Washington › Snohomish County › Everett
Bethany At Silver Lake
2235 Lake Heights Drive, Everett, WA 98208
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 151 beds, Bethany At Silver Lake serves Everett in Snohomish County, Washington and has taken Medicare and Medicaid residents since 1992.
CMS gives it 5 of 5 stars overall, above the Washington median of 3; the health inspection rating is 5, staffing 4 and quality measures 5.
Inspectors recorded 35 health deficiencies across the three most recent survey cycles (7, 6, 22 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 23.2 per 100 beds, fewer than the state median of 50.0.
CMS lists 2 penalties in the period covered: fines totalling $121K.
Reported nurse staffing is 4.5 hours per resident per day (0.9 RN), close to the Washington median of 4.1; nursing staff turnover is 35.4%.
Compared with county, state and nation
| Measure | This facility | Snohomish Co. median | Washington median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 35 | 45 | 46 | 28.7 |
| Citations per 100 beds | 23.2 | 47.4 | 50.0 | 26.8 |
| Total nurse hours per resident day | 4.5 | 4.2 | 4.1 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.9 | 0.7 |
| Nursing staff turnover | 35.4% | 37.5% | 43.2% | 45.8% |
| Fines listed | $121,447 | $42,477 | $17,388 | — |
County and state figures are medians across facilities (17 in the county, 193 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Mar 2026, 20 Dec 2024.
Severity mix: G ×2 D ×26 E ×7
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Mar 2026 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | E | Complaint investigation | 24 Apr 2026 |
| 20 Mar 2026 | F0585 | 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. | D | Standard survey | 24 Apr 2026 |
| 20 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 24 Apr 2026 |
| 20 Mar 2026 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 24 Apr 2026 |
| 20 Mar 2026 | F0688 | 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. | D | Standard survey | 24 Apr 2026 |
| 20 Mar 2026 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 24 Apr 2026 |
| 20 Mar 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 24 Apr 2026 |
| 20 Dec 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 30 Jan 2025 |
| 20 Dec 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 30 Jan 2025 |
| 20 Dec 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 30 Jan 2025 |
| 20 Dec 2024 | F0585 | 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. | D | Standard survey | 30 Jan 2025 |
| 20 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 30 Jan 2025 |
| 20 Dec 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 Jan 2025 |
| 2 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 12 Jun 2024 |
| 31 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0578 | 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. | E | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0758 | 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. | E | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0761 | 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. | E | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0625 | 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. | D | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0688 | 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. | D | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0811 | 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. | D | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 14 Dec 2023 |
| 31 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 2 May 2024 | Fine | $51,500 | |
| 31 Oct 2023 | Fine | $69,947 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 35.4%, RNs 40.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.4% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.5% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.9% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.1% | 14.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, church related. Legal business name: Bethany Of The Northwest.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bethany of the Northwest | Direct ownership interest | NOT APPLICABLE | 10/12/1999 |
| Bethany of the Northwest | Adp of the snf | NOT APPLICABLE | 01/21/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Snohomish County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Josephine Caring Community | Stanwood | 160 | 5 | 4 | 3 | 31 | 19.4 | — | 22 Jan 2026 |
| Arlington Health and Rehabilitation | Arlington | 76 | 4 | 3 | 4 | 36 | 47.4 | $173K | 26 Jan 2026 |
| Bethany At Pacific | Everett | 80 | 4 | 3 | 4 | 57 | 71.3 | $42K | 18 May 2026 |
| Everett Transitional Care Services | Everett | 62 | 4 | 4 | 4 | 18 | 29.0 | $14K | 15 May 2026 |
| Lynnwood Post Acute Rehabilitation Center | Lynnwood | 67 | 4 | 3 | 4 | 50 | 74.6 | — | 20 May 2026 |
| Marysville Care Center | Marysville | 97 | 4 | 3 | 3 | 46 | 47.4 | $95K | 18 Jun 2026 |
| Mountain View Rehabilitation and Care Center | Marysville | 82 | 4 | 4 | 4 | 36 | 43.9 | — | 12 Jan 2026 |
| Pine Ridge Post Acute | Edmonds | 80 | 4 | 3 | 5 | 45 | 56.3 | $16K | 25 Mar 2026 |
All 17 facilities in Snohomish County
Questions and answers
How many deficiencies has Bethany At Silver Lake been cited for?
35 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Washington median is 46 per facility.
Has Bethany At Silver Lake been fined?
Yes. CMS lists fines totalling $121K in the period covered.
How does staffing at Bethany At Silver Lake compare?
Reported total nurse staffing is 4.5 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.
Who operates Bethany At Silver Lake?
Ownership type is non-profit, church related. Organisations in the CMS ownership record include Bethany of the Northwest. Individual owners and managers are not listed on this site.
When was Bethany At Silver Lake last inspected?
The most recent survey or investigation in the CMS record is dated 20 Mar 2026; the most recent standard health survey was 20 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.