2235 Lake Heights Drive, Everett, WA 98208 (opens Google Maps) · Snohomish County · (425) 338-3000· 151 certified beds · avg 116 residents/day · certified since Jan 1, 1992 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
▲ Actual harm, isolated · May 2, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jun 12, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Oct 31, 2023 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 14, 2023 (Deficient, Provider has date of correction)
Showing the latest 3 of 35 inspection findings. Open the full record below to read every finding.
The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint F-0825
The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. F-0585
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 20, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint · F-0825 |
| Mar 20, 2026 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585 |
| Mar 20, 2026 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Mar 20, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Mar 20, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Mar 20, 2026 | D · Potential for more than minimal harm, isolated | The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730 |
| Mar 20, 2026 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Dec 20, 2024 | E · Potential for more than minimal harm, pattern | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655 |
| Dec 20, 2024 | E · Potential for more than minimal harm, pattern | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| May 2, 2024 | ▲ G · Actual harm, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600 |
| Oct 31, 2023 | ▲ G · Actual harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Oct 31, 2023 | E · Potential for more than minimal harm, pattern | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Oct 31, 2023 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Oct 31, 2023 | E · Potential for more than minimal harm, pattern | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Oct 31, 2023 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Oct 31, 2023 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Oct 31, 2023 | D · Potential for more than minimal harm, isolated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610 |
| Oct 31, 2023 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Oct 31, 2023 | D · Potential for more than minimal harm, isolated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625 |
| Oct 31, 2023 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Oct 31, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Oct 31, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Oct 31, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Oct 31, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Oct 31, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Oct 31, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Oct 31, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Oct 31, 2023 | D · Potential for more than minimal harm, isolated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| Oct 31, 2023 | D · Potential for more than minimal harm, isolated | The facility did not properly run its feeding assistant program — assessing which residents are appropriate for it, following each resident's care plan, and making sure feeding assistants are trained and supervised. Feeding assistants are trained helpers who assist residents at mealtimes. · F-0811 |
| Oct 31, 2023 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Oct 31, 2023 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 7).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 21 | 1 | G ▲ |
| 2024 | 7 | 1 | G ▲ |
| 2026 | 7 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
2 fines totaling $121,447.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| May 2, 2024 | Fine | $51,500 |
| Oct 31, 2023 | Fine | $69,947 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Washington avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.76 | 4.24 | 3.95 | bottom 30% in Washington; bottom 50% in the U.S. |
| Registered Nurse hours | 0.72 | 0.91 | 0.69 | bottom 32% in Washington; top 34% in the U.S. |
| Weekend total nurse staffing | 3.29 | 3.69 | 3.50 | bottom 32% in Washington; bottom 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.67 | 0.48 | bottom 36% in Washington; top 29% in the U.S. |
| Total nursing staff turnover (%) | 35.4 | 45.1 | 45.8 | top 23% in Washington; top 25% in the U.S. |
| RN turnover (%) | 40.7 | 45.4 | 42.9 | top 44% in Washington; top 49% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.53, RN 0.87, weekend 3.97.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.53 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Bethany at Silver Lake. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bethany of the Northwest | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/12/1999 |
| Bauguess, Tristine | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/26/2025 |
| Bauguess, Tristine | Individual | ADP of the SNF | NOT APPLICABLE | 03/22/2017 |
| Bethany of the Northwest | Organization | ADP of the SNF | NOT APPLICABLE | 01/21/2025 |
| Degroodt, Patricia | Individual | Corporate Director | NOT APPLICABLE | 02/01/2023 |
| Dobler, Robert | Individual | Corporate Director | NOT APPLICABLE | 01/23/2025 |
| Gay, Jeff | Individual | Corporate Director | NOT APPLICABLE | 04/24/2017 |
| Ihle, Loren | Individual | Corporate Director | NOT APPLICABLE | 01/23/2025 |
| Jacobson, Steven | Individual | Corporate Director | NOT APPLICABLE | 06/27/2018 |
| Knudson, Veronica | Individual | Corporate Director | NOT APPLICABLE | 01/23/2025 |
| Koenig, David | Individual | Corporate Director | NOT APPLICABLE | 03/01/2007 |
| Lagerstrom, Christine | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/25/2025 |
| Lagerstrom, Christine | Individual | ADP of the SNF | NOT APPLICABLE | 02/25/2025 |
| Nesse, Janice | Individual | Corporate Director | NOT APPLICABLE | 01/23/2025 |
| Nicholson, Eric | Individual | Corporate Director | NOT APPLICABLE | 10/26/2023 |
| Rohde, Tom | Individual | Corporate Director | NOT APPLICABLE | 06/07/2018 |
| Scrivens, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 12/06/2019 |
| Scrivens, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/06/2019 |
| Scrivens, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 12/06/2019 |
| Seyed Aliroteh, Mahdiesadat | Individual | Corporate Director | NOT APPLICABLE | 04/04/2024 |
Showing 20 of 25 parties CMS has on file for this facility; 5 are not displayed. The full list is in the CMS Ownership dataset.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Everett Center | 2.8 mi | Everett, WA | ★★★☆☆ | 3/5 | |
| Madison Post Acute | 3.2 mi | Everett, WA | ★★★☆☆ | 3/5 | |
| View Ridge Care Center | 4.4 mi | Everett, WA | ★★★☆☆ | 3/5 | |
| Snohomish Health and Rehabilitation of Cascadia | 5.6 mi | Snohomish, WA | ★★☆☆☆ | 1/5 | |
| Alderwood Post Acute & Rehabilitation | 5.7 mi | Lynnwood, WA | ★★☆☆☆ | 1/5 | abuse |
| Everett Transitional Care Services | 6.0 mi | Everett, WA | ★★★★☆ | 4/5 | |
| Lynnwood Post Acute Rehabilitation Center | 6.7 mi | Lynnwood, WA | ★★★★☆ | 3/5 | |
| Bethany at Pacific | 6.8 mi | Everett, WA | ★★★★☆ | 3/5 | |
| Bothell Health Care | 7.1 mi | Bothell, WA | ★★☆☆☆ | 2/5 | |
| Edmonds Post Acute | 8.4 mi | Edmonds, WA | ★☆☆☆☆ | 1/5 | |
| Pine Ridge Post Acute | 8.6 mi | Edmonds, WA | ★★★★☆ | 3/5 | |
| Fircrest Nursing Facility | 9.7 mi | Seattle, WA | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Snohomish, WA — 17 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 505403.
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