Bethany On The Lake LLC
Alexandria, Douglas County, Minnesota · CCN 245434 · For-profit (Corporation) · part of Monarch Healthcare Management (45 facilities, chain average 2.2 stars)
CMS rates Bethany On The Lake LLC 3 of 5 overall as of August 2026. 83 certified beds, 80 residents a day on average. 10 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $19,330.
On record
- Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 2 / 4 of 5 |
Staffing
| Total nurse staffing | 3.80935 hours per resident per day |
|---|---|
| Registered nurses | 0.86116 hours per resident per day |
| Weekend total | 3.32035 hours per resident per day |
| Nursing staff turnover | 40.4% (registered nurses 25%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-26 complaint survey |
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 · tag F0600 |
I Actual harm that is not immediate jeopardy; widespread | Past Non-Compliance 2026-03-13 |
| 2026-03-26 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-15 |
| 2025-08-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-03 |
| 2025-08-13 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · tag F0577 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2025-09-03 |
| 2025-01-10 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2025-01-07 |
| 2024-12-12 complaint survey |
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 · tag F0622 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-26 |
| 2024-06-05 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-26 |
| 2024-06-05 | 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 · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-26 |
| 2024-06-05 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-26 |
| 2023-04-27 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-05-10 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-26 | Fine | $19,330 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Jca Holdings LLC Organization | 5% or greater direct ownership interest | 15% | 2017-12-29 |
| Nij LLC Organization | 5% or greater direct ownership interest | 10% | 2017-12-29 |
| Spartan Healthcare LLC Organization | 5% or greater direct ownership interest | 28% | 2017-12-29 |
| Wbs Holdings LLC Organization | 5% or greater direct ownership interest | 19% | 2017-12-29 |
| Yazoma Holdings, LLC Organization | 5% or greater direct ownership interest | 28% | 2017-12-29 |
| Monarch Healthcare Operating V LLC Organization | operational/managerial control | — | 2017-12-29 |
| Halpert, Marc Individual | 5% or greater indirect ownership interest | 28% | 2017-12-29 |
| Jaffa, Noam Individual | 5% or greater indirect ownership interest | 10% | 2017-12-29 |
| Legum, Joshua Individual | 5% or greater indirect ownership interest | 28% | 2017-12-29 |
| Stern, William Individual | 5% or greater indirect ownership interest | 19% | 2017-12-29 |
| Legum, Joshua Individual | contracted managing employee | — | 2017-12-29 |
| Jaffa, Noam Individual | corporate director | — | 2017-12-29 |
| Halpert, Marc Individual | corporate officer | — | 2017-12-29 |
| Stern, William Individual | corporate officer | — | 2017-12-29 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Bethany On The Lake LLC.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Douglas County.