
Set within the beautiful area of Bellevue, Washington, The Inn at Belle Harbour is a charming senior living community that offers specialized memory care to residents living with Alzheimer’s and other forms of dementia. The community carefully designed their living spaces to accommodate its residents special needs, with plenty of advanced safety features installed in each apartment, such as window sensor, motion sensors, and pull cords. Residents and their families never have to worry with a team of well-trained and compassionate personnel and nurses on-site 24/7 to cater to residents’ needs and emergencies.
Senior living is made vibrant with the community’s Living Well program that features an array of activities, events, outings, and special projects that focuses on the nourishment of the mind, body, and soul. The community features plenty of common spaces that are designed with the furnishings and interiors of the past to foster recollection of cherished memories and a sense of familiarity. These includes shadow boxes, an old-fashioned club room, rusty cabin, 1950s kitchen, and a salon adorned with images of Hollywood icons from their era.
Mission Healthcare at Bellevue, a 69-bed skilled nursing facility operated by the nonprofit MHO, LLC, is located at 2424 156th Avenue NE in Bellevue’s Northeast neighborhood, King County. The community accepts Medicare (60% of new admissions, 26-day average stay) and private-pay residents (40%, approximately 1-month average stay); Medicaid is not accepted.
The current census stands at 51 residents with occupancy at 67.4%, below the Washington state average of 72.5%.
As part of the Careage Community network, Mission Healthcare describes its clinical focus on short-term post-acute rehabilitation, including cardiac rehabilitation, fall prevention, and neurological recovery. Therapy services encompass speech, occupational, and physical therapy.
Nursing care averages 4 hours 33 minutes per resident per day, ranking 17th among 89 Washington facilities and exceeding the state average by 8%. The facility maintains a staff-to-resident ratio of 3.12:1, above the state average, though this metric reflects current below-average occupancy. Contractors comprise 21.6% of total staffing hours.
Despite high absolute nursing hours, the facility’s CMS staffing rating is 1-star, placing it 70.8% below the state average. The overall CMS rating is 2-star (38% below state average), with health inspection rated 2-star (29% below state average) and quality measures rated 3-star (27% above state average).
Zero percent of long-stay residents experience major falls with injury and zero percent develop urinary tract infections. Pressure ulcers affect 1.9% of high-risk residents, substantially better than the state average. Conversely, 16.7% of long-stay residents experience excessive weight loss; 187% worse than the state average. Short-stay influenza vaccination reaches 67.8%, 17% below the state average.
The facility has not faced federal penalties in three years. However, financial performance deteriorated significantly. The facility reported a $2.9 million operating deficit against $10.2 million in revenue, yielding a -28.3% profit margin.
Payroll comprises 62.5% of revenue; a top-tier investment ranking 10th of 93 state facilities.
The facility operated at cumulative losses since 2015, with bed capacity reduced from 129 to 69 beds in 2019. Financial data through 2023 shows persistent operating deficits despite payroll prioritization.
Mission Healthcare is situated in a very walkable location (walk score 83) in suburban Bellevue, 4.3 miles from the city center and 2.72 miles from Kaiser Permanente Bellevue Medical Center.
The facility is structured for Medicare and private-pay short-term post-acute rehabilitation in a specialized care environment, though financial constraints and occupancy challenges suggest operational strain.
Ranking Methodology
How we rank these nursing homes
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
Weighting overview
- 35%Care Quality
- 20%Staffing
- 20%Regulatory
- 20%Operational
- 5%Environment
01
Care Quality 35%
The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.
- Includes
- Overall Rating
- Health Inspection
- QM Rating
- Long-Stay QM
- Short-Stay QM
02
Staffing Adequacy 20%
The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.
- Includes
- Nurse Hrs/Res/Day
- RN vs State
- Total Nurse Staff Hrs vs State
- RN Turnover
03
Regulatory & Safety Record 20%
Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.
- Includes
- Citations
- Citations/Inspection
- Severe Citations
- Fines
- Accreditations
04
Operational & Financial Stability 20%
Stable operations and sound finances are leading indicators of consistent care over time.
- Includes
- Occupancy vs State
- Avg Length of Stay
- Revenue
- Payroll %
- Years in Operation
- Admin Tenure
05
Environment & Accessibility 5%
Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.
- Includes
- Walk Score
- BBB Rating
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Frequently Asked Questions about Nursing Homes in Bellevue, WA
What's the difference between assisted living and a nursing home in Washington?
Assisted living in Washington is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Washington Medicaid cover nursing home care?
Yes — Washington Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 2 nursing homes in Bellevue, WA. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Bellevue, WA?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Bellevue, WA, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Bellevue, WA?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.





