01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-20 | 7 | 2026-03-20 | 3 |
| Cycle 2 | 2024-12-20 | 6 | 2024-12-20 | 3 |
| Cycle 3 | 2023-10-31 | 22 | 2023-10-31 | 13 |
CMS CCN 5054032026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Bethany At Silver Lake
2235 Lake Heights Drive · Everett, WA 98208 · Snohomish County
Certified beds151CMS provider file
Recent citation rows54current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
54 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-20 · HEALTHF0585Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-03-20 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-03-20 · HEALTHF0679Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-03-20 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-03-20 · HEALTHF0730Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-03-20 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-03-20 · HEALTHF0825Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Correction field: Deficient, Provider has date of correction · 2026-04-24 · complaint2026-03-20 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-20 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-20 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2026-04-172024-12-20 · FIREE0020Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Correction field: Deficient, Provider has date of correction · 2025-01-162024-12-20 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-01-162024-12-20 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2025-01-302024-12-20 · HEALTHF0585Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2025-01-302024-12-20 · HEALTHF0655Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2025-01-302024-12-20 · HEALTHF0657Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-01-302024-12-20 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-01-302024-12-20 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-01-302024-12-20 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-01-162024-05-02 · HEALTHF0600Severity G · isolated actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-06-12 · complaint2023-10-31 · FIREE0013Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Correction field: Deficient, Provider has date of correction · 2023-11-302023-10-31 · FIREE0023Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures for medical documentation.
Correction field: Deficient, Provider has date of correction · 2023-11-302023-10-31 · FIREE0033Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish methods for sharing information.
Correction field: Deficient, Provider has date of correction · 2023-11-302023-10-31 · FIREE0034Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide a means of sharing information on occupancy/needs.
Correction field: Deficient, Provider has date of correction · 2023-11-3003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-05-02 | Fine | $51,500 | 0 |
| 2023-10-31 | Fine | $69,947 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BETHANY OF THE NORTHWESTOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/12/1999
- DEGROODT, PATRICIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2023
- DOBLER, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/23/2025
- GAY, JEFFIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/24/2017
- IHLE, LORENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/23/2025
- JACOBSON, STEVENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/27/2018
- KNUDSON, VERONICAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/23/2025
- KOENIG, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2007
- NESSE, JANICEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/23/2025
- NICHOLSON, ERICIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/26/2023
- ROHDE, TOMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/07/2018
- SEYED ALIROTEH, MAHDIESADATIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/04/2024
- STAVE, LAWRENCEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/23/2025
- TIU, SUSANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/03/2019
- WALLIN, TERRIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/23/2020
- SCRIVENS, JOSEPHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/06/2019
- BAUGUESS, TRISTINEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/26/2025
- LAGERSTROM, CHRISTINEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/25/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.53per resident day
RN hours0.87per resident day
Weekend nurse hours3.97per resident day
Staff turnover35.4%CMS reported field
06 / LOCAL RECORDS
Open the Everett ledger →Other published facilities nearby
Bethany At Pacific80 beds · CMS overall 4/584 citation rowsEverett Center100 beds · CMS overall 3/545 citation rowsEverett Transitional Care Services62 beds · CMS overall 4/537 citation rowsMadison Post Acute59 beds · CMS overall 3/596 citation rowsView Ridge Care Center70 beds · CMS overall 3/556 citation rows