Every Medicare-certified nursing home in Washington, graded on inspections, staffing, turnover
and enforcement history.
6 homes in the state sit in the federal Special Focus programme.
Othello Post Acute runs 39 beds under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, and annual turnover hits 61.1% against a national 45.8%, so the aides and nurses cycling through are often new to the building. The inspection record shows 34 deficiencies, four serious enough to reach harm or jeopardy level and one tied to abuse, with two fines totaling $19,182; the most recent survey was January 2026. CMS gives middle marks across health inspections, quality measures, and staffing, three stars each.
Cascades Of St Anne runs 47 beds in Seattle under corporate ownership, and the staffing picture is mixed. Total nurse hours come in at 4.20 per resident day, roughly 9% above the national average, but weekends drop about 12% below what the home staffs on weekdays. Annual turnover sits at 66.7%, well above the 45.8% national figure, so the people providing that care are cycling through quickly. The inspection record is the bigger concern: 57 deficiencies, including 2 at the harm level and 4 tied to abuse, against a 2/5 inspection rating. The last survey was January 21, 2026, so the record is current. Good quality measure scores don't offset that history.
Spokane Falls Care runs 100 beds under for-profit LLC ownership, and the direct-care staffing sits at 3.55 hours per resident day, roughly 8% under the national average, with weekends running about 14% thinner than weekdays. Annual turnover hits 60.7% against a national 45.8%, meaning most of the people caring for residents are new to the building. The inspection record is where things get serious: 102 deficiencies on file, three at harm or jeopardy level and ten tied to abuse, plus two fines totaling $125,736. The last inspection was April 2026. Quality measures score well at 4 stars, but that sits against 1-star health inspections and 2-star staffing.
Life Care Center of Kennewick runs 136 beds under corporate ownership, and its staffing sits right at the national average, 3.90 nurse hours per resident day against 3.86 nationally. That thin margin matters less than what happens on weekends, when coverage drops about 12% below the home's own weekday level. Turnover runs 47.7%, slightly above the 45.8% national figure. The real concern is the inspection record: 46 deficiencies, including 6 at harm or jeopardy level and 14 tied to abuse, with two fines totaling $60,246. A recent inspection in November 2025 and a 2-star health inspection rating suggest oversight problems persist even as quality measures score well.
Orchard Park runs 147 beds under for-profit LLC ownership, and its inspection record is the part that should give you pause: 113 deficiencies on file, four of them serious enough to involve actual harm or jeopardy, plus ten tied to abuse. Fines total $136,055 across two penalties. Nurse staffing sits at 3.66 hours per resident day, about 5% under the national average, and weekends drop roughly 11% below the home's own weekday coverage, so the thinnest shifts land when families visit least. Annual turnover of 45.6% is essentially the national norm, which tells you little either way. The most recent inspection was June 1, 2026.
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.
Life Care Center of Mount Vernon runs 121 certified beds under corporate for-profit ownership, and its last inspection was in April 2025. The record behind that inspection is the real story: 91 deficiencies, including 8 at the harm or jeopardy level and 11 tied to abuse. Four fines add up to $206,734. Staffing sits at 3.84 hours per resident day, roughly a percentage point under the national average, and weekends drop about 13% below the home's own weekday coverage. Annual turnover is 53.4% against a national 45.8%. The quality measure rating is strong and staffing is middling, but inspection history is where families should focus.
Regency Coupeville runs a for-profit, LLC-owned home of 112 certified beds, and the staffing picture is genuinely mixed. Its 4.26 nurse hours per resident day tops the national average by roughly 10%, which is a real strength, but weekends drop about 17% below its own weekday coverage, and annual turnover sits at 52.1%, well above the 45.8% national figure.
The inspection record is where the trouble shows. A survey on July 30, 2025 left 72 deficiencies on file, including 3 at harm or jeopardy level and 10 tied to abuse. Three fines total $131,131. Combined with a 2-out-of-5 health inspection rating, that record weighs heavily against the otherwise solid staffing numbers.
Seattle Medical Post Acute Care runs a for-profit operation with 103 beds, and the staffing numbers are genuinely strong on paper, 5.71 nurse hours per resident day, roughly 48% above the national average, with turnover at 43.4% that's slightly better than the typical home. The problem is what inspections keep finding. Eighty-two deficiencies sit on the current record, nine of them serious enough to endanger residents and eight tied to abuse. Six fines totaling $73,318 have piled up, and the most recent inspection was just September 2025, so this isn't a stale record. Quality measures score well and staffing looks adequate, but those inspection findings at the harm level tell a different story about what daily life there can actually be like.
Alderwood runs a for-profit corporate home with 113 beds in Lynnwood, and the numbers pull in different directions. Nurse staffing sits at 4.15 hours per resident day, roughly 7% above the national average, and weekends dip about 9% below its own weekday levels. The trouble shows up elsewhere: CMS gives it 1 out of 5 stars on health inspections, with 123 deficiencies on the current record, including 4 at the harm or jeopardy level and 13 tied to abuse. Four fines total $190,519. Staff turnover is 56.7%, well above the 45.8% national figure, which matters when a place relies on consistent caregivers. The last inspection was August 2025, so the record is recent, and it's a rough one.
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%.
North Cascades Health And Rehabilitation is a for-profit LLC home in Bellingham with 122 certified beds, and the numbers tell a split story. Staffing sits at 3.74 nurse hours per resident day, about 3% under the national average, and weekends run roughly 16% thinner than weekdays, so the days your family member might visit are often the days with the least coverage. Turnover at 34.5% is better than the national 45.8%, but the inspection record is the real concern: 95 deficiencies, 10 at harm or jeopardy level, 14 abuse-related, and six fines totaling $313,623, with the most recent inspection on April 13, 2026. Good quality scores don't cancel out a record like that.
Gig Harbor Health And Rehabilitation runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.94 hours per resident day, just above the national average of 3.86. That thin margin gets thinner on weekends, when coverage drops roughly 12% below the home's own weekday levels.
The bigger concern is the inspection record: 119 deficiencies, four at harm or jeopardy level, 14 tied to abuse, and two fines totaling $127,781. Annual turnover of 67.9% against a national 45.8% means caregivers are cycling through fast. A five-star quality measure score doesn't offset a one-star health inspection rating and that many serious findings. If you're considering this home, ask directly how they're addressing turnover and what's changed since the December 2025 inspection.
Avalon Care Center At Northpointe runs 119 certified beds on Spokane's north side under corporate for-profit ownership, and the numbers show real strain. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average, and weekends drop about 14% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover hit 62% last year against a national 45.8%, which means many of the people caring for residents are still learning the building.
The inspection record is the harder read: 74 deficiencies on file, including two at the harm level and four tied to abuse, with $84,614 in fines and a February 2025 inspection. The quality measure rating is strong, but that reflects charted clinical outcomes, not day-to-day consistency.
Bridges To Home is a twelve-bed nonprofit home in Shoreline, and its inspection record is the main thing to know before you call. Fifteen deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, is a lot for a home this small, smaller buildings usually generate shorter lists, not longer ones. There's one fine on record, $8,278. The last inspection was August 4, 2025, so the findings are recent, not stale. With twelve beds, staffing is worth asking about directly: who covers nights, and what happens when someone calls out. Ask for the plan of correction and how the abuse-related findings were resolved.
Yakima Valley School is a state-run home in Selah with 112 beds, and its staffing is the headline: 16.60 nurse hours per resident day against a national average of 3.86. That's a different category of coverage than most families ever see, and turnover sits at 32.2% versus 45.8% nationally. Weekend staffing dips about 8% below its own weekday level, so the floor is thinner on Saturdays and Sundays even here. The inspection record is where it gets harder. Thirty-four deficiencies, four at harm or jeopardy level, eight abuse-related, and a 2/5 inspection rating, with the most recent survey dated May 2026. High staffing and a troubled regulatory history can both be true. Ask what those abuse deficiencies specifically involved.
Lakeland Village runs on state funding and employs nurses at a rate nearly triple the national average, 11.12 hours per resident day against 3.86. Weekend coverage dips only slightly, about 7% below weekdays, and turnover sits at 32.6%, well under the 45.8% national figure. That's genuinely strong staffing. The problem is what inspections keep finding: 26 deficiencies on the current record, including one at the harm or jeopardy level and 10 tied to abuse. Its last inspection was October 27, 2025, so the picture is current, not stale. High nurse hours don't cancel out harm-level findings, a C grade reflects a home where the caregiving capacity is real but the safety record isn't.
Shuksan Rehabilitation runs 52 beds in Bellingham under corporate ownership, and the staffing numbers tell a story worth sitting with. At 3.36 nurse hours per resident day, it's roughly 13% under the national average, and weekends drop about 21% below its own weekday level, so care gets thinnest exactly when families tend to visit. Staff turnover of 55.2% runs well above the national 45.8%, which means fewer familiar faces at the bedside. The inspection record is the harder read: 59 deficiencies, five at harm or jeopardy level, seven tied to abuse, and a $74,794 fine, all with a most recent inspection in May 2025. The quality measure score of 5 out of 5 stands out against a 1 out of 5 on health inspections.
Spokane Valley Health and Rehabilitation of Cascad runs 97 certified beds as a for-profit LLC, and its record shows why families should look closely before committing. The staffing score sits at the bottom of the federal scale, and the quality measure rating is just as low, meaning the day-to-day care metrics that matter most land well below what CMS considers average. Inspectors have cited 52 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with four fines totaling $27,034. The most recent inspection was November 2025, so the picture is current. With that volume of citations and thin staffing, you'd want to ask hard questions about who's on the floor overnight.
Crescent Health Care runs 85 beds in Yakima under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 11% below what the home staffs during the week, so coverage gets thinnest exactly when families tend to visit. Turnover at 42.9% is slightly better than the national rate, which is one genuine bright spot.
The inspection record is where things get harder to dismiss: 47 deficiencies on file, including 5 at the harm level and 8 tied to abuse, plus four fines totaling $245,834. The most recent inspection was December 5, 2025, so the record is current. If you're considering this home, ask directly how those abuse-related citations were resolved.