Smaller home · May offer a more intimate, personalized care environment.
Panorama City
Panorama City offers nursing home, assisted living, independent living, and skilled nursing care in Lacey, WA. Independent living provides private living with community services and no daily care, while assisted living adds help with daily tasks. Nursing home and skilled nursing provide licensed nursing care on site around the clock, and the range of care levels may suit a resident whose needs grow over time.
Panorama City has 50 beds, making it a smaller community where staff and residents can get to know one another. One-bedroom and two-bedroom units are available, with a two-bedroom option that can suit a couple moving together or someone who wants a companion. Respite care offers a short stay for a family whose usual caregiver needs to travel or recover.
The starting price is $1,450, giving families an initial figure for budgeting, although the facts do not connect it to a particular care level. Payment options include Medicare, Medicaid, and private pay; Medicare can apply to short-term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay means paying directly.
Residents can use the on-site pool, Pea Patch, and Courtyard outdoor spaces. Rehabilitation services provide therapy at the community without arranging outside transportation, while transportation to medical appointments is available. Pets are allowed, so a resident can continue living with a pet.
Staffing
Nursing care per resident per day and state rankings: CMS Provider Information.
Standout metric: LPN / LVN is +27% above Washington average
4 of 6 metrics below Washington average
Daily care time per resident, by role
US average: 42m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 42m
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
US average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
US average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Community insights.
Based on 42 residents and 50 beds. Source: state inspection report (Dec 2022)
About This Community
Pricing & Financial Information
The below pricing was updated on
- Auditorium events (concerts, theatrical performances, guest speakers)
- Game rooms with billiard tables, ping pong, and shuffleboard
- Private dining room for family events.
- Bistro / café on site.
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.
Includes all inspection records for this property, which could include management/ownership changes. 1 deficiency 3 inspections
ALM Inspection Grade
14 points above the Washington average for state-licensed facilities (83/100)
Category breakdown
Deficiencies
Strong
0.33 deficiencies per inspection (1 in 3 inspections) · 8× fewer than the typical state-licensed WA facility (median: 2.7)
0.02 deficiencies per resident bed (1 across 50 beds) · 93% fewer than the typical state-licensed WA facility (median: 0.29)
Inspection Scorecard
This scorecard compares key inspection, deficiency, 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• Total deficiencies (96% below)
• Deficiencies per inspection (90% below)
Deficiencies
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
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Total deficiencies
| 1 | 28.0 | This facility has 96% fewer total deficiencies than a typical Washington nursing home (1 vs. WA avg 28).↓ 96% better |
|
Deficiencies per inspection
| 0.3 | 3.1 | This facility has 90% fewer deficiencies per inspection than a typical Washington nursing home (0.3 vs. WA avg 3.1).↓ 90% better |
Inspections
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total inspections
| 3 | 9.0 | This facility has had 67% fewer total inspections than the Washington average (3 vs. WA avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↓ 67% fewer |
Penalties and fines
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 · Data as of Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 07/2025.
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Places of interest near Panorama City
1.7 miles from city center
Estimated distance in miles from Lacey's city center to Panorama City's address, calculated via Google Maps.
Calculate Travel Distance to Panorama City
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Compare Nursing Homes around the area
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.
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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.
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Care Types in This Table
AL (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.
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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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: 64.4% 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Timber Ridge | NH AL IL MC SNF | Issaquah (Talus) | 71
Facility
71
WA AVG
103
Rank
#54 / 69 | A | - | - | 5.93
Facility
5.93
WA AVG
4.41
Rank
#4 / 59 | -6% | +34% | $0
Facility
$0
WA AVG
$82.6k
Rank
#1 / 61 | 19
Facility
19
WA AVG
49.9
Rank
#3 / 61 | 6.3
Facility
6.3
WA AVG
6.2
Rank
#37 / 61 | - | 43 | A+ |
19
Facility
19
WA AVG
51
Rank
#70 / 80 | Lcs Timber Ridge LLC | $33.6MFiscal year ending 12/2024
Facility
$33.6MFiscal year ending 12/2024
WA AVG
$16.6M
Rank
#5 / 60 | $16.1MFiscal year ending 12/2024
Facility
$16.1MFiscal year ending 12/2024
WA AVG
$10.1M
Rank
#8 / 60 | 47.9%Fiscal year ending 12/2024
Facility
47.9%Fiscal year ending 12/2024
WA AVG
64.4%
Rank
#57 / 60 | 505518 | ||||
| Emerald Heights | NH AL IL MC SNF | Ne Redmond | 135
Facility
135
WA AVG
103
Rank
#12 / 69 | A |
67.6%
Facility
67.6%
WA AVG
77.5%
Rank
#44 / 56 | -13% | 5.28
Facility
5.28
WA AVG
4.41
Rank
#6 / 59 | +22% | +20% | $39.5k
Facility
$39.5k
WA AVG
$82.6k
Rank
#39 / 61 | 44
Facility
44
WA AVG
49.9
Rank
#25 / 61 | 6.3
Facility
6.3
WA AVG
6.2
Rank
#37 / 61 | 2 | 50 | - |
83
Facility
83
WA AVG
51
Rank
#8 / 80 | Craig Comfort | $43.3MFiscal year ending 12/2024
Facility
$43.3MFiscal year ending 12/2024
WA AVG
$16.6M
Rank
#3 / 60 | $14.8MFiscal year ending 12/2024
Facility
$14.8MFiscal year ending 12/2024
WA AVG
$10.1M
Rank
#12 / 60 | 34.2%Fiscal year ending 12/2024
Facility
34.2%Fiscal year ending 12/2024
WA AVG
64.4%
Rank
#60 / 60 | 505478 | ||||
| Washington Odd Fellows Home | NH AL SNF | Walla Walla | 124
Facility
124
WA AVG
103
Rank
#19 / 69 | B |
71.8%
Facility
71.8%
WA AVG
77.5%
Rank
#36 / 56 | -7% | 4.01
Facility
4.01
WA AVG
4.41
Rank
#40 / 59 | -14% | -9% | $67.6k
Facility
$67.6k
WA AVG
$82.6k
Rank
#47 / 61 | 54
Facility
54
WA AVG
49.9
Rank
#36 / 61 | 6.8
Facility
6.8
WA AVG
6.2
Rank
#41 / 61 | 3 | 51 | - |
67
Facility
67
WA AVG
51
Rank
#21 / 80 | Washington Odd Fellows Home | $12.5MFiscal year ending 12/2024
Facility
$12.5MFiscal year ending 12/2024
WA AVG
$16.6M
Rank
#37 / 60 | $7.3MFiscal year ending 12/2024
Facility
$7.3MFiscal year ending 12/2024
WA AVG
$10.1M
Rank
#40 / 60 | 58.1%Fiscal year ending 12/2024
Facility
58.1%Fiscal year ending 12/2024
WA AVG
64.4%
Rank
#33 / 60 | 505421 | ||||
| Woodland Assisted Living | NH AL HOS IL PC RC SNF | Woodland | 94
Facility
94
WA AVG
103
Rank
#45 / 69 | B | - | - | 3.49
Facility
3.49
WA AVG
4.41
Rank
#53 / 59 | -40% | -21% | $26.9k
Facility
$26.9k
WA AVG
$82.6k
Rank
#37 / 61 | 33
Facility
33
WA AVG
49.9
Rank
#17 / 61 | 4.7
Facility
4.7
WA AVG
6.2
Rank
#22 / 61 | 2 | 40 | A+ |
62
Facility
62
WA AVG
51
Rank
#26 / 80 | Caroline Settlemier | $6.9MFiscal year ending 12/2024
Facility
$6.9MFiscal year ending 12/2024
WA AVG
$16.6M
Rank
#53 / 60 | $4.8MFiscal year ending 12/2024
Facility
$4.8MFiscal year ending 12/2024
WA AVG
$10.1M
Rank
#52 / 60 | 69.4%Fiscal year ending 12/2024
Facility
69.4%Fiscal year ending 12/2024
WA AVG
64.4%
Rank
#10 / 60 | 505232 |
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 4 on this page. See how we rank facilities
Programs that may help with care and living costs in Washington State
Panorama City is in SE Lacey, Washington State. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
VA Aid and Attendance (A&A) and Housebound Benefits
Washington VA Aid and Attendance/Housebound
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- Countable income must be below the applicable Maximum Annual Pension Rate (MAPR); the rate depends on dependents and benefit category; Qualifying unreimbursed medical expenses may reduce countable income.
- Asset limit
- VA pension net-worth limit is $163,699 from December 1 2025 through November 30 2026; net worth includes countable assets and annual income under VA rules.
Eligibility
- General
- Additional pension benefits for qualifying Veterans or survivors who satisfy VA pension eligibility and the medical requirements for Aid and Attendance or Housebound status; being an older veteran or spouse alone does not qualify.
- WA specifics
- This is a federal VA benefit rather than a state-specific grant; Aid and Attendance and Housebound benefits cannot be received together.
What it provides
- Increased monthly VA pension based on the applicable MAPR less countable income.
WA Cares Fund
Washington WA Cares Fund
Eligibility
- General
- Washington residents age 18 or older who have earned WA Cares benefits through qualifying contributions and need help with at least three daily activities for at least 90 days as determined by the program.
- WA specifics
- Statewide benefits began July 1 2026. Full benefits can be earned after three qualifying years within the preceding six years or ten qualifying years; workers born before 1968 may qualify for partial benefits. A qualifying year requires at least 500 covered work hours. Services must come from registered WA Cares providers.
What it provides
- Approved beneficiaries may use earned benefits for in-home care or eligible facility care.
- Covered supports may include home modifications and adaptive equipment or paying a qualifying family caregiver.
- The full lifetime benefit is up to $36,500 in 2026 and partial benefits depend on qualifying years.
Medicaid Personal Care (MPC)
Washington Medicaid Personal Care (MPC)
Eligibility
- General
- Washington residents eligible for noninstitutional categorically needy Apple Health or its alternative benefit plan who meet the MPC functional assessment and do not require an institutional level of care.
- WA specifics
- MPC differs from Community First Choice and COPES. Personal care can be authorized at home or in eligible adult family homes and assisted living facilities contracted for adult residential care. Financial eligibility follows the qualifying Apple Health coverage category.
What it provides
- Authorized personal-care help with daily activities.
- Assessment-based nursing support may also be available when not already provided through another resource.
Community Options Program Entry System (COPES)
WA Medicaid COPES
- Income limit
- COPES financial eligibility is program-specific.
Eligibility
- General
- COPES is a Washington Medicaid home/community long-term-care program requiring qualifying functional needs and financial eligibility.
- WA specifics
- DSHS long-term-care manual includes current COPES guidance; assessment and authorized service plan govern individual services.
What it provides
- Authorized home/community long-term services and supports.
Washington Family Caregiver Support Program
WA NFCSP
Eligibility
- General
- Washington supports unpaid family caregivers of adults; program-specific assessment and local eligibility determine services.
- WA specifics
- Local family caregiver support programs provide assessment and resources.
What it provides
- Caregiver information training counseling and respite may be available based on assessment and local funding.
Community First Choice (CFC)
Washington Community First Choice
- Income limit
- Medicaid financial eligibility depends on the applicant coverage group.
Eligibility
- General
- Community First Choice is a Medicaid state-plan home/community service option for eligible people with qualifying functional needs; it is not restricted to age 65 or older.
- WA specifics
- CFC is a state-plan option rather than the COPES waiver; assessment and person-centered service planning apply.
What it provides
- Approved personal assistance and related community supports based on assessment.
Older Americans Act (OAA) Services
Washington OAA Services
- Who it is for
- Adults 60+ looking for meals, in-home help or other local aging services
- Income limit
- OAA nutrition services have no income means test; priority is directed to people with greatest economic or social need.
- Asset limit
- OAA nutrition eligibility is not asset-tested.
Eligibility
- General
- Older Americans Act supportive and nutrition services generally serve adults age 60 or older; individual services can have additional criteria and specified exceptions.
- WA specifics
- Services are subject to local availability and funding; the OAA does not guarantee an individual entitlement.
What it provides
- Locally available nutrition and supportive services may include meals and in-home assistance.
Medicare Savings Program (MSP)
Washington Medicare Savings Program
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
- Income limit
- QMB countable income at or below 110% FPL; SLMB over 110% through 120%; QI-1 over 120% through 138%; Household and income-counting methods can change the determination.
- Asset limit
- Washington Medicare Savings Programs do not require a resource test.
Eligibility
- General
- Meet Washington general eligibility plus Medicare Part A entitlement or qualifying SSA Low-Income Subsidy enrollment under current state rule.
- WA specifics
- QDWI has separate under-65 employment disability and income rules; QI-1 is subject to federal funding and cannot be combined with Medicaid.
What it provides
- QMB pays Medicare premiums and applicable cost sharing; SLMB and QI-1 pay Part B premiums; QDWI pays Part A premiums.
Low-Income Home Energy Assistance Program (LIHEAP)
Washington LIHEAP
- Who it is for
- Income-eligible households responsible for home heating or energy costs
- Income limit
- Depends on household size under current state guidelines.
Eligibility
- General
- Washington household meeting LIHEAP net-income and other eligibility criteria; local providers determine eligibility.
- WA specifics
- Assistance depends on income household size home heating costs and local funding; eligible repair and replacement supports can be available.
What it provides
- Eligible home-energy costs and certain unsafe heating or cooling system repair/replacement.
Senior Citizens Property Tax Exemption
Washington Senior Property Tax Exemption
- Income limit
- Combined disposable-income threshold depends on county and tax year.
Eligibility
- General
- Eligible Washington homeowners age 61 or older or meeting qualifying disability/veteran criteria; ownership principal-residence and income rules apply.
- WA specifics
- Apply through county assessor using the applicable tax-year county thresholds; Exemption and tax-deferral programs have distinct rules.
What it provides
- Qualifying reduction of property tax based on county income tier and exempt levies.




