Keystone
Nursing Home & Assisted Living · Seattle, WA

Keystone

Nursing Home & Assisted Living · Seattle, WA

Overview of Keystone

Keystone is a residential care community in Seattle, Washington, operating 64 beds in King County. It is classified as a behavioral health licensed community with a reported occupancy rate of approximately 95%. This is well above the Washington state average, suggesting strong local demand and limited availability.

Inspection history indicates ongoing fire safety compliance concerns, with the most recent inspection on June 16, 2025, being a follow-up visit that confirmed some previously cited issues had been corrected but still identified concerns such as debris on sprinkler heads, gaps in fire alarm maintenance, and obstructed exit pathways. Earlier inspections also revealed repeated fire safety code issues, along with a substantiated complaint in August 2024 related to failure to provide a required discharge notice after a resident altercation. No fines or license suspensions are listed in the available reports. While the pattern of citations raises concern, it also shows gradual corrective efforts over time, so families are advised to review the most current state inspection records before making a decision.

The community offers amenities such as bicycle storage, a landscaped public plaza, and street-level retail, which are more typical of an urban residential setting than a traditional care-focused environment. Housing-related services are also highlighted, along with pet policies and general tenant support, suggesting a primary focus on residential living rather than intensive clinical care.

Keystone is best suited for more independent older adults in the Seattle area who prefer an urban, community-integrated living environment with access to basic services rather than higher levels of medical or personal care. Its high occupancy also reflects strong interest in this type of housing. However, families considering this community should confirm current licensing details and carefully review recent inspection records to ensure the setting aligns with their loved one’s care needs.

Bed community size
64-bed community Rank #231 / 366Bed count — State benchmarkedThis home is ranked 231st out of 366 homes in Washington. Shows this facility's certified or reported bed count compared to other Washington facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 95 / 100 Rank #19 / 628Walk Score — State benchmarkedThis home is ranked 19th out of 628 homes in Washington. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Washington facilities. Higher scores benefit residents, families, and staff.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.

About this community

Occupancy

Occupancy rate
100%
Rank #1 / 310Occupancy rate — State benchmarkedThis home is ranked 1st out of 310 homes in Washington. Shows this facility's occupancy rate versus the Washington average, with its Statewide rank out of 310. Higher occupancy signals strong local demand and financial stability.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Washington average: 72.5%
Occupied beds
64 / 64
Average occupied beds in Washington homes 73 beds

License Details

Facility TypeBh
StatusOp
ExpirationDecember 31, 2025
CountyKing
License Number2599

Additional Policies & Features

Pets Allowed

Amenities & Lifestyle

Fitness Center
Patio
Laundry
Outdoor Seating
Specific ProgramsMFTE, Current Residents
Touring HoursMonday:9:00 AM - 5:00 PM; Tuesday:9:00 AM - 5:00 PM; Wednesday:9:00 AM - 5:00 PM; Thursday:9:00 AM - 5:00 PM; Friday:9:00 AM - 5:00 PM

Pricing & Financial Information

Starting Price$1,729 per month

Contact Keystone

Inspection History

In Washington, the Department of Social and Health Services, Residential Care Services conducts unannounced inspections and issues reports on the quality of care in all licensed settings.

Since 2022 · 4 years of data 52 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Washington state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Washington state average
Overall vs. WA average 2 Worse Metrics worse than Washington average:
• Total deficiencies (68% above)
• Deficiencies per year (67% above)
0 Better No metrics in this bucket.
Latest Inspection June 16, 2025 Re Inspection

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityWA Averagevs. WA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 5231 This facility has 68% more total deficiencies than a typical Washington nursing home (52 vs. WA avg 31).↑ 68% worse
Deficiencies per year Info Average deficiencies per year since 2022. 137.8 This facility has 67% more deficiencies per year than a typical Washington nursing home (13 vs. WA avg 7.8).↑ 67% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • May 19, 2025 complaint investigation confirmed three fire safety violations including debris on sprinkler heads, faulty fire alarm system, and blocked basement exit paths, placing residents and staff at risk.
  • June 16, 2025 re-inspection found all prior fire safety violations corrected, including cleared debris on sprinkler heads, restored fire alarm function, and unobstructed exit paths.
  • February 6, 2025 fire safety inspection cited seven deficiencies, including missing fire system maintenance documentation, blocked sprinkler riser, and obstructed basement egress, with some issues corrected on site.

Living Spaces & Floor Plans for Keystone

1 Bed 1 Bath A
1 Bed 1 Bath A
1 Bed 1 Bath BL
1 Bed 1 Bath Bl
1 Bed 1 Bath B
1 Bed 1 Bath B
1 Bed 1 Bath B
1 Bed 1 Bath B
1 Bed 1 Bath B
1 Bed 1 Bath B
1 Bed 1 Bath B
1 Bed 1 Bath B
1 Bed 1 Bath B
1 Bed 1 Bath B
1 Bed 1 Bath A
1 Bed 1 Bath A
1 Bed 1 Bath A
1 Bed 1 Bath A
1 Bed 1 Bath B
1 Bed 1 Bath B
1 Bed 1 Bath B
1 Bed 1 Bath B
1 Bed 1 Bath A
1 Bed 1 Bath A

Places of interest near Keystone

Address 3.7 miles from city center Info Estimated distance in miles from Seattle's city center to Keystone's address, calculated via Google Maps.

Calculate Travel Distance to Keystone

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Address

Compare Nursing Home around Seattle

The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.

4 facilities compared · CMS & WA Dept. of Health data

Mirabella Seattle
NH
AL
MC
Seattle (South Lake Union)
63
Facility 63
WA AVG 82
Rank #237 / 366
46.0%
Facility 46.0%
WA AVG 72.5%
Rank #285 / 310
-37%
4.68
Facility 4.68
WA AVG 4.22
Rank #10 / 90
+2%+11%
$8.3k
Facility $8.3k
WA AVG $87.7k
Rank #35 / 92
41
Facility 41
WA AVG 48.9
Rank #37 / 92
10.3
Facility 10.3
WA AVG 6.9
Rank #76 / 92
-36A+
99
Facility 99
WA AVG 51
Rank #1 / 628
Lee Burnside
$7.9M
Facility $7.9M
WA AVG $13.2M
Rank #9 / 94
$13.8M
Facility $13.8M
WA AVG $5.7M
Rank #9 / 94
173.2%
Facility 173.2%
WA AVG 45.5%
Rank #63 / 94
505520
Providence Mount St. Vincent
NH
AL
IL
RC
Seattle (North Admiral)
122
Facility 122
WA AVG 82
Rank #43 / 366
62.3%
Facility 62.3%
WA AVG 72.5%
Rank #240 / 310
-14%
4.63
Facility 4.63
WA AVG 4.22
Rank #15 / 90
+52%+10%
$152.2k
Facility $152.2k
WA AVG $87.7k
Rank #78 / 92
63
Facility 63
WA AVG 48.9
Rank #65 / 92
7.9
Facility 7.9
WA AVG 6.9
Rank #63 / 92
476-
60
Facility 60
WA AVG 51
Rank #252 / 628
Maricor Gonzales - Lim
$32.3M
Facility $32.3M
WA AVG $13.2M
Rank #5 / 94
$16.8M
Facility $16.8M
WA AVG $5.7M
Rank #7 / 94
52.2%
Facility 52.2%
WA AVG 45.5%
Rank #76 / 94
505182
Skyline
NH
AL
IL
MC
Seattle (Downtown Seattle)
34
Facility 34
WA AVG 82
Rank #343 / 366
79.3%
Facility 79.3%
WA AVG 72.5%
Rank #124 / 310
+9%
5.24
Facility 5.24
WA AVG 4.22
Rank #6 / 90
+17%+24%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 92
52
Facility 52
WA AVG 48.9
Rank #51 / 92
17.3
Facility 17.3
WA AVG 6.9
Rank #89 / 92
-29-
98
Facility 98
WA AVG 51
Rank #7 / 628
Presbyterian Retirement Communities Northwest
$5.4M
Facility $5.4M
WA AVG $13.2M
Rank #3 / 94
$14.4M
Facility $14.4M
WA AVG $5.7M
Rank #8 / 94
266.3%
Facility 266.3%
WA AVG 45.5%
Rank #91 / 94
505469
Kin On
NH
AL
HC
NC
Seattle (Rainier Valley)
100
Facility 100
WA AVG 82
Rank #93 / 366
90.0%
Facility 90.0%
WA AVG 72.5%
Rank #47 / 310
+24%
4.18
Facility 4.18
WA AVG 4.22
Rank #38 / 90
+41%-1%
$25.5k
Facility $25.5k
WA AVG $87.7k
Rank #47 / 92
47
Facility 47
WA AVG 48.9
Rank #43 / 92
7.8
Facility 7.8
WA AVG 6.9
Rank #62 / 92
193-
84
Facility 84
WA AVG 51
Rank #62 / 628
Dennis Lam
$14.3M
Facility $14.3M
WA AVG $13.2M
Rank #33 / 94
$9.9M
Facility $9.9M
WA AVG $5.7M
Rank #20 / 94
69.7%
Facility 69.7%
WA AVG 45.5%
Rank #16 / 94
505453

Financial Assistance for
Nursing Home in Washington

Keystone is located in Seattle, Washington.
Here are the financial assistance programs available to residents in Washington.

Get Financial aid guidance

Community Options Program Entry System (COPES)

WA Medicaid COPES

Age 65+ or disabled
General Washington resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
WA

High demand in urban areas (e.g., Seattle).

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Washington Family Caregiver Support Program

WA NFCSP

Age Caregiver of someone 60+ (or with dementia)
General Washington resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
WA

High urban demand; rural outreach.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$70/day) Short-term facility care (up to 5 days)

Community First Choice (CFC)

Washington Community First Choice

Age 65+ (or disabled 18+)
General WA resident, Medicaid-eligible, need help with 2+ ADLs/IADLs.
Income Limits (2025) ~$2,829/month; QIT optional.
Asset Limits $2,000 (individual), $3,000 (couple).
WA

Broader than COPES; serves ~20,000; self-directed option.

Benefits
Personal care (4-6 hours/day) Respite (~240 hours/year) Assistive devices Training Transportation

Older Americans Act (OAA) Services

Washington OAA Services

Age 60+
General WA resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
WA

13 AAAs; includes Meals on Wheels; rural focus.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Washington Medicare Savings Program

Age 65+ or disabled
General WA resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
WA

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

Washington VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General WA resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
WA

High veteran use; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Senior Citizens Property Tax Exemption

Washington Senior Property Tax Exemption

Age 61+ or disabled retiree
General WA resident, homeowner, income-based.
Income Limits (2025) ~$45,000-$70,000/year varies by county, e.g., King: $70,000
Asset Limits Not assessed; home value cap varies ~$250,000-$400,000
WA

Saves ~$500-$1,500/year; offered statewide.

Benefits
Tax exemption (~$500-$1,500/year depending on county)

Senior Farmers’ Market Nutrition Program (SFMNP)

Washington SFMNP

Age 60+
General WA resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
WA

Vouchers (~$80/season); serves ~20,000 via AAAs.

Benefits
Vouchers (~$80/season) for produce at farmers’ markets

Frequently Asked Questions about Keystone

Is Keystone in a walkable area?

Keystone has a walk score of 95. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.

What is the license number of Keystone?

According to WA state health department records, Keystone's license number is 2599.

When does Keystone's license expire?

According to WA state health department records, Keystone's license expires on December 31, 2025.

What is the occupancy rate at Keystone?

Keystone's occupancy is 100%.

Does Keystone have different floorplan options?

Yes — see the floorplan options available at Keystone on this page.

How many beds does Keystone have?

Keystone has 64 beds.

Are there photos of Keystone?

Yes — there are 4 photos of Keystone in the photo gallery on this page.

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