Best Nursing Homes in Seattle, WA

Overview of Mirabella Seattle

Mirabella Seattle operates a 63-bed nursing home, assisted living, and memory care community at 116 Fairview Avenue North in South Lake Union, a walkable Seattle neighborhood 1.1 miles from downtown. Established in 2008 and licensed as a Boarding Home by Washington, the nonprofit community is owned by Lee Burnside.

The high-rise facility offers one-bedroom and two-bedroom apartments (762 to 1,202 square feet) and provides nursing care, memory care programming, rehabilitation services, and home care. Current occupancy is 46% (29 of 63 beds), notably below Washington’s 72.5% average. The facility accepts Medicare (68% of admissions, 133-day average stay) and private-pay residents and holds a BBB A+ rating.

Mirabella Seattle earns a 4-star overall CMS rating, 15.6% above state average.

Registered nurse hours at 1 hour 40 minutes/resident/day runs 89% above the Washington average, with weekend RN coverage of 1 hour 10 minutes daily (84% above state norm). Total nursing hours reach 4 hours 41 minutes/resident/day, ranking 10th of 89 Washington facilities.

Health inspections yield a 4-star rating (4.2% above state average) with zero critical or serious citations, though 43 deficiencies accumulated over three years exceed the state average by 39%.

Quality measures earn a 4-star rating despite mixed outcomes: zero pressure ulcers (100% better than state), but falls with major injury at 9.8% (274% worse), urinary tract infections at 6.6% (277% worse), and weight loss at 13.3% (128% worse). Short-stay residents show 60.7% successful return to home, 20% better than state average.

Multiple inspections identified incomplete hood cleaning reports, missing sprinkler and fire extinguishing system maintenance documentation, malfunctioning fire doors, electrical hazards, emergency lighting failures, and absent carbon monoxide and smoke alarm testing records. A March 2024 substantiated complaint revealed inadequate behavioral interventions for a resident whose wheelchair incident injured another resident, accompanied by nine deficiencies: medication administration safety gaps, staff training lapses (dementia, mental health), insecure hazardous supplies, and notably, hand hygiene failures during meal preparation placing all 37 residents at risk for foodborne illness. A June 2025 payment denial (12 days) constitutes serious regulatory action.

Zero federal fines have been assessed.

Financial data (2023) shows operating deficit of -$4.7 million and profit margin of -55.1%.

Mirabella Seattle serves short-term Medicare rehabilitation and private-pay residents seeking urban accessibility (Walk Score 99) and intensive nursing presence, though a cause for concern are its fire safety compliance gaps and documented care coordination lapses.

Overview of Washington Care Center

Peacefully nestled in Seattle, WA, Washington Care Center offers a secure community for those who need skilled nursing, short-term rehabilitation, and long-term care. Their excellent care team is available 24/7 to provide an array of services, including daily living assistance, pain management, and recovery support. Residents enjoy the comfort of their relaxing accommodations with housekeeping and laundry services for their convenience.

Free from the hassles of tiring chores, residents here can fully focus on their well-being or recovery without worry. The community also serves tasty and nutritionally balanced meals to make sure residents maintain healthy eating habits. Here, residents receive all the care they need to enjoy both comfort and leisure.

Overview of Avamere Rehabilitation at Park West

Seattle, Washington is fortunate to have Avamere Rehabilitation at Park West, a facility renowned for its exceptional professionalism and competence in the field of senior care. They provide an array of services including skilled nursing, long-term care, and rehabilitation, ensuring the highest quality outcomes for their residents. Additionally, they offer short-term and respite care, demonstrating their commitment to comprehensive and flexible support.
With an on-site therapy gym and telemedicine assistance, residents receive state-of-the-art care right at their doorstep. Avamere Rehabilitation at Park West also goes the extra mile by providing transportation assistance and installing nurse call systems and safety features in every room, ensuring residents’ safety and peace of mind. Moreover, the seamless collaboration between the dedicated staff and overseeing physicians creates an environment where residents can effortlessly regain their strength and independence, making Avamere Rehabilitation at Park West the go-to choice for top-notch care in the area.

Overview of Providence Mount St. Vincent

Providence Mount St. Vincent is a 122-bed skilled nursing, assisted living, and independent living community in Seattle, Washington’s North Admiral neighborhood, operated as a voluntary nonprofit under church sponsorship. The campus offers a transitional care unit, outpatient rehabilitation, and a Wellness Clinic alongside residential care, drawing a predominantly private-pay population with an average length of stay of 126 days. CMS rates the facility 1 star overall, driven primarily by its Health Inspection score, which is 65% below the Washington state average. Staffing is a relative strength: total nurse staffing averages 4 hours and 38 minutes per resident per day, 6% above the Washington benchmark. Since 2022, inspectors have recorded roughly 4 deficiencies per year — 37% below the state average of 6.3. The four-year record includes two substantiated complaint investigations (a discharge procedure violation in March 2023 and a staff-conduct finding in November 2022), four serious citations for abuse and neglect in June 2025, and two federal civil money penalties totaling $87,000 ($77K in January 2025 for a repeat medication administration deficiency, $11K in May 2024). No findings of Immediate Jeopardy or license actions appear in the reports. Campus amenities and programs include an Intergenerational Learning Center, an on-site barber and beauty salon, and physical, social, cognitive, and spiritual care programming. Residents have access to outpatient rehabilitation and a Wellness Clinic. The facility’s occupancy rate is 62%, roughly 10 points below the Washington average, suggesting availability. Providence Mount St. Vincent suits private-pay residents seeking a continuum of residential care — from independent living through skilled nursing — within a mission-driven campus setting in West Seattle. Families weighing placement should note the serious citations and repeat enforcement findings alongside the below-average deficiency rate.

Overview of Kin On

A comprehensive provider of senior living solutions and services, Kin On provides assisted living, home health and home care, adult family home services, and skilled rehabilitation and care for Asian seniors across Seattle, WA. Spend a glorious retirement surrounded by cozy and intimate residences, carefully designed to maximize comfort and safety. With a respectful and highly trained team lending extra support around the clock, seniors have more time to explore new interests and relationships.

Kin On strives to provide inclusivity and diversity for Asian older adults, providing them with a knowledgeable team for better communication and understanding. Moreover, residents have a lot of fun things to do with various activities and programs hosted for their leisure and wellness. Delicious and healthy meals are served to meet residents’ dietary needs and tastes. The community is a haven for seniors to live comfortably embraced by welcoming people and serene spaces.

Overview of Skyline

Downtown Seattle’s Skyline operates as a Life Care continuum community at 725 9th Avenue, 0.4 miles from the city center, offering nursing home, independent living, assisted living, and memory care under Presbyterian Retirement Communities Northwest (nonprofit).

The facility emphasizes resort-style amenities: 360-degree Skyline and Puget Sound views, gourmet dining, fitness center, saline lap pool, holistic wellness programs, and activities spanning intellectual pursuits to wine tastings. Average length of stay is 42 days; occupancy 79.3% (above Washington average of 72.5%). Walk Score 98 (Walker’s Paradise; ranked 7 of 628 statewide).

Skyline employs 107 staff (39 employees, 68 contractors, Q3 2025). Total nursing care: 5h 15m per resident daily (24% above Washington average; ranked 6 of 89 SNFs). Weekend nursing: 5h 1m per resident daily (31% above state average). Staff-to-resident ratio: 4.12:1 (121% better than Washington average 1.86:1). Registered Nurses: 18; Licensed Practical Nurses: 17; Certified Nursing Assistants: 44; supplemented by physical therapy, occupational therapy, respiratory therapy, speech pathology, and physician support.

Overall CMS rating: 3 stars (7% below Washington average). Health Inspection: 3 stars (29% below state average). Staffing: 4 stars (16.8% above state average). Quality Measures: 4 stars (27.2% above state average). No penalties in 3 years.

Long-stay resident successes: Falls with major injury 1.5% (42% better than state average); urinary tract infections 0.0% (100% better); depressive symptoms 2.0% (88% better); pneumococcal vaccination 100%.

Critical concerns: High-risk residents with pressure ulcers 16.6% versus 4.9% state average (237% worse). Weight loss 23.0% versus 5.8% state average (295% worse). High-risk clinical events score 14.7 versus 10.0 state average (47% worse).

Accepts medicare and private pay. No Medicaid.

No penalties or fines past 3 years.

Skyline serves Medicare and private-pay patients in a staffing-rich urban life care setting with strong nursing ratios and administrative compliance but concerning pressure ulcer and weight loss outcomes despite high staffing levels.

Aegis Living Ballard is a senior living community in Seattle, Washington, that provides a comprehensive continuum of care within a single urban campus, encompassing assisted living, memory care, transitional care, respite, and hospice services. With a 67-bed capacity, the community has an occupancy rate of approximately 72%, which is consistent with the Washington state average. Operated under the well-regarded Aegis Living brand, the community benefits from the expertise of a major regional provider with a deep footprint across the Pacific Northwest, allowing it to deliver more structured care to older adults in King County.

The community demonstrated a high standard of care during its most recent state inspection in April 2025, which resulted in zero deficiencies. While two significant deficiencies were cited in past complaint investigations, specifically a delay in reporting a resident altercation to law enforcement and a medication management gap, both matters were substantiated, corrected, and closed without any fines or license actions. With only two deficiencies compared to the Washington state average of 31 per inspection cycle, this regulatory record reflects the community’s commitment to compliance and improving its operations.

A wide array of amenities tailored to residents’ health and comfort is offered, including a spa, a hair salon, red light therapy, and on-site therapy services. An AI-assisted anti-fall system and building-wide emergency pendant and motion sensor technology are also provided for safety. The lifestyle is defined by flexibility, highlighting an all-day dining model from 7 AM to 7 PM and a robust calendar of over 200 monthly activities ranging from music therapy to Nordic baking demonstrations. This pet-friendly community also includes housekeeping, linens, utilities, and 24-hour staffing in the monthly rate. Families can also stay connected via the Aegis Live technology platform.

Aegis Living Ballard is an excellent fit for older adults in Seattle seeking light to moderate assisted living or specialized memory care support. Its highly active programming schedule, modern safety features, and a flexible dining environment appeal to families who value both engagement and peace of mind in a residential setting.

Overview of Polack Adult Day Center

Enjoy unparalleled care and comfort with the renowned senior living community of Polack Adult Day Center in Seward Park Avenue South, Seattle, WA, offering adult day care and nursing care. The community goes above and beyond to deliver top-tier care and assistance for seniors to thrive and live to their potential. Keep peace of mind with a team of qualified and highly trained professionals providing tailored care plans.

Gain meaningful experiences and try out new things through a jam-packed calendar of fun activities and engaging programs. Catering to dietary needs and preferences, the community serves healthy, delicious, kosher-style meals for a delightful dining experience. Polack Adult Day Center is great for seniors aiming to make every moment of their golden years count in its serene spaces.

Exeter House is located in the heart of Seattle, Washington. They offer a variety of living options, including assisted living, independent living, and nursing homes. The skilled staff at Exeter House provides specialized care services like diabetic care, high acuity care, incontinence care, non-ambulatory care, and staffing and ancillary services. 
The community is designed to be inclusive, with facilities like wheelchair accessible showers, bathtubs, and other amenities. Exeter House also allows cats to ensure that their residents can enjoy the company of their furry friends. The community boasts both indoor and outdoor common areas for residents to relax and socialize in. Additionally, there are activities both on and off site, such as devotional services, to keep residents engaged and active. Indeed, Exeter House is committed to providing a warm and welcoming environment for all their residents.

Sea Mar Community Health Center has been serving the community with compassion and excellence since 1982. This health center takes great pride in accepting all forms of insurance, including private insurance, veterans benefits, Medicare, and Medicaid, so that everyone has access to their exceptional services. Their medical services range from blood pressure management to Alzheimer’s and dementia care, as well as diabetic care, IV administration, medical social services, and CPR. They also provide an array of therapeutic services such as occupational therapy, physical therapy, and speech pathology to help patients reach their maximum potential in every aspect of their lives.
This home understands the importance of holistic care and strives to meet the needs of its patients by providing assistance with daily activities such as toileting, dressing, meal preparation, personal hygiene, and house cleaning. Their team of medical professionals is dedicated to ensuring that every patient receives the highest level of care and attention, employing licensed nurses who provide exceptional care with warmth and kindness. Additionally, they offer CPR and first aid training, providing the community with the knowledge and skills to save lives in an emergency. Sea Mar Community Health Center is a shining example of healthcare excellence, providing comprehensive and compassionate care to the Seattle community for decades.