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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.
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.
$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.
$7.6M*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.
61.9%*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.
$14.7M*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.
$8.6M*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.
58.3%*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.
$11.1M*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.
$6.3M*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.
56.8%*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.
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
Serving the community of Spokane Valley, WA since 1966, Aurora Valley Care is a leading senior living community that offers rehabilitation and skilled nursing. The community provides a comfortable living space for both short-term rehabilitation and extended stays, all complemented with around-the-clock nursing assistance. Guaranteeing a lively and enjoyable lifestyle, the community also conducts a dynamic range of activities, spanning from games to festive gatherings and outings.
Focused in delivering optimal recovery, independence, and overall wellness, Aurora Valley Care offers comprehensive services, including physical therapy, speech therapy, nutritional support, occupational therapy, along with wellness-focused activities. A devoted team of professionals offers warmth, empathy, and an unyielding commitment to delivering personalized attention and care, fostering the overall well-being of residents within a nurturing environment.
Seattle, Washington is fortunate to have Avamere Rehabilitation at Park West, a facility renowned for its exceptional professionalism and competence in the field of senior care. They provide an array of services including skilled nursing, long-term care, and rehabilitation, ensuring the highest quality outcomes for their residents. Additionally, they offer short-term and respite care, demonstrating their commitment to comprehensive and flexible support.
With an on-site therapy gym and telemedicine assistance, residents receive state-of-the-art care right at their doorstep. Avamere Rehabilitation at Park West also goes the extra mile by providing transportation assistance and installing nurse call systems and safety features in every room, ensuring residents’ safety and peace of mind. Moreover, the seamless collaboration between the dedicated staff and overseeing physicians creates an environment where residents can effortlessly regain their strength and independence, making Avamere Rehabilitation at Park West the go-to choice for top-notch care in the area.
Avamere Rehabilitation of Issaquah provides nursing home, palliative care, respite care, and skilled nursing in Issaquah, WA. Nursing home and skilled nursing care provide residential support with licensed nursing care on site, while palliative care focuses on comfort and symptom management. Respite care offers a short stay, which can suit a family caregiver who needs time to travel or recover.
The home has 140 beds. Total nurse staffing is 3 hours and 20 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident. Payment options are Medicare, Medicaid, and private pay. Medicare applies to short-term skilled care after a hospital stay, Medicaid can help when savings do not cover a long stay, and private pay is another payment route.
Overview of Discovery Nursing & Rehab of Vancouver
Discovery Nursing & Rehab of Vancouver is a nursing home in Vancouver, WA, offering palliative care and skilled nursing in the Hazel Dell South neighborhood. Nursing home and skilled nursing services provide licensed nursing care on site, while palliative care focuses on comfort and symptom management. The community may be a good fit for a resident who needs ongoing nursing support alongside comfort-focused care.
Discovery Nursing & Rehab of Vancouver has 89 beds. Medicare, Medicaid, and private pay are accepted, giving families listed ways to cover care, including Medicare for eligible short-term skilled care after a hospital stay and Medicaid for qualifying long-term care needs. Total nurse staffing is 5h per resident per day, representing the daily hands-on nurse staffing allocated per resident.
Providence Mount St. Vincent offers nursing home, skilled nursing, assisted living, independent living, and respite care in Seattle, WA. In assisted living, a resident receives help with daily tasks while maintaining an apartment, while independent living provides a private living arrangement without daily care. Skilled nursing and nursing home care provide nursing support on site.
Respite care offers a short stay when a person’s usual caregiver needs to travel or recover. The range of care levels can also suit a resident whose needs grow over time without leaving the community. Providence Mount St. Vincent has 122 beds.
Payment options include Medicare, Medicaid, and private pay. Medicare can cover short term skilled care after a hospital stay rather than long term residence, while Medicaid may help when savings do not cover a long stay. Private pay allows families to use personal funds.
Total nurse staffing is 4h 41m per resident/day, representing the daily nurse care time allocated per resident. On site outpatient rehabilitation allows a resident to receive therapy without arranging transportation elsewhere, and the barber and beauty salon provides grooming services within the community. Religious services are also available.
A Walk Score of 60 makes the area somewhat walkable. Some errands can be done on foot, so a resident who no longer drives can handle some nearby errands independently.
Overview of North Auburn Rehabilitation & Health Center
North Auburn Rehabilitation & Health Center is a nursing home and skilled nursing community in Auburn, WA. Its skilled nursing care includes licensed nursing care on site around the clock, making the center a fit for someone whose needs require residential care with ongoing nursing support. The center has 125 beds and a 55% occupancy rate. That figure describes the share of beds currently filled.
Medicare, Medicaid, and private pay are accepted, giving families payment pathways for covered or privately funded care. Total nurse staffing is 3h 54m per resident per day. This represents the daily nurse staffing time counted for each resident.
Situated in Lynnwood, Washington, Alderwood Post Acute & Rehabilitation is a distinguished skilled nursing and rehabilitation center offering comprehensive around-the-clock care in a residential setting. The community prides itself on providing an array of amenities, including an outdoor recreation area, a tranquil patio garden, a fully-equipped rehab gym, a dedicated beauty/barber shop, a library, pastoral support, and transportation services—curating an enriching environment for residents. Specializing in short-term nursing and rehabilitation care, Alderwood Post Acute & Rehabilitation is dedicated to aiding patients in their recovery from illnesses or injuries, supporting their journey back to independence. The highly trained care team collaborates with physicians to devise tailored and comprehensive care plans for each patient, ensuring individualized attention. Moreover, Alderwood Post Acute & Rehabilitation offers long-term programs catering to patients requiring ongoing intensive services. Through dedicated collaboration, the team crafts personalized programs to restore patients to optimal health and functionality. Certified by the Centers for Medicare & Medicaid Services (CMS), the community emphasizes the uniqueness of each individual’s rehabilitation journey, focusing on holistic wellness encompassing mind, body, and spirit. In partnership with patients and their physicians, Alderwood Post Acute & Rehabilitation designs customized programs administered by their dynamic staff, who are dedicated to inspiring and guiding patients at every step of their wellness journey. At Alderwood Post Acute & Rehabilitation, residents receive compassionate care, specialized rehabilitation services, and unwavering encouragement to achieve their wellness goals.
Situated in Seattle, WA, Skyline Nursing Center provides rehabilitation and skilled nursing. Total nurse staffing is 5 hours and 20 minutes per resident per day, representing the daily nursing time allocated to each resident.
The 34-bed community is smaller in scale, which can support regular familiarity between residents and staff. It is also a high-rise with one-bedroom and two-bedroom housing options. Furthermore, the range of care levels may suit a resident whose needs grow over time, since moving between levels can be accommodated without leaving the community. Pets are allowed so that a resident may bring animal companions.
A Walk Score of 98 places the area in a walker’s paradise, where daily errands do not require a car. For a resident who no longer drives, errands can still be completed independently on foot. Payment options are Medicare and private pay. This also indicates that Medicare is used for short-term skilled care after a hospital stay rather than long-term residence.
Woodard Creek Health & Rehabilitation is a nursing home in Olympia, WA, with 152 beds. Nursing home care provides licensed nursing care on site around the clock, making the community relevant to a resident who needs ongoing clinical support. A doctor is on staff, and the community is in the Ensign Road Northeast neighborhood.
Residents have private suites for living rather than shared rooms. Medicare, Medicaid, and private pay are accepted. Total nurse staffing is 3 hours and 32 minutes per resident per day, representing the total daily nurse time assigned per resident.
Life Care Center of Puyallup is a nursing home offering skilled nursing in Puyallup, WA. Residents receive licensed nursing care around the clock, with both short term and long term care available. This combination suits someone who needs nursing support during recovery or on an ongoing basis.
Inpatient and outpatient rehabilitation services support therapy during a stay or through an outpatient visit. A community re entry program helps residents working toward a return to community living. Hair services can be arranged within the community through the beauty salon and barber shop.
The home has 102 beds. Total nurse staffing is 4 hours and 9 minutes per resident per day, representing the nursing time assigned to each resident across a day. Payment options are Medicare, Medicaid, and private pay. Medicare applies to short term skilled care after a hospital stay rather than long term residence, Medicaid may help when savings do not cover a long stay, and private pay means the resident or family pays directly.
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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