Alex Assisted Living LLC
Cost data not yet available
Memory Care, Nursing Homes · Medicare certified
1020 Lark Street · Alexandria, MN 56308 · Lic. #424751 (MN) · 12 certified beds
Active · Verify on official state lookup (opens in a new tab)
NPI 1609380500. Look this up in the CMS NPPES registry (opens in a new tab)
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Bethany on the Lake LLC is a memory care community in Alexandria, Minnesota, in Douglas County. Its reported capacity is 12 beds. The MN licensing record reads "Active" for this listing. It is recorded as a for-profit operator, part of Monarch Healthcare Management. Federal records list it as Medicare certified. Our copy of the inspection record holds 10 citations, the newest dated 26 March 2026. Federal enforcement records add 1 fine or payment denial action. Staffing reports put it at 3.81 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated September 2026.
CMS Care Compare · Source data August 2026
Staffing rating
5.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
9
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
5.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
9
Staffing rating
5.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
9
Records from April 2023 to March 2026.
March 26, 2026 · I
Citation F0600Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0600 (CMS scope/severity I: widespread, actual harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2026-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 26, 2026 · D
Citation F0609Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2026-04-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 13, 2025 · E
Citation F0689Federal surveyors cited this nursing home on 2025-08-13 under CMS tag F0689 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-09-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 13, 2025 · C
Citation F0577Federal surveyors cited this nursing home on 2025-08-13 under CMS tag F0577 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. The deficiency was recorded as corrected on 2025-09-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 10, 2025 · J
Citation F0689Federal surveyors cited this nursing home on 2025-01-10 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 12, 2024 · D
Citation F0622Federal surveyors cited this nursing home on 2024-12-12 under CMS tag F0622 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-12-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 5, 2024 · D
Citation F0641Federal surveyors cited this nursing home on 2024-06-05 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2024-06-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 5, 2024 · D
Citation F0655Federal surveyors cited this nursing home on 2024-06-05 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2024-06-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 5, 2024 · D
Citation F0658Federal surveyors cited this nursing home on 2024-06-05 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-06-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 27, 2023 · F
Citation F0921Federal surveyors cited this nursing home on 2023-04-27 under CMS tag F0921 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2023-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $19,330
March 26, 2026 · Fine
Citation FINE-138537CMS recorded a civil money penalty of $19,330 against this nursing home on 2026-03-26 (Fine ID: 138537). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 3.81 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
For profit
CMS Care Compare chain: Monarch Healthcare Management
Chain ID 361 · 45 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Monarch Healthcare Operating V LLC
parent · PAC 1557628005
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 2, 2026Listed capacity changed
Listed capacity changed from 83 to 12 beds.
Reported by Minnesota MDH
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical MN range for the care type(s) it offers. Use it as context, not a quote.
Memory Care
Median · MN$8,216/moNursing Homes
Median · MN$10,646/moOther licensed providers in Alexandria, with their own public records.
Cost data not yet available
Cost data not yet available
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
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