Washington Best Medicaid Nursing Homes 2026

Nurse hours

4.64 /day

Staff turnover

29%

Serious cites

0

Briarwood At Timber Ridge runs 4.64 nurse hours per resident per day, roughly a fifth more than the national average, and its staff turnover sits at 28.6 percent against a national 45.8, meaning the people caring for your relative are more likely to still be there next year than at a typical home. Weekend coverage dips about 12 percent below weekdays, so ask how that plays out on a Sunday. The inspection record shows 19 deficiencies, none at the harm level and none abuse-related, with the most recent visit in December 2025. For a 45-bed for-profit, that combination of low turnover and steady survey history is what stands out.

Nurse hours

4.60 /day

Staff turnover

21%

Serious cites

0

Judson Park Health Center runs on unusually deep staffing for a 96-bed nonprofit: 4.60 nurse hours per resident day, roughly 19 percent above the national average, with weekend coverage dipping only about 10 percent below its own weekday level. Turnover sits at 21.1 percent against a national 45.8 percent, so the people caring for residents tend to stay. The tradeoff shows up in its inspection history, 57 deficiencies on record, three tied to abuse, though none at the harm or jeopardy level, and the most recent inspection was August 2025, so the picture is current. Quality and staffing measures both rate at the top of CMS's scale, while health inspections land mid-range.

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

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

4.76 /day

Staff turnover

27%

Serious cites

0

Nurse staffing at Avamere Rehabilitation of Cascade Park runs well ahead of the national average, and the weekend drop is modest, so coverage stays fairly steady across the week. Turnover sits in the low range too, 27.4% against a national number closer to 46%, which matters for whether you see the same faces month to month. The tradeoff shows up on the inspection record: 32 deficiencies, including one at the harm level and two flagged as abuse-related, even though the most recent inspection was in late 2025 and the health and quality ratings both land at 4 out of 5. Strong staffing, a longer deficiency history, worth asking about directly before you decide.

Nurse hours

5.00 /day

Staff turnover

41%

Serious cites

0

Mt Baker Care Center in Bellingham runs 70 certified beds under for-profit LLC ownership, and the staffing number is the one worth noting: 5.00 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekend coverage dips about 12% below its own weekday level, which is common but still worth asking about if your family visits on Saturdays or Sundays. Its inspection record shows 20 deficiencies, none at the harm or jeopardy level, though two are abuse-related, a distinction worth asking the administrator about directly. Staff turnover sits at 41%, slightly better than the 45.8% national figure. The last inspection was July 2025, so the record is recent. Strong staffing plus a clean harm-level record is a solid combination.

Nurse hours

4.08 /day

Staff turnover

32%

Serious cites

0

Regency Care Center At Monroe runs 4.08 nurse hours per resident day, roughly 6% above the national average, and its weekend staffing dips about 9% below its own weekday level, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 31.7%, well below the 45.8% national figure, which suggests less churn than many for-profit LLC homes. The current record shows 32 deficiencies, but none at the harm level and none abuse-related, and the last inspection was in May 2025.

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

7.83 /day

Staff turnover

38%

Serious cites

0

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.

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

4.16 /day

Staff turnover

19%

Serious cites

0

Pine Ridge Post Acute runs on a leaner staff than most: 4.16 nurse hours per resident day against a national average of 3.86, and the weekend drop is real but modest at about 14 percent below weekdays. Turnover sits at 19.2 percent, well under the national 45.8 percent, which matters more than any single inspection score, staff who stay know the residents. What pulls the record down is the inspection side: 45 deficiencies on file, including one at harm or jeopardy level and six tied to abuse, with a $16,445 fine. The most recent inspection was March 2026, so the picture is current. For-profit, limited liability ownership. Strong staffing and low turnover, offset by a troubled survey history.

Nurse hours

4.41 /day

Staff turnover

51%

Serious cites

0

Covenant Shores runs high on most measures. Nurse staffing sits at 4.41 hours per resident day, roughly 14 percent above the national average, and the quality and staffing stars come in at the top of the scale. Weekend coverage dips about 11 percent below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. Staff turnover is 51 percent, higher than the national 45.8 percent. The current record shows 35 deficiencies, none at harm or jeopardy level, though 4 are abuse-related. The last inspection was February 11, 2026.

Nurse hours

4.05 /day

Staff turnover

31%

Serious cites

0

Richmond Beach Rehab sits in Shoreline with 131 certified beds and a for-profit LLC owner. Nurse staffing runs 4.05 hours per resident day, about 5% above the national average, and turnover at 31% is well below the 45.8% national figure, that kind of retention matters for consistent care. But weekends dip roughly 12% below the home's own weekday coverage, so ask how that gap gets filled. The inspection record shows 27 deficiencies, including one at the harm level and one abuse-related, plus a $44,753 fine. Last inspection was February 2026, so the record is current. Solid quality measures and staffing don't erase those 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

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.