Bethany on the Lake LLC
1020 Lark Street, Alexandria, MN 56308
Bethany on the Lake LLC, a 83-bed for profit - corporation nursing facility in Alexandria, MN, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #186 of 336 rated homes in MN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3207621567
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- 3 / 5
- Average · CMS overall · nat'l 3.0
- #186 of 336
- In-state rank among rated MN homes
- 3.81
- About average · nurse hrs/day · nat'l 3.86
- 10
- Inspection findings · 2 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Bethany on the Lake LLC, a 83-bed for profit - corporation nursing facility in Alexandria, MN, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #186 of 336 rated homes in MN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
- 3 / 5
- CMS overall · national 3.0
- #186 of 336
- In-state rank among rated MN homes
- 3.81
- Nurse hrs/resident-day · national 3.86
- 10
- Inspection findings · 2 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 338 MN nursing homes split by ownership sector
This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 245434
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 83
- Residents
- 80
- In Hospital
- No
- County
- Douglas
- Last Inspection
- Aug 13, 2025
Staffing Data
How the 3.81 total nursing hours per resident-day are staffed:
- RN Hours
- 0.86 (nat'l avg: 0.69)
- LPN Hours
- 1.23
- CNA Hours
- 1.72
- Total Nursing Hours
- 3.81 (nat'l avg: 3.86)
- PT Hours
- 0.08
- Nursing Turnover
- 40.4%
- RN Turnover
- 25.0%
What the CMS Record Reveals About Bethany on the Lake LLC
According to CMS Nursing Home Compare, Bethany on the Lake LLC ranks #186 of 336 rated nursing homes in MN on overall stars (tie-broken by health+staffing+quality, then fewer fines). Bethany on the Lake LLC operates 83 certified beds in Alexandria, MN with approximately 80 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 2★ · staffing 5★ · quality 3★).
The inspection file contains 10 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $19K. Reported nurse staffing runs 3.81 total hours per resident day (national average 3.86); RN hours specifically are 0.86 per resident day.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Bethany on the Lake LLC falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 40.4% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (10 most recent)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 15, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 13, 2026
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Category: Resident Rights Deficiencies
Corrected: Sep 3, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 3, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 7, 2025
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.
Category: Resident Rights Deficiencies
Corrected: Dec 26, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 26, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 26, 2024
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 26, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category: Environmental Deficiencies
Corrected: May 10, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.6% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.2% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.0% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.3% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.4% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 5.1% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 6.3% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.6% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 25.5% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 98.5% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 23.2% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 97.3% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 94.6% | No |
Penalty History 1 penalties totaling $19K
| Date | Type | Amount |
|---|---|---|
| Mar 26, 2026 | Fine | $19K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Bethany on the Lake LLC, both outside MN so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside MN (83 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside MN (4.52 here).
Nearby Nursing Homes in MN
337 other nursing homes are on record in MN; 6 are shown here.
Understanding Nursing Home Data
What the CMS records show for Bethany on the Lake LLC
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The MN registry aggregates state averages and the highest-rated homes in this cohort. View MN registry
- Peer homes near 83 beds show how CMS stars vary at a similar scale in MN. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Bethany on the Lake LLC?
Where does Bethany on the Lake LLC rank among nursing homes in MN?
What are the staffing levels at Bethany on the Lake LLC?
How many beds does Bethany on the Lake LLC have?
Does Bethany on the Lake LLC have any deficiencies on record?
Has Bethany on the Lake LLC received any fines or penalties?
Who owns Bethany on the Lake LLC?
When was Bethany on the Lake LLC last inspected?
What quality measures are tracked for Bethany on the Lake LLC?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
