53 Independent Nursing Homes in Washington

Nurse hours

5.75 /day

Staff turnover

30%

Serious cites

0

Heron's Key sits in Gig Harbor with just 30 certified beds, and the staffing numbers are the first thing worth noting: 5.75 nurse hours per resident day, roughly half again the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, which is common but still worth asking about. Annual turnover of 29.6% runs well under the 45.8% national figure, so the people caring for residents tend to stay. Inspections tell a mixed story, 19 deficiencies on record, one serious enough to involve harm or jeopardy, and a single $15,015 fine. The last inspection was February 2026, so the picture is current.

Nurse hours

6.41 /day

Staff turnover

23%

Serious cites

0

The state-run veterans home in Walla Walla staffs at 6.41 nurse hours per resident day, about two-thirds more than the national average, and its workforce is unusually stable for this industry, 22.8% turnover against a national rate near 46%. Weekend coverage dips roughly 10% below weekday levels, so ask how that plays out on a Sunday. The tradeoff shows up in its record: 26 deficiencies, including one at the harm level and three tied to abuse, plus a $15,935 fine. Inspectors were last in on February 27, 2026. Strong staffing and recent, decent inspections, but read the abuse-related findings yourself before deciding.

Nurse hours

5.22 /day

Staff turnover

31%

Serious cites

0

Columbia Basin Hospital is a small county-run home in Ephrata, just 12 beds, and the nurse staffing number is genuinely high: 5.22 hours per resident day, roughly a third more than the national average. Turnover sits at 31.3%, well under the 45.8% national figure, and weekend coverage barely dips from weekday levels. The complication is its record. Thirty-one deficiencies are on file, including six tied to abuse, though none reached the harm or jeopardy level, and the last inspection was recent. CMS also rates its staffing at just 1 out of 5 stars, which sits oddly beside the hours reported. If you're considering it, ask directly about those six abuse-related findings and how the staffing star got so low when the hours look strong.

Nurse hours

4.02 /day

Staff turnover

35%

Serious cites

0

Spokane Veterans Home runs on state money and 100 certified beds, and the numbers put it in decent shape. Nurse staffing sits at 4.02 hours per resident day, about 4% above the national average, though weekends run roughly 10% thinner than weekdays, worth asking about if your family visits then. Staff turnover is 34.8%, well under the national 45.8%, which matters because consistent caregivers notice changes sooner. The inspection record is where it gets more mixed: 48 deficiencies on file, including one at harm or jeopardy level and four tied to abuse, with the last inspection in March 2025. High star ratings across inspections and quality measures don't erase those specifics.

Nurse hours

9.32 /day

Staff turnover

51%

Serious cites

0

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.

Nurse hours

4.83 /day

Staff turnover

33%

Serious cites

0

Nurse staffing at Christian Health Care Center runs about 4.83 hours per resident per day, roughly 25% above the national average, and weekend coverage dips only about 15% below its own weekday level, which is modest compared to many homes. Annual turnover sits at 33.3%, well under the national 45.8%. The tradeoff is in the inspection record: 11 deficiencies, including one at the harm level and two tied to abuse, plus a single $22,081 fine. The most recent inspection was May 27, 2025, so the picture is current. This is a nonprofit corporation with 122 certified beds in Lynden, and the staffing and quality scores are what carry the grade.

Nurse hours

4.99 /day

Staff turnover

n/a

Serious cites

0

Sunshine Health & Rehab runs on a small 37-bed footprint in Spokane, and the nurse staffing here sits well above what most homes provide, nearly 5 hours per resident day against a national average closer to 3.9. Weekends do thin out by about 19% compared to weekdays, so ask how coverage looks on a Saturday. The inspection record carries 32 deficiencies, one tied to abuse, though none reached the harm or jeopardy level, and the most recent survey was in January 2026, so the picture is current. Quality measures score at the top of CMS's scale, which is notable given that volume of citations.

Nurse hours

4.79 /day

Staff turnover

31%

Serious cites

0

Wesley Homes Des Moines Health Center runs on noticeably more nursing hours than most homes, 4.79 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 30.8% compared to 45.8% nationally. Weekend coverage dips about 11% below its own weekday level, so ask how that plays out on a Sunday. The inspection record shows 52 deficiencies, none at the harm or jeopardy level, though three are abuse-related and worth asking about directly. A February 2026 inspection means the record is recent, and as a church-affiliated nonprofit, there's no ownership chain pulling profits out. The quality measures come in strong.

Nurse hours

5.07 /day

Staff turnover

29%

Serious cites

0

Panorama City Conv & Rehab Ctr runs on 5.07 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, 28.9% turnover against a national 45.8%. Weekend coverage dips about 17% below weekday levels, which is common but still worth asking about. The tradeoff shows up on inspections: 25 deficiencies on record, including three at the harm level and three tied to abuse, plus two fines totaling $42,904. Thurston County's Lacey location is nonprofit-owned and was inspected in January 2026. Strong staffing and quality scores, but the inspection history is the part to press them on directly.

Nurse hours

4.60 /day

Staff turnover

n/a

Serious cites

0

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.

Nurse hours

5.33 /day

Staff turnover

41%

Serious cites

0

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.

Nurse hours

6.21 /day

Staff turnover

n/a

Serious cites

0

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.

Nurse hours

4.77 /day

Staff turnover

36%

Serious cites

0

Martha and Mary Health Service in Poulsbo runs on a nonprofit model with 135 certified beds, and the staffing numbers are its clearest strength: 4.77 nurse hours per resident day, roughly 23 percent above the national average. Weekend coverage drops about 15 percent from weekday levels, a gap worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 35.9 percent, better than the 45.8 percent national figure, which suggests people tend to stay. The tradeoff shows up in inspections: 46 deficiencies on the current record, two tied to abuse, though none rose to actual harm or jeopardy. The most recent inspection was February 2026, so the picture is current. Strong quality scores and staffing carry real weight here; the deficiency history is what holds it back.

Nurse hours

4.06 /day

Staff turnover

33%

Serious cites

0

North Auburn Care runs 4.06 nurse hours per resident day, about 5% above the national average, and weekend staffing drops roughly 15% below its own weekday level. Turnover sits at 32.9%, well under the national 45.8%. Those numbers look decent on paper, which makes the inspection record the real story here: 103 deficiencies, including five at the harm or jeopardy level and two tied to abuse, with a single $12,035 fine and a 1-out-of-5 inspection rating. The most recent survey was April 2025. This is a for-profit limited liability company with 125 beds, and the gap between its staffing and its inspection history is what a family should weigh most.

Nurse hours

4.67 /day

Staff turnover

41%

Serious cites

0

North Valley Hospital runs on 4.67 nurse hours per resident day, roughly a fifth more than the national average, and its staff turnover of 41.2% sits below the national rate. Inspectors have cited 20 deficiencies, though none rose to harm or jeopardy and none involved abuse, and the home was last inspected in February 2026. Weekend staffing dips about 12% from weekday levels, and its quality measure rating of 2 out of 5 is the weak spot against 5s for inspection and staffing. It's a hospital-district owned home of 42 beds, small enough to know its residents, and the numbers suggest the hands-on care is there even where the clinical outcomes data isn't.

Nurse hours

4.27 /day

Staff turnover

41%

Serious cites

0

Washington Soldiers Home runs on state government ownership, and the numbers show a facility that's mostly steady on care quality but carries some real inspection baggage. Nurse staffing sits at 4.27 hours per resident day, roughly 11% above the national average, though weekends run about 11% lighter than weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover lands at 40.7%, a bit better than the 45.8% national figure, which suggests a relatively stable workforce. The concern is the inspection record: 31 deficiencies, including 2 at the harm level and 4 tied to abuse, with one fine of $10,358. The most recent inspection was August 2025, so the picture is current.

Nurse hours

4.85 /day

Staff turnover

49%

Serious cites

0

Lea Hill runs a lean 36-bed building, and the staffing numbers are the strongest part of the story: 4.85 nurse hours per resident day, roughly a quarter more than the national average. That cushion matters most on weekends, which run about 14 percent below the home's own weekday level, still better than most places, but the dip is real. The rest is mixed. Forty-eight point nine percent annual turnover sits slightly above the national rate, and 39 deficiencies on record include one at the harm level and three tied to abuse, which is a lot for a building this size. Inspections were recent, in September 2025.

Nurse hours

4.83 /day

Staff turnover

n/a

Serious cites

0

Rockwood South Hill runs about 4.83 nurse hours per resident day, roughly a quarter more than the national average of 3.86, that's the strongest part of its record. Weekend staffing dips about 12% below its own weekday level, so ask how that plays out on Sundays. The inspection history is more mixed: 49 deficiencies on the current record, none of them at the harm or jeopardy level, though two are abuse-related. The last inspection was December 2024, so the picture is fairly current. As a church-related nonprofit with 45 beds, it's small and mission-driven, but 49 deficiencies is a lot of paperwork for a building this size.

Nurse hours

4.38 /day

Staff turnover

37%

Serious cites

0

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.

Nurse hours

3.92 /day

Staff turnover

50%

Serious cites

0

North Central Care Center runs 99 certified beds in Spokane under corporate for-profit ownership, and its nurse staffing sits slightly above the national average, 3.92 hours per resident day, though weekends drop about 10% below its own weekday levels, so coverage does thin out when families tend to visit. Annual turnover hits 50%, higher than the 45.8% national figure, which means the people caring for your relative are more likely than average to be new or on their way out. The current record carries 39 deficiencies, none at harm or jeopardy level but one tied to abuse, and the last inspection was July 2025. Quality measures score well; the inspection history is where the caution lies.