3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Mission Healthcare at Bellevue, a 69-bed skilled nursing facility operated by the nonprofit MHO, LLC, is located at 2424 156th Avenue NE in Bellevue’s Northeast neighborhood, King County. The community accepts Medicare (60% of new admissions, 26-day average stay) and private-pay residents (40%, approximately 1-month average stay); Medicaid is not accepted.
The current census stands at 51 residents with occupancy at 67.4%, below the Washington state average of 72.5%.
As part of the Careage Community network, Mission Healthcare describes its clinical focus on short-term post-acute rehabilitation, including cardiac rehabilitation, fall prevention, and neurological recovery. Therapy services encompass speech, occupational, and physical therapy.
Nursing care averages 4 hours 33 minutes per resident per day, ranking 17th among 89 Washington facilities and exceeding the state average by 8%. The facility maintains a staff-to-resident ratio of 3.12:1, above the state average, though this metric reflects current below-average occupancy. Contractors comprise 21.6% of total staffing hours.
Despite high absolute nursing hours, the facility’s CMS staffing rating is 1-star, placing it 70.8% below the state average. The overall CMS rating is 2-star (38% below state average), with health inspection rated 2-star (29% below state average) and quality measures rated 3-star (27% above state average).
Zero percent of long-stay residents experience major falls with injury and zero percent develop urinary tract infections. Pressure ulcers affect 1.9% of high-risk residents, substantially better than the state average. Conversely, 16.7% of long-stay residents experience excessive weight loss; 187% worse than the state average. Short-stay influenza vaccination reaches 67.8%, 17% below the state average.
The facility has not faced federal penalties in three years. However, financial performance deteriorated significantly. The facility reported a $2.9 million operating deficit against $10.2 million in revenue, yielding a -28.3% profit margin.
Payroll comprises 62.5% of revenue; a top-tier investment ranking 10th of 93 state facilities.
The facility operated at cumulative losses since 2015, with bed capacity reduced from 129 to 69 beds in 2019. Financial data through 2023 shows persistent operating deficits despite payroll prioritization.
Mission Healthcare is situated in a very walkable location (walk score 83) in suburban Bellevue, 4.3 miles from the city center and 2.72 miles from Kaiser Permanente Bellevue Medical Center.
The facility is structured for Medicare and private-pay short-term post-acute rehabilitation in a specialized care environment, though financial constraints and occupancy challenges suggest operational strain.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 17th out of 90 homes in Washington for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 56m per day | ■ Avg State avg: 54m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 34m per day | ▼ 29% State avg: 48m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 18m per day | ▼ 14% State avg: 2h 41m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 29m per day | ▼ 12% State avg: 3h 57m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▲ 14% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 44m per day | ▲ 13% State avg: 39m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
68% more staff per resident than Washington average
0% compared with Washington average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
19 total: 10 full-time employees and 9 contractors.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursAssists with medical care and medications.
6 total: 5 full-time employees and 1 contractor.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursHelps with daily care and mobility.
78 total: 47 full-time employees and 31 contractors.
78
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6,408 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 47 | 31 | 78 | 14,399 | 92 | 100% | 8.3 |
| Registered Nurse | 10 | 9 | 19 | 3,880 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 5 | 1 | 6 | 2,583 | 91 | 99% | 8.4 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,411 | 83 | 90% | 8.1 |
| RN Director of Nursing | 2 | 0 | 2 | 955 | 71 | 77% | 8.8 |
| Speech Language Pathologist | 0 | 10 | 10 | 829 | 74 | 80% | 6.1 |
| Physical Therapy Assistant | 0 | 7 | 7 | 828 | 77 | 84% | 6.5 |
| Respiratory Therapy Technician | 0 | 11 | 11 | 663 | 71 | 77% | 4.9 |
| Physical Therapy Aide | 0 | 6 | 6 | 618 | 67 | 73% | 7.6 |
| Qualified Activities Professional | 2 | 0 | 2 | 541 | 50 | 54% | 9.7 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 424 | 53 | 58% | 8 |
| Dietitian | 1 | 0 | 1 | 397 | 36 | 39% | 11 |
| Dental Services Staff | 2 | 0 | 2 | 347 | 56 | 61% | 6.2 |
| Other Dietary Services Staff | 1 | 0 | 1 | 339 | 45 | 49% | 7.5 |
| Occupational Therapy Aide | 0 | 2 | 2 | 253 | 47 | 51% | 5.4 |
| Qualified Social Worker | 0 | 4 | 4 | 78 | 21 | 23% | 3.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 59 | 8 | 9% | 7.4 |
| Medical Director | 0 | 1 | 1 | 52 | 13 | 14% | 4 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.2
18% better than Washington averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.9
14% better than Washington averageWashington average: 20.9
Percent of long-stay residents whose need for help with daily activities has increased
14.3%
13% better than Washington averageWashington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
8.1%
63% better than Washington averageWashington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.4%
29% worse than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
1.9%
61% better than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
16.7%
187% worse than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
15.4%
5% better than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
7.1%
51% better than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.2%
In line with Washington averageWashington average: 96.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
7% better than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
67.8%
17% worse than Washington averageWashington average: 82.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
60% of new residents, usually for short-term rehab.
40% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
51Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Mission Healthcare at Bellevue from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #55 / 94Payroll — State benchmarkedThis home is ranked 55th out of 94 homes in Washington. Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #10 / 94Payroll % — State benchmarkedThis home is ranked 10th out of 94 homes in Washington. Shows payroll as a percentage of revenue versus the Washington average. Well-run Washington facilities typically land around 52–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (60% of admissions), and a typical Medicare stay runs around 26 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.3 miles from city center
Estimated distance in miles from Bellevue's city center to Mission Healthcare at Bellevue's address, calculated via Google Maps.
— 2.72 miles to nearest hospital (Kaiser Permanente Bellevue Medical Center)
Add your location
Mission Healthcare at Bellevue is located in Bellevue, Washington.
Here are the financial assistance programs available to residents in Washington.
Mission Healthcare at Bellevue is in the Northeast Bellevue neighborhood of Bellevue.
Mission Healthcare at Bellevue has a walk score of 83. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Mission Healthcare at Bellevue's occupancy is 67.4%.
Mission Healthcare at Bellevue is registered as a for-profit in WA.
Yes — there are 10 photos of Mission Healthcare at Bellevue in the photo gallery on this page.
Mission Healthcare at Bellevue is located at 2424 156Th Ave Ne, Bellevue, WA 98007.
(425) 242-5671 will put you in contact with the team at Mission Healthcare at Bellevue.
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