1/5
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.
1/5
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.
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.
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 6th 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 |
|---|---|---|
|
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 | ▲ 27% State avg: 3h 57m per day · National avg: 3h 27m per day |
Reporting period: July 1 – September 30, 2025 (Q3 2025). Source: CMS Payroll-Based Journal report.
121% more staff per resident than Washington average
6% worse than Washington average
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
Manages medical care and health needs.
18 total: 6 full-time employees and 12 contractors.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursAssists with medical care and medications.
17 total: 5 full-time employees and 12 contractors.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursHelps with daily care and mobility.
44 total: 21 full-time employees and 23 contractors.
44
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
Total hours from contractors
3,484 contractor hours this quarter
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 |
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.
14.7
47% worse than Washington averageWashington average: 10.0
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
Percent of long-stay residents whose need for help with daily activities has increased
17.8%
8% worse than Washington averageWashington average: 16.4%
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%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
42% better than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
16.6%
237% worse 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
23.0%
295% worse than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
2.0%
88% better than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
10.6%
27% better than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
In line with Washington averageWashington average: 93.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
13% better than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
89% worse than Washington averageWashington average: 1.4%
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.
54% of new residents, usually for short-term rehab.
46% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
26Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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.
Historical financial and operational data for Skyline from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 09/2023.
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 #8 / 94Payroll — State benchmarkedThis home is ranked 8th 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 #91 / 94Payroll % — State benchmarkedThis home is ranked 91st out of 94 homes in Washington. Shows payroll as a percentage of revenue versus the Washington average. Well-run Washington facilities typically land around 53–61% — 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).
Room Sizes: 785 - 1415 / 1100 - 1505 sq. ft.
Housing Options: 1 Bed / 2 Bed
Building Type: High-rise
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (54% of admissions), and a typical Medicare stay runs around 25 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.4 miles from city center
Estimated distance in miles from Seattle's city center to Skyline's address, calculated via Google Maps.
Add your location
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
| 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 | - | 36 | A+ |
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 | ||||
| Washington Care Center | NH MC NC RC | Seattle (Rainier Valley) | 165
Facility
165
WA AVG
82
Rank
#9 / 366 |
27.9%
Facility
27.9%
WA AVG
72.5%
Rank
#304 / 310 | -62% | 4.21
Facility
4.21
WA AVG
4.22
Rank
#38 / 90 | +30% | 0% | $58.7k
Facility
$58.7k
WA AVG
$87.7k
Rank
#59 / 92 | 68
Facility
68
WA AVG
48.9
Rank
#69 / 92 | 7.6
Facility
7.6
WA AVG
6.9
Rank
#61 / 92 | 5 | 46 | A+ |
77
Facility
77
WA AVG
51
Rank
#97 / 628 | Rayona Deanes | $20.2M
Facility
$20.2M
WA AVG
$13.2M
Rank
#24 / 94 | $13.0M
Facility
$13.0M
WA AVG
$5.7M
Rank
#10 / 94 | 64.1%
Facility
64.1%
WA AVG
45.5%
Rank
#6 / 94 | 505017 | ||||
| Avamere Rehabilitation at Park West | NH RC | Seattle (North Admiral) | 137
Facility
137
WA AVG
82
Rank
#28 / 366 |
62.1%
Facility
62.1%
WA AVG
72.5%
Rank
#241 / 310 | -14% | 4.30
Facility
4.30
WA AVG
4.22
Rank
#28 / 90 | -31% | +2% | $29.8k
Facility
$29.8k
WA AVG
$87.7k
Rank
#49 / 92 | 60
Facility
60
WA AVG
48.9
Rank
#59 / 92 | 7.5
Facility
7.5
WA AVG
6.9
Rank
#58 / 92 | 4 | 93 | - |
71
Facility
71
WA AVG
51
Rank
#140 / 628 | - | $10.4M
Facility
$10.4M
WA AVG
$13.2M
Rank
#61 / 94 | $6.8M
Facility
$6.8M
WA AVG
$5.7M
Rank
#49 / 94 | 65.2%
Facility
65.2%
WA AVG
45.5%
Rank
#31 / 94 | 505270 | ||||
| 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 | 1 | 93 | - |
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 |
Skyline is located in Seattle, Washington.
Here are the financial assistance programs available to residents in Washington.
Skyline is in the Downtown Seattle neighborhood.
Skyline has a walk score of 98. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
Skyline's occupancy is 79.3%.
Skyline is registered as a non-profit.
Yes — there are 4 photos of Skyline in the photo gallery on this page.
Skyline is located at 725 9Th Ave, Seattle, WA 98104.
(206) 405-4100 will put you in contact with the team at Skyline.
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