The 10 Worst Nursing Homes in Washington

  Worst Nursing Homes in Washington By City

Every city in Washington has its own set of challenges and standards when it comes to nursing home care. To help you find the information most relevant to your location, we've compiled city-specific rankings of the worst-rated nursing homes. Click on the links below to explore the detailed lists for each city.

Worst Nursing Homes in Seattle

• Seattle Medical Post Acute Care (203)
• Provide or get specialized rehabilitative services as required for a resident. (2025-06-03)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2025-05-27)
• Kin On Health Care Center (184.25)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-05-30)
• Have generator or other power source capable of supplying service within 10 seconds. (2025-05-09)
• Washington Care Center (177.5)
• Provide and implement an infection prevention and control program. (2024-12-04)
• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. (2024-10-18)
• Avamere Rehabilitation at Park West (176.75)
• Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2024-10-29)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-06-01)
• Ballard Center (156.25)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2025-05-12)
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (2025-05-09)
• Providence Mount St Vincent (152)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-03-14)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2025-02-19)
• The Broadview Center (139)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-07-11)
• Provide care and assistance to perform activities of daily living for any resident who is unable. (2025-06-25)
• Avamere Rehabilitation of Shoreline (130)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2025-05-14)
• Respond appropriately to all alleged violations. (2025-05-14)
• Cascades of St Anne (123)
• Provide safe, appropriate pain management for a resident who requires such services. (2025-05-16)
• Ensure each resident?s drug regimen must be free from unnecessary drugs. (2025-05-16)
• The Terraces at Skyline (99)
• Respond appropriately to all alleged violations. (2025-07-08)
• Ensure that residents are fully informed and understand their health status, care and treatments. (2024-10-15)

Worst Nursing Homes in Spokane

• Spokane Health and Rehabilitation (505.25)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-06-10)
• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2025-06-10)
• Spokane Falls Care (289)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2025-06-10)
• Provide safe, appropriate pain management for a resident who requires such services. (2025-06-10)
• Royal Park Health and Rehabilitation Center (227)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-04-25)
• Provide safe, appropriate pain management for a resident who requires such services. (2025-04-25)
• Avalon Care Center at Northpointe (222)
• Ensure that residents are free from significant medication errors. (2025-04-01)
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2025-03-26)
• Sullivan Park Care Center (216)
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2025-04-11)
• Allow residents to self-administer drugs if determined clinically appropriate. (2025-04-11)
• Aurora Valley Care (210)
• Provide care and assistance to perform activities of daily living for any resident who is unable. (2025-04-02)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2025-03-19)
• Alderwood Manor (156)
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2024-12-06)
• Ensure that residents are fully informed and understand their health status, care and treatments. (2024-12-06)
• Rockwood South Hill (96)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2025-01-15)
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (2025-01-15)
• Sunshine Health and Rehab (94)
• Allow residents to self-administer drugs if determined clinically appropriate. (2024-12-20)
• Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. (2024-12-20)
• Touchmark On South Hill Nursing (80.75)
• Develop and implement policies and procedures for flu and pneumonia vaccinations. (2025-02-11)
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2025-02-11)

Worst Nursing Homes in Kennewick

• Life Care Center of Kennewick (194.5)
• Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. (2025-06-13)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2025-06-13)
• Regency Canyon Lakes Rehab and Nursing Center (48)
• PASARR screening for Mental disorders or Intellectual Disabilities (2025-05-09)
• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (2025-05-09)

Worst Nursing Homes in Bremerton

• Bremerton Trails Post Acute (266.25)
• Ensure that residents are free from significant medication errors. (2025-05-27)
• Provide and implement an infection prevention and control program. (2025-05-27)
• Port Washington Post Acute (239.5)
• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (2025-05-24)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-05-24)
• Belmont Terrace (219)
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2025-04-25)
• Provide safe, appropriate pain management for a resident who requires such services. (2025-04-25)

Worst Nursing Homes in Tacoma

• Alaska Gardens Health and Rehabilitation (289.75)
• Provide properly protected cooking facilities. (2025-06-27)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2025-06-27)
• Orchard Park Health Care and Rehab Center (277.75)
• Provide care and assistance to perform activities of daily living for any resident who is unable. (2025-05-07)
• Conduct testing and exercise requirements. (2024-12-03)
• Heartwood Extended Healthcare (198)
• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (2025-03-21)
• Ensure that residents are fully informed and understand their health status, care and treatments. (2025-03-21)
• Avalon Healthcare - Tacoma (198)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-06-10)
• Plan the resident's discharge to meet the resident's goals and needs. (2025-04-15)
• Avamere at Pacific Ridge (196)
• Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (2025-06-04)
• Inspect, test, and maintain automatic sprinkler systems. (2025-05-30)
• Birch Creek Post Acute and Rehabilitation (160)
• Ensure that testing and maintenance of electrical equipment is performed. (2025-05-23)
• Install smoke barrier doors that can resist smoke for at least 20 minutes. (2025-05-23)
• Park Rose Care Center (156)
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-12-10)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-12-10)
• Eliseo (114)
• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2025-06-22)
• Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (2025-06-22)
• Avamere Transitional Care of Puget Sound (96)
• Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (2025-03-07)
• Respond appropriately to all alleged violations. (2024-09-11)
• The Oaks at Lakewood (59)
• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. (2024-12-18)
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2024-11-26)

  Related Lists and Resources

While it's important to be aware of the lowest-rated facilities, we also provide resources to help you find the best care available. Check out our other lists to find top-rated nursing homes and facilities that excel in specific areas.

• Best Nursing Homes in Washington
• Analysis of Nursing Homes in Washington

  Making Informed Decisions

Understanding our rankings and how they are derived can empower you to make better choices for your loved ones. Remember, a low rating in one area doesn't necessarily mean a facility is entirely unsuitable; it's a starting point for further investigation.

  Tips for Evaluating Nursing Homes in Washington:

• Schedule visits to potential facilities
• Speak with staff and residents
• Review recent inspection reports
• Consider the specific needs of your loved one

Disclaimer: NursingHomeDatabase.com does not have a relationship, either commercial or otherwise, with any of the skilled nursing facilities referred to on this site. This is an independent resource that tries to make more and better information available to the public.

  More Resources for Families

Navigating the world of nursing home care can be overwhelming. Here are some resources to help you make the best decisions for your family:

• The Role of Family in Nursing Home Care
• Navigating Medicaid for Nursing Home Care
• How to Handle a Nursing Home Discharge
• Understanding Nursing Home Ratings and What They Mean
• Questions to Ask During a Nursing Home Visit

  How We Compile Nursing Home Ratings in Washington

Every month, we rank all of the skilled nursing facilities in Washington. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Washington is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Washington nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

• Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
• Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
• Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
• Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Washington nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!