Bethany on the Lake LLC: Staffing, Turnover, and Inspection Record
Bethany on the Lake LLC is a 83-bed for-profit nursing home in Alexandria, Minnesota, part of Monarch Healthcare Management. In the CMS August 2026 release it reported 1.72 nurse aide hours per resident per day, 32% below the Minnesota average of 2.52, and 40.4% nursing staff turnover (Minnesota average 42.2%).
Bethany on the Lake LLC
1020 Lark StreetAlexandria, MN 56308
Douglas County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Bethany on the Lake LLC, nurse aides logged 1.72 hours per resident per day, 32% below the Minnesota average. With about 80 residents a day, that works out to roughly 137 aide hours a day, or about 17 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Minnesota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.72 | 2.52 | 2.32 |
| Licensed practical nurses | 1.23 | 0.61 | 0.86 |
| Registered nurses | 0.86 | 1.06 | 0.69 |
| All nursing staff | 3.81 | 4.19 | 3.86 |
| All nursing staff, weekends | 3.32 | 3.71 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
40.4% of nursing staff at Bethany on the Lake LLC left over the year CMS measured, against a Minnesota average of 42.2% and a US average of 45.8%. Registered nurse turnover was 25.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 13, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 health deficiencies (Minnesota average 7.0). CMS lists 1 fine totaling $19,330 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 26, 2026 | Fine | $19,330 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Bethany on the Lake LLC holds 3 of 5 overall; the Minnesota average is 3.2.
About Bethany on the Lake LLC
- Ownership: For profit - Corporation
- Chain: Monarch Healthcare Management, 45 homes
- Medicare and Medicaid certified since: Feb 1, 1987
- Councils: resident and family councils
- Area: rural
Nursing homes near Bethany on the Lake LLC
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Knute Nelson Care Center Alexandria | 0.8 | 83 | 2.29 | 4.16 | 29.1% | 5 | None |
| Galeon Osakis | 11.0 | 40 | 2.94 | 5.37 | 27.3% | 5 | None |
| Glenwood Village Care Center Glenwood | 16.4 | 64 | 2.57 | 4.17 | 93.1% | 1 | $15,592 |
| Evansville Care Center Evansville | 17.2 | 27 | 2.29 | 3.92 | 16.0% | 5 | None |
| St Williams Living Center Parkers Prairie | 19.0 | 53 | 3.26 | 5.15 | 29.9% | 5 | $14,901 |
| Minnewaska Community Health Services Starbuck | 19.7 | 39 | 4.73 | 7.14 | 61.5% | 2 | $25,150 |
| Cura of Sauk Centre Sauk Centre | 22.9 | 60 | 3.02 | 4.44 | 100.0% | 3 | None |
| Barrett Care Center Inc Barrett | 24.1 | 40 | 2.94 | 4.99 | 39.2% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.