on-the-lake/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.