All 19 Medicare-certified nursing homes in Seattle,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Transitional Care Of Seattle runs 165 certified beds under for-profit LLC ownership, and its nurse staffing sits at 7.83 hours per resident day, roughly double the national average of 3.86. That's the number driving its staffing score, though weekends dip about 17% below weekday levels, so coverage isn't evenly spread across the week. Staff turnover lands at 37.5%, better than the 45.8% national figure, which matters for continuity of care. The tradeoff shows up in its inspection record: 42 deficiencies, including one at harm or jeopardy level and one abuse-related, with a health inspection rating of 3 out of 5. The most recent inspection was September 23, 2025. Strong staffing and quality scores, but the deficiency history is worth asking about directly.
Fircrest is state-owned and sits at 110 beds in Seattle, and the staffing number is the part that stands out: 9.32 nurse hours per resident day, roughly two and a half times the national average. Weekend coverage slips about 5% below weekday levels, which is mild compared to most homes. Turnover runs 50.5%, a bit above the 45.8% national figure, so you'll want to ask how they hold onto direct-care staff. The inspection record shows 36 deficiencies, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. State surveyors were last in on November 7, 2025, so the record is recent.
Queen Anne Healthcare runs on 4.84 nurse hours per resident day, about 25 percent more staffing than the national average, and its turnover sits at 38.2 percent against a national 45.8 percent, both point to a home that keeps people and has enough of them. The trade-off is consistency on weekends, when hours dip roughly 12 percent below the weekday level. A five-star inspection rating with zero deficiencies at the harm or jeopardy level and none tied to abuse, on a record of 30 total, is a clean if not spotless paper trail. The current inspection is recent, dated May 2026, so what you're seeing is close to present-tense.
The Terraces At Skyline runs 4.60 nurse hours per resident day, roughly 19 percent above the national average, and weekends dip only about 5 percent below its own weekday staffing, a modest gap by industry standards. What holds it back is the inspection record: 55 deficiencies, five of them abuse-related, though none rose to harm or jeopardy level. The last survey was recent, in August 2025, and the two-out-of-five inspection rating reflects those findings rather than any immediate danger. Quality measures and staffing both score four out of five. Nonprofit ownership at 34 beds suggests a small, closely run home; ask specifically about the abuse-related citations and what changed afterward.
Columbia Lutheran Home runs 5.33 nurse hours per resident day, roughly a third more staffing than the national average, and its staff turnover of 41% sits a bit below the national figure. The trade-off shows up in the inspection record: 46 deficiencies on file, including four tied to abuse, though none at the harm or jeopardy level. A March 2025 inspection means the picture is current. Weekend staffing drops about 11% from weekday levels, and while quality measures score well, the inspection history is what keeps this from being a stronger pick. Worth a visit, with questions ready about that abuse category.
Caroline Kline Galland Home runs on unusually heavy nurse staffing, 6.21 hours per resident day, roughly 61% above the national average, with weekends dipping about 12% below its own weekday pace. That kind of coverage usually shows up in the quality numbers, and it does here: the quality measure rating sits at the top. The tradeoff is on the inspection side, where 35 deficiencies are on record, including one abuse-related finding and none flagged at the harm or jeopardy level. The last survey was in March 2026. This is a nonprofit home in Seattle with strong day-to-day care numbers and a survey history worth asking about directly.
Avamere Rehabilitation of Shoreline runs 4.47 nurse hours per resident day, roughly 16% above the national average, so staffing is the strongest part of the picture here. Weekend coverage, though, drops about 18% below its own weekday level, and turnover sits at 42.6%, slightly better than the 45.8% national figure. What pulls the record down is the inspection side: a 1-out-of-5 health inspection rating and 92 deficiencies on the current record, 14 of them abuse-related, with the most recent inspection in May 2025. None were cited at the harm or jeopardy level. The 5-of-5 quality measure rating contrasts sharply with that inspection history.
Mirabella runs 4.38 nurse hours per resident day, roughly 13% above the national average, and weekend coverage only dips about 12% below its weekday level, a smaller drop than many homes show. Staff turnover sits at 36.6%, well under the 45.8% national figure, which matters for residents who need consistent faces. The tradeoff shows up in its inspection history: 48 deficiencies on record, including two at the harm level and five tied to abuse, with $23,463 in fines across two events. The most recent inspection was June 27, 2025. Strong staffing and a nonprofit owner don't erase that record; they just mean care is likely well-covered day to day even as the compliance side carries real problems.
Kin On Health Care Center runs a nonprofit home with 100 certified beds in Seattle, and its staffing is the strongest part of the story: 4.56 nurse hours per resident day, roughly 18% above the national average. Weekend coverage dips about 12% below its own weekday level, but annual turnover sits at 35.3%, noticeably better than the 45.8% national figure.
Then there's the inspection record, which is where things get harder to square. Fifty deficiencies on the current record, two of them at the harm or jeopardy level and five abuse-related, with two fines totaling $19,468. The last inspection was February 2025. Strong staffing and a recent, difficult survey can coexist at the same address.
Park Shore runs a non-profit shop with 28 beds in Seattle, and the staffing numbers look solid on paper, 4.26 nurse hours per resident day, about 10% above the national average, with weekends holding steady rather than dropping off. What undercuts that picture is a 96.2% annual turnover rate, more than double the national figure, which means the people delivering those hours are largely new and constantly changing. The inspection record shows 50 deficiencies, including one at the harm level and three tied to abuse. Quality measures score well; the staffing and inspection side tells a different story.
Washington Care Center runs 165 beds under for-profit LLC ownership in Seattle, and its inspection record is the part that stands out: 59 deficiencies on file, three of them serious enough to reach harm or jeopardy level, plus one abuse-related finding. Three CMS fines totaling $58,704 back that up. Staffing sits at 3.67 nurse hours per resident day, roughly 5% under the national average, and weekends drop about 12% below the home's own weekday coverage. Turnover is 41.1%, which is actually better than the 45.8% national figure. The most recent inspection was December 16, 2025, so the record is current. Quality and staffing measures score well; the inspection history is where the concerns concentrate.
Shoreline Health And Rehabilitation runs 114 beds in Seattle under corporate ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 3.96 hours per resident day, a hair above the national average, though weekends drop about 16% below the home's own weekday levels, worth asking about if your family visits on Saturdays and Sundays. Staff turnover is 35.1%, noticeably better than the 45.8% national figure, which suggests people stick around. The home carries 38 deficiencies on its current record, but none at the harm level and none abuse-related, and its last inspection was recent, in March 2026.
Ballard Center runs 142 beds under for-profit LLC ownership, and its staffing numbers sit below what you'd want to see: 3.44 nurse hours per resident day against a national average of 3.86, with weekends dipping about 8% below its own weekday coverage. That gap matters because weekend shifts are when problems tend to surface. Annual turnover of 53.4% tops the national rate, so the people providing care are cycling through faster than average. The current inspection record shows 63 deficiencies, six of them abuse-related, though none rose to the harm or jeopardy level. Inspectors last visited in January 2025, and the health inspection rating came back at 2 out of 5, worth weighing carefully against the 4-star staffing score.
The Broadview Center runs 211 certified beds in Seattle under for-profit LLC ownership, and its inspection record is the part that would give me pause. Eighty-four deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse, with a single CMS fine of $17,252. A health inspection rating of 1 out of 5 backs that up, and the most recent inspection was in June 2025, so this isn't stale history. Staffing sits at 3.83 hours per resident day, just under the national average, and weekend coverage dips about 11% below its own weekday numbers. Turnover at 41.2% is actually better than the 45.8% national figure, and the quality measure rating is strong, but neither offsets that inspection pattern.
Avamere Rehabilitation at Park West runs 137 beds as a for-profit limited liability company, and its staffing numbers look decent on paper, 4.07 nurse hours per resident day, a bit above the national average. But look closer and the picture shifts: weekends run roughly 9% thinner than weekdays, and annual turnover hits 53.5% against a national 45.8%, meaning the people caring for residents keep changing.
The inspection record is where the real concern sits. CMS gives the health inspection side 2 out of 5 stars, with 58 deficiencies on file, including two at the harm level and two tied to abuse. A $29,820 fine and a July 2025 inspection round out the record. Quality and staffing stars read well, but those don't offset what surveyors actually found.
Providence Mount St Vincent runs a genuine staffing advantage, 4.29 nurse hours per resident day against a national average of 3.86, and CMS reflects that with a top staffing rating. But 51.5% annual turnover means the people delivering those hours keep changing, and weekend coverage thins by roughly 11% from weekday levels. The inspection record is where the trouble sits: 64 deficiencies, four serious enough to involve harm or jeopardy, nine tied to abuse, and three fines totaling $129,568, with the most recent inspection in January 2025. Quality measures land mid-range, and a nonprofit owner doesn't offset that pattern. Strong daily coverage, unstable workforce, and a long history of cited problems are all true here at once.
Bailey-Boushay House is a 35-bed nonprofit in Seattle, and its inspection record shows 48 deficiencies with none rising to actual harm or jeopardy, but four abuse-related citations stand out, and that combination tells you the problems found were serious enough to document without crossing into immediate-danger territory. The last inspection was in May 2025, so the picture is current. With health inspection and quality measure ratings both at 3 out of 5, this home sits squarely in the middle of the federal pack rather than above it. For a small nonprofit with only 35 beds, 48 deficiencies is a lot of paperwork to accumulate. Ask to see the plan of correction for those four abuse citations specifically.
Cascades Of St Anne runs 47 beds in Seattle under corporate ownership, and the staffing picture is mixed. Total nurse hours come in at 4.20 per resident day, roughly 9% above the national average, but weekends drop about 12% below what the home staffs on weekdays. Annual turnover sits at 66.7%, well above the 45.8% national figure, so the people providing that care are cycling through quickly. The inspection record is the bigger concern: 57 deficiencies, including 2 at the harm level and 4 tied to abuse, against a 2/5 inspection rating. The last survey was January 21, 2026, so the record is current. Good quality measure scores don't offset that history.
Seattle Medical Post Acute Care runs a for-profit operation with 103 beds, and the staffing numbers are genuinely strong on paper, 5.71 nurse hours per resident day, roughly 48% above the national average, with turnover at 43.4% that's slightly better than the typical home. The problem is what inspections keep finding. Eighty-two deficiencies sit on the current record, nine of them serious enough to endanger residents and eight tied to abuse. Six fines totaling $73,318 have piled up, and the most recent inspection was just September 2025, so this isn't a stale record. Quality measures score well and staffing looks adequate, but those inspection findings at the harm level tell a different story about what daily life there can actually be like.