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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.
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.
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.
$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.
$10.6M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$6.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
57.6%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$1.6M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
51.3%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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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
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.
Delivering exceptional care for over 75 years, Willapa Harbor Care situated on Jackson Street, Raymond, WA, provides short-term rehab, long-term skilled nursing, and therapy services. Featuring physical, speech, and occupational therapies, the community ensures seniors’ well-being. Keep your peace of mind and live a maintenance-free lifestyle with round-the-clock care and support provided by a kind and compassionate team.
The community fosters a vibrant environment, conducting wellness-focused activities to ensure seniors remain happy and active. Moreover, Willapa Harbor Care values the importance of healthy and balanced meals for seniors’ well-being, providing them with nutritional support to meet their dietary needs. Experience relaxation at its finest with the peaceful and safe community of Willapa Harbor Care.
Avamere Rehabilitation at Ridgemont provides skilled nursing and nursing home care in Port Orchard, WA. Licensed nursing care is available on site around the clock, with rehabilitation services for recovery and ongoing support. Short term and long term care options can suit someone who needs a temporary stay or continued nursing care.
The community has 96 beds, with total nurse staffing of 3 hours and 19 minutes per resident each day. That figure represents the daily hands on nursing time allocated to each resident. An on site therapy gym lets residents receive rehabilitation services within the community, while telemedicine assistance can support medical consultations without requiring every appointment to take place off site.
Avamere Rehabilitation at Ridgemont accepts Medicare, Medicaid, and private pay. Families can consider the payment method that fits the resident’s coverage and financial resources. Transportation assistance is also available when a need requires travel beyond the community.
Conveniently located in a serene area in Seattle, WA, Kline Galland Home is a peaceful retreat for those needing short-term rehabilitation, long-term care, and memory care. With a high caregiver-to-resident ratio, the community guarantees personalized and truly one-on-one attention. Those affected by Alzheimer’s and memory loss are cared for by a specially trained care team in an environment tailored to their unique needs.
Residents’ daily lives are filled with an array of fun and enriching activities like exercise classes, games, and holiday celebrations. Meals are carefully prepared and served daily with accommodations for unique dietary needs and preferences. At Kline Galland Home, residents achieve their maximum potential in a safe and healing environment.
Rockwood South Hill in Spokane, Washington, offers independent living, assisted living, memory care, nursing home care, and skilled nursing. Independent living provides private living with community services and no daily care, while assisted living helps with daily tasks such as dressing, bathing, and medication management. Memory care is provided in a secured setting with supervision for someone at risk of wandering, and skilled nursing includes licensed nursing care on site around the clock.
Several care levels are available within one community, which may suit a resident whose needs could grow over time without requiring a move elsewhere. Respite care and short term rehabilitation support temporary stays, including when a usual caregiver needs time away or a resident is recovering after an illness or injury.
The community has 90 beds, with total nurse staffing of 5 hours and 23 minutes per resident each day. That figure represents the daily hands on nursing time allocated per resident. Medicare and private pay are accepted; Medicare may cover short term skilled care after a hospital stay, while private pay allows families to pay directly.
A fitness center and wellness programs offer places for exercise and health focused activities, while outdoor spaces give residents areas to spend time outside. Multiple dining venues include casual and fine dining, with menus that change regularly and accommodate various dietary needs. Salon and spa services provide personal care on site.
The area has a Walk Score of 96 out of 100, considered a walker’s paradise where daily errands do not require a car. A resident who no longer drives can handle those errands on foot. Dan DeBoise, RN BSN, serves as 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.
Welcome to Mission Healthcare at Renton, the premier provider of occupational, physical, and speech therapy in Renton, Washington. With a focus on personalized care and support, this community offers a range of services designed to meet the unique needs of each resident. In addition, residents have access to modern and state-of-the-art amenities such as virtual reality therapy, whirlpool therapy, and an expansive fitness center.
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.
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.
Mission Healthcare at Bellevue delivers nursing home and skilled nursing services in Bellevue, WA, providing continuous clinical oversight for residents requiring ongoing medical support.
This 69-bed facility maintains a daily nurse staffing average of 3 hours and 24 minutes per resident. Accepted payment methods include private pay and Medicare, which can help cover short-term skilled care following a hospital stay.
Interested individuals seeking additional information or looking to arrange a tour can connect directly with the Mission Healthcare at Bellevue team.
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.
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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