Bellevue, WA · King County
★★★☆☆CMS 3/569 bedsFor-profitMedicaid
- Nurse hours
- 4.01 /day
- Staff turnover
- 64%
- Serious cites
- 0
Bellevue Post Acute runs about 4.01 nurse hours per resident day, which is above the national average, but that number gets thinner on weekends, when staffing drops roughly 14% below its own weekday level. Annual turnover is 63.7%, well above the national 45.8%, so residents are being cared for by a workforce that changes over constantly. The current inspection record carries 72 deficiencies, eight of them abuse-related, though none at the harm or jeopardy level; the health inspection rating of 2 out of 5 reflects that. Quality measures score 5 of 5, staffing 2 of 5. It's a for-profit LLC with 69 beds, most recently inspected January 10, 2026.
Centralia, WA · Lewis County
★★★☆☆CMS 3/542 bedsFor-profitMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- n/a
- Serious cites
- 0
Sharon Care Center runs a small house, 42 beds, and it's staffed well above average, about 5.43 nurse hours per resident day against a national 3.86. That matters. But nearly every aide and nurse cycling through in a year? Turnover sits at 98.2%, more than double the national rate, so the people showing up are often brand new. Inspections turned up 36 deficiencies on the current record, three tied to abuse, though none reached harm or jeopardy, and the last visit was September 2025. The higher-than-average staffing is real, but constant churn can undercut what that coverage is worth.
Bothell, WA · Snohomish County
★★☆☆☆CMS 2/599 bedsFor-profitMedicaid
- Nurse hours
- 4.79 /day
- Staff turnover
- 39%
- Serious cites
- 0
Bothell Health Care runs a 99-bed for-profit home in Snohomish County, and its staffing is genuinely above average, 4.79 nurse hours per resident day against a national 3.86, with turnover at 38.7% versus 45.8% nationally. That's real. But weekend staffing drops about 19% below its own weekday level, and the inspection record is where the picture darkens: 48 deficiencies, including 2 at the harm or jeopardy level and 4 abuse-related, with two fines totaling $59,114 and the last inspection in April 2025. The staffing numbers say one thing about this home; the survey history says another, and families should weigh both.
Issaquah, WA · King County
★★☆☆☆CMS 2/5140 bedsFor-profitMedicaid
- Nurse hours
- 4.08 /day
- Staff turnover
- 42%
- Serious cites
- 0
Avamere Rehabilitation of Issaquah runs 140 certified beds under for-profit LLC ownership, and the staffing picture is mixed. Total nurse coverage sits at 4.08 hours per resident day, about 6% above the national average, but weekends drop roughly 10% below the home's own weekday levels, so the people there on Saturday aren't getting the same attention as on Tuesday. Turnover is 42.4%, slightly better than the 45.8% national figure. The harder numbers are the inspection record: 56 deficiencies, three at harm or jeopardy level, two tied to abuse, and a $48,663 fine. The most recent inspection was March 2025. Quality measures score well; the inspection history is what pulls this down.
Tacoma, WA · Pierce County
★★★★★CMS 5/5150 bedsFor-profitMedicaid
- Nurse hours
- 4.89 /day
- Staff turnover
- 46%
- Serious cites
- 0
Tacoma Nursing and Rehabilitation Center runs 150 beds under for-profit LLC ownership, and its nurse staffing sits at 4.89 hours per resident day, roughly 27% above the national average of 3.86. That's a real margin, though weekend coverage dips about 11% below its own weekday levels, so the weekday numbers carry the average. Turnover lands at 45.9%, essentially identical to the national 45.8%. The inspection record is where things get complicated: 19 deficiencies, including one at the harm or jeopardy level and five tied to abuse, plus a $36,446 fine. The most recent inspection was June 2026, so the picture is current rather than stale. Strong staffing paired with a serious deficiency history is the tension worth weighing.
Federal Way, WA · King County
★★★☆☆CMS 3/5157 bedsFor-profitMedicaid
- Nurse hours
- 4.20 /day
- Staff turnover
- 53%
- Serious cites
- 0
Life Care Center of Federal Way runs 157 beds under for-profit ownership, and its staffing sits at 4.20 nurse hours per resident day, roughly 9% above the national average. That looks decent until you see the weekends, when coverage drops about 13% below its own weekday level, and turnover runs 53% against a national 45.8%. The bigger problem is the inspection record: 82 deficiencies, five at harm or jeopardy level, six tied to abuse, and $98,970 in fines, with the most recent inspection in March 2025. Resident care measures score well, but a one-star health inspection rating with that many serious findings is what a family should weigh hardest here.
Vancouver, WA · Clark County
★★★★☆CMS 4/5104 bedsFor-profitMedicaid
- Nurse hours
- 4.85 /day
- Staff turnover
- 53%
- Serious cites
- 0
Nurse staffing here runs about 4.85 hours per resident per day, roughly a quarter above the national average of 3.86, and weekend coverage holds nearly level with weekdays. That helps explain the four out of five stars on health inspections from the last visit, which was recent. The concerns sit elsewhere: staff turnover is 52.8% against a national 45.8%, meaning more than half the nursing workforce turns over in a year. The record shows 25 deficiencies, including one at the level that caused actual harm and three tied to abuse, plus a fine near $20,000. Individual for-profit ownership. Strong numbers at the bedside; a harder record to look past.
Richland, WA · Benton County
★★★★★CMS 5/571 bedsFor-profitMedicaid
- Nurse hours
- 4.23 /day
- Staff turnover
- 44%
- Serious cites
- 0
Richland Post Acute is a for-profit, limited-liability operation with 71 beds, and its staffing numbers tell a mixed story. Total nurse coverage runs 4.23 hours per resident day, roughly 10% above the national average, but weekends dip about 12% below the home's own weekday level, and the low staffing star reflects that unevenness. Turnover sits at 43.8%, slightly better than the national 45.8%. The bigger concern is the inspection record: 39 deficiencies, including one at the harm level and four tied to abuse, plus a $59,762 fine. A June 2025 inspection is recent, so the record is current. Strong quality measures and a 4-star inspection rating sit alongside real staffing and deficiency problems.
Vancouver, WA · Clark County
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.98 /day
- Staff turnover
- 57%
- Serious cites
- 0
Salmon Creek runs on a 120-bed for-profit corporate model, and its nurse staffing sits at 3.98 hours per resident day, just above the 3.86 national figure, a margin thin enough that weekends, which drop about 13% below its own weekday coverage, can erase it. The bigger concern is who's providing that care: 57.2% annual turnover means more than half the nursing staff leaves each year, well past the 45.8% national rate, which matters for residents who need consistent caregivers. Inspections in January 2026 turned up 49 deficiencies, including one abuse-related citation, and the health inspection rating sits at 2 of 5 stars. Nothing on the record rises to harm or jeopardy level.
Anacortes, WA · Skagit County
★★☆☆☆CMS 2/544 bedsFor-profitMedicaid
- Nurse hours
- 3.85 /day
- Staff turnover
- 50%
- Serious cites
- 0
Soundview Rehabilitation runs 44 beds in Anacortes under corporate ownership, and its staffing sits right at the national average, 3.85 nurse hours per resident day. That number looks fine until you notice weekends drop about 21% below weekdays, which matters if your family member needs help on a Saturday. Turnover runs 50%, higher than the 45.8% national figure, so caregivers cycle through. The inspection record is the bigger concern: 72 deficiencies, including one at the harm level and 10 tied to abuse. The last inspection was March 2026, so the record is current. Quality and staffing each earned three stars from CMS, but two stars on health inspections tells you where the problems concentrate.
Renton, WA · King County
★★☆☆☆CMS 2/599 bedsFor-profitMedicaid
- Nurse hours
- 4.16 /day
- Staff turnover
- 44%
- Serious cites
- 0
Renton Health & Rehabilitation runs 99 certified beds under a for-profit LLC, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average, though weekends drop about 16% below its own weekday level. Staff turnover lands at 43.9%, slightly better than the 45.8% national figure. The problems show up elsewhere: 65 deficiencies on the current record, including 2 at harm or jeopardy level and 1 abuse-related, with two fines totaling $256,725. A 2/5 inspection rating against a 4/5 staffing rating tells the story, good daily coverage undermined by uneven weekends and a serious regulatory track record. The last inspection was January 13, 2026.
Sequim, WA · Clallam County
★★★★☆CMS 4/5100 bedsFor-profitMedicaid
- Nurse hours
- 3.73 /day
- Staff turnover
- 56%
- Serious cites
- 0
Sequim Bay Post Acute runs 100 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.73 hours per resident day, about 3% under the national average, and weekend coverage drops roughly 15% below what the home provides on weekdays, which matters because that's when families often visit and when fewer eyes are on residents. Staff turnover is the sharper concern: 56.4% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 50 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with a single fine of $15,185. Quality measures score well; staffing and inspections are where the gaps show.
Puyallup, WA · Pierce County
★☆☆☆☆CMS 1/596 bedsFor-profitMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- n/a
- Serious cites
- 0
Puyallup Post Acute has 96 certified beds and a staffing rating of 1 out of 5, the weakest mark CMS gives, and the number that should worry you most if you're touring. Its inspection history shows 54 deficiencies on record, including one tied to abuse, though none rose to the level of actual harm or immediate jeopardy. The good news is the quality measure rating sits at 4 out of 5, which reflects how residents' conditions are tracked and managed, and the last inspection was recent, in September 2025. The split is real: clinical outcomes look decent here, but staffing and the sheer volume of past citations are the parts I'd ask hard questions about.
Yakima, WA · Yakima County
★★★★☆CMS 4/575 bedsFor-profitMedicaid
- Nurse hours
- 4.15 /day
- Staff turnover
- 56%
- Serious cites
- 0
Willow Springs runs 4.15 nurse hours per resident day, about 8% above the national average, and it holds 4 out of 5 stars on both health inspections and quality measures. But the census of 38 deficiencies includes one at the harm level and two tied to abuse, and staff turnover sits at 55.7% against a national 45.8%, the kind of churn that undercuts consistent care no matter how good the hours look on paper. Weekend staffing drops roughly 16% below its own weekday level, and there's a single $21,442 fine on record. The most recent inspection was July 2025, so the picture is current. A corporate-owned home with real strengths and real gaps.
Sunnyside, WA · Yakima County
★★★☆☆CMS 3/580 bedsFor-profitMedicaid
- Nurse hours
- 3.62 /day
- Staff turnover
- 21%
- Serious cites
- 0
Sunnyside Healthcare Center runs 80 certified beds under corporate for-profit ownership, and the numbers cut in a few directions at once. Nurse staffing sits at 3.62 hours per resident day, about 6% under the national average, and weekends run roughly 11% thinner than weekdays, so coverage tightens exactly when families tend to visit. The inspection record is where the real weight sits: 37 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus three fines totaling $92,827. What keeps it from looking worse is staff turnover at 21.3%, less than half the national rate, which suggests people stay. The last inspection was in December 2025.
Pullman, WA · Whitman County
★☆☆☆☆CMS 1/548 bedsFor-profitMedicaid
- Nurse hours
- 3.75 /day
- Staff turnover
- 57%
- Serious cites
- 0
Three Creeks Post Acute is a 48-bed for-profit home in Pullman, and the inspection record is the first thing you'd want to look at. Forty-three deficiencies on the current record, including two at the harm level and four tied to abuse, with two fines totaling $50,850. A one-out-of-five inspection rating backs that up.
The staffing side is mixed. Total nurse hours run slightly below the national average, weekends drop about 13% below the home's own weekday level, and turnover sits at 57.1% against a national 45.8%, meaning more than half the nursing staff turns over in a year.
Worth asking the administrator directly how they're addressing the inspection findings and what weekend coverage actually looks like.
Seattle, WA · King County
★★★☆☆CMS 3/535 bedsNon-profitMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- n/a
- Serious cites
- 0
Bailey-Boushay House is a 35-bed nonprofit in Seattle, and its inspection record shows 48 deficiencies with none rising to actual harm or jeopardy, but four abuse-related citations stand out, and that combination tells you the problems found were serious enough to document without crossing into immediate-danger territory. The last inspection was in May 2025, so the picture is current. With health inspection and quality measure ratings both at 3 out of 5, this home sits squarely in the middle of the federal pack rather than above it. For a small nonprofit with only 35 beds, 48 deficiencies is a lot of paperwork to accumulate. Ask to see the plan of correction for those four abuse citations specifically.
Yakima, WA · Yakima County
★☆☆☆☆CMS 1/593 bedsFor-profitMedicaid
- Nurse hours
- 3.98 /day
- Staff turnover
- 38%
- Serious cites
- 0
Landmark Care and Rehabilitation runs 93 beds in Yakima under corporate for-profit ownership, and the numbers pull in two directions. Nurse staffing sits at 3.98 hours per resident day, a bit above the national average, and the 37.5% turnover rate is better than the typical home, though weekends dip about 15% below weekday coverage. The trouble is the inspection record: 64 deficiencies, including 6 at the harm or jeopardy level and 8 tied to abuse, plus three fines totaling $277,867. A 1-out-of-5 health inspection rating against a 4-out-of-5 staffing rating tells you the people are there, but something in the care environment keeps going wrong.
Bellingham, WA · Whatcom County
★★★☆☆CMS 3/544 bedsFor-profitMedicaid
- Nurse hours
- 3.93 /day
- Staff turnover
- 63%
- Serious cites
- 0
Nurse staffing here runs 3.93 hours per resident day, just a hair above the national average of 3.86, so the day-to-day coverage looks adequate on paper. But weekends drop roughly 11% below the home's own weekday levels, and annual turnover sits at 62.5% against a national average of 45.8%, that's a lot of churn for 44 beds, and constant replacement makes it harder to keep consistent caregivers who know the residents. The inspection record carries 37 deficiencies, four of them serious enough to put residents in harm's way and one tied to abuse, with three fines totaling $63,697. The most recent inspection was August 2025, so the picture is current. For-profit corporate ownership rounds it out.
Tacoma, WA · Pierce County
★☆☆☆☆CMS 1/5124 bedsFor-profitMedicaid
- Nurse hours
- 3.74 /day
- Staff turnover
- 52%
- Serious cites
- 0
Birch Creek runs 124 certified beds in Tacoma under for-profit LLC ownership, and its staffing sits at 3.74 nurse hours per resident day, just under the national average of 3.86, with weekends roughly 11% leaner than weekdays. Turnover is the sharper problem: 51.7% of staff leave annually, against 45.8% nationally. The inspection record is what should give you pause. Seventy-five deficiencies are on file, three of them at harm or jeopardy level and ten tied to abuse. One fine totaling $30,240 has been levied, and the last inspection was March 13, 2026. A 1-out-of-5 health inspection rating captures that pattern better than any single number.