Starfile / Washington

BETHANY AT SILVER LAKE

2235 LAKE HEIGHTS DRIVE, EVERETT, WA 98208 · CCN 505403

Inspection history vs Washington & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$130,758

Number of fines

3

Number of penalties

3

Payment denials

0

Inspection citations (56)2 immediate jeopardy4 actual harm

1. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-12-20 · Health · corrected 2025-01-30

   Potential for more than minimal harm

2. 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.2024-12-20 · Health · corrected 2025-01-30

   Potential for more than minimal harm

3. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-12-20 · Health · corrected 2025-01-30

   Potential for more than minimal harm

4. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-20 · Health · corrected 2025-01-30

   Potential for more than minimal harm

5. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-20 · Health · corrected 2025-01-30

   Potential for more than minimal harm

6. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-20 · Health · corrected 2025-01-30

   Potential for more than minimal harm

7. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-02 · Health · corrected 2024-06-12

   Actual harm

8. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-31 · Health · corrected 2023-12-14

   Potential for more than minimal harm

9. DF0558Reasonably accommodate the needs and preferences of each resident.2023-10-31 · Health · corrected 2023-12-14

   Potential for more than minimal harm

10. 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.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

11. DF0610Respond appropriately to all alleged violations.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

12. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

13. DF0625Notify 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.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

14. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

15. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

16. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

17. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

18. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

19. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-31 · Health · corrected 2023-12-14

    Actual harm

20. 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.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

21. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

22. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

23. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

24. EF0758Implement 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.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

25. EF0761Ensure 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.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

26. DF0811Ensure 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.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

27. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

28. DF0880Provide and implement an infection prevention and control program.2023-10-31 · Health · corrected 2023-12-14

    Potential for more than minimal harm

29. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-07-06 · Health · corrected 2023-08-01

    Potential for more than minimal harm

30. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-17 · Health · corrected 2023-05-08

    Actual harm

31. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

32. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

33. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

34. EF0585Honor 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.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

35. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-05-26 · Health · corrected 2022-07-11

    Actual harm

36. DF0610Respond appropriately to all alleged violations.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

37. DF0637Assess the resident when there is a significant change in condition2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

38. DF0641Ensure each resident receives an accurate assessment.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

39. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

40. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

41. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

42. EF0679Provide activities to meet all resident's needs.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

43. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

44. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

45. FF0688Provide 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.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

46. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-05-26 · Health · corrected 2022-07-11

    Immediate jeopardy

47. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

48. DF0692Provide enough food/fluids to maintain a resident's health.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

49. CF0732Post nurse staffing information every day.2022-05-26 · Health · corrected 2022-07-11

    Potential for minimal harm

50. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

51. 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.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

52. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

53. KF0880Provide and implement an infection prevention and control program.2022-05-26 · Health · corrected 2022-07-11

    Immediate jeopardy

54. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

55. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

56. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2022-05-26 · Health · corrected 2022-07-11

    Potential for more than minimal harm

Ownership

Other facilities in EVERETT

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.