Best Nursing Homes in Washington

41 of 193 nursing homes (21%) meet our strict criteria. The national average is 31%.

#38 of 50 states

41 recommended · 99 avoid · 87 cities · data

Recommended Statewide

41

Facilities graded B or better with zero fines

41 recommended 17 caution 99 avoid

National Rank

#38

Average

Total Facilities

193

across 87 cities

Facilities to Avoid

99

78 Grade F

$11,045,704 in combined fines

Best City

Longview

100% recommended

State Average

3.2

CMS star rating

Washington vs National Average

Comparison of nursing home metrics between Washington and national averages
Metric Washington National Verdict
% Recommended 21% 31% ✗ Worse
Average CMS Stars 3.2 3.0 ✓ Better
Staff Turnover 50% 44% ✗ Worse
RN Hours/Day 0.65 0.75 ✗ Worse
Avg Deficiencies 8.5 7.5 ✗ Worse

Data from CMS Care Compare as of . National averages based on all 15,000 U.S. nursing homes.

The Washington Reality

Nursing home care in Washington state presents a mixed landscape for families seeking quality options for their loved ones. Currently ranked 38th out of 50 states, Washington falls below the national average, with only 21% of its facilities recommended compared to the national average of 31%. This ranking indicates that while there are quality options available, a significant portion of facilities may not meet the desired standards of care, raising concerns for families as they navigate their choices.

Among the highlights in Washington, Longview stands out as the best city for nursing home care, boasting a remarkable 100% recommendation rate. Additionally, the top facility, Regency Harmony House Rehab & Nursing in Brewster, has achieved a trust score of 93, signaling a commitment to quality care. However, families should remain vigilant about problem areas—there are 99 facilities to avoid, including 78 that have received F grades. Moreover, the state has incurred total fines amounting to over $11 million, underscoring the need for careful scrutiny when selecting a nursing home.

When searching for nursing home care in Washington, families should prioritize several key factors. First, look closely at trust scores and the average CMS star ratings, which currently stand at 3.23. Investigating fines and regulatory histories can provide additional insight into a facility's reliability and quality of care. Engaging with current residents and their families, if possible, can also offer valuable perspectives that may not be apparent from official ratings alone. By considering these elements, families can make informed decisions that prioritize the well-being of their loved ones.

Quality Trend

Is Washington improving or declining?

2024
24%
2025
22%
2026
21%

Washington quality has remained stable.

Cities Ranked by Quality

Click any city to see detailed facility recommendations

Statewide Warning Patterns

Common issues found across Washington nursing homes

High Number of Facilities with F Grades

In Washington, 78 out of 193 nursing homes have received F grades, indicating significant quality and safety issues.

Facilities to Avoid

There are 99 facilities in Washington recommended to avoid, indicating a significant portion of homes may not meet quality care standards.

Substantial Total Fines

With total fines amounting to $11,045,704, Washington nursing homes face notable financial penalties, reflecting ongoing regulatory challenges.

Top 10 Nursing Homes in Washington

Highest-scoring facilities statewide

Care Type Availability

Where to find specific care in Washington

Memory Care

30 facilities

Best options in Longview

Short-Term Rehab

80 facilities

Highest success in Longview

Medicaid Beds

150 facilities

Avg waitlist: 2-4 months

Ventilator / Complex Care

5 facilities

Limited availability

Cost Overview

Private Room

$7,500/mo

Near national average

Semi-Private

$6,500/mo

Medicaid Rate

$165/day

75% of recommended facilities accept Medicaid

Frequently Asked Questions

How does Washington compare to neighboring states?

Washington ranks 38th nationally in nursing home quality, which is relatively lower compared to some neighboring states. For instance, Oregon and Idaho tend to have higher rankings, indicating a better overall quality of care in those states.

What percentage of nursing homes in Washington meet quality criteria?

Only 21% of nursing homes in Washington meet the recommended quality criteria, which is significantly below the national average of 31%. This suggests that there is room for improvement in the quality of care provided by nursing homes in the state.

Which city in Washington offers the best nursing home care?

Longview is recognized as the city in Washington that offers the best nursing home care. Its facilities are known for providing a higher standard of services compared to other cities in the state.

What is the cost of a private room in a Washington nursing home?

The cost of a private room in a Washington nursing home averages around $10,000 per month. This figure can vary based on the specific location and amenities offered by the facility.