Best Nursing Homes in Washington State

Why trust this guide? Our editorial team analyzed 77 nursing homes in WA using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in WA
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Last updated
We analyzed These are the facilities in Washington State our team has analyzed — not a count of every nursing home provider in Washington State.
77 homes
Other senior care options in Washington:
Avg Overall CMS Rating: 3.2/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Washington State. 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: 3.4/ 5The average Staffing Rating across all CMS-certified nursing homes in Washington State. 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: 2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Washington State. 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 Washington

Info below is compiled from CMS reports & the WA Dept. of Social & Health Services (DSHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Washington average is: 62.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Judson Park
NH
AL
IL
MC
SNF
Des Moines (Marine View Drive South)
52
Facility 52
WA AVG 81
Rank #279 / 356
73.1%
Facility 73.1%
WA AVG 75
Rank #162 / 276
-2%
4.45
Facility 4.45
WA AVG 4.22
Rank #18 / 61
+25%+5%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 61
57
Facility 57
WA AVG 48.9
Rank #41 / 61
19.0
Facility 19.0
WA AVG 6.9
Rank #60 / 61
-38A+
19
Facility 19
WA AVG 51
Rank #533 / 619
Humangood Washington
$30.8MFiscal year ending 12/2023
Facility $30.8MFiscal year ending 12/2023
WA AVG $15.9M
Rank #6 / 51
$15.8MFiscal year ending 12/2023
Facility $15.8MFiscal year ending 12/2023
WA AVG $9.2M
Rank #6 / 51
51.4%Fiscal year ending 12/2023
Facility 51.4%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #36 / 51
505455
Timber Ridge
NH
AL
IL
MC
SNF
Issaquah (Talus)
26
Facility 26
WA AVG 81
Rank #342 / 356
88.5%
Facility 88.5%
WA AVG 75
Rank #56 / 276
+18%
5.87
Facility 5.87
WA AVG 4.22
Rank #2 / 61
-34%+39%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 61
17
Facility 17
WA AVG 48.9
Rank #2 / 61
5.7
Facility 5.7
WA AVG 6.9
Rank #25 / 61
-23A+
19
Facility 19
WA AVG 51
Rank #533 / 619
Lcs Timber Ridge LLC
$31.6MFiscal year ending 12/2023
Facility $31.6MFiscal year ending 12/2023
WA AVG $15.9M
Rank #5 / 51
$13.6MFiscal year ending 12/2023
Facility $13.6MFiscal year ending 12/2023
WA AVG $9.2M
Rank #9 / 51
43%Fiscal year ending 12/2023
Facility 43%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #48 / 51
505518
Mirabella Seattle
NH
AL
IL
MC
SNF
Seattle (South Lake Union)
63
Facility 63
WA AVG 81
Rank #228 / 356
46.0%
Facility 46.0%
WA AVG 75
Rank #259 / 276
-39%
4.29
Facility 4.29
WA AVG 4.22
Rank #22 / 61
+2%+2%
$8.3k
Facility $8.3k
WA AVG $87.7k
Rank #25 / 61
41
Facility 41
WA AVG 48.9
Rank #25 / 61
10.3
Facility 10.3
WA AVG 6.9
Rank #53 / 61
-29A+
99
Facility 99
WA AVG 51
Rank #1 / 619
Lee Burnside
$7.9MFiscal year ending 09/2023
Facility $7.9MFiscal year ending 09/2023
WA AVG $15.9M
Rank #45 / 51
$13.8MFiscal year ending 09/2023
Facility $13.8MFiscal year ending 09/2023
WA AVG $9.2M
Rank #8 / 51
173.2%Fiscal year ending 09/2023
Facility 173.2%Fiscal year ending 09/2023
WA AVG 62.6%
Rank #2 / 51
505520
Life Care Center of South Hill
NH
SNF
Puyallup
100
Facility 100
WA AVG 81
Rank #91 / 356
97.6%
Facility 97.6%
WA AVG 75
Rank #13 / 276
+30%
3.74
Facility 3.74
WA AVG 4.22
Rank #45 / 61
-15%-11%
$17.4k
Facility $17.4k
WA AVG $87.7k
Rank #31 / 61
29
Facility 29
WA AVG 48.9
Rank #10 / 61
4.8
Facility 4.8
WA AVG 6.9
Rank #17 / 61
-98-
32
Facility 32
WA AVG 51
Rank #459 / 619
Alexander Medina
$20.3MFiscal year ending 12/2023
Facility $20.3MFiscal year ending 12/2023
WA AVG $15.9M
Rank #10 / 51
$10.7MFiscal year ending 12/2023
Facility $10.7MFiscal year ending 12/2023
WA AVG $9.2M
Rank #15 / 51
52.5%Fiscal year ending 12/2023
Facility 52.5%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #31 / 51
505526
Avamere Rehabilitation of Cascade Park
NH
PC
RC
SNF
Vancouver (Cascade Highlands)
88
Facility 88
WA AVG 81
Rank #137 / 356
92.7%
Facility 92.7%
WA AVG 75
Rank #34 / 276
+24%
5.05
Facility 5.05
WA AVG 4.22
Rank #8 / 61
+1%+20%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 61
35
Facility 35
WA AVG 48.9
Rank #20 / 61
5.8
Facility 5.8
WA AVG 6.9
Rank #26 / 61
182-
56
Facility 56
WA AVG 51
Rank #282 / 619
Ryan Rose
$16.1MFiscal year ending 12/2023
Facility $16.1MFiscal year ending 12/2023
WA AVG $15.9M
Rank #15 / 51
$7.7MFiscal year ending 12/2023
Facility $7.7MFiscal year ending 12/2023
WA AVG $9.2M
Rank #24 / 51
48%Fiscal year ending 12/2023
Facility 48%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #42 / 51
505389
Mt. Baker Care Center
NH
AL
PC
RC
SNF
Bellingham (South Bellingham)
47
Facility 47
WA AVG 81
Rank #298 / 356
--
4.45
Facility 4.45
WA AVG 4.22
Rank #18 / 61
-10%+5%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 61
18
Facility 18
WA AVG 48.9
Rank #3 / 61
3.6
Facility 3.6
WA AVG 6.9
Rank #5 / 61
-57-
44
Facility 44
WA AVG 51
Rank #379 / 619
Clay Management Group LLC
$11.0MFiscal year ending 12/2023
Facility $11.0MFiscal year ending 12/2023
WA AVG $15.9M
Rank #33 / 51
$6.5MFiscal year ending 12/2023
Facility $6.5MFiscal year ending 12/2023
WA AVG $9.2M
Rank #32 / 51
59.1%Fiscal year ending 12/2023
Facility 59.1%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #21 / 51
505376
Garden Terrace Healthcare Center at Federal Way
NH
AL
HOS
PC
RC
SNF
Federal Way
34
Facility 34
WA AVG 81
Rank #333 / 356
35.3%
Facility 35.3%
WA AVG 75
Rank #272 / 276
-53%
4.69
Facility 4.69
WA AVG 4.22
Rank #12 / 61
+30%+11%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 61
46
Facility 46
WA AVG 48.9
Rank #30 / 61
6.6
Facility 6.6
WA AVG 6.9
Rank #33 / 61
-12-
46
Facility 46
WA AVG 51
Rank #364 / 619
Megan Larson
$12.1MFiscal year ending 12/2023
Facility $12.1MFiscal year ending 12/2023
WA AVG $15.9M
Rank #30 / 51
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
WA AVG $9.2M
Rank #27 / 51
59.8%Fiscal year ending 12/2023
Facility 59.8%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #19 / 51
505512
Regency at Northpointe
NH
RC
SNF
Spokane (Shiloh Hills)
120
Facility 120
WA AVG 81
Rank #46 / 356
77.2%
Facility 77.2%
WA AVG 75
Rank #138 / 276
+3%
3.99
Facility 3.99
WA AVG 4.22
Rank #32 / 61
-41%-5%
$8.3k
Facility $8.3k
WA AVG $87.7k
Rank #25 / 61
15
Facility 15
WA AVG 48.9
Rank #1 / 61
3.8
Facility 3.8
WA AVG 6.9
Rank #8 / 61
193-
37
Facility 37
WA AVG 51
Rank #428 / 619
Tod Dunfield
$16.2MFiscal year ending 12/2023
Facility $16.2MFiscal year ending 12/2023
WA AVG $15.9M
Rank #14 / 51
$8.8MFiscal year ending 12/2023
Facility $8.8MFiscal year ending 12/2023
WA AVG $9.2M
Rank #17 / 51
54.4%Fiscal year ending 12/2023
Facility 54.4%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #28 / 51
505369
Covenant Living at the Shores
NH
AL
MC
SNF
Mercer Island
50
Facility 50
WA AVG 81
Rank #284 / 356
76.0%
Facility 76.0%
WA AVG 75
Rank #144 / 276
+1%
4.74
Facility 4.74
WA AVG 4.22
Rank #12 / 61
+29%+12%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 61
40
Facility 40
WA AVG 48.9
Rank #24 / 61
10.0
Facility 10.0
WA AVG 6.9
Rank #50 / 61
138-
18
Facility 18
WA AVG 51
Rank #541 / 619
-
$7.2MFiscal year ending 09/2023
Facility $7.2MFiscal year ending 09/2023
WA AVG $15.9M
Rank #47 / 51
$3.9MFiscal year ending 09/2023
Facility $3.9MFiscal year ending 09/2023
WA AVG $9.2M
Rank #49 / 51
54%Fiscal year ending 09/2023
Facility 54%Fiscal year ending 09/2023
WA AVG 62.6%
Rank #30 / 51
505504
Penrose Harbor at Heron‘s Key
NH
AL
IL
MC
SNF
Gig Harbor
49
Facility 49
WA AVG 81
Rank #292 / 356
--
6.50
Facility 6.50
WA AVG 4.22
Rank #1 / 61
+46%+54%
$15.0k
Facility $15.0k
WA AVG $87.7k
Rank #30 / 61
33
Facility 33
WA AVG 48.9
Rank #19 / 61
8.3
Facility 8.3
WA AVG 6.9
Rank #45 / 61
116-
36
Facility 36
WA AVG 51
Rank #434 / 619
Herons Key
$23.3MFiscal year ending 12/2023
Facility $23.3MFiscal year ending 12/2023
WA AVG $15.9M
Rank #9 / 51
$7.8MFiscal year ending 12/2023
Facility $7.8MFiscal year ending 12/2023
WA AVG $9.2M
Rank #23 / 51
33.3%Fiscal year ending 12/2023
Facility 33.3%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #51 / 51
505531

Rank badges are statewide: each community is ranked against every WA community we track that reports that metric, not just the 77 on this page.

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Judson Park

23600 Marine View Dr S, Des Moines, WA 98198
Overview of Judson Park

Located in Des Moines, Washington, Judson Park is a continuing care retirement community that provides independent living, assisted living, memory care, skilled nursing, and rehabilitation services. Operated by Humangood Washington, the community has been serving older adults for more than three decades. Medicare, Medicaid, and private-pay options are also accepted, while a resident council helps give residents a voice in community matters.

With a 52-bed capacity, the community offers one-bedroom and two-bedroom residences. Average stays are about 71 days, reflecting a mix of rehabilitation and nursing care needs. Moreover, residents receive more than four hours of nursing support per day on average, with registered nurses providing a significant portion of that care. A multidisciplinary team that includes a nurse practitioner, clinical nurse specialists, a dietitian, dental professionals, social workers, and therapy providers also provides clinical support.

Restaurant-style dining with views of the Olympic Mountains are provided, along with access to a fitness center, library, woodworking shop, and landscaped grounds. Banking and postal services are also available on-site for added convenience.

Regulatory reviews have included a full compliance inspection with no deficiencies cited. Additionally, earlier inspections addressing medication management and life-safety documentation were corrected afterwards. Its overall inspection history also reflects a limited number of documented concerns.

Contact Judson Park

Timber Ridge

100 Timber Ridge Way Nw, Issaquah, WA 98027
Overview of Timber Ridge

Timber Ridge has been around Issaquah’s Talus neighborhood for 19 years, running 26 beds in what amounts to a genuinely car-dependent pocket. The Walk Score sits at 19, which means if you’re planning to visit regularly or need anything within walking distance, you’ll need to drive. It’s not a criticism exactly, just a reality check for anyone factoring in location.

Right now, they’re at 88% occupancy with 23 residents. The average stay clocks in at 520 days, which tells you they’re managing a mix of people coming through for short stretches and others settling in longer. They take Medicare and private pay, so the funding question doesn’t automatically narrow your options the way it does at some places.

What’s interesting about the staffing: they’re putting five hours and 39 minutes of nursing care per resident per day, plus another three hours and 59 minutes from nursing aides. That’s real hands-on commitment, not the skeleton-crew scenario you see elsewhere. It actually matters when you’re thinking through whether someone’s going to get the attention they need.

The inspection history over the past four years reads as genuinely responsive. They’ve worked through deficiencies flagged on earlier rounds, things like policy transparency, privacy safeguards, water temperature, ventilation standards, housekeeping rigor, and how they handle pets. A fire safety inspection caught them with issues around extinguishers and extension cords, both of which they’ve since fixed. The pattern here suggests they take regulatory notes seriously instead of treating them like theater.

If you’re working through smaller communities that have actually been around for a while, and you can make peace with the car situation, Timber Ridge seems worth the site visit.

Contact Timber Ridge

Overview of Mirabella Seattle

Mirabella Seattle is a high-rise senior living community in Seattle, Washington, offering independent living, assisted living, memory care, and nursing home services with skilled nursing. Its range of care may be a good fit for a resident whose support needs could grow over time.

One-bedroom and two-bedroom housing is available. The community has 63 beds and 46% occupancy, along with rehabilitation services.

Located in South Lake Union, the neighborhood has a Walk Score of 99 out of 100. Total nurse staffing is 4 hours and 41 minutes per resident each day, including 1 hour and 50 minutes from licensed RNs and LPNs.

Payment options include Medicaid, Medicare, and private pay. These choices cover the community’s accepted payment types.

Contact Mirabella Seattle

Overview of Life Care Center of South Hill

Life Care Center of South Hill is a skilled nursing and rehabilitation center. The upscale nursing home aims to change the meaning of skilled nursing and rehabilitation for seniors through the exceptional level of care that is delivered by their patient-friendly staff as an approach to offer the best care possible for their residents. Life Care Center can be trusted as a safe and secure community that cares for every patient’s needs. 
Convenience and hassle-free living is the center of Life Care Center services: medication management, post-surgical care, and wound care; as well as their 24-hour skilled nursing care services provide compassionate care as it is their utmost priority. Other services include 24/7 easy admissions, fall prevention, IV therapy, discharge planning, and case management.

Contact Life Care Center of South Hill

Overview of Avamere Rehabilitation of Cascade Park

Avamere Rehabilitation of Cascade Park continues to show that whatever category of living their residents have chosen, they are provided with quality healthcare. With an emphasis on independent living, assisted living, and memory care, the premier senior living community ensures that residents enhance their lives with care and ease. The lifestyle promoted provides an environment where residents can celebrate their individuality and independence. The nursing home welcomes seniors and families to their beautiful, thoughtfully designed community, allowing residents to make the most of their golden years.

Avamere has ensured residents can live comfortably thanks to their helpful features, including wheelchair-accessible showers, high-speed internet, a kitchenette, cable or satellite TV, and air-conditioning throughout the community– all designed to make their stay easy and hassle-free.

Contact Avamere Rehabilitation of Cascade Park

Mt. Baker Care Center

2905 Connelly Ave, Bellingham, WA 98225
Overview of Mt. Baker Care Center

Mt. Baker Care Center is a remarkable senior living community set in the scenic grounds of Bellingham, WA, offering skilled nursing care, palliative care, and rehabilitation therapy. Experience a wonderful retirement within the cozy and elegant residences of the community. With a dedicated and well-trained team caring for residents’ special needs and aspirations, the community strives to deliver the highest quality of care and support for seniors to do what they love.

Delivering top-tier care since 1991, seniors can rest assured to enjoy their golden years at their finest. Moreover, the community fosters a vibrant and welcoming environment for seniors to feel a sense of belonging and thrive to reach their full potential. Eat well with nutritious and tasty meals catering to dietary needs and preferences. Mt. Baker Care Center doubles its efforts to provide seniors with a haven to find solace with its campus surrounded by scenic views and serene lands.

Contact Mt. Baker Care Center

Overview of Garden Terrace Healthcare Center at Federal Way

Garden Terrace Healthcare Center at Federal Way is a 70 bed nursing home and assisted living community in Federal Way, Washington, with 65% occupancy. It offers skilled nursing, hospice, palliative, and respite care, giving families several care options in one setting.

That range matters when needs differ. The community can support someone who needs help with daily life, ongoing nursing services, a short respite stay, or care focused on comfort during serious illness.

Residents receive 4 hours and 53 minutes of total nurse staffing per resident each day. Of that time, 2 hours and 31 minutes comes from licensed nurses, an important figure for families comparing the level of clinical support among homes.

Inspection findings addressed medication orders, pain management, and infection control practices. A follow up inspection confirmed corrections involving resident assessments, staff training, and background checks, which helps families understand both the concerns identified and the steps verified afterward.

Contact Garden Terrace Healthcare Center at Federal Way

Overview of Regency at Northpointe

Set along the Spokane River and about 6.2 miles from the city center, Regency at Northpointe is a nursing home offering respite care in the Shiloh Hills area of Spokane, Washington. Owned by Tod Dunfield, it accepts Medicare, Medicaid, and private pay, giving families several ways to cover short-term rehabilitation and longer-term stays. The 120-bed community typically runs around 74 percent occupancy. Its average stay is about 84 days, pointing to a mix of residents recuperating from a hospital stay or surgery and those settling in for active nursing care.

Services span skilled nursing, rehabilitation therapy, long-term care, and respite stays, so the home is built to support occupants at different points in their recovery or care journey. Daily nursing support is a central part of life at Regency at Northpointe. Total nursing care averages about 3 hours 50 minutes per resident day, combining registered nurse, licensed practical nurse, and nurse aide time. That comprises dedicated RN hours, which often denote closer clinical oversight and a quicker response when a resident’s condition changes. Occupants live in private or semi-private suites and share a main living room, with landscaped grounds around the building. Regency at Northpointe also has a regular activities calendar, including group outings and creative classes, and keeps a full-service salon and barbershop on site so residents can get a haircut or styling without leaving the building. The surrounding neighborhood scores 37 for walkability, meaning it’s somewhat walkable: a few nearby errands can be done on foot, with most trips requiring a car.

Families exploring a nursing home for a loved one may want to inquire about current room availability, considering that private and semi-private suites here can fill at different rates.

Contact Regency at Northpointe

Overview of Covenant Living at the Shores

Serving up to 50 residents, Covenant Living at the Shores is a nursing home on Fortuna Drive in Mercer Island, Washington, that offers skilled nursing, rehabilitation, and respite care. Operating for 31 years, it offers one-bedroom accommodations in a three-story setting and currently maintains a 76% occupancy rate.

Older adults receive 24-hour nursing support, with an average of 4 hours and 15 minutes of direct care per resident each day from registered nurses, licensed practical nurses, and certified nursing assistants.

Amenities such as a fitness studio, private marina, and putting green promote recreation and overall well-being. Although Mercer Island is largely car-dependent, the peaceful waterfront setting offers a quieter environment for older adults.

State inspections conducted by the Washington Department of Health have also reviewed training and maintenance practices. While earlier surveys identified areas for improvement, follow-up inspections confirmed that corrective actions were completed.

Contact Covenant Living at the Shores

Overview of Penrose Harbor at Heron‘s Key

Nestled in the charming Harbor Hill neighborhood overlooking the scenic town of Gig Harbor, Washington, Penrose Harbor at Heron’s Key is a distinguished senior living community that caters to senior living, senior rehabilitation, and assisted living needs. Penrose Harbor at Heron’s Key prides itself on offering a serene and engaging environment where residents can thrive in retirement.

With a commitment to enhancing the well-being of seniors, this assisted living community provides a wide range of amenities and services that foster a vibrant and fulfilling senior living experience.

Contact Penrose Harbor at Heron‘s Key

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
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Washington

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 77 nursing homes in Washington. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Washington?

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 Washington, 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 Washington?

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.