| Bethany at Silver Lake | |
| 2235 Lake Heights Drive, Everett, Washington 98208 | |
| (425) 338-3000 | |
| Name | Bethany at Silver Lake |
|---|---|
| Location | 2235 Lake Heights Drive, Everett, Washington |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 151 |
| Occupancy Rate | 76.49% |
| Medicare ID (CCN) | 505403 |
| Legal Business Name | Bethany of the Northwest |
| Ownership Type | Non Profit - Church Related |
| NPI Number | 1497884043 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Bethany of the Northwest |
| Doing Business As | Bethany at Silver Lake |
| Address | 2235 Lake Heights Road, Everett, WA 98201 |
| Phone Number | 425-338-3000 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.53 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.87 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.92 | 0.86 |
| Nurse aide hours per resident per day | 2.74 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.97 | 3.42 |
| RN hours per resident per day on the weekend | 0.53 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 35.4% | 45.8% |
| Registered nurse turnover | 40.7% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $121,447 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 20, 2026 | Provide or get specialized rehabilitative services as required for a resident. F0825, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 24, 2026 |
| Mar 20, 2026 | 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, Standard inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Mar 20, 2026 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Mar 20, 2026 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Mar 20, 2026 | 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, Standard inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Mar 20, 2026 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Mar 20, 2026 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Dec 20, 2024 | 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, Standard inspection | Potential for harm, pattern | Corrected by Jan 30, 2025 |
| Dec 20, 2024 | 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, Standard inspection | Potential for harm, pattern | Corrected by Jan 30, 2025 |
| Dec 20, 2024 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2025 |
| Dec 20, 2024 | 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, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2025 |
| Dec 20, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2025 |
| Dec 20, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2025 |
| May 2, 2024 | 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, Complaint inspection | Actual harm, isolated | Corrected by Jun 12, 2024 |
| Oct 31, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Dec 14, 2023 |
| Oct 31, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Dec 14, 2023 |
| Oct 31, 2023 | 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, Standard inspection | Potential for harm, pattern | Corrected by Dec 14, 2023 |
| Oct 31, 2023 | 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, Standard inspection | Potential for harm, pattern | Corrected by Dec 14, 2023 |
| Oct 31, 2023 | 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, Standard inspection | Potential for harm, pattern | Corrected by Dec 14, 2023 |
| Oct 31, 2023 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 14, 2023 |
| Oct 31, 2023 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Dec 14, 2023 |
| Oct 31, 2023 | 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, Standard inspection | Potential for harm, isolated | Corrected by Dec 14, 2023 |
| Oct 31, 2023 | 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, Standard inspection | Potential for harm, isolated | Corrected by Dec 14, 2023 |
| Oct 31, 2023 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 14, 2023 |
| Oct 31, 2023 | 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, Standard inspection | Potential for harm, isolated | Corrected by Dec 14, 2023 |
| Oct 31, 2023 | 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, Standard inspection | Potential for harm, isolated | Corrected by Dec 14, 2023 |
| Oct 31, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 14, 2023 |
| Oct 31, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 14, 2023 |
| Oct 31, 2023 | 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, Standard inspection | Potential for harm, isolated | Corrected by Dec 14, 2023 |
| Oct 31, 2023 | 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, Standard inspection | Potential for harm, isolated | Corrected by Dec 14, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.41 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.38 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.29 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.59 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 58.54 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.91 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.13 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.89 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.47 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.52 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.94 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.92 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.84 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.92 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.2 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 12.06 | 15.38 |
Bethany at Pacific Location: 916 Pacific Avenue 3rd-5th Floors, Everett, Washington 98201 Phone: (425) 259-5508 |
Everett Transitional Care Services Location: 916 Pacific Avenue, Everett, Washington 98201 Phone: (425) 382-2800 |