Nursing Homes in Washington: Ratings, Inspections and Fines

Washington against the national average

Measure	Washington	United States
Average overall stars	3.3	3.0
Health deficiencies at the last standard inspection	15.8	9.2
Nursing staff hours per resident per day	4.36	3.86
Registered nurse hours per resident per day	0.94	0.69
Weekend nursing staff hours per resident per day	3.80	3.42
Nursing staff turnover (%)	45.1	45.8
Fines per home (last 3 years)	1.2	0.9

153 of Washington's 193 homes are for profit, and 140 belong to a group CMS tracks as a chain. 16 carry the CMS abuse icon.

Nurse staffing in Washington, quarter by quarter

Hours worked by nurses and nurse aides per resident per day, from the daily payroll records every Washington home sends CMS, added up across the state. In January to March 2026, weekend staffing ran 18% below weekdays (nationally 15%), and contract or agency staff worked 3.7% of nursing hours (nationally 5.3%).

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract share	US, all staff
Jan to Mar 2026	4.21	0.90	4.44	3.66	3.7%	3.75
Oct to Dec 2025	4.21	0.87	4.42	3.67	3.8%	3.76
Jul to Sep 2025	4.25	0.85	4.48	3.67	4.2%	3.77
Apr to Jun 2025	4.31	0.86	4.55	3.73	4.6%	3.78

These are hours across all of the state's residents, so they differ a little from the averages of homes CMS publishes in the table above. Source: CMS Payroll Based Journal Daily Nurse Staffing. Every state compared: the weekend staffing gap.

Official Washington contacts and records

State survey agency: Washington DSHS Aging and Long-Term Support Administration, Residential Care Services. It inspects nursing homes for CMS (the inspections on this site are its findings) and takes complaints about care.
Long-term care ombudsman: Washington State Long-Term Care Ombudsman Program, 1-800-562-6028. A free, confidential advocate for residents and their families, required in every state by the federal Older Americans Act.

Links taken from each office's own site and checked on October 8, 2026.

Special Focus Facilities in Washington

CMS puts a small number of homes with a long record of serious problems on its Special Focus Facility list for closer inspection. Candidates are homes that qualify but have not been chosen.

Crystal Cove Post Acute
Lacey · On the list · not rated
Auburn Post Acute
Auburn · Candidate · 1 of 5 stars
Bremerton Trails Post Acute
Bremerton · Candidate · 1 of 5 stars
Colville Health and Rehabilitation of Cascadia
Colville · Candidate · 1 of 5 stars
Spokane Health & Rehabilitation
Spokane · Candidate · 1 of 5 stars
Woodard Creek Health & Rehabilitation
Olympia · Candidate · 1 of 5 stars

Largest owner groups in Washington

Group	Homes in Washington	Homes nationally	Average stars
The Ensign Group	17	344	3.2
Regency Pacific Management	16	27	3.9
Life Care Centers of America	15	194	3.4
PACS Group	11	275	2.9
Evergreen Healthcare Group	11	43	2.4
Avamere	11	27	3
Cascadia Healthcare	10	47	3.1
Hill Valley Healthcare	8	43	1.7
Kalesta Healthcare Group	8	19	2.4
Avalon Health Care	8	16	3.4
Genesis Healthcare	7	184	2.3
Caldera Care	6	6	3
Vertical Health Services	3	15	1.9
Humangood	2	17	4.5
Life Care Services	1	43	4

Every nursing home in Washington, by county

Adams County (1)

Home	City	Overall	Citations	Fines
Othello Post Acute	Othello	3	34	$19,182

Asotin County (1)

Home	City	Overall	Citations	Fines
Clarkston Health and Rehab of Cascadia	Clarkston	3	53	$32,711

Benton County (4)

Home	City	Overall	Citations	Fines
Life Care Center of Kennewick	Kennewick	3	48	$60,246
Regency Canyon Lakes Rehab and Nursing Center	Kennewick	5	10	$18,220
Life Care Center of Richland	Richland	2	75	$58,126
Richland Post Acute	Richland	5	38	$59,762

Chelan County (3)

Home	City	Overall	Citations	Fines
Cashmere Post Acute	Cashmere	3	49	$15,340
Colonial Vista Post-Acute & Rehab Center	Wenatchee	4	25
Regency Wenatchee Rehabiliation & Nursing Center	Wenatchee	5	33	$10,358

Clallam County (3)

Home	City	Overall	Citations	Fines
Olympic View Post Acute	Port Angeles	1	105	$144,479
Avamere Olympic Rehabilitation of Sequim	Sequim	2	62	$48,828
Sequim Bay Post Acute	Sequim	4	49	$9,870

Clark County (8)

Home	City	Overall	Citations	Fines
Brookfield Health and Rehab of Cascadia	Battle Ground	3	40	$10,358
Lacamas Creek Post Acute	Camas	5	36
Avamere Rehabilitation of Cascade Park	Vancouver	5	32
Bridge Crest Post Acute	Vancouver	2	58	$212,847
Hudson Bay Health and Rehabilitation	Vancouver	5	17
Salmon Creek Post Acute & Rehabilitation	Vancouver	3	48
The Oaks at Timberline	Vancouver	5	14
Vancouver Specialty and Rehab Care	Vancouver	4	25	$19,841

Cowlitz County (4)

Home	City	Overall	Citations	Fines
Americana Health and Rehabilitation	Longview	4	20
Beacon Hill Rehabilitation	Longview	5	9	$25,350
Frontier Rehabilitation and Extended Care	Longview	4	23
Woodland Convalescent Center	Woodland	2	22	$26,888

Franklin County (1)

Home	City	Overall	Citations	Fines
Avalon Health & Rehabilitation Center - Pasco	Pasco	2	86

Grant County (4)

Home	City	Overall	Citations	Fines
Columbia Basin Hospital	Ephrata	3	31
Columbia Crest Center	Moses Lake	2	74	$163,278
Lake Ridge Center	Moses Lake	2	38	$87,201
McKay Healthcare & Rehab Ctr	Soap Lake	4	38	$113,505

Grays Harbor County (3)

Home	City	Overall	Citations
Grays Harbor Health & Rehabilitation Center	Aberdeen	4	24
Pacific Care and Rehabilitation	Hoquiam	5	8
Montesano Health-Rehab Center	Montesano	5	16

Island County (1)

Home	City	Overall	Citations	Fines
Regency Coupeville Rehab and Nursing Center	Coupeville	2	72	$131,131

Jefferson County (1)

Home	City	Overall	Citations	Fines
Life Care Center of Port Townsend	Port Townsend	5	22	$34,808

King County (47)

Home	City	Overall	Citations	Fines
Auburn Post Acute	Auburn	1	108	$353,307
Canterbury House	Auburn	2	57	$68,159
Lea Hill Rehabilitation and Care Center	Auburn	4	40
North Auburn Care	Auburn	2	106	$12,035
Bellevue Post Acute	Bellevue	3	74
Avamere Rehabilitation of Burien	Burien	2	54	$59,485
Judson Park Health Center	Des Moines	5	57
Puget Sound Transitional Care	Des Moines	2	64
Wesley Homes Des Moines Health Center	Des Moines	5	52
Enumclaw Health and Rehabilitation	Enumclaw	2	67	$17,888
Avalon Care Center Federal Way, L.L.C.	Federal Way	4	48
Garden Terrace Healthcare Center of Federal Way	Federal Way	5	46
Hallmark Manor	Federal Way	2	60	$46,555
Life Care Center of Federal Way	Federal Way	3	85	$98,970
Avamere Rehabilitation of Issaquah	Issaquah	2	56	$48,663
Briarwood at Timber Ridge	Issaquah	5	19
Marianwood Health and Rehabilitation	Issaquah	3	50	$64,574
Benson Heights Rehabilitation Center	Kent	3	46	$38,422
Life Care Center of Kirkland	Kirkland	2	62	$53,560
Covenant Shores Health Center	Mercer Island	5	35
North Bend Post Acute	North Bend	1	87	$206,072
Corwin Center at Emerald Heights	Redmond	4	45	$39,468
Redmond Care and Rehabilitation Center	Redmond	5	26
Cedar River Healthcare Center	Renton	3	31	$74,815
Renton Health & Rehabilitation	Renton	2	65	$77,066
Valley View Skilled Nursing and Rehabilitation	Renton	3	59
Avamere Rehabilitation at Park West	Seattle	2	55	$29,820
Avamere Rehabilitation of Shoreline	Seattle	2	94
Bailey-Boushay House	Seattle	3	48
Ballard Center	Seattle	1	77
Caroline Kline Galland Home	Seattle	3	35
Cascades of St. Anne	Seattle	2	57
Columbia Lutheran Home	Seattle	4	46
Fircrest Nursing Facility	Seattle	5	36
Kin on Health Care Center	Seattle	3	53	$19,468
Mirabella	Seattle	5	48	$18,148
Park Shore	Seattle	4	50
Providence Mount St. Vincent	Seattle	3	65	$129,568
Queen Anne Healthcare	Seattle	5	30
Seattle Medical Post Acute Care	Seattle	2	83	$66,173
Shoreline Health and Rehabilitation	Seattle	5	38
The Broadview Center	Seattle	2	87	$17,252
The Terraces at Skyline	Seattle	2	55
Transitional Care of Seattle	Seattle	4	42
Washington Care Center	Seattle	3	59	$52,007
Bridges to Home	Shoreline	2	15	$8,278
Richmond Beach Rehab	Shoreline	4	26

Kitsap County (9)

Home	City	Overall	Citations	Fines
Bainbridge Island Health & Rehab Center	Bainbridge Island	5	20
Belmont Terrace	Bremerton	3	77
Bremerton Trails Post Acute	Bremerton	1	108	$218,778
Port Washington Post Acute	Bremerton	1	117	$124,427
Avamere Rehabilitation at Ridgemont	Port Orchard	4	33
Life Care Center of Port Orchard	Port Orchard	5	35
Martha and Mary Health Service	Poulsbo	4	46
Washington Veteran Home-Retsil	Pt Orchard	3	60	$23,920
Northwoods Lodge	Silverdale	5	36	$51,942

Kittitas County (1)

Home	City	Overall	Citations	Fines
Mountain View Post Acute	Ellensburg	2	72	$241,528

Lewis County (3)

Home	City	Overall	Citations	Fines
Sharon Care Center	Centralia	3	36
South Creek Post Acute	Centralia	4	42	$8,278
Three Rivers Care	Centralia	5	9

Mason County (2)

Home	City	Overall	Citations	Fines
Fir Lane Care	Shelton	2	72	$121,488
Shelton Health and Rehabilitation	Shelton	2	63	$65,213

Okanogan County (4)

Home	City	Overall	Citations	Fines
Regency Harmony House Rehab & Nursing	Brewster	5	15
Colville Tribal Convalescent C	Nespelem	3	18	$8,173
Regency Omak	Omak	5	19
North Valley Hospital	Tonasket	5	20

Pacific County (1)

Home	City	Overall	Citations	Fines
Willapa Harbor Care	Raymond	4	30

Pierce County (21)

Home	City	Overall	Citations	Fines
Cottesmore of Life Care	Gig Harbor	5	36	$29,595
Gig Harbor Health and Rehabilitation	Gig Harbor	2	117	$144,131
Heron's Key	Gig Harbor	5	18
Washington Soldiers Home	Orting	3	31	$10,358
Life Care Center of Puyallup	Puyallup	2	38	$17,155
Life Care Center of South Hill	Puyallup	5	29	$17,388
Linden Grove Health Care Center	Puyallup	1	102	$180,646
Puyallup Post Acute	Puyallup	1	54
Rainier Rehabilitation	Puyallup	5	5
Alaska Gardens Health and Rehabilitation	Tacoma	1	63	$170,372
Avalon Healthcare - Tacoma	Tacoma	2	83	$24,814
Avamere at Pacific Ridge	Tacoma	2	69	$68,411
Avamere Transitional Care of Puget Sound	Tacoma	4	45	$23,319
Birch Creek Post Acute & Rehabilitation	Tacoma	1	78	$19,656
Eliseo	Tacoma	3	53
Heartwood Extended Healthcare	Tacoma	1	85	$351,357
Orchard Park Health Care & Rehab Center	Tacoma	1	125	$301,370
Park Rose Care Center	Tacoma	2	74	$241,815
Tacoma Nursing and Rehabilitation Center	Tacoma	5	19	$36,446
The Oaks at Lakewood	Tacoma	5	28
Agility Health and Rehabilitation	University Place	3	39	$16,350

Skagit County (4)

Home	City	Overall	Citations	Fines
Soundview Rehabilitation and Health Care Inc	Anacortes	2	75
Life Care Center of Mount Vernon	Mount Vernon	1	91	$206,734
Mira Vista Care Center	Mount Vernon	4	37
Life Care Center of Skagit Valley	Sedro Woolley	3	52	$32,646

Snohomish County (17)

Home	City	Overall	Citations	Fines
Arlington Health and Rehabilitation	Arlington	4	36	$173,496
Bothell Health Care	Bothell	2	49	$59,114
Edmonds Post Acute	Edmonds	1	95
Pine Ridge Post Acute	Edmonds	4	45	$16,445
Bethany at Pacific	Everett	4	57	$42,477
Bethany at Silver Lake	Everett	5	35	$121,447
Everett Center	Everett	3	34	$378,252
Everett Transitional Care Services	Everett	4	18	$9,347
Madison Post Acute	Everett	2	45	$71,318
View Ridge Care Center	Everett	3	30
Alderwood Post Acute & Rehabilitation	Lynnwood	2	128	$190,519
Lynnwood Post Acute Rehabilitation Center	Lynnwood	4	50
Marysville Care Center	Marysville	4	44	$12,425
Mountain View Rehabilitation and Care Center	Marysville	4	36
Regency Care Center at Monroe	Monroe	4	33
Snohomish Health and Rehabilitation of Cascadia	Snohomish	2	59	$188,426
Josephine Caring Community	Stanwood	5	31

Spokane County (16)

Home	City	Overall	Citations	Fines
Cheney Care Center	Cheney	3	50	$13,065
Lakeland Village Nursing Facility	Medical Lake	3	26
Alderwood Manor	Spokane	3	61
Aurora Valley Care	Spokane	2	102	$93,457
Avalon Care Center at Northpointe	Spokane	2	75	$84,614
Emerson Health & Rehabilitation	Spokane	4	39
Regency at Northpointe	Spokane	5	15	$8,278
Rockwood South Hill	Spokane	2	46
Royal Park Health and Rehabilitation	Spokane	3	56	$111,830
South Hill Rehabilitation and Care Center	Spokane	5	30
Spokane Falls Care	Spokane	1	102	$125,736
Spokane Health & Rehabilitation	Spokane	1	97	$137,457
Spokane Veterans Home	Spokane	5	46
Sullivan Park Care Center	Spokane	2	83	$126,188
Sunshine Health & Rehab	Spokane	4	32
Spokane Valley Health and Rehabilitation of Cascad	Spokane Valley	2	52	$21,762

Stevens County (2)

Home	City	Overall	Citations	Fines
Buena Vista Healthcare	Colville	5	24	$13,104
Colville Health and Rehabilitation of Cascadia	Colville	1	55	$68,351

Thurston County (7)

Home	City	Overall	Citations	Fines
Crystal Cove Post Acute (Special Focus Facility)	Lacey	n/a	138	$235,475
Lacey Post Acute & Rehabilitation	Lacey	4	44
Panorama City Conv & Rehab Ctr	Lacey	5	25	$42,904
Olympia Transitional Care and Rehabilitation	Olympia	3	43
Puget Sound Care	Olympia	4	21	$8,018
Regency Olympia Rehabilitation and Nursing Center	Olympia	5	28	$8,278
Woodard Creek Health & Rehabilitation	Olympia	1	98	$189,638

Walla Walla County (4)

Home	City	Overall	Citations	Fines
Regency at the Park	College Place	5	35	$148,838
Park Manor Rehabilitation Ctr	Walla Walla	5	7	$28,106
Washington Odd Fellows Home	Walla Walla	4	54	$67,616
Washington State Walla Walla Veterans Home	Walla Walla	4	27	$10,358

Whatcom County (8)

Home	City	Overall	Citations	Fines
Alderwood Park Health and Rehab of Cascadia	Bellingham	5	40
Avalon Healthcare Bellingham	Bellingham	5	29	$32,298
Highland Health and Rehabilitation of Cascadia	Bellingham	3	37	$63,884
Mt Baker Care Center	Bellingham	5	20
North Cascades Health and Rehabilitation	Bellingham	2	97	$295,969
Rock Hill Health & Rehabilitation	Bellingham	2	72	$74,794
Stafholt Health and Rehabilitation of Cascadia	Blaine	4	41	$47,182
Christian Health Care Center	Lynden	5	12	$22,081

Whitman County (2)

Home	City	Overall	Citations	Fines
Colfax Health and Rehabilitation of Cascadia	Colfax	1	64	$76,831
Three Creeks Post Acute	Pullman	1	41	$50,850

Yakima County (11)

Home	City	Overall	Citations	Fines
Yakima Valley School	Selah	3	34
Sunnyside Healthcare Center	Sunnyside	3	37	$85,384
Linden Post Acute	Toppenish	4	31
Parkside Care	Union Gap	1	64	$177,715
Emerald Care	Wapato	4	23	$8,278
Crescent Health Care	Yakima	2	47	$239,137
Garden Village	Yakima	2	64	$52,507
Good Samaritan Health Care Ctr	Yakima	5	30
Landmark Care and Rehabilitation	Yakima	1	65	$277,867
Summitview Rehab and Health Center	Yakima	5	30	$188,689
Willow Springs Care and Rehabilitation	Yakima	4	38

Nursing homes in Washington