B85

Bethany On The Lake LLC

Grade B 85/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
4/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

83

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

1020 LARK STREET, ALEXANDRIA, MN 56308
3207621567

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.17h
LPN
1.36h
CNA
2.10h
Total
4.63h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

JCA HOLDINGS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2017

15%

NIJ LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2017

10%

SPARTAN HEALTHCARE LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2017

28%

WBS HOLDINGS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2017

19%

YAZOMA HOLDINGS, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2017

28%

AREM, JEFFREY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2017

15%

HALPERT, MARC

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2017

28%

JAFFA, NOAM

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2017

10%

LEGUM, JOSHUA

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2017

28%

STERN, WILLIAM

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2017

19%

MONARCH HEALTHCARE OPERATING V LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2017

JAFFA, NOAM

IndividualCORPORATE DIRECTORSince Dec 2017

HALPERT, MARC

IndividualCORPORATE OFFICERSince Dec 2017

STERN, WILLIAM

IndividualCORPORATE OFFICERSince Dec 2017

LEGUM, JOSHUA

IndividualCONTRACTED MANAGING EMPLOYEESince Dec 2017

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (9)

August 13, 2025Health2 deficiencies
0577CNo harm, Widespread

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Resident Rights Deficiencies

Corrected Sep 3, 2025
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 3, 2025
January 10, 2025Health1 deficiency1 severe
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jan 7, 2025
December 12, 2024Health1 deficiency
0622DMinimal harm, Isolated

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

Corrected Dec 26, 2024
June 5, 2024Health3 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 26, 2024
0655DMinimal harm, Isolated

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

Corrected Jun 26, 2024
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 26, 2024
April 27, 2023Health1 deficiency
0921FMinimal harm, Widespread

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected May 10, 2023
January 4, 2023Health1 deficiency
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 17, 2023

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Frequently Asked Questions

What is the CareGrader rating for Bethany On The Lake LLC?

Bethany On The Lake LLC in ALEXANDRIA, Minnesota has a CareGrader grade of B (Good), with a composite score of 84.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Bethany On The Lake LLC?

Bethany On The Lake LLC has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Bethany On The Lake LLC have?

Bethany On The Lake LLC has 9 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does Bethany On The Lake LLC have?

Bethany On The Lake LLC has 83 certified beds with approximately 77 current residents (93% occupancy). The facility is located at 1020 LARK STREET, ALEXANDRIA, Minnesota 56308. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.