Gig Harbor, WA · Pierce County
★★★★★CMS 5/5108 bedsFor-profitMedicaid
- Nurse hours
- 4.32 /day
- Staff turnover
- 44%
- Serious cites
- 0
Cottesmore Of Life Care sits in Gig Harbor with 108 certified beds and a for-profit LLC owner. The nurse staffing number is the bright spot here: 4.32 hours per resident day, roughly 12% above the national average of 3.86, though weekends run about 18% thinner than weekdays. Turnover lands at 44.3%, slightly better than the 45.8% national figure. What pulls the record down is the inspection history, 38 deficiencies on the current record, including 2 at the harm or jeopardy level and 3 tied to abuse, with two fines totaling $29,595. The most recent inspection came on 2026-02-27. Strong staffing and a 5/5 quality measure score, but the deficiency count is what you'd want to ask about directly.
Aberdeen, WA · Grays Harbor County
★★★★☆CMS 4/5105 bedsFor-profitMedicaid
- Nurse hours
- 4.17 /day
- Staff turnover
- 45%
- Serious cites
- 0
Grays Harbor Health & Rehabilitation in Aberdeen runs 105 certified beds as a for-profit corporation, and its nurse staffing sits at 4.17 hours per resident day, about 8% above the national average of 3.86, though weekend coverage dips roughly 10% below its own weekday levels. Staff turnover is 44.6%, essentially at the national average of 45.8%, so retention isn't a standout problem here. On its record: 18 deficiencies, none at the harm or jeopardy level, one abuse-related, with the most recent inspection completed March 19, 2025. The four-star marks across health inspections, quality measures, and staffing line up with what the numbers show, solid coverage and no serious citations, with the weekend staffing drop worth watching.
Hoquiam, WA · Grays Harbor County
★★★★★CMS 5/572 bedsFor-profitMedicaid
- Nurse hours
- 4.01 /day
- Staff turnover
- 41%
- Serious cites
- 0
Pacific Care and Rehabilitation runs a tight ship on the clinical side. State inspectors visited in May 2025 and logged twelve deficiencies, but none rose to harm or jeopardy, and nothing on the record involves abuse, that's a cleaner inspection sheet than most homes carry. Nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average, though weekends drop about 13% below weekday coverage, so ask how that gap gets filled. Turnover of 40.5% edges out the national rate of 45.8%, meaning this corporate-owned building retains caregivers a bit better than average. The weak spot isn't care quality, it's consistency when the weekday crew goes home.
Toppenish, WA · Yakima County
★★★★☆CMS 4/575 bedsFor-profitMedicaid
- Nurse hours
- 3.71 /day
- Staff turnover
- 28%
- Serious cites
- 0
Linden Post Acute runs 75 beds in Toppenish under corporate ownership, and its staffing sits at 3.71 nurse hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 9% below its own weekday coverage, so families should ask how that gap gets covered. What stands out is retention: 28.3% turnover against a national 45.8%, meaning the aides and nurses you meet are more likely to still be there next year. Inspections in November 2025 produced 31 deficiencies, none at harm or jeopardy level, though three were abuse-related. Recent inspections and steady staff count for a lot; the thin weekend coverage and those abuse citations are what to press on.
Burien, WA · King County
★★☆☆☆CMS 2/5140 bedsFor-profitMedicaid
- Nurse hours
- 4.08 /day
- Staff turnover
- 24%
- Serious cites
- 0
Avamere Rehabilitation of Burien runs a 140-bed for-profit home where the day-to-day staffing picture is genuinely better than average: 4.08 nurse hours per resident day against a national 3.86, and turnover of 24.4% is roughly half the national rate. Those are real strengths. The trouble shows up on the inspection side, where 54 deficiencies on the current record include six at the harm or jeopardy level and three tied to abuse, plus a $59,485 fine. Weekends also run about 11% thinner than weekdays, so coverage isn't even across the week. The most recent inspection was May 2025, so the record is current. Strong staffing, a rough survey history.
Vancouver, WA · Clark County
★★★★★CMS 5/592 bedsFor-profitMedicaid
- Nurse hours
- 3.94 /day
- Staff turnover
- 58%
- Serious cites
- 0
Hudson Bay Health and Rehabilitation in Vancouver runs 17 deficiencies on its current record, but none of them rose to the level of harm or jeopardy, and none were abuse-related. That matters more than the raw count. The home's inspection and quality-measure ratings both come back strong, and nurse staffing sits slightly above the national average at 3.94 hours per resident day, though weekends run about 9% leaner than weekdays, which is worth asking about directly. The bigger flag is turnover: 58.1% of staff leaving annually against a national average of 45.8%, under corporate for-profit ownership. A March 2026 inspection means the state's picture is current.
Centralia, WA · Lewis County
★★★★☆CMS 4/5128 bedsFor-profitMedicaid
- Nurse hours
- 4.23 /day
- Staff turnover
- 55%
- Serious cites
- 0
South Creek Post Acute runs 4.23 nurse hours per resident day, roughly 10 percent above the national average, and its quality measure scores come in at the top of CMS's range. Those are real strengths. The concerns sit elsewhere: weekend staffing drops about 14 percent below the weekday level, and annual turnover of 55 percent runs well above the 45.8 percent national figure, which matters for whether the same caregivers know your mother from one week to the next. The current record carries 42 deficiencies, including one at the harm level and seven tied to abuse. An $8,278 fine is modest, and the last inspection was recent, in February 2026.
Marysville, WA · Snohomish County
★★★★☆CMS 4/597 bedsFor-profitMedicaid
- Nurse hours
- 4.04 /day
- Staff turnover
- 42%
- Serious cites
- 0
Marysville Care Center, a for-profit LLC home with 97 certified beds, runs nurse staffing at 4.04 hours per resident day, about 5% above the national average of 3.86. That edge narrows on weekends, when coverage drops roughly 15% below its own weekday level, and turnover sits at 41.9%, a bit better than the 45.8% national figure. The harder numbers are on the inspection side: 45 deficiencies on the current record, three of them at harm or jeopardy level and five tied to abuse, with two fines totaling $95,001. Its last inspection was September 29, 2025. Staffing and quality measure ratings both land mid-range, but that deficiency record is what a family should weigh most.
Tacoma, WA · Pierce County
★★★☆☆CMS 3/5187 bedsNon-profitMedicaid
- Nurse hours
- 4.33 /day
- Staff turnover
- 43%
- Serious cites
- 0
Eliseo runs 187 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.33 hours per resident day, about 12% above the national average. But weekends drop roughly 10% below its own weekday levels, so coverage isn't evenly spread across the week. The record shows 53 deficiencies, including one at the harm level and five tied to abuse; the last inspection was May 2025. Staff turnover of 43.2% is slightly better than the 45.8% national figure, though that's a low bar. CMS rates the home 2 out of 5 on health inspections but 5 out of 5 on quality measures, which means the clinical numbers look strong even as the inspection history doesn't.
Seattle, WA · King County
★★★★☆CMS 4/528 bedsNon-profitMedicaid
- Nurse hours
- 4.26 /day
- Staff turnover
- 96%
- Serious cites
- 0
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.
Des Moines, WA · King County
★★☆☆☆CMS 2/5165 bedsFor-profitMedicaid
- Nurse hours
- 3.85 /day
- Staff turnover
- 32%
- Serious cites
- 0
Staffing at Puget Sound Transitional Care lands right at the national average, 3.85 nurse hours per resident day against 3.86, and turnover of 32.4% is meaningfully better than the 45.8% typical elsewhere. The problem isn't the workforce. It's the inspection record: 63 deficiencies, including one at the level that signals actual harm or jeopardy and three tied to abuse. A one-star health inspection rating alongside a four-star quality measure score tells you the day-to-day care metrics look fine on paper, but the state has found serious problems when it looks closely, most recently in August 2025. Weekend staffing also drops about 12% below weekday levels, so if you're touring, ask who's actually on the floor on a Saturday.
Seattle, WA · King County
★★★☆☆CMS 3/5165 bedsFor-profitMedicaid
- Nurse hours
- 3.67 /day
- Staff turnover
- 41%
- Serious cites
- 0
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.
Bellingham, WA · Whatcom County
★★★★★CMS 5/5102 bedsFor-profitMedicaid
- Nurse hours
- 3.98 /day
- Staff turnover
- 48%
- Serious cites
- 0
Alderwood Park runs 102 beds in Bellingham under for-profit LLC ownership, and its staffing sits at 3.98 nurse hours per resident day, modestly above the national average of 3.86. The catch is weekends, when coverage drops roughly 10% below what the home itself staffs on weekdays, and turnover lands at 48% against a national 45.8%. Inspections look solid on the surface: a January 2026 survey, 4 of 5 stars, and no deficiencies at the harm or jeopardy level. But 45 total deficiencies are on the current record, three of them abuse-related, which is worth asking about directly before you visit.
Pasco, WA · Franklin County
★★☆☆☆CMS 2/5108 bedsFor-profitMedicaid
- Nurse hours
- 3.93 /day
- Staff turnover
- 48%
- Serious cites
- 0
Avalon Health & Rehabilitation Center runs 108 beds in Pasco under corporate for-profit ownership, and its staffing sits at 3.93 nurse hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 13% below its own weekday levels. The concerning part is the inspection record: 91 deficiencies, including 3 at the harm or jeopardy level and 11 tied to abuse. Staff turnover is 47.6%, slightly worse than the 45.8% national figure. CMS gave it 1 out of 5 stars for health inspections, with a 4 out of 5 on quality measures and 3 out of 5 on staffing. The most recent inspection was May 2025.
Cashmere, WA · Chelan County
★★★☆☆CMS 3/595 bedsFor-profitMedicaid
- Nurse hours
- 3.59 /day
- Staff turnover
- 37%
- Serious cites
- 0
Cashmere Post Acute runs 95 beds under for-profit LLC ownership, and its nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86. Weekends dip roughly 13% below the home's own weekday coverage, so the thinnest shifts fall when families tend to visit. Turnover is the brighter spot at 37.2%, better than the 45.8% national figure. The inspection record is where questions pile up: 49 deficiencies, including nine tied to abuse and one at the harm level, plus a $15,340 fine. The most recent inspection was April 2026, and the health and quality stars both land at 3 of 5.
Port Townsend, WA · Jefferson County
★★★★★CMS 5/594 bedsFor-profitMedicaid
- Nurse hours
- 3.96 /day
- Staff turnover
- 54%
- Serious cites
- 0
Life Care Center of Port Townsend runs a for-profit operation with 94 beds, and its staffing sits slightly above the national average at just under four nurse hours per resident day. That margin is thin, and weekends dip about 10% below the home's own weekday coverage, so care can feel different depending on when you visit. Staff turnover lands at 54%, noticeably higher than the 45.8% national figure, which matters for whether your parent sees the same faces. The inspection record shows 22 deficiencies, including one at the harm level and two tied to abuse, plus a $34,808 fine. Quality and inspection scores are strong, but those findings are the part worth asking about directly.
Puyallup, WA · Pierce County
★★☆☆☆CMS 2/5102 bedsFor-profitMedicaid
- Nurse hours
- 4.47 /day
- Staff turnover
- 36%
- Serious cites
- 0
Life Care Center Of Puyallup runs a for-profit operation under a limited liability company, and its 102 beds are staffed at 4.47 nurse hours per resident day, roughly 16% above the national average, with a 4-out-of-5 staffing rating to match. Turnover sits at 35.5%, better than the 45.8% national figure, though weekend coverage drops about 15% below weekday levels. The trouble is on the health inspection side: a 2-out-of-5 rating, 37 deficiencies on record including one at the harm or jeopardy level and three tied to abuse. That inspection history, last updated April 2026, is what drags an otherwise solid staffing picture down.
Nespelem, WA · Okanogan County
★★★☆☆CMS 3/544 bedsGovernmentMedicaid
- Nurse hours
- 4.71 /day
- Staff turnover
- 61%
- Serious cites
- 0
Colville Tribal Convalescent C runs a federal facility in Nespelem with 44 certified beds, and the raw staffing number looks strong, 4.71 nurse hours per resident day, roughly 22% above the national average of 3.86. The catch is consistency: weekends drop about 10% below the home's own weekday level, and annual turnover sits at 61% against a national 45.8%, which is a lot of churn for a small census to absorb. Inspections in April 2025 produced a 4-star health rating, but the record holds 19 deficiencies, including one at harm or jeopardy level and one abuse-related, plus a single fine of $8,173.
Seattle, WA · King County
★★★★★CMS 5/5114 bedsFor-profitMedicaid
- Nurse hours
- 3.96 /day
- Staff turnover
- 35%
- Serious cites
- 0
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.
Puyallup, WA · Pierce County
★★★★★CMS 5/5117 bedsFor-profitMedicaid
- Nurse hours
- 5.30 /day
- Staff turnover
- 21%
- Serious cites
- 0
Rainier Rehabilitation runs lean on trouble and heavy on staff. At 5.30 nurse hours per resident day, it's well above the national average, and its 21.1% turnover is less than half the national figure, a sign people tend to stay. Five deficiencies on record, none causing harm and none abuse-related, with an inspection as recent as August 2025. The catch is weekends, when staffing drops about 16% below the weekday level. That dip likely explains why CMS rates staffing only 3 out of 5 while inspection and quality measures both hit 5. If your family member needs steady weekday care, this home looks solid; ask specifically who's on the floor Saturday and Sunday.