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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
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.
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 TableAL (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.
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.
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.
Rank badges are statewide: each nursing home is ranked against every WA nursing home we track that reports that metric, not just the 81 on this page. See how we rank facilities
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.
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.
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.
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).
A 74-bed nursing home on 176th Circle NE in northeast Redmond, Washington, in an area with excellent walkability (Walk Score 83), is Emerald Heights, easy for visiting family and local access. Owned by Craig Comfort, it accepts Medicare and private pay and operates at 68 percent occupancy. Residents average 275 days’ stay, a span reflecting short-term rehabilitation placements and longer-term nursing care.
Anchored by 24-hour staffing throughout, the home provides short-term rehabilitation and respite care. Total nursing care averages 5 hours 53 minutes per resident daily, ensuring substantive hands-on support for those healing from illness or hospital stays. Beyond clinical care, the community offers fitness and wellness programming, resident committees and social groups, and welcomes pets in everyday life. Dining spotlights flexibility and choice, with restaurant-style casual service, a grab-and-go coffee shop for quicker meals, and flexible dining options handling individual preferences. This variety supports resident independence and satisfaction.
Regulatory oversight has underscored building safety systems and secure access protocols, reflecting Emerald Heights’ ongoing engagement with state standards around its safety and operational compliance.
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.
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.
Washington Odd Fellows Home provides assisted living and skilled nursing services in Walla Walla, Washington. The location offers studio and one-bedroom apartments, giving residents options between a compact space or separate living areas. Having multiple care levels allows individuals to stay within the same community if their medical needs change over time.
The 71-bed community provides an average of 3 hours and 41 minutes of total nursing care per resident each day. A walk score of 67 indicates a somewhat walkable neighborhood, enabling residents who no longer drive to manage select local errands independently.
Prospective representatives can contact the Washington Odd Fellows Home team to schedule a tour or discuss payment choices, which include Medicare, Medicaid, and private pay.
Sharon Care Center is a nursing home in Centralia, WA, that offers assisted living, memory care, and skilled nursing. The community ensures older adults are well-cared for in its supportive and welcoming environment. 24-hour care, three well-balanced meals, and weekly housekeeping are among the many activities provided to help improve residents’ living experiences. With its dedication to residents’ welfare, the community continuously provides individualized care to meet their needs and preferences.
Holiday events, volunteer programs, and outings are among the enrichment activities dedicated to residents’ leisure and wellness. Physical, occupational, and speech therapy are also available to help residents recover and return to their routines quickly. Residents also have quick access to their necessities and travel, as bus stops, retail stores, and restaurants are available nearby. This nursing home has a comprehensive care option, making it one of the best choices for senior living in Washington.
Sequim Health and Rehabilitation is a remarkable senior living community situated on Hemlock Street, Sequim, WA, providing short-term rehab, long-term skilled nursing, and therapy services. With round-the-clock skilled nursing, residents may let go of their worries, and families ease their minds knowing their loved ones are well taken care of. The community also offers speech, occupational, and physical therapy ensuring residents’ overall wellness.
By conducting wellness-focused activities, the community encourages residents to live an active and engaged lifestyle. The community takes pride in a team of experienced and compassionate professionals, who exceed expectations in delivering the highest quality of care. Sequim Health and Rehabilitation ensures residents live their golden years in comfort and style with its serene grounds.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
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
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.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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