Bethany at Silver Lake

CMS star ratings

Overall★★★★★ 5/5

State avg 3.2

Health inspections★★★★★ 5/5

State avg 2.8

Staffing★★★★★ 4/5

State avg 3.6

Quality measures★★★★★ 5/5

State avg 4.0

Long-stay quality★★★★★ 5/5

Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 4.53 (state 4.37 · U.S. 3.86)
Registered nurses (RN): 0.87 (state 0.94 · U.S. 0.69)
Licensed practical nurses: 0.92 (state 0.77 · U.S. 0.86)
Nurse aides: 2.74 (state 2.66 · U.S. 2.32)
Weekend total: 3.97 (state 3.81 · U.S. 3.42)
Nursing staff turnover: 35.4 (state 45.1 · U.S. 45.8)%
RN turnover: 40.7 (state 45.4 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: March 20, 2026
Health deficiencies (last cycle): 7.0 (state 16.1 · U.S. 9.3)
From complaints: 1
Citations on record (3 years): 35 health · 19 fire safety · includes actual harm

Date	Citation	Severity	Status
2026-03-20	Provide or get specialized rehabilitative services as required for a resident. F0825 · Quality of Life and Care Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2026-04-24
2026-03-20	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. F0585 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-04-24
2026-03-20	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-04-24
2026-03-20	Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-04-24
2026-03-20	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. F0688 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-04-24
2026-03-20	Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-04-24
2026-03-20	Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-04-24
2024-12-20	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-01-30
2024-12-20	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-01-30
2024-12-20	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-01-30
2024-12-20	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. F0585 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-01-30
2024-12-20	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-01-30
2024-12-20	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-01-30
2024-05-02	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	G Actual harm	Corrected 2024-06-12
2023-10-31	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2023-12-14
2023-10-31	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	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. F0688 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. F0811 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-14
2023-10-31	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-14

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $121,447 in fines.

Date	Type	Amount
2024-05-02	Fine	$51,500
2023-10-31	Fine	$69,947

Ownership & management

Name	Role	Since
Bauguess, Tristine (individual)	Administrator · NOT APPLICABLE
Bethany of the Northwest (organization)	Administrator · NOT APPLICABLE
Lagerstrom, Christine (individual)	Administrator · NOT APPLICABLE
Scrivens, Joseph (individual)	Administrator · NOT APPLICABLE
Toor, Navdeep (individual)	Administrator · NOT APPLICABLE
Degroodt, Patricia (individual)	Corporate Director · NOT APPLICABLE
Dobler, Robert (individual)	Corporate Director · NOT APPLICABLE
Gay, Jeff (individual)	Corporate Director · NOT APPLICABLE
Ihle, Loren (individual)	Corporate Director · NOT APPLICABLE
Jacobson, Steven (individual)	Corporate Director · NOT APPLICABLE
Knudson, Veronica (individual)	Corporate Director · NOT APPLICABLE
Koenig, David (individual)	Corporate Director · NOT APPLICABLE
Nesse, Janice (individual)	Corporate Director · NOT APPLICABLE
Nicholson, Eric (individual)	Corporate Director · NOT APPLICABLE
Rohde, Tom (individual)	Corporate Director · NOT APPLICABLE
Seyed Aliroteh, Mahdiesadat (individual)	Corporate Director · NOT APPLICABLE
Stave, Lawrence (individual)	Corporate Director · NOT APPLICABLE
Tiu, Susan (individual)	Corporate Director · NOT APPLICABLE
Wallin, Terri (individual)	Corporate Director · NOT APPLICABLE
Scrivens, Joseph (individual)	Corporate Officer · NOT APPLICABLE
Bethany of the Northwest (organization)	Direct Ownership Interest · NOT APPLICABLE
Bauguess, Tristine (individual)	Operational/managerial Control · NOT APPLICABLE
Lagerstrom, Christine (individual)	Operational/managerial Control · NOT APPLICABLE
Scrivens, Joseph (individual)	Operational/managerial Control · NOT APPLICABLE
Toor, Navdeep (individual)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Bethany at Silver Lake?

Bethany at Silver Lake has a 5-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Washington.

How many beds does Bethany at Silver Lake have?

It has 151 certified beds and cares for about 116 residents per day.

Has Bethany at Silver Lake been fined?

Yes. CMS lists 2 penalties totaling $121,447 in the last three years.

What is the phone number of Bethany at Silver Lake?

(425) 338-3000. The facility is located at 2235 Lake Heights Drive, Everett, WA 98208.

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Contact & location

Facility details