Best Nursing Homes in Washington

Overview of Hallmark Manor

Hallmark Manor, a distinguished healthcare center in Federal Way, Washington, renowned for its exceptional skilled nursing and rehabilitation services. What sets Hallmark Manor apart is its unwavering commitment to quality care, whether it’s short-term rehabilitation, long-term care, or postoperative recovery. The facility boasts a highly competent nursing team equipped with state-of-the-art technology and innovative techniques, ensuring the utmost comfort for every patient.

Hallmark Manor also prides itself on individualized care plans, tailoring their services to meet the unique needs of each resident. Beyond the expert care, the community exudes a warm and inviting atmosphere. Residents can enjoy the serene outdoor spaces, basking in the sun’s glow. Discover the ideal home for recovery at Hallmark Manor, where compassionate nursing home care meets a welcoming ambiance, just around the corner from you.

Overview of Life Care Center of Puyallup

Life Care Center of Puyallup 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.

Mission Healthcare at Bellevue, a 69-bed skilled nursing facility operated by the nonprofit MHO, LLC, is located at 2424 156th Avenue NE in Bellevue’s Northeast neighborhood, King County. The community accepts Medicare (60% of new admissions, 26-day average stay) and private-pay residents (40%, approximately 1-month average stay); Medicaid is not accepted.

The current census stands at 51 residents with occupancy at 67.4%, below the Washington state average of 72.5%.

As part of the Careage Community network, Mission Healthcare describes its clinical focus on short-term post-acute rehabilitation, including cardiac rehabilitation, fall prevention, and neurological recovery. Therapy services encompass speech, occupational, and physical therapy.

Nursing care averages 4 hours 33 minutes per resident per day, ranking 17th among 89 Washington facilities and exceeding the state average by 8%. The facility maintains a staff-to-resident ratio of 3.12:1, above the state average, though this metric reflects current below-average occupancy. Contractors comprise 21.6% of total staffing hours.

Despite high absolute nursing hours, the facility’s CMS staffing rating is 1-star, placing it 70.8% below the state average. The overall CMS rating is 2-star (38% below state average), with health inspection rated 2-star (29% below state average) and quality measures rated 3-star (27% above state average).

Zero percent of long-stay residents experience major falls with injury and zero percent develop urinary tract infections. Pressure ulcers affect 1.9% of high-risk residents, substantially better than the state average. Conversely, 16.7% of long-stay residents experience excessive weight loss; 187% worse than the state average. Short-stay influenza vaccination reaches 67.8%, 17% below the state average.

The facility has not faced federal penalties in three years. However, financial performance deteriorated significantly. The facility reported a $2.9 million operating deficit against $10.2 million in revenue, yielding a -28.3% profit margin.

Payroll comprises 62.5% of revenue; a top-tier investment ranking 10th of 93 state facilities.

The facility operated at cumulative losses since 2015, with bed capacity reduced from 129 to 69 beds in 2019. Financial data through 2023 shows persistent operating deficits despite payroll prioritization.

Mission Healthcare is situated in a very walkable location (walk score 83) in suburban Bellevue, 4.3 miles from the city center and 2.72 miles from Kaiser Permanente Bellevue Medical Center.

The facility is structured for Medicare and private-pay short-term post-acute rehabilitation in a specialized care environment, though financial constraints and occupancy challenges suggest operational strain.

Othello Care has been caring for families in Othello since 1973, exceeding expectations through professional care, innovation, and a positive attitude. The care home’s passionate team consists of experts in long-term care and short-term rehabilitation, compassionately caring for residents and providing a full range of services to help them heal, regain strength, and live as independently as possible.

Othello Care’s staff, from the leadership team to the direct care staff, work to exceed expectations and provide round-the-clock care to meet every resident’s needs, including assistance with personal care, concierge services, and companionship. Othello Care makes residents feel at home by meeting their cultural and language needs, giving them a sense of ease and belonging. The care home’s Hispanic Cultural Program provides residents with authentic Hispanic meals, bilingual custom activities, and Spanish-speaking staff assistance. This program ensures that Hispanic residents can maintain their cultural identity and feel comfortable in their new home at Othello Care.

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.

Nestled in the charming town of Everett, WA, Everett Center provides compassionate memory care and rehabilitation in a caring and supportive environment. The community is dedicated to offering high-quality, personalized care that emphasizes each resident’s well-being, dignity, and quality of life through innovative approaches. The tastefully designed private and semi-private rooms are created for comfort and convenience, catering to a variety of needs and preferences.

Residents can enjoy a diverse range of dining options and engaging activities that nurture the mind, body, and spirit. With services like a beauty salon and recreational programs, Everett Center is filled with warmth, energy, and enthusiasm. Here, residents can truly enjoy an empowering and secure living experience.

Their dedicated team of professionals is committed to providing exceptional care in a warm and inviting environment. With various amenities and engaging activities, they create a vibrant community where residents can thrive and enjoy a fulfilling lifestyle. Mission Healthcare at Renton is dedicated to making each day a joyful and meaningful experience for its residents.

Overview of Life Care Center of Federal Way

Life Care Center of Federal Way 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. 

Overview of North Auburn Rehabilitation & Health Center

North Auburn Rehabilitation & Health Center is a leading provider of long-term skilled nursing care and short-term rehabilitation solutions, offering a full continuum of services and care focused around each individual in today’s ever-changing health care environment. The center, which has been serving the entire Puget Sound region since 1967, is conveniently located in a quiet residential neighborhood near a variety of shopping centers and community parks, and is next door to Parkside Retirement and Assisted Living Community, with Auburn Regional Medical Center just two miles away.

North Auburn Rehabilitation & Health Center is Medicare and Medicaid certified, ensuring that it meets the highest standards of care. The center offers a range of healthcare services, including short-term care, traditional/long-term care, post-operative care, and respiratory services. To help instill confidence that health and well-being will be maintained after discharge, North Auburn Rehabilitation & Health Center’s Extend to Home program provides a home wellness plan that includes regular follow-up with patients to assist in a smooth transition home and/or offer additional assistance after discharge. During a patient’s stay, therapists provide training and tips on how to continue the rehabilitation and strengthening process at home, while nurses give instruction on how to successfully manage any ongoing medical needs. The staff also educates patients on community resources and other safety considerations.

Rockwood South Hill is a 90-bed skilled nursing and assisted living community in Spokane, Washington, part of a non-profit continuing care retirement campus. Medicare and private pay are accepted. Operated by Chris Bafus and serving since 2003, the facility offers skilled nursing, assisted living, memory support, and independent living for residents across Spokane County.
Inspection records cover since early 2025, comprising two inspections and 10 total deficiencies, compared to a Washington state average of 6.3 deficiencies per year. The Life Safety inspection on August 8, 2025, conducted by the Office of the State Fire Marshal, produced 8 deficiencies, all related to fire safety maintenance: storage near sprinkler heads, exposed wiring, power tap misuse across multiple rooms, ceiling and door penetrations, and an obstructed fire extinguisher. All 8 were corrected during the inspection. A similar fire inspection on July 8, 2025, had flagged related issues. The February 14, 2025, annual inspection found 2 administrative deficiencies: missing dementia training documentation for two staff members and an incomplete resident service agreement regarding electronic monitoring access. Both were resolved the same day. No fines, enforcement actions, or substantiated complaints reported. Meanwhile, staffing is a standout. Rockwood South Hill logs 5 hours and 46 minutes of total nursing care per resident per day, ranking 4th out of 89 Washington skilled nursing facilities and running 32 percent above the state average. Registered nurse hours reach 1 hour and 36 minutes per resident per day, 81 percent above the Washington average of 53 minutes, which translates to stronger clinical oversight throughout the day. The facility holds a CMS Health Inspection rating above the state average, though its overall 3-star CMS rating reflects a Quality Measures score trailing the state benchmark.
Amenities include a fitness center, multiple dining venues, outdoor spaces, and salon and spa services.
Rockwood South Hill suits residents seeking post-acute short-term rehabilitation or long-term skilled nursing care in a larger non-profit campus. Short-stay residents return home at a rate of 57.8 percent, 14 percent better than the Washington average. The community also serves those with memory support needs. Families prioritizing RN presence and rehabilitation services will find meaningful data here.