CCN 245434 · Douglas County, Minnesota
Bethany on the Lake LLC
1020 Lark Street, Alexandria, MN 56308
Bethany on the Lake LLC is a 83-bed for-profit nursing home in Alexandria, Minnesota, first certified for Medicare or Medicaid in 1987. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 80.0 residents a day, about 96% of its certified beds. It has an active FHA-insured Section 232 loan: $20.3 million originally, at 5.43%, with $19.8 million outstanding as of September 30, 2026 and maturity in October 2054.
Facility facts
- Certified beds
- 83
- Average residents per day
- 80.0 (96.4% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Bethany on the Lake LLC
- Certified since
- Feb 1, 1987
- Chain or affiliated group
- Monarch Healthcare Management (45 facilities, chain average 2.2 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Minnesota median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 64 at 1, 61 at 2, 58 at 3, 64 at 4, 89 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 5 of 5 | ||
| Total nurse hours per resident per day | 3.81 | 4.16 | 3.68 |
| RN hours per resident per day | 0.86 | 0.97 | 0.58 |
| Weekend nurse hours per resident per day | 3.32 | ||
| Nursing staff turnover | 40.4% | 40.0% | 44.9% |
| Occupancy (residents / beds) | 96.4% | 87.4% | 85.7% |
| Fines reported by CMS | 1 totaling $19,330 | ||
| Health deficiencies, latest standard survey | 4 (Aug 13, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Bethany on the Lake LLC does not meet it today: the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Jca Holdings LLCOrganization | Direct Ownership Interest | 15% | 12/29/2017 |
| Nij LLCOrganization | Direct Ownership Interest | 10% | 12/29/2017 |
| Spartan Healthcare LLCOrganization | Direct Ownership Interest | 28% | 12/29/2017 |
| Wbs Holdings LLCOrganization | Direct Ownership Interest | 19% | 12/29/2017 |
| Yazoma Holdings, LLCOrganization | Direct Ownership Interest | 28% | 12/29/2017 |
| Halpert, MarcIndividual | Indirect Ownership Interest | 28% | 12/29/2017 |
| Jaffa, NoamIndividual | Indirect Ownership Interest | 10% | 12/29/2017 |
| Legum, JoshuaIndividual | Indirect Ownership Interest | 28% | 12/29/2017 |
| Stern, WilliamIndividual | Indirect Ownership Interest | 19% | 12/29/2017 |
| Monarch Healthcare Operating V LLCOrganization | Operational / Managerial Control | n/a | 12/29/2017 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Dec 29, 2017 | Bethany on the Lake LLC | Ecumen |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Sep 27, 2024 | 223(f) refinance or purchaseHUD project name: Bethany on the Lake, 94 beds. Lender at endorsement: Newpoint Real Estate Capital LLC | $20,341,000 | Active: 5.43%, $19,795,476 balanceMatures Oct 1, 2054. Servicer: Newpoint Real Estate Capital | 09222195 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.