University Place, WA · Pierce County
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- Nurse hours
- 4.19 /day
- Staff turnover
- 42%
- Serious cites
- 0
Agility Health and Rehabilitation runs 120 certified beds in University Place under for-profit LLC ownership, and its staffing sits at 4.19 nurse hours per resident day, roughly 9% above the national average. Turnover lands at 42.3%, a touch better than the 45.8% norm, though weekend coverage drops about 16% below its own weekday level, so care can thin out when families visit most.
The inspection record is where things get harder to ignore: 41 deficiencies, including one at the harm or jeopardy level and six tied to abuse. Its most recent inspection was June 9, 2026, so the picture is current, not stale. Quality measures score well, but that record is worth asking about directly.
Puyallup, WA · Pierce County
★★★★★CMS 5/5100 bedsFor-profit
- Nurse hours
- 4.80 /day
- Staff turnover
- 40%
- Serious cites
- 0
Life Care Center of South Hill runs a hundred beds in Puyallup, and the staffing is genuinely its strong suit, 4.80 nurse hours per resident day, roughly a quarter above the national average, with turnover at 40.2% sitting below the 45.8% norm. The catch is weekends, when hours drop about 18% below the home's own weekday level. On inspections, CMS rated it 4 of 5 stars, though the record shows 29 deficiencies, including one at the harm level and three tied to abuse, plus a single fine of $17,388. The last inspection was November 2025, so the picture is recent.
Renton, WA · King County
★★★☆☆CMS 3/5136 bedsFor-profitMedicaid
- Nurse hours
- 4.19 /day
- Staff turnover
- 38%
- Serious cites
- 0
Valley View runs 4.19 nursing hours per resident day, roughly 9% more than the national average, and its staff turnover of 38% sits below the 45.8% national figure, both signs of a stable floor. Weekends thin out, though, running about 13% lighter than weekdays, so ask how coverage holds up on a Sunday. The record shows 59 deficiencies, none at harm or jeopardy level, but two tied to abuse, and the last inspection was March 2026. With 136 beds under for-profit LLC ownership, the staffing is the stronger story here; the inspection history is the one worth reading closely.
Seattle, WA · King County
★★☆☆☆CMS 2/5137 bedsFor-profitMedicaid
- Nurse hours
- 4.07 /day
- Staff turnover
- 54%
- Serious cites
- 0
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.
Arlington, WA · Snohomish County
★★★★☆CMS 4/576 bedsFor-profitMedicaid
- Nurse hours
- 4.55 /day
- Staff turnover
- 28%
- Serious cites
- 0
Arlington Health and Rehabilitation runs 4.55 nurse hours per resident day, about 18% above the national average, and its staff turnover of 27.6% is well below the 45.8% national figure, that kind of retention usually means consistent caregivers who know the residents. Weekends thin out by roughly 15%, so ask how coverage holds up on Saturdays and Sundays. The concerning part sits in the inspection record: 38 deficiencies, three at harm or jeopardy level and four tied to abuse, plus a $173,496 fine. Ownership is a for-profit limited liability company. The most recent inspection was January 26, 2026, so the record is current. Strong staffing and quality scores don't erase those findings.
Tacoma, WA · Pierce County
★★☆☆☆CMS 2/5102 bedsFor-profitMedicaid
- Nurse hours
- 5.16 /day
- Staff turnover
- 36%
- Serious cites
- 0
Avamere at Pacific Ridge runs a 102-bed for-profit home in Tacoma, and the staffing numbers are genuinely better than most: 5.16 nurse hours per resident day, roughly a third above the national average, with weekend coverage dipping only about 11% below weekdays. Turnover sits at 36%, below the 45.8% national figure, which matters for continuity of care.
The inspection record tells a different story. Sixty-nine deficiencies are on file, four of them at the harm or jeopardy level and four tied to abuse. Three fines total $57,783, and the two-star health inspection and quality ratings reflect that history, even though staffing earned four stars. The most recent inspection was April 24, 2026. Good coverage, but a documented pattern of serious problems worth asking about directly.
Federal Way, WA · King County
★★☆☆☆CMS 2/5147 bedsFor-profitMedicaid
- Nurse hours
- 3.61 /day
- Staff turnover
- 29%
- Serious cites
- 0
Hallmark Manor runs leaner on nursing hours than the typical U.S. home, about 3.61 per resident day against a national average near 3.86, and weekends get thinner still, roughly 15% below its own weekday coverage. That matters because its inspection record carries 60 deficiencies, including two at the harm level and one tied to abuse, plus a $32,175 fine. The ownership is for-profit corporate, and the most recent inspection was in May 2025. Where this home stands out is turnover: 29.4% versus a national average around 46%, which suggests a steadier crew than most. Quality measures score well even as the inspection picture stays middling, so the honest read is a place with real strengths and real compliance problems sitting side by side.
Olympia, WA · Thurston County
★★★★★CMS 5/528 bedsFor-profitMedicaid
- Nurse hours
- 4.56 /day
- Staff turnover
- 67%
- Serious cites
- 0
Regency Olympia runs 28 beds under for-profit LLC ownership, and its nurse staffing comes in at 4.56 hours per resident day, roughly 18% above the national average. That's a real margin in a small building, though weekends drop about 13% below its own weekday level, and annual turnover of 66.7% sits well above the 45.8% national figure. The inspection record is where it gets harder to read: 29 deficiencies on file, including four tied to abuse and one at the harm or jeopardy level, with a single fine of $8,278. A recent inspection date of April 2026 and 4- and 5-star inspection and quality ratings sit alongside that. The staffing number looks good on paper; the churn and the abuse-related findings are what a family should ask about directly.
Tacoma, WA · Pierce County
★★☆☆☆CMS 2/581 bedsFor-profitMedicaid
- Nurse hours
- 4.42 /day
- Staff turnover
- 47%
- Serious cites
- 0
Avalon Healthcare - Tacoma runs 81 certified beds under for-profit LLC ownership, and its nurse staffing of 4.42 hours per resident day sits about 15% above the national average of 3.86, a real strength, though weekend coverage drops roughly 17% below its own weekday level. Staff turnover lands at 47.1%, slightly above the national 45.8%. What pulls this home down is its inspection record: a 1-out-of-5 health inspection rating, 82 total deficiencies, including one at the harm or jeopardy level and two abuse-related, along with a single fine of $24,814. The most recent inspection was July 30, 2025. The numbers point to a home that staffs well on paper but has struggled to keep residents safe.
Kirkland, WA · King County
★★☆☆☆CMS 2/5190 bedsFor-profitMedicaid
- Nurse hours
- 3.87 /day
- Staff turnover
- 51%
- Serious cites
- 0
Life Care Center of Kirkland runs 190 beds under for-profit LLC ownership, and its nurse staffing sits at 3.87 hours per resident day, essentially dead even with the national average, so there's no cushion there. Weekends drop about 21% below weekday coverage, which matters when residents need help on a Saturday. Staff turnover is 50.5% against a 45.8% national rate, and the inspection record shows 61 deficiencies, including 3 at harm or jeopardy level and 11 tied to abuse. Two fines total $53,560. The last inspection was November 2025, so the record is current.
Seattle, WA · King County
★★★☆☆CMS 3/5215 bedsNon-profitMedicaid
- Nurse hours
- 4.29 /day
- Staff turnover
- 52%
- Serious cites
- 0
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.
Bellingham, WA · Whatcom County
★★★★★CMS 5/5105 bedsFor-profitMedicaid
- Nurse hours
- 4.50 /day
- Staff turnover
- 52%
- Serious cites
- 0
Avalon Healthcare Bellingham runs a 105-bed for-profit operation in Whatcom County, and its staffing numbers are the strongest thing going for it: 4.50 nurse hours per resident day, about 17% above the national average, though weekends dip roughly 15% below its own weekday coverage. The tradeoff is retention, 52.3% annual turnover, higher than the 45.8% national rate, and a current record showing 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $32,298. Inspections are recent, from December 2025, and the federal ratings split: four stars for health inspections and staffing, five for quality measures. Strong care numbers, but the deficiency record is what pulls the overall picture down.
Auburn, WA · King County
★★☆☆☆CMS 2/5100 bedsFor-profitMedicaid
- Nurse hours
- 3.85 /day
- Staff turnover
- 36%
- Serious cites
- 0
Canterbury House runs a 100-bed for-profit operation in Auburn, and its staffing picture is genuinely solid: 3.85 nurse hours per resident day, right at the national average, with weekend coverage dipping only about 8% below weekdays. Turnover sits at 35.8%, well under the 45.8% national figure, which matters for continuity of care.
The trouble is the inspection record. Fifty-seven deficiencies, two serious enough to risk harm, three tied to abuse, and a $68,159 fine. A 2-out-of-5 inspection rating against a 4-out-of-5 staffing rating tells you the people are there but the systems around them keep failing. The most recent inspection was January 2026, so that record is current, not old news.
Spokane, WA · Spokane County
★★★☆☆CMS 3/5164 bedsFor-profitMedicaid
- Nurse hours
- 3.82 /day
- Staff turnover
- 50%
- Serious cites
- 0
Royal Park runs 164 beds in Spokane under for-profit LLC ownership, and the staffing numbers sit right at the edge: 3.82 nurse hours per resident day, just under the national average, with weekends about 14% thinner than weekdays and half the staff turning over each year. The bigger issue is the inspection record, 56 deficiencies, seven serious enough to involve harm or jeopardy, three tied to abuse, and four fines adding up to $111,830. A recent inspection date of May 2026 means the record is current, not stale. The quality measure scores look strong, but those come from resident assessments, while the harm-level findings and abuse citations come from what surveyors actually saw on site.
Everett, WA · Snohomish County
★★★★★CMS 5/5151 bedsNon-profitMedicaid
- Nurse hours
- 4.53 /day
- Staff turnover
- 35%
- Serious cites
- 0
Bethany At Silver Lake runs on a church-affiliated nonprofit model with 151 certified beds in Everett, and its staffing is genuinely above average: 4.53 nurse hours per resident day against a national figure of 3.86. Turnover sits at 35.4%, noticeably better than the 45.8% national rate, though weekend coverage dips about 12% below its own weekday levels. The inspection record is where things get complicated, 36 deficiencies on file, including two at the harm level and two tied to abuse, plus $121,447 in fines across two events. Its most recent inspection was March 2026, so the picture is current, but those harm and abuse findings are the kind of thing a family should ask about directly before deciding.
Centralia, WA · Lewis County
★★★★★CMS 5/583 bedsFor-profitMedicaid
- Nurse hours
- 4.27 /day
- Staff turnover
- n/a
- Serious cites
- 0
Three Rivers Care is a for-profit LLC home in Centralia with 83 beds, and the numbers tell a mostly steady story. Nurse staffing runs 4.27 hours per resident day, about 11% above the national average, but weekends drop roughly 18% below the home's own weekday level, so coverage isn't evenly spread across the week. The inspection record shows 9 deficiencies with none at the harm or jeopardy level, though 2 are abuse-related; the last inspection was November 2025, so the picture is current. A 5/5 inspection rating and 4/5 quality measures sit against a middling 3/5 on staffing, which is worth asking about directly.
Wapato, WA · Yakima County
★★★★☆CMS 4/582 bedsNon-profitMedicaid
- Nurse hours
- 3.98 /day
- Staff turnover
- 46%
- Serious cites
- 0
Emerald Care is a nonprofit home in Wapato with 82 certified beds, and its staffing sits at 3.98 nurse hours per resident day, a bit above the national average of 3.86, but weekends run roughly 20% below its own weekday coverage, so the care you see on a Tuesday may not match a Sunday. The inspection record carries 23 deficiencies, including one at the harm level and four tied to abuse, plus a $12,735 fine; the last inspection was January 30, 2026. Annual turnover is 46.3%, slightly worse than the 45.8% national figure. Strong quality measure scores don't erase that inspection history.
Clarkston, WA · Asotin County
★★★☆☆CMS 3/590 bedsFor-profitMedicaid
- Nurse hours
- 3.47 /day
- Staff turnover
- 23%
- Serious cites
- 0
Clarkston Health and Rehab of Cascadia runs 90 certified beds under for-profit LLC ownership, and the staffing picture is mixed. At 3.47 nurse hours per resident day it sits about 10% under the national average of 3.86, and weekends drop roughly 16% below its own weekday coverage, so care thins out exactly when families tend to visit. What stands out more is retention: 22.5% annual turnover against a national average of 45.8% means this building keeps its nurses far better than most. The trouble is the inspection record, 53 deficiencies, 2 at harm or jeopardy level, 7 abuse-related, and a $32,711 fine, with the most recent look in August 2025. Strong quality scores and weak inspection history rarely tell the same story.
Longview, WA · Cowlitz County
★★★★☆CMS 4/574 bedsFor-profitMedicaid
- Nurse hours
- 3.93 /day
- Staff turnover
- 33%
- Serious cites
- 0
Americana Health and Rehabilitation runs 74 certified beds in Longview, and its nurse staffing sits just above the national average, 3.93 hours per resident day against 3.86. That margin is thin, and weekends dip roughly 15% below the home's own weekday coverage, so the question of when you visit matters. Staff turnover is 33.3%, well below the 45.8% national figure, which suggests people tend to stay. The trade-offs show up elsewhere: 20 deficiencies on record, one at harm or jeopardy level and two tied to abuse, plus a 2/5 quality measure rating against 4/5 for inspections and staffing. Ownership is for-profit corporate, and the most recent inspection was November 2025.
Bremerton, WA · Kitsap County
★☆☆☆☆CMS 1/598 bedsFor-profitMedicaid
- Nurse hours
- 3.88 /day
- Staff turnover
- 53%
- Serious cites
- 0
Port Washington Post Acute runs about 98 certified beds in Bremerton under for-profit LLC ownership, and its staffing sits almost exactly at the national average, 3.88 nurse hours per resident day against 3.86 nationally. That's the good news, and it's thin: weekend staffing drops roughly 9% below its own weekday level, and annual turnover hits 52.5% against a 45.8% national figure. The inspection record is where it gets serious. CMS rates health inspections 1 out of 5, with 118 total deficiencies on the current record, including four at harm or jeopardy level and five abuse-related. Three fines total $131,299, and the home sits in CMS's Special Focus Facility program, reserved for the country's most persistently troubled homes.