Best Nursing Homes in Washington State

Why trust this guide? Our editorial team analyzed 81 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.
81 homes
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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-ranked to lowest-ranked based on our 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. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
Avamere Rehabilitation of Cascade Park
NH
PC
RC
SNF
Vancouver (Cascade Highlands)
88
Facility 88
WA AVG 92
Rank #41 / 68
92.7%
Facility 92.7%
WA AVG 77.1%
Rank #7 / 56
+20%
5.05
Facility 5.05
WA AVG 4.22
Rank #8 / 61
A+ +1%+20%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 61
32
Facility 32
WA AVG 48.9
Rank #15 / 61
4.6
Facility 4.6
WA AVG 6.9
Rank #20 / 61
182-
56
Facility 56
WA AVG 51
Rank #33 / 80
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
Spokane Veterans Home
NH
HOS
MC
Spokane (East Central)
100
Facility 100
WA AVG 92
Rank #28 / 68
97.4%
Facility 97.4%
WA AVG 77.1%
Rank #4 / 56
+26%
4.04
Facility 4.04
WA AVG 4.22
Rank #32 / 61
A- +80%-4%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 61
48
Facility 48
WA AVG 48.9
Rank #30 / 61
4.4
Facility 4.4
WA AVG 6.9
Rank #16 / 61
197-
77
Facility 77
WA AVG 51
Rank #11 / 80
Washington State Department Of Vete
$14.8MFiscal year ending 06/2024
Facility $14.8MFiscal year ending 06/2024
WA AVG $15.9M
Rank #19 / 51
$11.9MFiscal year ending 06/2024
Facility $11.9MFiscal year ending 06/2024
WA AVG $9.2M
Rank #13 / 51
80.4%Fiscal year ending 06/2024
Facility 80.4%Fiscal year ending 06/2024
WA AVG 62.6%
Rank #3 / 51
505509
Life Care Center of South Hill
NH
SNF
Puyallup
100
Facility 100
WA AVG 92
Rank #28 / 68
97.6%
Facility 97.6%
WA AVG 77.1%
Rank #3 / 56
+27%
3.74
Facility 3.74
WA AVG 4.22
Rank #45 / 61
A+ -15%-11%
$17.4k
Facility $17.4k
WA AVG $87.7k
Rank #32 / 61
29
Facility 29
WA AVG 48.9
Rank #10 / 61
5.8
Facility 5.8
WA AVG 6.9
Rank #30 / 61
198-
32
Facility 32
WA AVG 51
Rank #59 / 80
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
Life Care Center of Port Townsend
NH
SNF
Port Townsend
94
Facility 94
WA AVG 92
Rank #37 / 68
43.8%
Facility 43.8%
WA AVG 77.1%
Rank #55 / 56
-43%
3.93
Facility 3.93
WA AVG 4.22
Rank #37 / 61
A- +17%-7%
$34.8k
Facility $34.8k
WA AVG $87.7k
Rank #39 / 61
22
Facility 22
WA AVG 48.9
Rank #7 / 61
4.4
Facility 4.4
WA AVG 6.9
Rank #16 / 61
141-
64
Facility 64
WA AVG 51
Rank #24 / 80
Angela Cerna
$6.0MFiscal year ending 12/2023
Facility $6.0MFiscal year ending 12/2023
WA AVG $15.9M
Rank #48 / 51
$2.9MFiscal year ending 12/2023
Facility $2.9MFiscal year ending 12/2023
WA AVG $9.2M
Rank #50 / 51
48.3%Fiscal year ending 12/2023
Facility 48.3%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #38 / 51
505306
Olympia Manor Rehabilitation Center
NH
RC
SNF
Olympia
71
Facility 71
WA AVG 92
Rank #46 / 68
--
2.82
Facility 2.82
WA AVG 4.22
Rank #60 / 61
A- +54%-33%
$59.8k
Facility $59.8k
WA AVG $87.7k
Rank #48 / 61
39
Facility 39
WA AVG 48.9
Rank #24 / 61
4.3
Facility 4.3
WA AVG 6.9
Rank #13 / 61
171-
14
Facility 14
WA AVG 51
Rank #76 / 80
-
$13.5MFiscal year ending 12/2023
Facility $13.5MFiscal year ending 12/2023
WA AVG $15.9M
Rank #24 / 51
$6.3MFiscal year ending 12/2023
Facility $6.3MFiscal year ending 12/2023
WA AVG $9.2M
Rank #36 / 51
46.5%Fiscal year ending 12/2023
Facility 46.5%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #46 / 51
505514
Avalon Federal Way Care Center
NH
HOS
SNF
Federal Way
120
Facility 120
WA AVG 92
Rank #17 / 68
91.3%
Facility 91.3%
WA AVG 77.1%
Rank #11 / 56
+18%
4.05
Facility 4.05
WA AVG 4.22
Rank #32 / 61
B+ +10%-4%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 61
48
Facility 48
WA AVG 48.9
Rank #30 / 61
12.0
Facility 12.0
WA AVG 6.9
Rank #57 / 61
-110A-
49
Facility 49
WA AVG 51
Rank #40 / 80
Avalon Health Care Centers, LLC
$16.4MFiscal year ending 12/2023
Facility $16.4MFiscal year ending 12/2023
WA AVG $15.9M
Rank #13 / 51
$7.9MFiscal year ending 12/2023
Facility $7.9MFiscal year ending 12/2023
WA AVG $9.2M
Rank #21 / 51
48%Fiscal year ending 12/2023
Facility 48%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #42 / 51
505510
Prestige Post-Acute and Rehab Center – Centralia
NH
AL
IL
MC
Centralia
128
Facility 128
WA AVG 92
Rank #11 / 68
78.6%
Facility 78.6%
WA AVG 77.1%
Rank #28 / 56
+2%
4.27
Facility 4.27
WA AVG 4.22
Rank #22 / 61
A -27%+1%
$8.3k
Facility $8.3k
WA AVG $87.7k
Rank #25 / 61
42
Facility 42
WA AVG 48.9
Rank #25 / 61
2.6
Facility 2.6
WA AVG 6.9
Rank #1 / 61
1101A+
9
Facility 9
WA AVG 51
Rank #79 / 80
-
$13.1MFiscal year ending 12/2023
Facility $13.1MFiscal year ending 12/2023
WA AVG $15.9M
Rank #26 / 51
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
WA AVG $9.2M
Rank #26 / 51
55.6%Fiscal year ending 12/2023
Facility 55.6%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #25 / 51
505373
Puget Health Care Center
NH
SNF
Olympia (Capital Mall Drive Southwest)
108
Facility 108
WA AVG 92
Rank #23 / 68
88.1%
Facility 88.1%
WA AVG 77.1%
Rank #18 / 56
+14%
4.33
Facility 4.33
WA AVG 4.22
Rank #22 / 61
A+ -45%+2%
$8.0k
Facility $8.0k
WA AVG $87.7k
Rank #24 / 61
21
Facility 21
WA AVG 48.9
Rank #5 / 61
3.5
Facility 3.5
WA AVG 6.9
Rank #5 / 61
195-
31
Facility 31
WA AVG 51
Rank #62 / 80
-
$14.8MFiscal year ending 12/2023
Facility $14.8MFiscal year ending 12/2023
WA AVG $15.9M
Rank #18 / 51
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
WA AVG $9.2M
Rank #25 / 51
49.2%Fiscal year ending 12/2023
Facility 49.2%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #37 / 51
505299
Judson Park
NH
AL
CCRC
IL
MC
SNF
Des Moines (Marine View Drive South)
52
Facility 52
WA AVG 92
Rank #56 / 68
50.0%
Facility 50.0%
WA AVG 77.1%
Rank #52 / 56
-35%
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 #42 / 61
19.0
Facility 19.0
WA AVG 6.9
Rank #61 / 61
-26A+
19
Facility 19
WA AVG 51
Rank #70 / 80
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
Mirabella Seattle
NH
AL
CCRC
IL
MC
SNF
Seattle (South Lake Union)
63
Facility 63
WA AVG 92
Rank #49 / 68
66.7%
Facility 66.7%
WA AVG 77.1%
Rank #44 / 56
-13%
4.29
Facility 4.29
WA AVG 4.22
Rank #22 / 61
? +2%+2%
$23.5k
Facility $23.5k
WA AVG $87.7k
Rank #35 / 61
48
Facility 48
WA AVG 48.9
Rank #30 / 61
6.9
Facility 6.9
WA AVG 6.9
Rank #42 / 61
242A+
99
Facility 99
WA AVG 51
Rank #1 / 80
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

Rank badges are statewide and care-type specific: each nursing home is ranked against every other WA nursing home we track that reports that metric, not just the 81 on this page. See how we rank facilities

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Overview of Avamere Rehabilitation of Cascade Park

Avamere Rehabilitation of Cascade Park provides nursing home, palliative care, respite care, and skilled nursing in Vancouver, WA. Nursing home and skilled nursing services provide licensed nursing care on site, while palliative care focuses on comfort and pain management. Respite care offers a short stay for a family whose usual caregiver needs to travel or recover, so the community may suit families seeking temporary support or a resident who needs ongoing nursing care.

The community has 88 beds, with 5 hours and 3 minutes of total nurse staffing per resident each day. That figure represents the daily hands-on nursing time allocated to each resident. Rehabilitation services are available through an on-site therapy gym, allowing therapy sessions to take place at the community rather than requiring outside transportation.

Speech and language therapy, IV therapy, dialysis coordination, orthotics and prosthetics, podiatry, dental care, and optometry support a range of clinical needs. Musical performances provide scheduled live entertainment, while salon services allow residents to receive personal care on site. Medicare, Medicaid, and private pay are accepted: Medicare can apply to short-term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay is available for families paying directly.

Contact Avamere Rehabilitation of Cascade Park

Overview of Spokane Veterans Home

Spokane Veterans Home provides nursing home and nursing care, hospice care, and memory care in Spokane, Washington. Nursing care supports residents who need ongoing nursing services, while hospice care focuses on comfort for someone nearing the end of life. Memory care provides a secured setting with supervision for a resident at risk of wandering.

The range of services may be a good fit for someone living with dementia who also needs nursing care or hospice support. Located in Spokane’s East Central neighborhood, the home has 100 beds, giving families a clear sense of its capacity. A Walk Score of 77 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives may still be able to get out independently. Medicare, Medicaid, and private pay are accepted, offering coverage through public programs or direct payment depending on the resident’s circumstances; total nurse staffing is 4 hours and 2 minutes per resident each day.

Contact Spokane Veterans Home

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 Life Care Center of Port Townsend

Nestled in the serene beauty of Port Townsend, WA, Life Care Center of Port Townsend overlooks the stunning Kah Tai Lagoon with a backdrop of the Olympic Mountains, offering a peaceful environment for healing and recovery. This welcoming community provides a full range of care services, including skilled nursing, long-term care, and comprehensive inpatient, and outpatient rehabilitation. Here, residents can benefit from private and semi-private accommodations designed for comfort, complemented by individualized treatment plans tailored to support their recovery and independence.

Providing top-of-the-line amenities and services, residents can enjoy delicious and nutritious meals, a library, an onsite beauty salon and barber shop, and beautifully landscaped walking paths. A robust daily activity schedule and wireless internet ensure residents stay connected and engaged. With a compassionate team and a mission to enhance well-being, this community creates an ideal space for healing and growth.

Contact Life Care Center of Port Townsend

Overview of Olympia Manor Rehabilitation Center

Serving residents in Olympia, Washington, Olympia Manor Rehabilitation Center is a skilled nursing and respite care community in the Cain Road neighborhood, a few miles from downtown. The community accepts Medicare and private pay, giving families more than one payment option. Most people come to Olympia Manor for short-term rehabilitation, often through Medicare, rather than for long-term nursing care.

The 71-bed community usually operates near full capacity. It has an occupancy rate of about 89%. Residents stay an average of 34 days, because of the community’s focus on rehabilitation and returning home after recovery. Nurse staffing averages about 3 hours and 12 minutes per resident each day, including around 1 hour and 16 minutes of registered nurse care. This combination provides residents with regular hands-on assistance and ongoing clinical nursing support throughout their stay.

The neighborhood has a Walk Score of 14, so most errands and outings require a car instead of a short walk. This is helpful for families to keep in mind when planning visits or taking care of nearby errands.

Families considering Olympia Manor for short-term rehabilitation should ask about the available room options and how daily therapy sessions are scheduled, as those details are not included in the current community profile.

Contact Olympia Manor Rehabilitation Center

Overview of Avalon Federal Way Care Center

An unsurpassed luxurious senior living community in Tacoma aimed to make residents feel not only at home but feel like family, and considered one of the premier nursing homes– Avalon Care Center at Federal Way is where convenience and comfort are balanced. The community ensures a results-driven approach to recovery where its well-trained staff is committed to quality care. Avalon Care Center puts its residents at the heart of its mission. 
Specializing in short-term rehabilitation, the skilled nursing community offers an array of comprehensive services designed to boost a speedy recovery. A list of their points of excellence includes wound care, support services, and therapy (occupational, speech, and physical). 

Contact Avalon Federal Way Care Center

Overview of Prestige Post-Acute and Rehab Center – Centralia

Prestige Post-Acute and Rehab Center, tucked in Centralia, Washington, boasts a team of highly competent and credible healthcare professionals, including physicians, registered nurses, dietitians, certified nursing assistants, and more. Patients find comfort in the ideal recovery environment created by professionals who prioritize their needs and preferences.

At Prestige, nursing home care and skilled nursing facility services are seamlessly integrated into their offerings. Beyond their skilled therapy teams, this center provides a spectrum of services ranging from pain management and pulmonary care to balance programs, cancer recovery, and tracheostomy recovery. Notably, the facility houses a pharmacy, laboratory, and x-ray services, showcasing a comprehensive approach to healthcare. With a dedication to excellence, Prestige Post-Acute and Rehab Center emerges as a trusted haven for those seeking superior senior living.

Contact Prestige Post-Acute and Rehab Center – Centralia

Overview of Puget Health Care Center

Based in the area of Olympia, WA, Puget Sound Care is a reliable senior care provider, offering extensive short-term rehab and long-term skilled nursing care. Residents here enjoy their peace of mind, knowing that a reliable care team is always available to care for their needs and provide support with anything they may need support with. The community goes above and beyond in providing resident-centered care and individualized treatment plans tailored to each individual’s needs.

Guaranteeing a smooth recovery process for the residents, the community provides an excellent team of nurses, therapists, and physicians that work hard in guiding and supporting residents every step of the way. Residents are also offered a wide array of life-enrichment services designed to nurture their overall well-being, ensuring a fulfilling living or healing experience. Here, residents receive all the care they need in a comfortable, safe environment that promotes healing and rest.

Contact Puget Health Care Center

Judson Park

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

Judson Park is a continuing care retirement community in Des Moines, WA, offering independent living, assisted living, memory care, nursing home care, and skilled nursing. Independent living provides a private residence with community services and no daily care, while assisted living helps with bathing, dressing, medication management, and similar daily tasks. Memory care is provided in a secured setting with supervision, and skilled nursing provides licensed nursing care on site around the clock.

Multiple care levels can matter as needs change. A resident may be able to move to a different level without leaving the community. Judson Park has 52 beds, making it smaller in size and giving staff and residents the opportunity to become familiar with one another. Housing includes one bedroom and two bedroom residences, with the two bedroom option also suiting someone who wants to live with a companion.

Medicaid, Medicare, and private pay are accepted, giving families several listed ways to cover care. Total nurse staffing is 4 hours and 27 minutes per resident per day, representing the daily hands on nursing time allocated per resident. Pets are allowed, so a resident can keep a pet while living at Judson Park. This may be a good fit for someone who wants a private residence, needs help with daily tasks, benefits from secured memory care, or requires nursing care, while also having the option to remain in the same community as needs change.

Contact Judson Park

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

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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • 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 81 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.

Nursing Homes in Washington State at a glance

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