Bethany on the Lake LLC
1020 Lark Street · Alexandria, MN · 56308 · 3207621567
83 certified beds For profit - Corporation Chain: Monarch Healthcare Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.94 | 0.55–0.75 |
| Weekend hours / resident-day | 3.28 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | 1 · $19,330 |
Inspection citations (10 in the current record)
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Actual harm · I March 26, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 13, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 3, 2025 · Quality of Life and Care
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No harm found · C August 13, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected September 3, 2025 · Resident Rights
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Immediate jeopardy · J January 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 7, 2025 · Quality of Life and Care
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Potential for harm · D December 12, 2024 · found via 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 December 26, 2024 · Resident Rights
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Potential for harm · D June 5, 2024
Ensure each resident receives an accurate assessment.
Corrected June 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · F April 27, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 10, 2023 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 26, 2026 | Fine | $19,330 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245434 · certified since February 1, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.