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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
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.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
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.
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.
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.
$5.7M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$2.2M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
38.5%*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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
Timber Ridge provides nursing home and skilled nursing care, assisted living, independent living, and memory care in the Talus neighborhood of Issaquah, WA. Nursing home and skilled nursing care include licensed nursing care on site around the clock, while assisted living provides help with daily tasks such as dressing, bathing, and medication while the resident keeps a private apartment. Independent living offers private living with community services and no daily care, and memory care provides a secured setting with supervision for someone at risk of wandering.
The range of care levels may suit a resident whose needs grow over time. Timber Ridge has 26 beds, creating a smaller community where staff and residents can get to know each other. Occupancy is 89%, so the home is not at full capacity.
Total nurse staffing is 5h 52m per resident per day, representing that amount of nursing time allocated to each resident over a day. Payment options include Medicaid, which can help cover a long stay when personal savings do not, Medicare for short term skilled care after a hospital stay rather than long term residence, and private pay. Pets are allowed, so a resident may keep a pet while living at Timber Ridge.
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.
Willapa Harbor Care provides skilled nursing and nursing home care in Raymond, Washington. Skilled nursing means licensed nursing care is available on site around the clock, while the nursing home setting supports residents who need ongoing care or short-term rehabilitation.
The community may be a good fit for someone who needs nursing support during rehabilitation or for a longer stay. It has 60 beds and offers private rooms, giving each resident a single private living space.
Physical therapy and speech therapy support rehabilitation needs, while nutritional support and wellness-focused activities address daily health and engagement. Total nurse staffing is 3 hours 35 minutes per resident per day, representing the daily nursing staff time allocated to each resident. Medicare, Medicaid and private pay are accepted, and Barbra Paulsen serves as director.
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.
Owned by Carol Dikes, Sunshine Health and Rehabilitation is a single-story nursing home in the Dishman neighborhood of Spokane Valley, Washington. It offers a full range of care: nursing home, assisted living, memory care, and home care, giving families multiple paths for support as needs change over time. The 37-bed facility is nearly full, with 90.7 percent occupancy. The average stay duration is 25 days, pointing to a community built around short-term recovery instead of long-term residence. The surrounding area scores 28 for walkability, so most errands and outings demand a car.
Central to daily life here is rehabilitation. A physical therapist is on staff, a physician is available on-site, and nursing staff work 24/7. Total nursing care is about 4 hours 54 minutes per resident day, with registered nurses contributing roughly 1 hour 31 minutes and nurse aides covering about 2 hours 47 minutes of that time. Care transcends short-term rehab. Behavioral health services exist through a mental health service worker on staff, memory care and assisted living support occupants with longer-term needs, and dental services are provided on-site. Individualized care plans guide daily support, including three meals a day, housekeeping, laundry, and a regular activity program. Medicare and private pay are accepted to give families two established routes to afford care.
Families assessing a short-term rehab stay may want to interrogate how the clinical team coordinates between physical therapy, nursing, and physician care to bolster a smooth return home.
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.
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.
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.
Penrose Harbor at Heron’s Key is a continuing care retirement community in Gig Harbor, WA, with independent living, assisted living, memory care, nursing home care, and skilled nursing. Independent living offers private living with community services and no daily care, while assisted living adds help with bathing, dressing, medication, and other daily tasks. Memory care provides a secured, supervised setting for someone at risk of wandering, and skilled nursing or nursing home care provides licensed nursing on site around the clock. The range of care levels may suit a resident whose needs grow over time without leaving the community.
With 49 beds, Penrose Harbor at Heron’s Key is a smaller community where staff and residents can get to know each other. Housing includes one-bedroom suites, giving a resident a single private living space. Respite care offers a short stay when a family caregiver needs to travel or recover, while short-term rehabilitation provides temporary therapy after an illness or hospital stay. Fitness and wellness programming gives residents an organized way to exercise, and rehabilitation services support therapeutic care.
Chef-prepared meals are coordinated with an on-staff nutritionist, bringing nutritional planning into daily dining. Pets are allowed, and the pet-friendly living program supports residents who want to keep a pet with them. Medicaid, Medicare, and private pay are accepted. Total nurse staffing is 6 hours and 30 minutes per resident per day, representing the daily hands-on nursing time assigned to each resident.
The area has a Walk Score of 36 and is car-dependent, so most errands require a car or a ride. Chris Lucero is the director.
Overview of Olympia Transitional Care and Rehabilitation
Settled in the neighborhood of Olympia, WA, Olympia Transitional Care and Rehabilitation is a dependable senior care provider, offering comprehensive short-term rehabilitation and long-term care services. The community collaborates closely with residents, their families, and healthcare providers to create a comprehensive and effective care and treatment plan that best aligns with residents’ individual needs and care goals. Featuring 135 beds and beautiful spacious rooms, the community warrants a comfortable living and recovery environment that fosters comfort and quick healing process.
Committed to creating an environment that fosters both healing and enrichment, the community also offers a diverse activity programs, nutritionally balanced meals, and other amenities that make residents’ living experience more enjoyable. With no cleaning and laundry chores to worry about, residents are free to focus their mind and time on their recovery and more meaningful things. Here, residents are provided with an excellent care team, convenient services, and a therapeutic environment for an ideal place to regain their strength and get back on their feet quickly.
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.
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
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:3.5/ 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
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