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 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 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 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 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.

Park Place operates 156 assisted living beds at 6900 37th Avenue South in Seattle’s South End neighborhood, maintaining 92% occupancy; well above the state average of 72.5%. Located in a very walkable area (Walk Score 70), the facility sits 5.1 miles south of downtown. Monthly housing costs begin at $895 for one-bedroom and $995 for two-bedroom units. The community offers memory care and accepts pets. Residents enjoy swimming, fitness facilities, BBQ and picnic areas, on-site laundry, and high-speed internet access. Operating hours are Monday-Friday, 8:30 AM-5:30 PM.

Regulatory compliance history reveals substantial deficiency patterns. Between May 2023 and September 2025, eight inspections documented 42 citations; 122% worse than Washington’s state average of 6.3 per year. Fire safety dominance marked the record: May 2023 inspections cited 12 violations (missing fire drill documentation across 12 drills, extension cords improperly deployed, missing system maintenance records for sprinklers and fire detection, electrical hazards including exposed wiring, emergency lighting failures, and loose oxygen tanks scattered through resident rooms). One year later, May 2024 fire safety review documented 14 additional violations repeating many themes: missing fire drill documentation (12 planned and unannounced drills), extension cords still in use, missing quarterly sprinkler inspection paperwork, absent carbon monoxide alarm maintenance logs, and missing fire door inspections. Following corrective action, September 2025 State Fire Marshal inspection confirmed zero deficiencies and granted facility approval.

Care planning and documentation gaps affected multiple residents. April 2025 inspections found service plans unupdated for three of 15 sampled residents; medical device safety assessments missing for two residents; TB testing incomplete for one staff member 123 days past hire date; and hand hygiene failures by food service dishwashing staff. January 2023 complaint investigation substantiated resident rights violations and property misappropriation. March 2025 complaint investigation documented improper discharge notice following a resident-to-resident alteration with injury. September 2023 inspection cited incomplete background check for the administrator and TB screening non-compliance for one caregiver. First aid kit accessibility and laundry room ventilation failures rounded out deficiency categories.

Park Place fits urban-based seniors and families seeking assisted living and memory care in a walkable Seattle neighborhood with activity-focused amenities.

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.

Keystone is a residential care community in Seattle, Washington, operating 64 beds in King County. It is classified as a behavioral health licensed community with a reported occupancy rate of approximately 95%. This is well above the Washington state average, suggesting strong local demand and limited availability.

Inspection history indicates ongoing fire safety compliance concerns, with the most recent inspection on June 16, 2025, being a follow-up visit that confirmed some previously cited issues had been corrected but still identified concerns such as debris on sprinkler heads, gaps in fire alarm maintenance, and obstructed exit pathways. Earlier inspections also revealed repeated fire safety code issues, along with a substantiated complaint in August 2024 related to failure to provide a required discharge notice after a resident altercation. No fines or license suspensions are listed in the available reports. While the pattern of citations raises concern, it also shows gradual corrective efforts over time, so families are advised to review the most current state inspection records before making a decision.

The community offers amenities such as bicycle storage, a landscaped public plaza, and street-level retail, which are more typical of an urban residential setting than a traditional care-focused environment. Housing-related services are also highlighted, along with pet policies and general tenant support, suggesting a primary focus on residential living rather than intensive clinical care.

Keystone is best suited for more independent older adults in the Seattle area who prefer an urban, community-integrated living environment with access to basic services rather than higher levels of medical or personal care. Its high occupancy also reflects strong interest in this type of housing. However, families considering this community should confirm current licensing details and carefully review recent inspection records to ensure the setting aligns with their loved one’s care needs.