CMS Data · 2026
Washington Nursing Home Staffing Ratios
State average: 4.25 total HPRD · 0.88 RN · 0.78 LPN · 2.59 CNA
Washington vs. National Average
Bar = Washington average. Marker line = U.S. national average. Source: CMS PBJ 2024.
Browse by City in Washington
Washington Nursing Home Staffing — Top 50 Facilities
Sorted by CMS overall star rating. Click any facility for detailed staffing data.
PANORAMA CITY CONV & REHAB CTR
LACEY, WA · Non profit
5★
5★
5.07
0.91
⚠ 2 CMS fines on record
PARK MANOR REHABILITATION CTR
WALLA WALLA, WA · For profit
5★
5★
4.33
1.23
⚠ 1 CMS fine on record
REGENCY AT THE PARK
COLLEGE PLACE, WA · For profit
5★
5★
4.17
1.29
⚠ 2 CMS fines on record
PACIFIC CARE AND REHABILITATION
HOQUIAM, WA · For profit
5★
4★
4.01
0.70
ALDERWOOD PARK HEALTH AND REHAB OF CASCADIA
BELLINGHAM, WA · For profit
5★
4★
3.98
1.03
TACOMA NURSING AND REHABILITATION CENTER
TACOMA, WA · For profit
5★
3★
4.89
0.60
⚠ 1 CMS fine on record
REDMOND CARE AND REHABILITATION CENTER
REDMOND, WA · For profit
5★
4★
3.66
0.98
QUEEN ANNE HEALTHCARE
SEATTLE, WA · For profit
5★
5★
4.84
1.42
THE OAKS AT TIMBERLINE
VANCOUVER, WA · For profit
5★
3★
4.07
0.62
LIFE CARE CENTER OF PORT ORCHARD
PORT ORCHARD, WA · For profit
5★
4★
3.84
1.05
GRAYS HARBOR HEALTH & REHABILITATION CENTER
ABERDEEN, WA · For profit
4★
4★
4.17
0.42
LINDEN POST ACUTE
TOPPENISH, WA · For profit
4★
3★
3.71
0.64
SEQUIM BAY POST ACUTE
SEQUIM, WA · For profit
4★
3★
3.73
0.70
⚠ 1 CMS fine on record
AVAMERE REHABILITATION AT RIDGEMONT
PORT ORCHARD, WA · For profit
4★
2★
4.02
0.62
ROCKWOOD SOUTH HILL
SPOKANE, WA · Non profit
3★
4★
4.83
1.57
LIFE CARE CENTER OF RICHLAND
RICHLAND, WA · For profit
3★
2★
3.82
0.68
⚠ 2 CMS fines on record
LIFE CARE CENTER OF KENNEWICK
KENNEWICK, WA · For profit
3★
3★
3.90
0.88
⚠ 2 CMS fines on record
HIGHLAND HEALTH AND REHABILITATION OF CASCADIA
BELLINGHAM, WA · For profit
3★
3★
3.93
1.22
⚠ 3 CMS fines on record
CASHMERE POST ACUTE
CASHMERE, WA · For profit
3★
4★
3.59
0.94
⚠ 1 CMS fine on record
PROVIDENCE MOUNT ST VINCENT
SEATTLE, WA · Non profit
3★
5★
4.29
1.23
⚠ 3 CMS fines on record
VALLEY VIEW SKILLED NURSING AND REHABILITATION
RENTON, WA · For profit
3★
4★
4.19
1.10
SUNNYSIDE HEALTHCARE CENTER
SUNNYSIDE, WA · For profit
3★
3★
3.62
0.51
⚠ 3 CMS fines on record
OLYMPIA TRANSITIONAL CARE AND REHABILITATION
OLYMPIA, WA · For profit
3★
4★
4.24
0.61
AVAMERE REHABILITATION OF ISSAQUAH
ISSAQUAH, WA · For profit
2★
2★
4.08
0.59
⚠ 1 CMS fine on record
AVAMERE REHABILITATION OF SHORELINE
SEATTLE, WA · For profit
2★
3★
4.47
0.90
GARDEN VILLAGE
YAKIMA, WA · Non profit
2★
3★
4.51
0.63
⚠ 2 CMS fines on record
WASHINGTON CARE CENTER
SEATTLE, WA · For profit
2★
4★
3.67
0.84
⚠ 3 CMS fines on record
BALLARD CENTER
SEATTLE, WA · For profit
2★
4★
3.44
1.04
CRESCENT HEALTH CARE
YAKIMA, WA · For profit
2★
3★
3.59
0.69
⚠ 4 CMS fines on record
SHUKSAN REHABILITATION AND HEALTH CARE
BELLINGHAM, WA · For profit
2★
2★
3.36
0.91
⚠ 1 CMS fine on record
AURORA VALLEY CARE
SPOKANE, WA · For profit
2★
4★
3.71
0.62
⚠ 1 CMS fine on record
LIFE CARE CENTER OF FEDERAL WAY
FEDERAL WAY, WA · For profit
2★
3★
4.20
0.67
⚠ 2 CMS fines on record
North Auburn Care
AUBURN, WA · For profit
2★
3★
4.06
0.70
⚠ 1 CMS fine on record
SOUNDVIEW REHABILITATION AND HEALTH CARE INC
ANACORTES, WA · For profit
2★
3★
3.85
0.85
WOODLAND CONVALESCENT CENTER
WOODLAND, WA · For profit
2★
1★
3.10
0.91
⚠ 2 CMS fines on record
Edmonds Post Acute
EDMONDS, WA · For profit
2★
3★
3.79
0.94
PARK ROSE CARE CENTER
TACOMA, WA · For profit
2★
2★
5.14
0.96
⚠ 3 CMS fines on record
SPOKANE FALLS CARE
SPOKANE, WA · For profit
1★
2★
3.55
0.51
⚠ 2 CMS fines on record
LANDMARK CARE AND REHABILITATION
YAKIMA, WA · For profit
1★
4★
3.98
0.77
⚠ 3 CMS fines on record
ORCHARD PARK HEALTH CARE & REHAB CENTER
TACOMA, WA · For profit
1★
4★
3.66
0.70
⚠ 2 CMS fines on record
SPOKANE VALLEY HEALTH AND REHABILITATION OF CASCAD
SPOKANE VALLEY, WA · For profit
1★
1★
—
—
⚠ 4 CMS fines on record
Bremerton Trails Post Acute
BREMERTON, WA · For profit
1★
2★
3.45
0.51
⚠ 2 CMS fines on record
AVALON HEALTH & REHABILITATION CENTER - PASCO
PASCO, WA · For profit
1★
3★
3.93
0.96
Avalon Healthcare - Tacoma
TACOMA, WA · For profit
1★
4★
4.42
0.96
⚠ 1 CMS fine on record
Olympic View Post Acute
PORT ANGELES, WA · For profit
1★
2★
3.51
0.75
⚠ 3 CMS fines on record
Puyallup Post Acute
PUYALLUP, WA · For profit
1★
1★
—
—
FIR LANE CARE
SHELTON, WA · For profit
1★
4★
4.23
0.80
⚠ 2 CMS fines on record
Port Washington Post Acute
BREMERTON, WA · For profit
1★
3★
3.88
0.42
⚠ 3 CMS fines on record
Three Creeks Post Acute
PULLMAN, WA · For profit
1★
3★
3.75
0.86
⚠ 2 CMS fines on record
Colfax Health and Rehabilitation of Cascadia
COLFAX, WA · For profit
1★
3★
3.67
1.01
⚠ 3 CMS fines on record
Frequently Asked Questions
- What are the nursing home staffing requirements in Washington?
- CMS requires all Washington nursing homes to meet the federal minimums of 3.48 total nursing HPRD and 0.55 RN HPRD with 24-hour RN presence. Washington's state average of 4.25 total HPRD is at or above the national average of 3.89.
- What is the average RN staffing level in Washington nursing homes?
- Washington nursing homes average 0.88 RN hours per resident per day — above the U.S. national average of 0.69. Individual facilities vary widely; use this tool to compare specific nursing homes.
- How do I find the best-staffed nursing home in Washington?
- Sort by CMS staffing star rating (4–5 stars) and look for total HPRD above 3.89 — especially RN HPRD above 1.0. Also check staff turnover: facilities below 30% annual turnover typically provide more consistent care.
Data: CMS PBJ system via Care Compare. Revalidated every 24 hours. Not a medical recommendation.