Nursing home report
Registered name: Bethany On The Lake LLC
ALEXANDRIA, MN · Medicare-certified · 83 beds
Monarch Healthcare Management - Bethany on the Lake has a 3-star overall rating, with a 2-star health inspection rating, 5-star staffing, and 3-star quality measures. It has $19,330 in fines over the last 24 months, a recent abuse citation, and reported nurse staffing of 3.81 hours per resident per day versus the federal benchmark of 4.1.
Health inspections
Staffing
3.8094 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8094.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited March 2026 — widespread issue, actual harm.
F-Tag 600 — 42 CFR §483.12 — S/S: I
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited April 2023 — widespread issue, potential for harm.
F-Tag 921 — 42 CFR §483.90 — S/S: F
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited March 2026 — isolated incident, potential for harm.
F-Tag 609 — 42 CFR §483.12 — S/S: D
The home failed to give an adequate reason and proper information when transferring or discharging a resident. Cited December 2024 — isolated incident, potential for harm.
F-Tag 622 — 42 CFR §483.15 — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $19,330 was recorded.
Health inspection found 2 health deficiencies.
Health inspection found 2 health deficiencies.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $19,330 in total fines.
Federal fine
Mar 26, 2026
Now operated by Bethany on the Lake LLC, previously Ecumen.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
