Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Colville Health and Rehabilitation of Cascadia carries a federal Special Focus Facility designation, which CMS reserves for homes with a persistent record of poor care. The current inspection history backs that up: 54 deficiencies, six of them at the level where a resident was actually harmed or put in immediate jeopardy, and five tied to abuse. Staffing runs about 11% below the national average, and weekends drop roughly 22% below the home's own weekday coverage. With turnover at 67% against a national 45.8%, the people at the bedside keep changing. Two fines totaling $68,351 are on record, and the most recent inspection was in May 2025. For-profit corporate ownership. If you're considering this one, ask hard questions.
Bremerton Trails Post Acute runs 125 certified beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.45 hours per resident day, roughly 11 percent under the national average, with weekends running another 11 percent leaner than weekdays, and annual turnover of 54.5 percent against a national 45.8 percent means the people providing that care keep changing. The inspection side is where it gets serious: 105 deficiencies on the current record, including five at the harm or jeopardy level and six tied to abuse, plus $174,068 in fines and a place in CMS's Special Focus Facility program. A 1-out-of-5 inspection rating with a November 2025 survey date tells you regulators are watching closely.
Crystal Cove Post Acute runs 96 beds in Lacey under for-profit LLC ownership, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent record of poor care. The numbers back that up: 132 deficiencies on the current record, including 6 at the harm or jeopardy level and 4 tied to abuse, plus three fines totaling $215,060. Nurse staffing sits at 3.77 hours per resident day, slightly under the national average, and drops about 15% on weekends, when coverage thins out. Staff turnover is the sharper problem, 69.7% a year against a national average of 45.8%, meaning most of the people caring for residents are new to the building.
Spokane Health & Rehabilitation runs 125 certified beds under for-profit LLC ownership, and the staffing numbers tell a story. At 3.55 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. Annual turnover of 64.4% against a national 45.8% means the aides and nurses caring for your family member are, more often than not, new to the building.
The inspection record is the harder truth. Ninety-eight deficiencies, including six at the harm or jeopardy level and eight tied to abuse, with three fines totaling $137,457. CMS has placed this home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes.
Auburn Post Acute is a 96-bed for-profit home in King County, and the number that should stop you is 131 deficiencies on its current record, 11 of them at the level where a resident was actually harmed, 10 tied to abuse. That record, plus $380,862 in fines across six penalties, is why CMS has placed it in the Special Focus Facility program, the agency's watchlist for the homes with the worst inspection histories. Nurse staffing of 3.66 hours per resident day sits just under the national average, and weekends run about 13% thinner than weekdays, so coverage gets lightest when families tend to visit. Staff turnover is roughly average, nothing here suggests the direct-care aides are the problem. The last inspection was January 31, 2025.
Woodard Creek runs 152 beds under for-profit LLC ownership, and its nurse staffing sits barely above the national average, 3.89 hours per resident day against 3.86, while weekends drop roughly 12% below its own weekday levels. The bigger issue is who stays: annual turnover hits 71.8%, well above the 45.8% national figure, and CMS gives staffing just 2 of 5 stars. Its inspection record shows 77 deficiencies, including one at harm or jeopardy level and 13 tied to abuse, with a $12,735 fine and a June 2025 inspection. Quality measures rate 4 of 5 stars, but that's the outlier here, not the pattern.
Mountain View Post Acute runs 74 certified beds in Ellensburg under corporate ownership, and the numbers that matter most here are the inspection ones. Seventy-two deficiencies sit on its current record, including seven at the harm or jeopardy level and eleven tied to abuse. CMS fined this home five times for a total of $241,528, and its most recent inspection in February 2026 landed at one star. Staffing is thin, too: 3.78 nurse hours per resident day is slightly under the national average, weekend coverage drops about 19% below weekdays, and turnover runs 62.2% against a national 45.8%. The quality measure score doesn't offset any of that.
Linden Grove runs 130 beds in Puyallup under for-profit LLC ownership, and the inspection record is the first thing you should know about: 104 deficiencies on file, five of them serious enough to put residents in harm or jeopardy, plus eleven tied to abuse. Six fines add up to $193,178. Staffing sits at 3.64 nurse hours per resident day, about 6% under the national average, and weekends drop roughly 12% below what the home itself provides on weekdays. Annual turnover is 60.2% against a 45.8% national figure, which means the aide who knows your mother's routine this month may be gone next quarter. The most recent inspection was January 14, 2026.
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.
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.