Nursing home · Top rated by CMS
Bethany On The Lake (Skilled Nursing)
1020 Lark Street, Alexandria, MN 56308 · Map
For profit - Corporation · Part of Monarch Healthcare Management (45 facilities) · 83 certified beds
Bethany On The Lake (Skilled Nursing) is a Medicare-certified nursing home in Alexandria, Minnesota. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.92 hours per resident per day, below the Minnesota average of 4.23. Its most recent inspection on Aug 13, 2025 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Bethany On The Lake (Skilled Nursing) compares
This facility vs. the Minnesota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Minnesota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.92 | 4.23 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.99 | 1.06 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.78 | 2.55 | 2.34 | below avg |
| Nursing staff turnover | 35.5% | 42.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 8.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Bethany On The Lake (Skilled Nursing)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 13, 2025 · Full report (PDF) - Minimal
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · Aug 13, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 10, 2025 · Full report (PDF)
Show all 10 deficiencies
- Potential for harm
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.
Resident Rights Deficiencies · Dec 12, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jun 5, 2024 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Jun 5, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jun 5, 2024 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Apr 27, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1020 Lark Street
Alexandria, MN 56308 - CMS certification #
- 245434
- Ownership
- For profit - Corporation
- Certified beds
- 83
- Avg residents/day
- 77.6
- Provider type
- Medicare and Medicaid
- First certified
- 1987-02-01
- Chain
- Monarch Healthcare Management (45 facilities)
- Setting
- Rural
Part of Monarch Healthcare Management
Monarch Healthcare Management operates 45 nursing facilities across the United States. View all Monarch Healthcare Management facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Bethany On The Lake (Skilled Nursing) using Google Maps.
Other public records
- Website says Transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Bethany On The Lake (Skilled Nursing) says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
Residents are also offered housekeeping services, scheduled transportation to and from appointments, apartment maintenance, and a selection of social and recreational events.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Alomere Health, Alexandria. 0.8 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Knute Nelson Care Center, Alexandria. 0.8 miles away, straight line.
- Nearest home health agency office
- Vivie Home Health, Alexandria. 3.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 56308 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Fresenius Kidney Care Douglas County, Alexandria, 0.8 miles away, straight line (CMS rating 5 of 5 stars)
- Hospice
- 16 Medicare hospices tell CMS they serve ZIP code 56308.
Horizon Public Health, office in Alexandria, 0.4 miles away, straight line (CMS family survey rating 5 of 5 stars)
Moments Hospice Of Alexandria LLC, office in Alexandria, 1.1 miles away, straight line
Vivie Hospice, office in Alexandria, 3.5 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Allina Health System, Annandale. 75.1 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively low, wildfire very low, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Bethany On The Lake (Skilled Nursing) a good nursing home?
CMS gives Bethany On The Lake (Skilled Nursing) an overall rating of 5 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Bethany On The Lake (Skilled Nursing) staffed?
Bethany On The Lake (Skilled Nursing) reports 3.92 total nurse hours per resident per day, compared with the Minnesota average of 4.23.
Has Bethany On The Lake (Skilled Nursing) had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Bethany On The Lake (Skilled Nursing) have?
Bethany On The Lake (Skilled Nursing) is certified for 83 beds.