Everett Transitional Care Services
916 Pacific Avenue, Everett, WA 98201 · Snohomish County · 62 certified beds · avg 59 residents/day · certified since Jun 5, 2020
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 15, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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 9, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (18)
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 |
|---|---|---|
| May 15, 2026 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 15, 2025 | E · Potential for harm, repeated | 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. |
| Dec 15, 2025 | 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. |
| Dec 15, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 14, 2025 | 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. |
| Feb 14, 2025 | E · Potential for harm, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Feb 14, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Feb 14, 2025 | E · Potential for harm, repeated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Feb 14, 2025 | 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. |
| Feb 14, 2025 | 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. |
| Feb 14, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Feb 14, 2025 | 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. |
| Feb 14, 2025 | D · Potential for harm, one-off | 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. |
| Apr 1, 2024 | E · Potential for harm, repeated | 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. |
| Apr 1, 2024 | 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. |
| Apr 1, 2024 | 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. |
| Apr 1, 2024 | 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. |
| Apr 1, 2024 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 5 | 0 | E |
| 2025 | 12 | 0 | E |
| 2026 | 1 | 1 | G ▲ |
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)
1 fine totaling $14,380.
| Date | Type | Amount / length |
|---|---|---|
| May 15, 2026 | Fine | $14,380 |
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) | 3.95 | 4.24 | 3.95 | bottom 48% in Washington; top 42% in the U.S. |
| Registered Nurse hours | 1.22 | 0.91 | 0.69 | top 13% in Washington; top 9% in the U.S. |
| Weekend total nurse staffing | 3.50 | 3.69 | 3.50 | top 46% in Washington; top 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.96 | 0.67 | 0.48 | top 12% in Washington; top 7% in the U.S. |
| Total nursing staff turnover (%) | 56.8 | 45.1 | 45.8 | bottom 18% in Washington; bottom 22% in the U.S. |
| RN turnover (%) | 68.0 | 45.4 | 42.9 | bottom 12% in Washington; bottom 13% 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 4.26, RN 1.32, weekend 3.78. 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: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Providence Health & Services-Wa | Organization | 5% or Greater Direct Ownership Interest | 50% | 01/05/1995 |
| Bauguess, Tristine | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/25/2025 |
| Bauguess, Tristine | Individual | ADP of the SNF | NOT APPLICABLE | 02/25/2025 |
| Bethany of the Northwest | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2020 |
| Bethany of the Northwest | Organization | ADP of the SNF | NOT APPLICABLE | 02/27/2025 |
| Block, Allison | Individual | Corporate Director | NOT APPLICABLE | 12/01/2024 |
| Combs, Scott | Individual | Corporate Director | NOT APPLICABLE | 08/29/2019 |
| Degroodt, Patricia | Individual | Corporate Director | NOT APPLICABLE | 02/01/2023 |
| Hovey, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Hovey, John | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Jacobson, Steven | Individual | Corporate Director | NOT APPLICABLE | 04/01/2025 |
| Lemke, Kristi | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/11/2024 |
| Lemke, Kristi | Individual | ADP of the SNF | NOT APPLICABLE | 11/11/2024 |
| Onerheim, Paul | Individual | Corporate Officer | NOT APPLICABLE | 01/03/2019 |
| Peterson, Jason | Individual | Corporate Director | NOT APPLICABLE | 09/21/2022 |
| Providence Health & Services-Wa | Organization | ADP of the SNF | NOT APPLICABLE | 04/07/2025 |
| Scrivens, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 12/06/2019 |
| Scrivens, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/25/2025 |
| Scrivens, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 02/25/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How often do you evaluate your nurse aides and what ongoing training do they receive?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "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 |
|---|---|---|---|---|---|
| Bethany at Pacific | 1.3 mi | Everett, WA | ★★★★☆ | 3/5 | |
| View Ridge Care Center | 1.9 mi | Everett, WA | ★★★☆☆ | 3/5 | |
| Madison Post Acute | 2.9 mi | Everett, WA | ★★★☆☆ | 3/5 | |
| Mountain View Rehabilitation and Care Center | 5.6 mi | Marysville, WA | ★★★★☆ | 4/5 | |
| Everett Center | 5.8 mi | Everett, WA | ★★★☆☆ | 3/5 | |
| Bethany at Silver Lake | 6.0 mi | Everett, WA | ★★★★★ | 5/5 | |
| Marysville Care Center | 6.3 mi | Marysville, WA | ★★★★☆ | 3/5 | |
| Snohomish Health and Rehabilitation of Cascadia | 7.0 mi | Snohomish, WA | ★★☆☆☆ | 1/5 | |
| Alderwood Post Acute & Rehabilitation | 10.6 mi | Lynnwood, WA | ★★☆☆☆ | 1/5 | abuse |
| Lynnwood Post Acute Rehabilitation Center | 11.1 mi | Lynnwood, WA | ★★★★☆ | 3/5 | |
| Bothell Health Care | 12.8 mi | Bothell, WA | ★★☆☆☆ | 2/5 | |
| Pine Ridge Post Acute | 12.9 mi | Edmonds, WA | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 505533.