Everett Transitional Care Services

Mixed CMS roles

Provider / enrollment organization Enrollment PAC 9436104494 Enrollment ID O20200128001830

Linked facilitiesFacilities

12 parties: 2 organizations · 10 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Bethany of the Northwest	5597710475	Organization	5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF	50
Tristine C Bauguess	6002140027	Individual	Operational/Managerial Control; ADP of the SNF	—
Kristi S Lemke	0941725238	Individual	Operational/Managerial Control; ADP of the SNF	—
John Hovey	8123543410	Individual	Operational/Managerial Control; ADP of the SNF	—
Joseph R Scrivens	6103072558	Individual	Corporate Officer; Operational/Managerial Control; ADP of the SNF	—
Providence Health & SERVICES-WA	0648330787	Organization	5% or Greater Direct Ownership Interest; ADP of the SNF	50
Paul L Onerheim	0143554154	Individual	Corporate Officer	16.66
Jason Peterson	8022352285	Individual	Corporate Director	16.7
Steven C Jacobson	4082508502	Individual	Corporate Director	16.66
Allison A Block	7214452507	Individual	Corporate Director	16.66
Patricia M Degroodt	9032576319	Individual	Corporate Director	16.66
Scott L Combs	8628162013	Individual	Corporate Director	16.66

Bethany of the NorthwestPAC 5597710475
Organization505% or Greater Direct Ownership Interest; Operational/Managerial Control
Tristine C BauguessPAC 6002140027
IndividualOperational/Managerial Control; ADP of the SNF
Kristi S LemkePAC 0941725238
IndividualOperational/Managerial Control; ADP of the SNF
John HoveyPAC 8123543410
IndividualOperational/Managerial Control; ADP of the SNF
Joseph R ScrivensPAC 6103072558
IndividualCorporate Officer; Operational/Managerial Control
Providence Health & SERVICES-WAPAC 0648330787
Organization505% or Greater Direct Ownership Interest; ADP of the SNF
Paul L OnerheimPAC 0143554154
Individual16.66Corporate Officer
Jason PetersonPAC 8022352285
Individual16.7Corporate Director
Steven C JacobsonPAC 4082508502
Individual16.66Corporate Director
Allison A BlockPAC 7214452507
Individual16.66Corporate Director
Patricia M DegroodtPAC 9032576319
Individual16.66Corporate Director
Scott L CombsPAC 8628162013
Individual16.66Corporate Director

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Everett Transitional Care Services 58 residents		Other disclo…	4.26	Ovr★★★★☆Stf★★★★☆Ins★★★★☆QM★★☆☆☆	58

Everett Transitional Care Services
Other disclosed role58 res4.26 HPRD
Overall 4Staffing Staff 4

Related CMS associates

Name match to Everett Transitional Care Services in FEC filings. Similar names may appear—confirm on FEC.gov.