Bethany On The Lake Llc
1020 Lark Street, Alexandria, MN, 56308
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Monarch Healthcare Management
- Certified beds
- 83 · avg 77 residents/day
- Total nursing staff turnover
- 38.8% — near the Minnesota averageMinnesota avg: 42.5% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 18.2% — lower than most Minnesota nursing homesMinnesota avg: 38.5% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Minnesota averageMinnesota avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $19,330 total
Medicare certification
- CMS Certification Number
- 245434
- Certified beds
- 83 beds · avg 77 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Bethany On The Lake Llc
- Chain affiliation
- Monarch Healthcare Management
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Monarch Healthcare Management chain — 45 facilities. Chain-wide average overall rating 2.2 / 5.
Disclosed owners (11 on record)
- Jca Holdings Llc
5% or Greater Direct Ownership Interest · 15% · since 2017
- Jeffrey Arem
5% or Greater Indirect Ownership Interest · 15% · since 2017
- Joshua Legum
Contracted Managing Employee · 28% · since 2017
- Marc Halpert
5% or Greater Indirect Ownership Interest · 28% · since 2017
- Monarch Healthcare Operating v Llc
Operational/managerial Control · 100% · since 2017
- Nij Llc
5% or Greater Direct Ownership Interest · 10% · since 2017
+ 5 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 10)
- D0609·Mar 26, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- I0600·Mar 26, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E0689·Aug 13, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- C0577·Aug 13, 2025
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- J0689·Jan 10, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0622·Dec 12, 2024Complaint
Resident Rights Deficiencies
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.
- D0658·Jun 5, 2024
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- D0655·Jun 5, 2024
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Federal penalties
By year
- 20261 fine · $19K
Most recent events
- Mar 26, 2026Fine · $19K
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Aug 13, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Bethany On The Lake Llcinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.