Page 7 of Best Nursing Homes in Washington State

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
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Last updated
We analyzed These are the facilities in Washington State our team has analyzed — not a count of every nursing home provider in Washington State.
81 homes
Other senior care options in Washington:
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.
National Average: 3.0/ 5

Compare Nursing Homes around Washington

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 Table 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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over 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.
Woodard Creek Health & Rehabilitation
NH
Ne Olympia (Ensign Road Northeast)
152
Facility 152
WA AVG 92
Rank #4 / 68
68.7%
Facility 68.7%
WA AVG 74.9%
Rank #40 / 57
-8%
3.54
Facility 3.54
WA AVG 4.22
Rank #51 / 61
-2%-16%
$12.7k
Facility $12.7k
WA AVG $87.7k
Rank #28 / 61
77
Facility 77
WA AVG 48.9
Rank #47 / 61
5.9
Facility 5.9
WA AVG 6.9
Rank #35 / 61
1104-
29
Facility 29
WA AVG 51
Rank #63 / 80
Rachel Erickson
$15.7MFiscal year ending 12/2023
Facility $15.7MFiscal year ending 12/2023
WA AVG $15.9M
Rank #16 / 51
$11.7MFiscal year ending 12/2023
Facility $11.7MFiscal year ending 12/2023
WA AVG $9.2M
Rank #14 / 51
74.6%Fiscal year ending 12/2023
Facility 74.6%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #5 / 51
505387
Fir Lane Health & Rehabilitation Center
NH
MC
SNF
Shelton (Christmas Village)
135
Facility 135
WA AVG 92
Rank #10 / 68
68.3%
Facility 68.3%
WA AVG 74.9%
Rank #41 / 57
-9%
4.65
Facility 4.65
WA AVG 4.22
Rank #12 / 61
-65%+10%
$121.5k
Facility $121.5k
WA AVG $87.7k
Rank #53 / 61
77
Facility 77
WA AVG 48.9
Rank #52 / 61
4.5
Facility 4.5
WA AVG 6.9
Rank #20 / 61
392A+
23
Facility 23
WA AVG 51
Rank #68 / 80
-
$11.4MFiscal year ending 12/2023
Facility $11.4MFiscal year ending 12/2023
WA AVG $15.9M
Rank #32 / 51
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
WA AVG $9.2M
Rank #46 / 51
38.7%Fiscal year ending 12/2023
Facility 38.7%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #49 / 51
505230
Spokane Falls Care
NH
SNF
Spokane (Nevada Heights)
100
Facility 100
WA AVG 92
Rank #28 / 68
84.5%
Facility 84.5%
WA AVG 74.9%
Rank #20 / 57
+13%
3.87
Facility 3.87
WA AVG 4.22
Rank #37 / 61
-27%-8%
$125.7k
Facility $125.7k
WA AVG $87.7k
Rank #54 / 61
102
Facility 102
WA AVG 48.9
Rank #59 / 61
6.0
Facility 6.0
WA AVG 6.9
Rank #29 / 61
385-
76
Facility 76
WA AVG 51
Rank #13 / 80
Navdeep Dhaliwal
$10.9MFiscal year ending 12/2023
Facility $10.9MFiscal year ending 12/2023
WA AVG $15.9M
Rank #34 / 51
$5.7MFiscal year ending 12/2023
Facility $5.7MFiscal year ending 12/2023
WA AVG $9.2M
Rank #40 / 51
51.8%Fiscal year ending 12/2023
Facility 51.8%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #34 / 51
505024
Olympic View Care
NH
SNF
Port Angeles
101
Facility 101
WA AVG 92
Rank #26 / 68
90.1%
Facility 90.1%
WA AVG 74.9%
Rank #12 / 57
+20%
3.55
Facility 3.55
WA AVG 4.22
Rank #49 / 61
-9%-16%
$144.5k
Facility $144.5k
WA AVG $87.7k
Rank #56 / 61
103
Facility 103
WA AVG 48.9
Rank #54 / 61
3.8
Facility 3.8
WA AVG 6.9
Rank #10 / 61
591-
50
Facility 50
WA AVG 51
Rank #39 / 80
-
$10.5MFiscal year ending 12/2023
Facility $10.5MFiscal year ending 12/2023
WA AVG $15.9M
Rank #38 / 51
$5.7MFiscal year ending 12/2023
Facility $5.7MFiscal year ending 12/2023
WA AVG $9.2M
Rank #39 / 51
54.8%Fiscal year ending 12/2023
Facility 54.8%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #26 / 51
505185
Bremerton Trails Post Acute
NH
SNF
Bremerton
125
Facility 125
WA AVG 92
Rank #13 / 68
92.6%
Facility 92.6%
WA AVG 74.9%
Rank #6 / 57
+24%
3.87
Facility 3.87
WA AVG 4.22
Rank #37 / 61
-28%-8%
$174.1k
Facility $174.1k
WA AVG $87.7k
Rank #58 / 61
105
Facility 105
WA AVG 48.9
Rank #58 / 61
4.2
Facility 4.2
WA AVG 6.9
Rank #13 / 61
5116-
62
Facility 62
WA AVG 51
Rank #26 / 80
-
$13.2MFiscal year ending 12/2023
Facility $13.2MFiscal year ending 12/2023
WA AVG $15.9M
Rank #25 / 51
$6.3MFiscal year ending 12/2023
Facility $6.3MFiscal year ending 12/2023
WA AVG $9.2M
Rank #35 / 51
47.7%Fiscal year ending 12/2023
Facility 47.7%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #44 / 51
505123
Pullman Care
NH
HOS
RC
SNF
Pullman (Military Hill)
48
Facility 48
WA AVG 92
Rank #60 / 68
82.1%
Facility 82.1%
WA AVG 74.9%
Rank #23 / 57
+10%
3.88
Facility 3.88
WA AVG 4.22
Rank #37 / 61
-48%-8%
$50.9k
Facility $50.9k
WA AVG $87.7k
Rank #41 / 61
43
Facility 43
WA AVG 48.9
Rank #22 / 61
3.3
Facility 3.3
WA AVG 6.9
Rank #2 / 61
239-
68
Facility 68
WA AVG 51
Rank #20 / 80
Washington 3 Pack LLC$4.6M*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.$1.8M*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.40.4%*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.505246

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

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Overview of Creekside Village

At 3100 Falk Rd in the Bagley Downs neighborhood of Vancouver, Washington, Creekside Village markets itself as an independent living community with optional assisted living and memory care options. The two-story building houses one, two, and three-bedroom apartment homes with assigned parking. Pets are permitted.

The facility maintains 24-hour staffing with licensed nurses and certified nursing assistants on-site, complemented by a 24-hour emergency call system and on-site healthcare provider availability. Rehabilitation services include physical, occupational, and speech therapy designed to support resident mobility and functional independence. The wellness program centers on recreational and fitness amenities: a 24-hour fitness center with cardio and strength training equipment, an indoor swimming pool, and spa facilities.

Additional community spaces encompass a library, salon and beauty shop, dining room and restaurant, courtyard and patio areas, and coordinated transportation services. Religious programming is offered.

The neighborhood scores 43 on walkability assessments, meaning some nearby services are accessible on foot but most errands require vehicles. Vancouver’s city center is 27.3 miles away; Fresenius Medical Care is 2.7 miles distant. The facility ranks 387 of 628 Washington senior residences on walkability indices.

Creekside Village does not hold current CMS certification for Medicare or Medicaid.

A geographic inconsistency appears in the facility’s promotional materials: the overview text references “Eugene, Oregon,” while the actual address is 3100 Falk Rd, Vancouver, Washington.

Creekside Village accommodates independent living residents in Vancouver seeking recreational programming, on-site therapy services, and wellness amenities, operating outside the Medicare/Medicaid certification framework as a private-pay community.

Contact Creekside Village

Overview of Franke Tobey Jones

Franke Tobey Jones is a stunning English Tudor-style retirement community in Tacoma, Washington, offering independent living, memory care, skilled nursing care, and assisted living. The community creates a cozy and encouraging atmosphere for seniors by guaranteeing excellent care, weekly housekeeping, and restaurant-style dining. Residents can engage in diverse activities, from educational to recreational pursuits, and even bring along their pets, fostering a home-like atmosphere.

Committed to creating a supportive atmosphere where residents can thrive, the community provides top-notch amenities akin to a luxury hotel while ensuring comprehensive care services. Residents can enjoy refreshments while chatting with their friends at the cafe, attend various exercise classes at the state-of-the-art wellness center, and participate in lifelong learning programs at the community’s senior university. With a focus on resident well-being and comfort, the community strives to make the transition to retirement living seamless and enriching, ensuring seniors feel valued and cared for regardless of their journey.

Contact Franke Tobey Jones

Overview of Mountain Glen Retirement Community

Mountain Glen Retirement Community offers nursing home, assisted living, independent living, memory care, respite care, and skilled nursing in Mount Vernon, WA. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment, while independent living provides private living with community services and no daily care. Memory care offers a secured setting with supervision for someone at risk of wandering, and skilled nursing provides licensed nursing care on site around the clock.

Respite care provides short stays, which can suit a family whose usual caregiver needs to travel or recover. With several care levels in one community, Mountain Glen Retirement Community may be a good fit for a resident whose needs grow over time and who may be able to move between care settings without leaving the community. The community has 83 beds.

Restaurant-style dining is available in an array of dining venues, and salon and barber services give residents access to personal grooming within the community. Rehabilitation services are available, while scheduled transportation supports local appointments and trips. Pets are allowed, so a resident can bring a pet when moving into the community.

A Walk Score of 89 places the area in the very walkable band, meaning most errands can be done on foot. Shops, a pharmacy, or cafes may be within a short walk, allowing a resident who no longer drives to get out independently.

Contact Mountain Glen Retirement Community

Overview of Redmond Heights Senior Living

Redmond Heights Senior Living offers a unique blend of small-town charm and breathtaking mountain surroundings. This inviting home distinguishes itself as the most affordable assisted living community in the region, while also providing independent living and memory care services. With a variety of thoughtfully designed floor plans, residents can choose living spaces that perfectly suit their preferences. Embracing an inclusive approach, this community accepts Medicaid, ensuring that quality care is accessible. Redmond Heights also boasts a skilled nursing facility on campus, offering physical, speech, and occupational therapy services. Their registered nurse (RN) on staff further reinforces the commitment to exceptional care as well.

The community boasts a well-equipped gym, a serene lawn chapel, and soothing spa rooms, along with a picturesque garden and tree-lined views. Other amenities such as a library and computer room contribute to the well-rounded and enriching experience provided to the residents. The community also goes above and beyond to foster an environment that encourages engagement and nurtures individual interests and abilities. With its vibrant atmosphere and meticulous upkeep, Redmond Heights Senior Living stands as a true embodiment of charm and character.

Contact Redmond Heights Senior Living

Overview of Wesley Bradley Park

Wesley Bradley Park is a nursing home in Puyallup, WA offering assisted living, memory care, and skilled nursing. Skilled nursing provides licensed nursing care around the clock, while assisted living supports daily tasks such as bathing, dressing, and medication management in an apartment setting. Memory care provides a secured setting with supervision for someone at risk of wandering.

There are 23 beds, creating a smaller setting where residents and staff can get to know one another. Having assisted living, memory care, and skilled nursing in the same community may suit a resident whose needs change over time. Housing includes studios, one bedroom apartments, and two bedroom apartments, with a studio offering one private living space and a two bedroom layout potentially suiting a couple moving together or someone who wants a companion.

Medicaid is accepted, giving families using that benefit a payment option for eligible care. Residents can take part in fitness programs, creative arts, spiritual offerings, flexible dining, and Skilled Nursing and Rehabilitation services, while pets are allowed so a resident may continue living with a pet. With a Walk Score of 45, the area is car dependent, meaning most errands require a car or a ride.

Contact Wesley Bradley Park

Overview of Colonial Vista Senior Living

Colonial Vista Senior Living offers nursing home and skilled nursing care, assisted living, independent living, and respite care in Wenatchee, Washington. Skilled nursing provides licensed nursing care on site around the clock. Assisted living includes help with daily activities such as bathing, dressing, and medication management, while independent living supports private living with community services and no daily care. Respite care provides a short term stay when a resident’s usual caregiver needs to travel or recover.

The community has 55 beds, creating a smaller setting where staff and residents can get to know each other. Its range of living and care options can be a good fit for a resident whose needs grow over time, since moving to a different level can happen without leaving the community. Pets are allowed, and a salon or spa is available for personal grooming.

Restaurant style dining includes chef prepared meals three times daily, along with an Anytime Menu for residents who want choices beyond scheduled meal times. Transportation is available, and rehabilitation services can support a resident working to regain function after illness or injury.

The area has a Walk Score of 89 and is very walkable. Most errands can be completed on foot, so a resident who no longer drives can still get out independently.

Contact Colonial Vista Senior Living

Overview of New Westside Terrace (nwst)

New Westside Terrace (nwst) provides nursing home and skilled nursing care, assisted living, and independent living in Longview, WA. Nursing home and skilled nursing care provide licensed nursing care on site around the clock, while assisted living supports daily tasks such as dressing, bathing, and medication while a resident keeps a private apartment. Independent living provides private living with community services and no daily care.

With several care levels in one community, New Westside Terrace (nwst) may be a good fit for a resident whose needs grow over time and who may be able to move to a different level of care without leaving the community. The home has 56 beds, making it a smaller community where staff and residents can get to know each other. A Walk Score of 93 places the area in the walker’s paradise band, meaning daily errands do not require a car and a resident who no longer drives can still get out independently.

Eric Rosgen is the director, and Charles Bond is the owner.

Contact New Westside Terrace (Nwst)

Overview of Brookdale Park Place

At Brookdale Park Place in Spokane, Washington, residents can enjoy independent living, assisted living, and memory care in a warm, home-like setting. The community is designed to provide a feeling of home, with added security tailored to the needs of memory care residents. Residents can choose from cozy, pet-friendly apartments with plenty of natural light, and the continuum of care allows them to stay in the same place if their needs change over time.

Independent living at Brookdale Park Place offers maintenance-free living in a stylish home within a vibrant social community, with exciting activities, fun neighbors, and kind staff. Assisted living provides personalized care in a warm and welcoming environment, helping residents stay engaged and connected, while memory care residents live in secure apartment-like homes with support from associates trained in caring for seniors with cognitive challenges. The community offers a wide range of activities based on each resident’s needs, from Margarita Mondays and Bible studies to art classes and technology courses. Dining is also a highlight, with delicious restaurant-style meals in the elegant dining room and a focus on creating a sense of belonging for memory care residents.

Contact Brookdale Park Place

Overview of Cascade Village at Smokey Point

Cascade Village at Smokey Point is a retirement community in Marysville, Washington, that offers convenient access to a continuum of care for those 62+. As part of the Josephine Community, it has 63 one and two-bedroom homes and two-bedroom villas in a relatively walkable neighborhood. Rehabilitation, nursing services, and respite care, supplemented by 24-hour staffing, are also offered to meet residents’ needs and preferences. Gourmet dining and housekeeping services are also provided to support residents’ daily living.

Creative activities, fitness classes, and social programs promote social interactions and help residents maintain holistic wellness. A variety of amenities, including a clubhouse, community kitchen, and an indoor pool, are also available on-site. Its location in Marysville earned a Walk Score of 62, making it relatively walkable and allowing residents to access nearby amenities and services on foot. Cascade Village at Smokey Point also features an emergency alert system and a gated campus for residents’ safety.

Contact Cascade Village at Smokey Point

Overview of Amani Place Afh I

Enjoy a well-rounded lifestyle with Amani Place Afh I, an excellent senior living community, nestled in the vibrant neighborhood of Spokane Valley, WA. The community offers its residents an array of care options, including assisted living, Alzheimer’s care, memory care, skilled nursing, and hospice care, to ensure they receive the care they need even as their needs change. Dedicated to helping its residents age in place comfortably, the community designed their accommodations to cater to residents’ unique safety and care needs, giving them unmatched comfort and convenience.

Residents here thrive from having various assistance for their every need, including daily living support, medication management, and more. A dependable care team is always available to provide immediate attention during emergencies or whenever residents need them, giving them peace of mind. Here, residents are sure to enjoy a comfortable retirement life with access to all the services they may need even as they near their end of life.

Contact Amani Place AFH I

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
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
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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.