Home›Browse›Minnesota›Alexandria›Bethany On the Lake

Nursing homeFAID #6611

Bethany On the Lake

1020 LARK STREET, ALEXANDRIA, MN, 56308

(320) 762-1567

83 licensed beds

CMS rates Bethany On the Lake 3 out of 5 overall. Federal inspectors issued 23 citations across 9 inspections in the last three years, with $19,330 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections5/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

1020 Lark Street

Alexandria, MN 56308

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

245434

Care type

Nursing home

County

Douglas

Facility name

Bethany On the Lake

Street address

1020 LARK STREET

City / state / ZIP

Alexandria, MN 56308

Phone

(320) 762-1567

About this facility — Bethany On the Lake

Bethany On the Lake is a Medicare/Medicaid-certified skilled nursing facility in Alexandria, Minnesota. It is licensed for 83 beds — above the median for skilled nursing facilities in Minnesota (60 beds).

It is one of 20 senior care facilities in Alexandria and 338 skilled nursing facilities across Minnesota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Monarch Healthcare Management, a group of 45 facilities on this site.

Federal inspectors have cited Bethany On the Lake 23 times across 9 inspections in the last three years, and CMS has imposed $19,330 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Monarch Healthcare Management

Ownership type

For profit - Corporation

Registered owners & officers

Halpert, Marc

Indirect owner · Officer — 28% stake — since 2017

Legum, Joshua

Indirect owner · Managing employee — 28% stake — since 2017

Spartan Healthcare Llc

Direct owner — 28% stake — since 2017

Yazoma Holdings, Llc

Direct owner — 28% stake — since 2017

Stern, William

Indirect owner · Officer — 19% stake — since 2017

Wbs Holdings Llc

Direct owner — 19% stake — since 2017

Jca Holdings Llc

Direct owner — 15% stake — since 2017

Jaffa, Noam

Indirect owner · Director — 10% stake — since 2017

Nij Llc

Direct owner — 10% stake — since 2017

Monarch Healthcare Operating V Llc

Operational control — since 2017

Regulatory standing

Federal court records

3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1987-02-01

CMS overall rating

3 of 5 stars

Health deficiencies

4 at the last standard inspection

Federal fines

$19,330 total

Last standard inspection

2026-09-23

Nurse staffing

3.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$490 per day (≈ $14,900/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

60% Medicaid · 8% Medicare · 33% private/other

Occupancy

88% (fiscal year 2023)

Vs. state median

20% above the MN median of $407/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.

2026-09-23Health inspection2 citations

F-0580

D · No harm found

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

F-0689

D · No harm found

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

2026-03-26Health inspectionComplaint-triggered2 citations

F-0600

I · Actual harmFrom a complaint

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

Corrected 2026-03-13

F-0609

D · No harm foundFrom a complaint

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

Corrected 2026-04-15

7 earlier / fire-safety inspections (19 citations)

2025-08-13Health inspection2 citations

F-0577

C · No harm found

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

Corrected 2025-09-03

F-0689

E · No harm found

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

Corrected 2025-09-03

2025-01-10Health inspectionComplaint-triggered1 citation

F-0689

J · Immediate jeopardyFrom a complaint

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

Corrected 2025-01-07

2024-12-12Health inspectionComplaint-triggered1 citation

F-0622

D · No harm foundFrom a complaint

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.

Corrected 2024-12-26

2024-06-05Health inspection3 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-06-26

F-0655

D · No harm found

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

Corrected 2024-06-26

F-0658

D · No harm found

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

Corrected 2024-06-26

2026-09-23Fire-safety inspection5 citations

K-0226

E · No harm found

Have horizontal exits used in accordance with safety requirements.

Corrected 2026-10-06

K-0291

E · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2026-10-06

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-10-06

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-10-06

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2026-10-06

2025-08-13Fire-safety inspection5 citations

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-09-30

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-09-05

K-0364

D · No harm found

Install properly constructed windows in hallway walls or doors.

Corrected 2025-09-05

K-0374

D · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-09-05

K-0761

D · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-09-05

2024-06-05Fire-safety inspection2 citations

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-06-25

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2024-06-25

Federal penalties

2026-03-26Fine$19,330

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 245434.

Quality of care & staffing

How it compares in Minnesota.

Inspection citations, 3 years

More than 27% of nursing homes in the state

State median: 32

Federal fines, 3 years

$19,330

More than 74% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

3.8

Higher than 31% of nursing homes in the state

State median: 4.2

Nursing staff turnover, annual

36%

Higher than 39% of nursing homes in the state

State median: 40%

Resident outcomes

On 19 federal quality measures, this facility does better than the Minnesota average on 8 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	11.5%	18.2%	13.5%	Better than state
Lose too much weight	5.5%	3.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.7%	1.7%	0.7%	Better than state
With a urinary tract infection	2.1%	2.6%	1.5%	Better than state
Have depressive symptoms	6.8%	4.1%	13.5%	Worse than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	3.8%	4.1%	3.2%	Near state average
Assessed and appropriately given the pneumococcal vaccine	99.6%	97.3%	93.7%	Near state average
Ability to walk independently worsened	12.8%	18.8%	12.7%	Better than state
Received an antianxiety or hypnotic medication	24.8%	12.7%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	96.9%	96.4%	95.3%	Near state average
With pressure ulcers	3.3%	5.1%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	22.0%	23.7%	18.3%	Near state average
Received an antipsychotic medication	12.7%	17.2%	15.4%	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	98.0%	88.1%	82.3%	Better than state
Newly received an antipsychotic medication	1.7%	1.9%	1.5%	Near state average
Were assessed and appropriately given the seasonal influenza vaccine	89.7%	83.3%	80.1%	Near state average
Were rehospitalized after a nursing home admission	20.7%	23.0%	23.4%	Near state average
Had an outpatient emergency department visit	14.3%	14.6%	11.8%	Near state average

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K-0321 3 inspections. Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

What its owners also hold

Spartan Healthcare Llc has an ownership stake on file at 45 nursing homes, averaging 2.1 of 5 on CMS's overall rating.
Yazoma Holdings, Llc has an ownership stake on file at 44 nursing homes, averaging 2.1 of 5 on CMS's overall rating.
Nij Llc has an ownership stake on file at 44 nursing homes, averaging 2.1 of 5 on CMS's overall rating.
Wbs Holdings Llc has an ownership stake on file at 26 nursing homes, averaging 1.7 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Minnesota

Licensing: Minnesota Department of Health
File a complaint: 800-369-7994
Long-Term Care Ombudsman: 800-657-3591. A free advocate for residents and families.
Adult Protective Services: 844-880-1574. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Alomere Health, about 0.8 miles. CMS rating 4 of 5.
Glacial Ridge Hospital, about 16 miles. CMS rating 4 of 5.
Centracare Health System - Sauk Centre, about 23 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Knute Nelson Care Center, Alexandria, about 0.8 miles. CMS rating 5 of 5.
Galeon, Osakis, about 11 miles. CMS rating 5 of 5.
Glenwood Village Care Center, Glenwood, about 16 miles. CMS rating 2 of 5.
Evansville Care Center, Evansville, about 17 miles. CMS rating 5 of 5.
St Williams Living Center, Parkers Prairie, about 19 miles. CMS rating 5 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered