Bethany at Silver Lake
2235 Lake Heights Drive, Everett, WA 98208 · Snohomish County · 151 certified beds · avg 116 residents/day · certified since Jan 1, 1992
5/5
Health inspection rating (on-site)
2
Serious findings on record
$121,447
Fines, last 3 years
3.76
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 12, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 14, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (35)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 20, 2026 | E · Potential for harm, repeated | 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 |
| Mar 20, 2026 | D · Potential for harm, one-off | 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. |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Mar 20, 2026 | D · Potential for harm, one-off | 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. |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Mar 20, 2026 | D · Potential for harm, one-off | 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. |
| Dec 20, 2024 | E · Potential for harm, repeated | 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. |
| Dec 20, 2024 | E · Potential for harm, repeated | 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. |
| Dec 20, 2024 | D · Potential for harm, one-off | 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. |
| Dec 20, 2024 | D · Potential for harm, one-off | 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. |
| Dec 20, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Dec 20, 2024 | D · Potential for harm, one-off | 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. |
| May 2, 2024 | ▲ G · Actual harm, one-off | 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 |
| Oct 31, 2023 | ▲ G · Actual harm, one-off | 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. |
| Oct 31, 2023 | E · Potential for harm, repeated | 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. |
| Oct 31, 2023 | E · Potential for harm, repeated | 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. |
| Oct 31, 2023 | E · Potential for harm, repeated | 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. |
| Oct 31, 2023 | E · Potential for harm, repeated | 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. |
| Oct 31, 2023 | D · Potential for harm, one-off | 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. |
| Oct 31, 2023 | D · Potential for harm, one-off | 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. |
| Oct 31, 2023 | D · Potential for harm, one-off | 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. |
| Oct 31, 2023 | D · Potential for harm, one-off | 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. |
| Oct 31, 2023 | D · Potential for harm, one-off | 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. |
| Oct 31, 2023 | D · Potential for harm, one-off | 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. |
| Oct 31, 2023 | D · Potential for harm, one-off | 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. |
| Oct 31, 2023 | D · Potential for harm, one-off | 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. |
| Oct 31, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Oct 31, 2023 | D · Potential for harm, one-off | 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. |
| Oct 31, 2023 | D · Potential for harm, one-off | 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. |
| Oct 31, 2023 | D · Potential for harm, one-off | 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. |
| Oct 31, 2023 | D · Potential for harm, one-off | 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. |
| Oct 31, 2023 | D · Potential for harm, one-off | 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. |
| Oct 31, 2023 | D · Potential for harm, one-off | 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. |
| Oct 31, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 7).
| 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.
Fines and enforcement (last 3 years)
2 fines totaling $121,447.
| Date | Type | Amount / length |
|---|---|---|
| May 2, 2024 | Fine | $51,500 |
| Oct 31, 2023 | Fine | $69,947 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| 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, 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. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
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 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How often do you evaluate your nurse aides and what ongoing training do they receive?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| 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 →
Facility data as of CMS processing date 2026-08-01. CCN 505403.