BETHANY AT PACIFIC
916 PACIFIC AVENUE 3RD-5TH FLOORS, EVERETT, WA 98201 · CCN 505404
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Non profit - Church related
- Certified beds
- 80
- Avg residents/day
- 72.4
- Phone
- 4252595508
Inspection history vs Washington & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Washington avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-21 | 18 | 17.0 | 9.5 | +1.0 worse |
| 2 | 2024-06-12 | 25 | 17.2 | 9.8 | +7.8 worse |
| 3 | 2023-08-07 | 7 | 15.5 | 9.3 | -8.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 3 |
| Resident rights | 5 |
| Pharmacy service | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.06 | 45.5% |
| RN staffing (reported) | 1.21 | 38.9% |
| Total nurse staffing (adjusted) | 3.55 | — |
Fines & penalties
- Total fines
- $42,477
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (50)1 actual harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-06-11 · Health · corrected 2025-07-18
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0578Honor 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.2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0585Honor 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.2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0688Provide 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.2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- EF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0758Implement 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.2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0761Ensure 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.2025-04-21 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-06-12 · Health · corrected 2024-07-17
Potential for more than minimal harm
- EF0578Honor 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.2024-06-12 · Health · corrected 2024-07-17
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-06-12 · Health · corrected 2024-07-17
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-06-12 · Health · corrected 2024-07-17
Potential for more than minimal harm
- EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-06-12 · Health · corrected 2024-07-17
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-06-12 · Health · corrected 2024-07-17
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-12 · Health · corrected 2024-07-17
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-06-12 · Health · corrected 2024-07-17
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-12 · Health · corrected 2024-07-17
Potential for more than minimal harm
- DF0688Provide 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.2024-06-12 · Health · corrected 2024-07-17
Potential for more than minimal harm
- GF0692Provide enough food/fluids to maintain a resident's health.2024-06-12 · Health · corrected 2024-07-17
Actual harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-06-12 · Health · corrected 2024-07-17
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-06-12 · Health · corrected 2024-07-17
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-06-12 · Health · corrected 2024-07-17
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-06-12 · Health · corrected 2024-07-17
Potential for more than minimal harm
- EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-06-12 · Health · corrected 2024-07-17
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-05-16 · Health · corrected 2024-06-25
Potential for more than minimal harm
- EF0625Notify 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.2024-05-16 · Health · corrected 2024-06-25
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-05-16 · Health · corrected 2024-06-25
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0585Honor 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.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0775Keep complete, dated laboratory records in the resident's record.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-08-07 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-08-07 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-07 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-07 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-08-07 · Health · corrected 2023-09-05
Potential for more than minimal harm
- EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-06-13 · Health · corrected 2023-07-07
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2023-06-13 · Health · corrected 2023-07-07
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BETHANY OF THE NORTHWEST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1999-10-12 |
| BASADA, MARLITA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-01 |
| BAUGUESS, TRISTINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-25 |
| MANN, HARPREET | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-25 |
| SCRIVENS, JOSEPH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-12-06 |
| DEGROODT, PATRICIA | Individual | CORPORATE DIRECTOR | — | 2023-02-01 |
| DOBLER, ROBERT | Individual | CORPORATE DIRECTOR | — | 2025-01-23 |
| GAY, JEFF | Individual | CORPORATE DIRECTOR | — | 2017-04-27 |
| IHLE, LOREN | Individual | CORPORATE DIRECTOR | — | 2025-01-23 |
| JACOBSON, STEVEN | Individual | CORPORATE DIRECTOR | — | 2018-06-27 |
| KNUDSON, VERONICA | Individual | CORPORATE DIRECTOR | — | 2025-01-23 |
| KOENIG, DAVID | Individual | CORPORATE DIRECTOR | — | 2007-03-01 |
| NESSE, JANICE | Individual | CORPORATE DIRECTOR | — | 2025-01-23 |
| NICHOLSON, ERIC | Individual | CORPORATE DIRECTOR | — | 2023-10-26 |
| ROHDE, TOM | Individual | CORPORATE DIRECTOR | — | 2018-06-07 |
| SEYED ALIROTEH, MAHDIESADAT | Individual | CORPORATE DIRECTOR | — | 2024-04-04 |
| STAVE, LAWRENCE | Individual | CORPORATE DIRECTOR | — | 2025-01-23 |
| TIU, SUSAN | Individual | CORPORATE DIRECTOR | — | 2019-01-03 |
| WALLIN, TERRI | Individual | CORPORATE DIRECTOR | — | 2020-07-23 |
| SCRIVENS, JOSEPH | Individual | CORPORATE OFFICER | — | 2019-12-06 |
Other facilities in EVERETT
| Name | Overall | Beds |
|---|---|---|
| BETHANY AT SILVER LAKE | ★★★★★ | 151 |
| EVERETT TRANSITIONAL CARE SERVICES | ★★★★★ | 62 |
| VIEW RIDGE CARE CENTER | ★★★☆☆ | 70 |
| MADISON POST ACUTE | ★★★☆☆ | 59 |
| EVERETT CENTER | — | 100 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.