Nursing homes across Grant County, Washington, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
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.
McKay Healthcare & Rehab Center is a small hospital-district home in Soap Lake, and its day-to-day staffing looks solid on paper, 4.29 total nurse hours per resident, roughly 11% above the national average. But that average hides two things worth asking about: weekends run about 14% thinner than weekdays, and annual turnover sits at 72.9%, well above the national 45.8%. A recent inspection in March 2025 and a four-star health inspection rating are genuine positives, but the current record carries 40 deficiencies, including one at the harm level and five tied to abuse, plus a $113,505 fine. Good inspections, but the staffing churn is the number I'd press them on.
Lake Ridge Center runs 3.92 nurse hours per resident day, slightly above the national average, and that staffing shows up in its four-star staffing rating. But the same numbers carry a warning: weekend coverage drops about 8% below weekday levels, and 54.7% of staff turned over last year against a national average of 45.8%, that churn makes consistent care harder to hold onto. The inspection record is where this home gets into trouble: 38 deficiencies, five at harm or jeopardy level, five tied to abuse, and $87,201 in fines across two penalties. The April 2026 inspection is recent, so the record reflects current conditions rather than old problems.
Columbia Crest Center has 111 certified beds and a for-profit corporate owner, and its last inspection was January 9, 2026. The numbers worth sitting with: 73 deficiencies on the current record, including 6 at the harm or jeopardy level and 11 abuse-related, plus three fines totaling $163,278. CMS gave it 1 out of 5 stars on health inspections while handing it 5 out of 5 on quality measures, an unusually wide split, and a reminder that quality scores come largely from self-reported data. Nurse staffing runs 4.05 hours per resident day, about 5% above the national average, but weekend staffing drops roughly 11% below its own weekday level, and turnover is 59.7% against a national 45.8%.