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Nursing home

Bethany at Silver Lake

Everett, Washington · Snohomish County

  • 2235 Lake Heights Drive, Everett, WA 98208 · Directions
  • (425) 338‑3000
  • Medicare overall rating: 5 of 5 starsMedicare overall rating
  • Ownership: Non-profit – church related
  • 35 health citations in its last 3 inspection cycles (most serious: level G), $121,447 in fines. See the inspection record

Summary

Bethany at Silver Lake is a Medicare-certified nursing home in Everett, Washington, with 151 certified beds. Medicare overall rating: 5 of 5 stars. Most recent standard health inspection: 2026-03-20, with 7 health deficiencies. Medicare lists 2 fines. Ownership: non-profit – church related. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 5 of 5 starsMedicare overall rating
151Certified beds
Health inspections: 5 of 5 starsHealth inspections

Quick answers

Where is Bethany at Silver Lake?
2235 Lake Heights Drive, Everett, WA 98208, in Snohomish County, Washington.
What is the phone number of Bethany at Silver Lake?
(425) 338-3000, as listed by Medicare (CMS).
What is the Medicare star rating of Bethany at Silver Lake?
Medicare overall rating: 5 out of 5 stars (CMS data updated 2026-10-01).
Has Bethany at Silver Lake been fined?
Medicare lists 2 fines totaling $121,447.
What did inspectors find at Bethany at Silver Lake?
In its last three inspection cycles (October 31, 2023 to March 20, 2026), Medicare lists 35 health citations; the most serious was level G. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 5 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 5 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 3 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 4 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 3 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 5 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (October 31, 2023 to March 20, 2026), Bethany at Silver Lake had 35 health citations; the most serious was level G (actual harm to residents). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $121,447 in total (2 fines, the latest on May 2, 2024). Nurse staffing is 4.37 hours per resident per day; the Washington average is 4.42 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: March 20, 2026 — 7 health citations

Inspections in this cycle: March 20, 2026 (complaint investigation); March 20, 2026 (standard health inspection).

Show 7 citations (levels A to F, no actual harm)
  • F0825 Level E March 20, 2026 · from a complaint · corrected April 24, 2026

    “Provide or get specialized rehabilitative services as required for a resident.”

  • F0585 Level D March 20, 2026 · corrected April 24, 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.”

  • F0641 Level D March 20, 2026 · corrected April 24, 2026

    “Ensure each resident receives an accurate assessment.”

  • F0679 Level D March 20, 2026 · corrected April 24, 2026

    “Provide activities to meet all resident's needs.”

  • F0688 Level D March 20, 2026 · corrected April 24, 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.”

  • F0730 Level D March 20, 2026 · corrected April 24, 2026

    “Observe each nurse aide's job performance and give regular training.”

  • F0759 Level D March 20, 2026 · corrected April 24, 2026

    “Ensure medication error rates are not 5 percent or greater.”

Previous cycle: December 20, 2024 — 6 health citations

Inspections in this cycle: December 20, 2024 (standard health inspection).

Show 6 citations (levels A to F, no actual harm)
  • F0655 Level E December 20, 2024 · corrected January 30, 2025

    “Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”

  • F0657 Level E December 20, 2024 · corrected January 30, 2025

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0561 Level D December 20, 2024 · corrected January 30, 2025

    “Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”

  • F0585 Level D December 20, 2024 · corrected January 30, 2025

    “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.”

  • F0658 Level D December 20, 2024 · corrected January 30, 2025

    “Ensure services provided by the nursing facility meet professional standards of quality.”

  • F0695 Level D December 20, 2024 · corrected January 30, 2025

    “Provide safe and appropriate respiratory care for a resident when needed.”

Earlier cycle: October 31, 2023 — 22 health citations

Inspections in this cycle: October 31, 2023 (standard health inspection); May 2, 2024 (complaint investigation).

  • F0600 Level G May 2, 2024 · from a complaint · corrected June 12, 2024

    “Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”

    actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • F0686 Level G October 31, 2023 · corrected December 14, 2023

    “Provide appropriate pressure ulcer care and prevent new ulcers from developing.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 20 less serious citations (levels A to F)
  • F0550 Level E October 31, 2023 · corrected December 14, 2023

    “Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”

  • F0578 Level E October 31, 2023 · corrected December 14, 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.”

  • F0758 Level E October 31, 2023 · corrected December 14, 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.”

  • F0761 Level E October 31, 2023 · corrected December 14, 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.”

  • F0558 Level D October 31, 2023 · corrected December 14, 2023

    “Reasonably accommodate the needs and preferences of each resident.”

  • F0610 Level D October 31, 2023 · corrected December 14, 2023

    “Respond appropriately to all alleged violations.”

  • F0623 Level D October 31, 2023 · corrected December 14, 2023

    “Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”

  • F0625 Level D October 31, 2023 · corrected December 14, 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.”

  • F0644 Level D October 31, 2023 · corrected December 14, 2023

    “Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”

  • F0656 Level D October 31, 2023 · corrected December 14, 2023

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0657 Level D October 31, 2023 · corrected December 14, 2023

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0677 Level D October 31, 2023 · corrected December 14, 2023

    “Provide care and assistance to perform activities of daily living for any resident who is unable.”

  • F0684 Level D October 31, 2023 · corrected December 14, 2023

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

  • F0688 Level D October 31, 2023 · corrected December 14, 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.”

  • F0690 Level D October 31, 2023 · corrected December 14, 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.”

  • F0695 Level D October 31, 2023 · corrected December 14, 2023

    “Provide safe and appropriate respiratory care for a resident when needed.”

  • F0756 Level D October 31, 2023 · corrected December 14, 2023

    “Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”

  • F0811 Level D October 31, 2023 · corrected December 14, 2023

    “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.”

  • F0812 Level D October 31, 2023 · corrected December 14, 2023

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0880 Level D October 31, 2023 · corrected December 14, 2023

    “Provide and implement an infection prevention and control program.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (19)
  • K0211 Level E March 20, 2026 · corrected April 17, 2026

    “Keep aisles, corridors, and exits free of obstruction in case of emergency.”

  • K0321 Level E March 20, 2026 · corrected April 17, 2026

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0923 Level D March 20, 2026 · corrected April 17, 2026

    “Have proper medical gas storage and administration areas.”

  • E0020 Level F December 20, 2024 · corrected January 16, 2025

    “Establish policies and procedures including evacuation.”

  • E0039 Level F December 20, 2024 · corrected January 16, 2025

    “Conduct testing and exercise requirements.”

  • K0920 Level D December 20, 2024 · corrected January 16, 2025

    “Ensure proper usage of power strips and extension cords.”

  • E0013 Level F October 31, 2023 · corrected November 30, 2023

    “Develop Emergency Preparedness policies and procedures.”

  • E0023 Level F October 31, 2023 · corrected November 30, 2023

    “Establish policies and procedures for medical documentation.”

  • E0033 Level F October 31, 2023 · corrected November 30, 2023

    “Establish methods for sharing information.”

  • E0034 Level F October 31, 2023 · corrected November 30, 2023

    “Provide a means of sharing information on occupancy/needs.”

  • E0037 Level F October 31, 2023 · corrected November 30, 2023

    “Establish staff and initial training requirements.”

  • E0039 Level F October 31, 2023 · corrected November 30, 2023

    “Conduct testing and exercise requirements.”

  • K0918 Level F October 31, 2023 · corrected November 30, 2023

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0324 Level E October 31, 2023 · corrected November 30, 2023

    “Provide properly protected cooking facilities.”

  • K0353 Level E October 31, 2023 · corrected November 30, 2023

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0341 Level D October 31, 2023 · corrected November 30, 2023

    “Install a fire alarm system that can be heard throughout the facility.”

  • K0345 Level D October 31, 2023 · corrected November 30, 2023

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0355 Level D October 31, 2023 · corrected November 30, 2023

    “Properly select, install, inspect, or maintain portable fire extinguishes.”

  • K0920 Level D October 31, 2023 · corrected November 30, 2023

    “Ensure proper usage of power strips and extension cords.”

Fines and payment denials

Total fines over about the last three years: $121,447 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
May 2, 2024Fine$51,500
October 31, 2023Fine$69,947

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeWashingtonNational
Registered nurse (RN) hours per resident per day0.880.990.69
Licensed practical nurse (LPN) hours per resident per day0.830.740.86
Nurse aide hours per resident per day2.662.682.35
Total nurse staff hours per resident per day4.374.423.90
Total nurse staff hours per resident per day on the weekend3.893.823.43
RN hours per resident per day on the weekend0.520.710.48
Nursing staff turnover (per year)40.3%43.9%45.3%
RN turnover (per year)53.6%43.8%42.5%
Administrators who left in the last year0.00.50.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Legal business name: Bethany of the Northwest.

Owners and managers Medicare lists (1)
NameRoleShareSince
Bethany of the NorthwestDirect ownerNOT APPLICABLEOctober 12, 1999

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds151
Average residents per day113.8
Takes part inMedicare and Medicaid
OwnershipNon-profit – church related
Legal business nameBethany of the Northwest
First approved by Medicare/Medicaid1992-01-01
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address2235 Lake Heights Drive, Everett, WA 98208
CountySnohomish County
StateWashington
Phone(425) 338‑3000
CMS Certification Number505403
Name in Medicare recordsBETHANY AT SILVER LAKE
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13