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Home / Nursing Homes / Washington

Best Nursing Homes in Washington, Graded A–F

All 191 graded Medicare-certified nursing homes in Washington, scored from CMS Care Compare — nurse staffing, health inspections, quality measures and penalties — against Washington peers of the same size. Grades are computed, never edited, and every input is shown on the facility page.

CMS data as of Aug 2026 · graded Sep 11, 2026
Grade distribution — Washington
A28
B42
C59
D33
F29
Highest graded
ARainier RehabilitationA
Puyallup · Staffing 5.3 nurse hours per resident-da...See grade
191 facilitiesgraded in Washington · 28 earned an A
All Washington Seattle (19)Spokane (13)Tacoma (11)Bellingham (6)Everett (6)Vancouver (6)Yakima (6)Puyallup (5)Auburn (4)
Highest in Washington 1

Rainier Rehabilitation - Puyallup, WA · 117 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 5.3 nurse hours per resident-day — top 10% in Washington
  • 5 health deficiencies at the last standard survey (CMS severity score 16) — top 10%
  • No fines or payment denials in 3 years
AScore 89 · ExcellentSee Full Grade
2538413422 Puyallup, Pierce County Medicaid
2

Christian Health Care Center - Lynden, WA · 122 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.8 nurse hours per resident-day — top quarter in Washington
  • 2 health deficiencies at the last standard survey (CMS severity score 8) — top 10%
  • $22,081 in fines in 3 years
AScore 86 · ExcellentSee Full Grade
3603544434 Lynden, Whatcom County Medicaid
3

Heron's Key - Gig Harbor, WA · 30 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 5.7 nurse hours per resident-day — top 10% in Washington
  • 3 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
  • $15,015 in fines in 3 years
AScore 85 · ExcellentSee Full Grade
2533130800 Gig Harbor, Pierce County
4

Mt Baker Care Center - Bellingham, WA · 70 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 5.0 nurse hours per resident-day — top quarter in Washington
  • 7 health deficiencies at the last standard survey (CMS severity score 28) — top quarter
  • No fines or payment denials in 3 years
AScore 85 · ExcellentSee Full Grade
3607344181 Bellingham, Whatcom County Medicaid
5

Wesley Homes Des Moines Health Center - Des Moines, WA · 148 beds · non profit - church related CMS Care Compare · data as of Aug 2026

  • Staffing 4.8 nurse hours per resident-day — top quarter in Washington
  • 10 health deficiencies at the last standard survey (CMS severity score 56) — top quarter
  • No fines or payment denials in 3 years
AScore 83 · ExcellentSee Full Grade
2068243663 Des Moines, King County Medicaid
6

Martha And Mary Health Service - Poulsbo, WA · 135 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.8 nurse hours per resident-day — top quarter in Washington
  • 11 health deficiencies at the last standard survey (CMS severity score 56) — top quarter
  • No fines or payment denials in 3 years
AScore 82 · ExcellentSee Full Grade
3607797500 Poulsbo, Kitsap County Medicaid
7

Tacoma Nursing And Rehabilitation Center - Tacoma, WA · 150 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 4.9 nurse hours per resident-day — top 10% in Washington
  • 6 health deficiencies at the last standard survey (CMS severity score 48) — top quarter
  • $36,446 in fines in 3 years
AScore 82 · ExcellentSee Full Grade
2535812514 Tacoma, Pierce County Medicaid
8

Fircrest Nursing Facility - Seattle, WA · 110 beds · government - state CMS Care Compare · data as of Aug 2026

  • Staffing 9.3 nurse hours per resident-day — top 10% in Washington
  • 9 health deficiencies at the last standard survey (CMS severity score 52) — above median
  • No fines or payment denials in 3 years
AScore 82 · ExcellentSee Full Grade
2063613511 Seattle, King County Medicaid
9

Panorama City Conv & Rehab Ctr - Lacey, WA · 155 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 5.1 nurse hours per resident-day — top 10% in Washington
  • 5 health deficiencies at the last standard survey (CMS severity score 52) — top quarter
  • $42,904 in fines in 3 years
AScore 82 · ExcellentSee Full Grade
3604560111 Lacey, Thurston County Medicaid
10

Lakeland Village Nursing Facility - Medical Lake, WA · 93 beds · government - state CMS Care Compare · data as of Aug 2026

  • Staffing 11.1 nurse hours per resident-day — top 10% in Washington
  • 6 health deficiencies at the last standard survey (CMS severity score 24) — top 10%
  • No fines or payment denials in 3 years
AScore 80 · ExcellentSee Full Grade
5092991800 Medical Lake, Spokane County Medicaid
11

Josephine Caring Community - Stanwood, WA · 160 beds · non profit - church related CMS Care Compare · data as of Aug 2026

  • Staffing 4.7 nurse hours per resident-day — top quarter in Washington
  • 12 health deficiencies at the last standard survey (CMS severity score 60) — top quarter
  • No fines or payment denials in 3 years
AScore 80 · ExcellentSee Full Grade
3606292126 Stanwood, Snohomish County Medicaid
12

Life Care Center Of South Hill - Puyallup, WA · 100 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.8 nurse hours per resident-day — top quarter in Washington
  • 7 health deficiencies at the last standard survey (CMS severity score 28) — top quarter
  • $17,388 in fines in 3 years
AScore 79 · ExcellentSee Full Grade
2536615948 Puyallup, Pierce County
13

Park Manor Rehabilitation Ctr - Walla Walla, WA · 99 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.3 nurse hours per resident-day — above median in Washington
  • 2 health deficiencies at the last standard survey (CMS severity score 16) — top 10%
  • $28,106 in fines in 3 years
AScore 76 · ExcellentSee Full Grade
5095294218 Walla Walla, Walla Walla County Medicaid
14

The Oaks At Lakewood - Tacoma, WA · 80 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 4.1 nurse hours per resident-day — below median in Washington
  • 3 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
  • No fines or payment denials in 3 years
AScore 76 · ExcellentSee Full Grade
2535819002 Tacoma, Pierce County Medicaid
15

Bethany At Silver Lake - Everett, WA · 151 beds · non profit - church related CMS Care Compare · data as of Aug 2026

  • Staffing 4.5 nurse hours per resident-day — top quarter in Washington
  • 7 health deficiencies at the last standard survey (CMS severity score 32) — top 10%
  • $121,447 in fines in 3 years
AScore 76 · ExcellentSee Full Grade
4253383000 Everett, Snohomish County Medicaid
16

The Oaks At Timberline - Vancouver, WA · 85 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.1 nurse hours per resident-day — below median in Washington
  • 3 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
  • No fines or payment denials in 3 years
AScore 76 · ExcellentSee Full Grade
3606962561 Vancouver, Clark County Medicaid
17

Sunshine Health & Rehab - Spokane, WA · 37 beds · for profit - individual CMS Care Compare · data as of Aug 2026

  • Staffing 5.0 nurse hours per resident-day — top quarter in Washington
  • 9 health deficiencies at the last standard survey (CMS severity score 52) — above median
  • No fines or payment denials in 3 years
AScore 76 · ExcellentSee Full Grade
5099263547 Spokane, Spokane County Medicaid
18

Garden Terrace Healthcare Center Of Federal Way - Federal Way, WA · 70 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 5.4 nurse hours per resident-day — top 10% in Washington
  • 16 health deficiencies at the last standard survey (CMS severity score 76) — above median
  • No fines or payment denials in 3 years
AScore 75 · ExcellentSee Full Grade
2536612226 Federal Way, King County
19

Queen Anne Healthcare - Seattle, WA · 120 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 4.8 nurse hours per resident-day — top quarter in Washington
  • 8 health deficiencies at the last standard survey (CMS severity score 32) — top quarter
  • No fines or payment denials in 3 years
AScore 74 · ExcellentSee Full Grade
2062847012 Seattle, King County Medicaid
20

Caroline Kline Galland Home - Seattle, WA · 205 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 6.2 nurse hours per resident-day — top 10% in Washington
  • 19 health deficiencies at the last standard survey (CMS severity score 120) — below median
  • No fines or payment denials in 3 years
AScore 74 · ExcellentSee Full Grade
2067258800 Seattle, King County Medicaid
21

Columbia Lutheran Home - Seattle, WA · 116 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 5.3 nurse hours per resident-day — top 10% in Washington
  • 14 health deficiencies at the last standard survey (CMS severity score 80) — below median
  • No fines or payment denials in 3 years
AScore 74 · ExcellentSee Full Grade
2066327400 Seattle, King County Medicaid
22

South Creek Post Acute - Centralia, WA · 128 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 4.2 nurse hours per resident-day — above median in Washington
  • 14 health deficiencies at the last standard survey (CMS severity score 76) — above median
  • $8,278 in fines in 3 years
AScore 74 · ExcellentSee Full Grade
3607369384 Centralia, Lewis County Medicaid
23

Lacamas Creek Post Acute - Camas, WA · 83 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 4.6 nurse hours per resident-day — top quarter in Washington
  • 7 health deficiencies at the last standard survey (CMS severity score 28) — top quarter
  • No fines or payment denials in 3 years
AScore 73 · ExcellentSee Full Grade
3608345055 Camas, Clark County Medicaid
24

Pacific Care And Rehabilitation - Hoquiam, WA · 72 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.0 nurse hours per resident-day — below median in Washington
  • 4 health deficiencies at the last standard survey (CMS severity score 16) — top 10%
  • No fines or payment denials in 3 years
AScore 73 · ExcellentSee Full Grade
3605327882 Hoquiam, Grays Harbor County Medicaid
25

South Hill Rehabilitation And Care Center - Spokane, WA · 113 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 4.6 nurse hours per resident-day — top quarter in Washington
  • 12 health deficiencies at the last standard survey (CMS severity score 64) — above median
  • No fines or payment denials in 3 years
AScore 73 · ExcellentSee Full Grade
5094745678 Spokane, Spokane County Medicaid
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Washington nursing homes by city

How we grade nursing homes

What data goes into a grade?
CMS Care Compare: Nurse staffing (30), Health inspections (30), Quality measures (25), Penalties (15). Each metric is percentile-ranked against Washington facilities in the same size band; A ≥ 72, B ≥ 58, C ≥ 42, D ≥ 28, F below. Facilities with under 60% of data are shown as "Not graded".
Can a facility pay to improve its grade?
No. Grades are computed from public data and have no editable field. Nothing on this page is sponsored.
Is a grade a substitute for visiting?
No. Use it to shortlist, then visit, ask for the latest inspection report, and talk to residents' families.