Assisted living & nursing homes in Washington

6,700 assisted-living / residential care and 193 nursing-home facilities — ranked by the government safety records referral sites won't show you. 141 have substantiated complaints · 18 CMS abuse-flagged · 1 on probation.

6,893Licensed facilities

77Avg safety score

141With substantiated complaints

$430/dayMedian CMS all-payer rate

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⚠️22 Washington facilities are on the safety watchlist — flagged for CMS Special Focus, probation, or abuse citations. See the list before you tour →

Top-rated facilities in Washington

A Touchmark On South Hill Spokane
A Waller Road Home Tacoma
A Mallon Place Inc Spokane
A Country Meadow Village Sedro Woolley
A Courtyard At Crista Shores Silverdale
A Lakeshore Seattle
A Mill Ridge Village Milton
A Terry Home Pacific
A Pacific Avenue Residential Care Tacoma
A Fairview Assisted Living Inc Spokane
A Red Oak Residence Of North Bend North Bend
A Village Green Senior Living Of Federal Way Federal Way

Facilities with substantiated complaints

F Colville Health And Rehabilitation Of Cascadia Colville
F Colfax Health And Rehabilitation Of Cascadia Colfax
F Olympic View Post Acute Port Angeles
F Woodard Creek Health & Rehabilitation Olympia
D North Cascades Health And Rehabilitation Bellingham
F Port Washington Post Acute Bremerton
F Bremerton Trails Post Acute Bremerton
D The Broadview Center Seattle
D Avamere Rehabilitation Of Shoreline Seattle
F Life Care Center Of Mount Vernon Mount Vernon
F Spokane Falls Care Spokane
F Avalon Health & Rehabilitation Center - Pasco Pasco

CMS cost-report rate in Washington

Across 183 Washington nursing homes with a public CMS cost report, the median all-payer rate is $430 per resident-day. This is net patient revenue divided by resident-days across Medicare, Medicaid, and private pay. It is an accounting statistic, not a private-pay quote or monthly consumer price.

Source: CMS Skilled Nursing Facility Cost Report (FY2023), analyzed by Senior Care Record Map. See the state comparison and payment guide.

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📖The honest care guideHow to read a safety record and what the ratings really mean ⚖️Assisted living vs. nursing homeThe real difference in care, cost, and who each is for 💵What care actually costsHow to compare itemized quotes and verify coverage 🕰️Signs it's timeTen concrete signs it may be time for assisted living ✅Free tour checklist45 questions to ask — and get pricing in writing

Largest cities in Washington

All counties in Washington

Ranked by Senior Care Record Map safety grade (CA CDSS licensing records + CMS Care Compare, 2026). How grades are calculated →