Worth Considering
7
Facilities graded B or better with zero fines
Best Nursing Homes in Seattle, Washington
7 of 19 nursing homes in Seattle (37%) meet our strict criteria. The Washington statewide average is 29%.
7 recommended · 6 caution · 6 avoid · data
City Average
3.3
★
+0.00 vs state
Total Beds
2,208
across 19 facilities
High Risk Facilities
6
5 Grade F
$378,745 in combined fines
Zero Fines
11
/19
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why These 7?
The nursing home market in Seattle is strong, featuring 19 facilities with 7 recommended options. Families should note that while the top facility, Shoreline Health and Rehabilitation, garners a B+ rating, there are 6 facilities with a total of $322,042 in fines to consider.
Strong (Grade B+, Trust Score 80-89)
- 1 SHORELINE HEALTH AND REHABILITATION (85) — Shoreline Health and Rehabilitation boasts an impressive CMS 5★ rating, reflecting its commitment to high-quality care. With a Trust Score of 85/100 and no fines, this for-profit facility is dedicated to providing a safe and supportive environment for its 114 residents.
- 2 QUEEN ANNE HEALTHCARE (80) — Queen Anne Healthcare excels with a stellar CMS 5★ rating, showcasing its high standards of care. With a Trust Score of 80/100 and no fines, this for-profit partnership offers a welcoming atmosphere for its 120 residents, ensuring they receive exceptional support.
- 3 CAROLINE KLINE GALLAND HOME (80) — Caroline Kline Galland Home stands out with a perfect CMS 5★ rating and a strong community focus as a non-profit facility. Its Trust Score of 80/100 and commitment to quality care for 205 residents make it a top choice for compassionate support in Seattle.
Qualified (Grade B, Trust Score 70-79)
- 4 COLUMBIA LUTHERAN HOME (73) — Columbia Lutheran Home, a non-profit facility, features a solid CMS 4★ rating, demonstrating its dedication to quality service. With a Trust Score of 73/100 and no fines, it provides a caring environment for its 116 residents while emphasizing community involvement.
- 5 MIRABELLA SEATTLE (73) — Mirabella Seattle offers a nurturing atmosphere as a non-profit facility with a CMS 4★ rating. Though its Trust Score is 73/100, it remains committed to providing personalized care for its 46 residents, fostering a sense of community and belonging.
- 6 BAILEY-BOUSHAY HOUSE (70) — Bailey-Boushay House is a non-profit facility with a CMS 4★ rating, focusing on providing quality care for its 35 residents. Despite a Trust Score of 70/100, it emphasizes a supportive community environment, ensuring residents receive attentive and compassionate support.
- 7 FIRCREST NURSING FACILITY (70) — Fircrest Nursing Facility, a state government-run facility, has a CMS 4★ rating and a Trust Score of 70/100. With 110 beds and no fines, it aims to deliver reliable care while serving the community, making it a practical option for residents seeking stability.
The other 12 Seattle facilities didn't qualify — 6 carry Grade D or F ratings and 8 have fines totaling $378K.
Recommended
Shoreline Health and Rehabilitation boasts an impressive CMS 5★ rating, reflecting its commitment to high-quality care. With a Trust Score of 85/100 and no fines, this for-profit facility is dedicated to providing a safe and supportive environment for its 114 residents.
Queen Anne Healthcare excels with a stellar CMS 5★ rating, showcasing its high standards of care. With a Trust Score of 80/100 and no fines, this for-profit partnership offers a welcoming atmosphere for its 120 residents, ensuring they receive exceptional support.
Caroline Kline Galland Home stands out with a perfect CMS 5★ rating and a strong community focus as a non-profit facility. Its Trust Score of 80/100 and commitment to quality care for 205 residents make it a top choice for compassionate support in Seattle.
Columbia Lutheran Home, a non-profit facility, features a solid CMS 4★ rating, demonstrating its dedication to quality service. With a Trust Score of 73/100 and no fines, it provides a caring environment for its 116 residents while emphasizing community involvement.
Mirabella Seattle offers a nurturing atmosphere as a non-profit facility with a CMS 4★ rating. Though its Trust Score is 73/100, it remains committed to providing personalized care for its 46 residents, fostering a sense of community and belonging.
Bailey-Boushay House is a non-profit facility with a CMS 4★ rating, focusing on providing quality care for its 35 residents. Despite a Trust Score of 70/100, it emphasizes a supportive community environment, ensuring residents receive attentive and compassionate support.
Fircrest Nursing Facility, a state government-run facility, has a CMS 4★ rating and a Trust Score of 70/100. With 110 beds and no fines, it aims to deliver reliable care while serving the community, making it a practical option for residents seeking stability.
Proceed with Caution
These facilities don't meet our recommendation criteria but may still be viable options.
Best Available Alternative
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Seattle Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 3.3 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 12?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 5 Grade F — critical inspection failures
- Facilities with fines
- 8 Have fines totaling $378,745
- Low-scoring facilities
- 7 Scored below B — Trust Scores under 70
- Caution group
- 6 Had good grades but fines disqualified them
Questions Seattle Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Seattle's city average is 3.3 stars
-
2
"Have you received any fines in the past 3 years?"
8 of 19 Seattle facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Seattle avg is 0 min
-
4
"What were your most recent inspection findings?"
Seattle facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Seattle, WA are recommended?
7 of 19 nursing homes in Seattle (37%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Seattle "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Seattle?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.