Total staff
107
Employees
39
Contractors
68
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Skyline
Nursing Home, Independent Living, Assisted Living & Memory Care · Seattle, WA
CMS overall rating
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.
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.
Skyline
Nursing Home, Independent Living, Assisted Living & Memory Care · Seattle, WA
CMS overall rating
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.
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.
Skyline accepts Medicare and private pay.
Overview of Skyline
Downtown Seattle’s Skyline operates as a Life Care continuum community at 725 9th Avenue, 0.4 miles from the city center, offering nursing home, independent living, assisted living, and memory care under Presbyterian Retirement Communities Northwest (nonprofit).
The facility emphasizes resort-style amenities: 360-degree Skyline and Puget Sound views, gourmet dining, fitness center, saline lap pool, holistic wellness programs, and activities spanning intellectual pursuits to wine tastings. Average length of stay is 42 days; occupancy 79.3% (above Washington average of 72.5%). Walk Score 98 (Walker’s Paradise; ranked 7 of 628 statewide).
Skyline employs 107 staff (39 employees, 68 contractors, Q3 2025). Total nursing care: 5h 15m per resident daily (24% above Washington average; ranked 6 of 89 SNFs). Weekend nursing: 5h 1m per resident daily (31% above state average). Staff-to-resident ratio: 4.12:1 (121% better than Washington average 1.86:1). Registered Nurses: 18; Licensed Practical Nurses: 17; Certified Nursing Assistants: 44; supplemented by physical therapy, occupational therapy, respiratory therapy, speech pathology, and physician support.
Overall CMS rating: 3 stars (7% below Washington average). Health Inspection: 3 stars (29% below state average). Staffing: 4 stars (16.8% above state average). Quality Measures: 4 stars (27.2% above state average). No penalties in 3 years.
Long-stay resident successes: Falls with major injury 1.5% (42% better than state average); urinary tract infections 0.0% (100% better); depressive symptoms 2.0% (88% better); pneumococcal vaccination 100%.
Critical concerns: High-risk residents with pressure ulcers 16.6% versus 4.9% state average (237% worse). Weight loss 23.0% versus 5.8% state average (295% worse). High-risk clinical events score 14.7 versus 10.0 state average (47% worse).
Accepts medicare and private pay. No Medicaid.
No penalties or fines past 3 years.
Skyline serves Medicare and private-pay patients in a staffing-rich urban life care setting with strong nursing ratios and administrative compliance but concerning pressure ulcer and weight loss outcomes despite high staffing levels.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 6th out of 89 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.
This home is ranked 6th out of 89 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.
5h 15m per day
Rank #6 / 89Nurse hours — State benchmarkedThis home is ranked 6th out of 89 homes in Washington for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Washington average, with a ranking across 89 Washington SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Washington avg
+24%
Standout metric
Weekend Total Nursing is +31% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 5h 1m per day | ▲ 31% State avg: 3h 50m per day · National avg: 3h 25m per day |
Capacity and availability
This home usually has availability
Occupancy rate
79.3%
Rank #123 / 310Occupancy rate — State benchmarkedThis home is ranked 123rd out of 310 homes in Washington for occupancy rate. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
42 days
Walk Score: 98 / 100 Rank #7 / 628Walk Score — State benchmarkedThis home is ranked 7th out of 628 homes in Washington for walk score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Washington SNFs. Higher scores benefit residents, families, and staff.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.
Staffing Data
Reporting period: July 1 – September 30, 2025 (Q3 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
4.12 : 1
121% more staff per resident than Washington average
Avg staff/day
26
Average shift
7.6 hours
6% worse than Washington average
Total staff hours (quarter)
18,274
Nursing staff breakdown
Q3 2025 · Jul 1 – Sep 30
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
18 total: 6 full-time employees and 12 contractors.
18
18 total: 6 full-time employees and 12 contractors.
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
17 total: 5 full-time employees and 12 contractors.
17
17 total: 5 full-time employees and 12 contractors.
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
44 total: 21 full-time employees and 23 contractors.
44
44 total: 21 full-time employees and 23 contractors.
44
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursContractor staffing
Q3 2025 · Jul 1 – Sep 30
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
Total hours from contractors
19.1%
3,484 contractor hours this quarter
Certified Nursing Assistant: 23
Licensed Practical Nurse: 12
Registered Nurse: 12
Respiratory Therapy Technician: 7
Physical Therapy Assistant: 4
Physical Therapy Aide: 2
Qualified Social Worker: 2
Physician Assistant: 2
Occupational Therapy Aide: 1
Other Physician: 1
Speech Language Pathologist: 1
Feeding Assistant: 1
Staff by category
Q3 2025 · Jul 1 – Sep 30
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
| Certified Nursing Assistant | 21 | 23 | 44 | 8,246 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 5 | 12 | 17 | 2,954 | 92 | 100% | 8.4 |
| Registered Nurse | 6 | 12 | 18 | 1,966 | 92 | 100% | 8.1 |
| Nurse Aide in Training | 1 | 0 | 1 | 809 | 88 | 96% | 9.2 |
| Administrator | 3 | 0 | 3 | 576 | 62 | 67% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 548 | 68 | 74% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 431 | 61 | 66% | 6.9 |
| Physical Therapy Aide | 0 | 2 | 2 | 413 | 55 | 60% | 7.4 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 367 | 62 | 67% | 4.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 363 | 64 | 70% | 5.7 |
| Other Physician | 0 | 1 | 1 | 295 | 28 | 30% | 10.5 |
| Physician Assistant | 0 | 2 | 2 | 167 | 24 | 26% | 6.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 93 | 21 | 23% | 4.4 |
| Qualified Social Worker | 0 | 2 | 2 | 40 | 24 | 26% | 1.7 |
| Feeding Assistant | 0 | 1 | 1 | 6 | 1 | 1% | 6 |
44 Certified Nursing Assistant
% of Days
100%
17 Licensed Practical Nurse
% of Days
100%
18 Registered Nurse
% of Days
100%
1 Nurse Aide in Training
% of Days
96%
3 Administrator
% of Days
67%
1 Mental Health Service Worker
% of Days
74%
1 Nurse Practitioner
% of Days
68%
1 Dietitian
% of Days
67%
4 Physical Therapy Assistant
% of Days
66%
2 Physical Therapy Aide
% of Days
60%
7 Respiratory Therapy Technician
% of Days
67%
1 Speech Language Pathologist
% of Days
70%
1 Other Physician
% of Days
30%
2 Physician Assistant
% of Days
26%
1 Occupational Therapy Aide
% of Days
23%
2 Qualified Social Worker
% of Days
26%
1 Feeding Assistant
% of Days
1%
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.7
47% worse than Washington averageWashington average: 10.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.3
In line with Washington averageWashington average: 20.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.8%
Percent of long-stay residents whose need for help with daily activities has increased
17.8%
8% worse than Washington averageWashington average: 16.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.8%
In line with Washington averageWashington average: 24.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
42% better than Washington averageWashington average: 2.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
16.6%
Percent of long-stay high risk residents with pressure ulcers
16.6%
237% worse than Washington averageWashington average: 4.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Washington averageWashington average: 1.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
23.0%
Percent of long-stay residents who lose too much weight
23.0%
295% worse than Washington averageWashington average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.0%
Percent of long-stay residents who have depressive symptoms
2.0%
88% better than Washington averageWashington average: 16.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.6%
Percent of long-stay residents who received an antipsychotic medication
10.6%
27% better than Washington averageWashington average: 14.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Washington averageWashington average: 96.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
In line with Washington averageWashington average: 93.8%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
13% better than Washington averageWashington average: 88.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
89% worse than Washington averageWashington average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
20% better 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.
Breakdown by payment type
Medicare
54% of new residents, usually for short-term rehab.
Typical stay
25 days
Private pay
46% of new residents, often for short stays.
Typical stay
2 - 3 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
26
Medicare
15
57.7% of residents
Private pay or other
11
42.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Skyline based on CMS SNF Cost Reports.
Occupancy Rate
79.3%
↑ 4.4pp vs 2022
Net Income
-$2.4M
↑ ~$33.2M vs 2022
Total Payroll
$15.5M
↑ ~$222.6K vs 2022
Profit Margin
-33.0%
↑ 481.8pp vs 2022
Finances and operations
Privately-owned community
Home revenue
$53.9M
Operating loss
-$2.4M
Privately-owned community
Home revenue
$53.9M Rank #2 / 93Revenue — State benchmarkedThis home is ranked 2nd out of 93 homes in Washington for revenue. Shows this facility's annual revenue compared to the Washington SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$2.4M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #7 / 93Payroll — State benchmarkedThis home is ranked 7th out of 93 homes in Washington for payroll. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$15.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #7 / 93Payroll — State benchmarkedThis home is ranked 7th out of 93 homes in Washington for payroll. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$40.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$56.2M
What does this home offer?
Room Sizes: 785 - 1415 / 1100 - 1505 sq. ft.
Housing Options: 1 Bed / 2 Bed
Building Type: High-rise
Fitness and Recreation
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Living Spaces & Floor Plans for Skyline
Skyline P1
Skyline P2
Skyline P3
Places of interest near Skyline
0.4 miles from city center
Estimated distance in miles from Seattle's city center to Skyline's address, calculated via Google Maps.
— 0.2 miles to nearest hospital (Swedish Colon & Rectal Clinic - First Hill)
Calculate Travel Distance to Skyline
Add your location
Financial Assistance for
Nursing Home in Washington
Skyline is located in Seattle, Washington.
Here are the financial assistance programs available to residents in Washington.
Compare Nursing Home around Seattle
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
Filter by care type
| Mirabella Seattle |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Seattle (South Lake Union) | 63
Facility
63
WA AVG
81
Rank
#237 / 366 | 46.0% | -37% | 4.68 | +2% | +11% | $0 | 41 | 10.3 | - | 35 | A+ |
99
Facility
99
WA AVG
51
Rank
#1 / 628 | Lee Burnside | $34.2M | $14.7M | 43% | 505520 | ||||
| Skyline |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Seattle (Downtown Seattle) | 34
Facility
34
WA AVG
81
Rank
#343 / 366 | 79.3% | +9% | 5.24 | +17% | +24% | $0 | 52 | 17.3 | - | 29 | - |
98
Facility
98
WA AVG
51
Rank
#7 / 628 | Presbyterian Retirement Communities Northwest | $53.9M | $15.5M | 28.8% | 505469 |
Frequently Asked Questions about Skyline
What neighborhood is Skyline in?
Skyline is in the Downtown Seattle neighborhood.
Is Skyline in a walkable area?
Skyline has a walk score of 98. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
What is the occupancy rate at Skyline?
Skyline's occupancy is 79.3%.
Are there photos of Skyline?
Yes — there are 4 photos of Skyline in the photo gallery on this page.
What is the phone number of Skyline?
(206) 405-4100 will put you in contact with the team at Skyline.
Is Skyline Medicare or Medicaid certified?
Yes — Skyline is a CMS-certified provider of Medicare and Medicaid.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Contact Us
Published on
Updated on
Feedback
Write a review for Skyline
Rate your overall experience with this community
Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Need Help?
Let us help you or a loved one find the perfect senior home.
