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Best Nursing Homes in Seattle, WA

Why trust this guide? Our editorial team analyzed 12 nursing homes in Seattle, WA using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in WA
Reviewed by
Last updated
Jun 2026
We analyzed
12 homes
Other senior care options in Seattle:
Avg Overall CMS Rating: 2.2/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Seattle, WA. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 3.5/ 5The average Staffing Rating across all CMS-certified nursing homes in Seattle, WA. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Seattle, WA. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Seattle (Metro Area)

The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.

6 facilities compared · CMS & WA Dept. of Health data

Mirabella Seattle
NH
AL
MC
Seattle (South Lake Union)
63
Facility 63
WA AVG 82
Rank #237 / 366
46.0%
Facility 46.0%
WA AVG 72.5%
Rank #285 / 310
-37%
4.68
Facility 4.68
WA AVG 4.22
Rank #10 / 90
+2%+11%
$8.3k
Facility $8.3k
WA AVG $87.7k
Rank #35 / 92
41
Facility 41
WA AVG 48.9
Rank #37 / 92
10.3
Facility 10.3
WA AVG 6.9
Rank #76 / 92
-36A+
99
Facility 99
WA AVG 51
Rank #1 / 628
Lee Burnside
$7.9M
Facility $7.9M
WA AVG $13.2M
Rank #9 / 94
$13.8M
Facility $13.8M
WA AVG $5.7M
Rank #9 / 94
173.2%
Facility 173.2%
WA AVG 45.5%
Rank #63 / 94
505520
Kin On
NH
AL
HC
NC
Seattle (Rainier Valley)
100
Facility 100
WA AVG 82
Rank #93 / 366
90.0%
Facility 90.0%
WA AVG 72.5%
Rank #47 / 310
+24%
4.18
Facility 4.18
WA AVG 4.22
Rank #38 / 90
+41%-1%
$25.5k
Facility $25.5k
WA AVG $87.7k
Rank #47 / 92
47
Facility 47
WA AVG 48.9
Rank #43 / 92
7.8
Facility 7.8
WA AVG 6.9
Rank #62 / 92
193-
84
Facility 84
WA AVG 51
Rank #62 / 628
Dennis Lam
$14.3M
Facility $14.3M
WA AVG $13.2M
Rank #33 / 94
$9.9M
Facility $9.9M
WA AVG $5.7M
Rank #20 / 94
69.7%
Facility 69.7%
WA AVG 45.5%
Rank #16 / 94
505453
Avamere Rehabilitation at Park West
NH
RC
Seattle (North Admiral)
137
Facility 137
WA AVG 82
Rank #28 / 366
62.1%
Facility 62.1%
WA AVG 72.5%
Rank #241 / 310
-14%
4.30
Facility 4.30
WA AVG 4.22
Rank #28 / 90
-31%+2%
$29.8k
Facility $29.8k
WA AVG $87.7k
Rank #49 / 92
60
Facility 60
WA AVG 48.9
Rank #59 / 92
7.5
Facility 7.5
WA AVG 6.9
Rank #58 / 92
493-
71
Facility 71
WA AVG 51
Rank #140 / 628
-
$10.4M
Facility $10.4M
WA AVG $13.2M
Rank #61 / 94
$6.8M
Facility $6.8M
WA AVG $5.7M
Rank #49 / 94
65.2%
Facility 65.2%
WA AVG 45.5%
Rank #31 / 94
505270
Washington Care Center
NH
MC
NC
RC
Seattle (Rainier Valley)
165
Facility 165
WA AVG 82
Rank #9 / 366
27.9%
Facility 27.9%
WA AVG 72.5%
Rank #304 / 310
-62%
4.21
Facility 4.21
WA AVG 4.22
Rank #38 / 90
+30%0%
$58.7k
Facility $58.7k
WA AVG $87.7k
Rank #59 / 92
68
Facility 68
WA AVG 48.9
Rank #69 / 92
7.6
Facility 7.6
WA AVG 6.9
Rank #61 / 92
546A+
77
Facility 77
WA AVG 51
Rank #97 / 628
Rayona Deanes
$20.2M
Facility $20.2M
WA AVG $13.2M
Rank #24 / 94
$13.0M
Facility $13.0M
WA AVG $5.7M
Rank #10 / 94
64.1%
Facility 64.1%
WA AVG 45.5%
Rank #6 / 94
505017
Skyline
NH
AL
IL
MC
Seattle (Downtown Seattle)
34
Facility 34
WA AVG 82
Rank #343 / 366
79.3%
Facility 79.3%
WA AVG 72.5%
Rank #124 / 310
+9%
5.24
Facility 5.24
WA AVG 4.22
Rank #6 / 90
+17%+24%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 92
52
Facility 52
WA AVG 48.9
Rank #51 / 92
17.3
Facility 17.3
WA AVG 6.9
Rank #89 / 92
-29-
98
Facility 98
WA AVG 51
Rank #7 / 628
Presbyterian Retirement Communities Northwest
$5.4M
Facility $5.4M
WA AVG $13.2M
Rank #3 / 94
$14.4M
Facility $14.4M
WA AVG $5.7M
Rank #8 / 94
266.3%
Facility 266.3%
WA AVG 45.5%
Rank #91 / 94
505469
Providence Mount St. Vincent
NH
AL
IL
RC
Seattle (North Admiral)
122
Facility 122
WA AVG 82
Rank #43 / 366
62.3%
Facility 62.3%
WA AVG 72.5%
Rank #240 / 310
-14%
4.63
Facility 4.63
WA AVG 4.22
Rank #15 / 90
+52%+10%
$152.2k
Facility $152.2k
WA AVG $87.7k
Rank #78 / 92
63
Facility 63
WA AVG 48.9
Rank #65 / 92
7.9
Facility 7.9
WA AVG 6.9
Rank #63 / 92
476-
60
Facility 60
WA AVG 51
Rank #252 / 628
Maricor Gonzales - Lim
$32.3M
Facility $32.3M
WA AVG $13.2M
Rank #5 / 94
$16.8M
Facility $16.8M
WA AVG $5.7M
Rank #7 / 94
52.2%
Facility 52.2%
WA AVG 45.5%
Rank #76 / 94
505182
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.

Contact Providence Mount St. Vincent

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.

Contact Skyline

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.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

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

Seattle Nursing Home Facilities Overview

  • Avg payroll costs: $8,583,203.74 (Washington avg: $5,248,860.74)
  • Avg home costs: $13,332,208.16 (Washington avg: $7,233,554.08)
  • Avg occupancy: 72.51% (Washington avg: 75.62%)
  • Avg bed count: 124 (Washington avg: 104)
  • Avg home revenue: $16,536,932.32 (Washington avg: $12,398,266.40)

Community-level financial and occupancy data

  • COLUMBIA LUTHERAN HOME: 59.74% occupancy, 116 beds, $13,768,432.00 home revenue, $6,548,553.00 payroll costs, $5,788,771.00 home costs.
  • SAINT ANNE NURSING & REHAB CENTER: 59.15% occupancy, 47 beds, $5,206,615.00 home revenue, $2,002,576.00 payroll costs, $2,958,399.00 home costs.
  • PROVIDENCE MT ST VINCENT: 84.79% occupancy, 335 beds, $36,988,757.00 home revenue, $13,593,982.00 payroll costs, $21,814,233.00 home costs.
  • PARK SHORE: 62.86% occupancy, 28 beds, $3,899,509.00 home revenue, $5,708,883.00 payroll costs, $14,588,203.00 home costs.
  • MIRABELLA SEATTLE: 64.35% occupancy, 92 beds, $29,606,498.00 home revenue, $11,755,971.00 payroll costs, $23,855,142.00 home costs.
  • LEA HILL REHABILIATION AND CARE CENT: 88.61% occupancy, 72 beds, $11,247,524.00 home revenue, $3,525,861.00 payroll costs, $9,430,410.00 home costs.
  • BALLARD CENTER: 68.94% occupancy, 142 beds, $14,099,765.00 home revenue, $5,734,233.00 payroll costs, $7,632,108.00 home costs.
  • KIN ON HEALTH CARE CENTER: 95.40% occupancy, 100 beds, $11,702,094.00 home revenue, $7,060,263.00 payroll costs, $4,687,043.00 home costs.
  • SEATTLE TRANSITIONAL CARE: 44.48% occupancy, 165 beds, $11,800,583.00 home revenue, $10,065,901.00 payroll costs, $11,049,023.00 home costs.
  • WASHINGTON CARE CENTER: 83.67% occupancy, 165 beds, $17,280,938.00 home revenue, $8,069,843.00 payroll costs, $10,324,402.00 home costs.
  • CAROLINE KLINE GALLAND HOME: 94.59% occupancy, 205 beds, $50,542,973.00 home revenue, $28,720,541.00 payroll costs, $18,908,429.00 home costs.
View Chart Data Table
MetricSeattleWashington
Avg payroll costs$8,583,203.74$5,248,860.74
Avg home costs$13,332,208.16$7,233,554.08
Avg occupancy72.51%75.62%
Avg bed count124104
Avg home revenue$16,536,932.32$12,398,266.40
CommunityOccupancyBedsHome RevenuePayroll CostsHome CostsMedicareMedicaidPrivate Pay
COLUMBIA LUTHERAN HOME59.74%116$13,768,432.00$6,548,553.00$5,788,771.0022.14%52.19%25.67%
SAINT ANNE NURSING & REHAB CENTER59.15%47$5,206,615.00$2,002,576.00$2,958,399.0015.09%68.66%16.25%
PROVIDENCE MT ST VINCENT84.79%335$36,988,757.00$13,593,982.00$21,814,233.002.69%32.39%64.92%
PARK SHORE62.86%28$3,899,509.00$5,708,883.00$14,588,203.008.35%22.15%69.50%
MIRABELLA SEATTLE64.35%92$29,606,498.00$11,755,971.00$23,855,142.0016.62%13.70%69.68%
LEA HILL REHABILIATION AND CARE CENT88.61%72$11,247,524.00$3,525,861.00$9,430,410.0043.02%13.01%43.97%
BALLARD CENTER68.94%142$14,099,765.00$5,734,233.00$7,632,108.008.01%86.10%5.89%
KIN ON HEALTH CARE CENTER95.40%100$11,702,094.00$7,060,263.00$4,687,043.002.75%89.59%7.66%
SEATTLE TRANSITIONAL CARE44.48%165$11,800,583.00$10,065,901.00$11,049,023.008.00%86.14%5.86%
WASHINGTON CARE CENTER83.67%165$17,280,938.00$8,069,843.00$10,324,402.008.89%70.33%20.78%
CAROLINE KLINE GALLAND HOME94.59%205$50,542,973.00$28,720,541.00$18,908,429.0013.10%49.30%37.60%
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Frequently Asked Questions about Nursing Homes in Seattle, 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 12 nursing homes in Seattle, WA. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Seattle, 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 Seattle, 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 Seattle, 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.