We arrange tours, appointments, and even moving support so you don’t have to
2
Ranked on Data, Not Dollars
We rank communities on objective measures like inspection records, quality scores, and care data, so you can find trusted options without the guesswork.
3
Personalized Guidance
From lifestyle matching to help with insurance and financial assistance, we make sure the community is the right fit
Explore Open Rooms
1Contact details
2What type of senior care service are you looking for?
3What budget do you have in mind for senior care?
4How soon do you need to find care?
5Additional details
Thank you for your interest!
A member of our team will be in touch by phone or email shortly to help with next steps.
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.
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.
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.
$12.2M*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.
$7.7M*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.
63.2%*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.
$14.0M*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.
$9.3M*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.
66.5%*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.
$12.1M*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.
$6.9M*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.
57.2%*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.
505280
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
Peacefully nestled in Seattle, WA, Washington Care Center offers a secure community for those who need skilled nursing, short-term rehabilitation, and long-term care. Their excellent care team is available 24/7 to provide an array of services, including daily living assistance, pain management, and recovery support. Residents enjoy the comfort of their relaxing accommodations with housekeeping and laundry services for their convenience.
Free from the hassles of tiring chores, residents here can fully focus on their well-being or recovery without worry. The community also serves tasty and nutritionally balanced meals to make sure residents maintain healthy eating habits. Here, residents receive all the care they need to enjoy both comfort and leisure.
Hallmark Manor is a nursing home in Federal Way, WA, offering skilled nursing with licensed nursing care on site around the clock. That can suit a resident who needs continuous clinical support.
The home has 147 beds and is 74% occupied, so it is not full. Payment options include Medicare for short-term skilled care after a hospital stay, Medicaid for eligible residents whose savings may not cover a long stay, and private pay for families paying directly. Total nurse staffing is 3 hours and 27 minutes per resident per day, representing the daily hands-on nursing time assigned to each resident.
A comprehensive provider of senior living solutions and services, Kin On provides assisted living, home health and home care, adult family home services, and skilled rehabilitation and care for Asian seniors across Seattle, WA. Spend a glorious retirement surrounded by cozy and intimate residences, carefully designed to maximize comfort and safety. With a respectful and highly trained team lending extra support around the clock, seniors have more time to explore new interests and relationships.
Kin On strives to provide inclusivity and diversity for Asian older adults, providing them with a knowledgeable team for better communication and understanding. Moreover, residents have a lot of fun things to do with various activities and programs hosted for their leisure and wellness. Delicious and healthy meals are served to meet residents’ dietary needs and tastes. The community is a haven for seniors to live comfortably embraced by welcoming people and serene spaces.
Edmonds Care is a premiere senior living community in Edmonds, WA, offering long-term skilled nursing, short-term rehabilitation, and an array of therapy services. The community offers warmly decorated private and semi-private rooms with access to free, in-room cable services, WiFi, and comfortable lounge areas. Residents are well-supported throughout their recovery with 24-hour support and care from a consistent, compassionate, and well-trained team of professionals.
The community adopts a resident-centered approach to care, offering personalized care, comprehensive therapies, specialized care services, and support services for residents and their families. To make residents’ stay more comfortable and fun, the community also offers life enrichment services, such as quality-time with residents, celebrations, learning and recreation opportunities, along with a variety of engaging activities. With a supportive environment, compassionate care team, convenient amenities, and innovative healthcare, residents are guaranteed a comfortable healing journey at Edmonds Care.
Avamere Shoreline continues to show that they are provided with quality healthcare regardless of living their residents have chosen. Specializing in short-term rehabilitation and long-term skilled nursing, the premier healthcare facility ensures that residents enhance their lives with care and ease. The lifestyle promoted provides an environment where residents can celebrate their individuality and independence. Avamere Shoreline has welcomed seniors and families to their beautiful, thoughtfully designed community, allowing residents to make the most of their golden years.
Avamere Shoreline has ensured residents can live comfortably thanks to their helpful features, including wheelchair-accessible showers, high-speed internet, a kitchenette, cable or satellite TV, and air-conditioning throughout the community– all designed to make their stay easy and hassle-free. Moreover, their team of skilled nurses provide personalized assessments, full-time care, and supervision to ensure all residents are safe and comfortable. Avamere Shoreline provides an inviting and home-like atmosphere for residents in the Shoreline community.
Life Care Center of Federal Way is a nursing home and skilled nursing community in Federal Way, WA, located in the Lake Easter Estates neighborhood. It has 157 beds and may be a good fit for someone who needs ongoing clinical support, with licensed nursing care available on site around the clock.
Medicare, Medicaid and private pay are accepted, giving families those payment options for care. Total nurse staffing is 4h 18m per resident per day, representing the daily hands-on nursing time allocated to each resident.
Avamere at Pacific Ridge is a nursing home and memory care community in Tacoma, Washington. Its skilled nursing services provide licensed nursing care on site. Memory care offers supervision in a secured setting for residents living with dementia or cognitive impairment. The community may be a good fit for someone whose behavioral or mental health needs are addressed through its Behavioral & Mental Health program.
The home has 102 beds, with total nurse staffing of 5 hours and 33 minutes per resident each day. That figure represents the daily hands-on nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted, with Medicare applying to short-term skilled care after a hospital stay, Medicaid potentially helping when savings do not cover a long stay, and private pay allowing payment from personal funds.
An on-site therapy gym and rehabilitation services let residents receive therapy without arranging transportation to an outside gym. Telemedicine assistance supports medical visits by video, while transportation assistance helps with travel needs that cannot be met on foot. The area has a Walk Score of 56, making it somewhat walkable, with some errands possible on foot. A resident who no longer drives may be able to reach select nearby destinations independently.
Avamere Rehabilitation of Burien in Burien, WA, offers nursing home, respite care, and skilled nursing. Nursing home and skilled nursing care include licensed nursing care on site around the clock, while respite care provides a short stay for someone whose usual caregiver needs to travel or recover.
The home has 140 beds. Total nurse staffing is 4 hours and 3 minutes per resident per day, representing the daily nursing time allocated to each resident. Families can use Medicare, Medicaid, or private pay to cover care, depending on their eligibility or payment arrangement. Avamere Rehabilitation of Burien may be a good fit for a resident who needs ongoing nursing care or a family seeking a temporary care arrangement.
Overview of Avamere Olympic Rehabilitation of Sequim
Delivering exceptional care to the neighborhood of Sequim, WA for over 40 years, Avamere Olympic Rehabilitation of Sequim is a leading senior care provider, offering skilled nursing, rehabilitation, short-term and long-term care. The community helps residents reach their goals and enrich their lives by offering compassionate care services tailored to their specific requirements and preferences. A round the clock team of healthcare professionals are available to offer various services and support, ensuring a comfortable living experience for residents.
An extensive calendar of activities are provided to foster an active and vibrant living experience, complemented with transportation services to encourage residents to explore all the great things the neighborhood offers. Restaurant-style dining and an array of convenient amenities are offered to make residents’ living experience more comfortable and enjoyable. With access to an extensive array of care and healthcare services, residents here are guaranteed to successfully age in place and maintain their optimal well-being for as long as possible.
Based in a peaceful area in Renton, WA, Renton Health and Rehabilitation is a dependable community built for those needing rehabilitation and long-term care services. Residents here maintain a high quality of life with the support of an excellent care team trained to provide an array of healthcare services. With access to physical and occupational therapy, the community ensures its residents maintain their highest level of function.
Through personalized care plans, everyone here is guaranteed to receive proper care and support. Their team of physicians is available 24/7 to offer care whenever needed, providing residents with comfort and peace of mind. Here, everyone is empowered to maximize their potential and continue living the lifestyle they deserve.
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
Need Help?
Let us help you or a loved one find the perfect senior home.
We've received your request
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
