Bethany On The Lake Llc is one of the top-rated nursing facilities in Alexandria, Minnesota, earning an A grade based on CMS data. With a score of 92/100, it ranks in the top 9% of facilities statewide — a strong indicator of quality care.
Staffing at Bethany On The Lake Llc is near the national average, with 3.92 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 8 deficiencies at Bethany On The Lake Llc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.92 | 3.8 | Average |
| Registered Nurses (RN) | 0.99 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 1.15 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.78 | 2.4 | Below Average |
| Weekend Total Nursing | 3.39 | 3.8 | Below Average |
| Weekend RN Hours | 0.67 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Aug 12, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jan 9, 2025 · Quality of Life and Care Deficiencies
- Tag 0622 Severity DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is trDec 11, 2024 · Resident Rights Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Jun 4, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0655 Severity DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedJun 4, 2024 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.9% | 4.5% | Worse |
| Falls with major injury | 5.1% | 3.0% | Worse |
| On antipsychotic medication | 17.8% | 14.5% | Worse |
| Urinary tract infections | 3.0% | 2.5% | Worse |
| ADL decline (daily activities) | 10.8% | 14.0% | Better |
| Excessive weight loss | 5.3% | 7.5% | Better |
| New/worsened incontinence | 26.2% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of A is based on a score of 92 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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