The 10 Worst Nursing Homes in Washington

Finding the Right Nursing Home in Washington: Why It Matters

When it comes to choosing a nursing home for your loved ones in Washington, it's crucial to have access to accurate and comprehensive information. Our "Worst Nursing Homes in Washington" page aims to provide you with insights into the facilities that have fallen short in various aspects of care. Understanding these ratings can help you make more informed decisions and ensure the well-being of those who matter most.

Top Worst Nursing Homes in Washington

Our state rankings highlight the nursing homes in Washington that have received the lowest quality scores based on a variety of factors, including health inspections, staffing levels, and resident care. These scores are designed to give you a clear picture of which facilities may require closer scrutiny.

Factors Considered:

• Health and safety inspections
• Staffing ratios
• Resident care and outcomes
• Compliance with federal and state regulations

Our scoring methodology is transparent and designed to provide an unbiased look at each facility's performance. Nursing Homes with the warning icon () have been flagged by CMS for abuse.

Disclaimer: Our rankings are based on data collected from reputable sources, including government reports and independent evaluations. While we strive for accuracy, we encourage you to visit facilities and conduct your own research before making any decisions.

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

• The Broadview Center (272.25)
  • Provide care and assistance to perform activities of daily living for any resident who is unable. (2026-04-30)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-12-31)
• Avamere Rehabilitation of Shoreline (220)
  • Provide safe and appropriate respiratory care for a resident when needed. (2026-05-15)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2026-04-07)
• Seattle Medical Post Acute Care (200)
  • Protect each resident from the wrongful use of the resident's belongings or money. (2026-05-01)
  • Protect each resident from the wrongful use of the resident's belongings or money. (2026-03-02)
• Providence Mount St Vincent (177)
  • Provide and implement an infection prevention and control program. (2025-08-28)
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-07-18)
• Avamere Rehabilitation at Park West (154)
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (2026-04-17)
  • Inspect, test, and maintain automatic sprinkler systems. (2025-10-24)
• Ballard Center (150)
  • Ensure each resident receives an accurate assessment. (2026-05-09)
  • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (2026-05-09)
• Cascades of St Anne (146)
  • Have properly located and lighted "Exit" signs. (2026-03-31)
  • Install proper backup exit lighting. (2026-03-31)
• Kin On Health Care Center (143.75)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-08-15)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-05-30)
• The Terraces at Skyline (123)
  • 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. (2025-09-19)
  • 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. (2025-09-19)
• Washington Care Center (106)
  • 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. (2026-01-28)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2026-01-28)

Worst Nursing Homes in Spokane

• Spokane Health and Rehabilitation (463.25)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2026-03-24)
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2025-09-03)
• Spokane Falls Care (270)
  • 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. (2026-05-27)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2026-05-27)
• Aurora Valley Care (253)
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2026-05-01)
  • 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. (2026-05-01)
• Avalon Care Center at Northpointe (212)
  • Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. (2025-10-03)
  • Ensure that residents are free from significant medication errors. (2025-10-03)
• Royal Park Health and Rehabilitation (192)
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2025-09-23)
  • Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. (2025-07-16)
• Sullivan Park Care Center (178)
  • 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)
• Alderwood Manor (118)
  • 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. (2026-03-23)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2026-03-23)
• North Central Care Center (98)
  • 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. (2025-09-05)
  • Ensure that residents are fully informed and understand their health status, care and treatments. (2025-09-05)
• Rockwood South Hill (97)
  • Ensure that residents are free from significant medication errors. (2026-05-07)
  • 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)
• Sunshine Health and Rehab (76)
  • 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. (2026-03-13)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2026-03-13)

Worst Nursing Homes in Kennewick

• Life Care Center of Kennewick (135.5)
  • Provide and implement an infection prevention and control program. (2026-04-24)
  • Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (2026-04-03)
• Regency Canyon Lakes Rehab and Nursing Center (31)
  • 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 (430.25)
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2026-05-01)
  • Provide and implement an infection prevention and control program. (2026-05-01)
• Port Washington Post Acute (320.5)
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (2026-04-24)
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (2026-04-24)
• Belmont Terrace (147)
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (2026-04-20)
  • Ensure that residents are fully informed and understand their health status, care and treatments. (2026-04-20)

Worst Nursing Homes in Tacoma

• Orchard Park Health Care and Rehab Center (226)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2026-04-15)
  • 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. (2026-03-08)
• Alaska Gardens Health and Rehabilitation (212.5)
  • Inspect, test, and maintain automatic sprinkler systems. (2026-06-05)
  • Use approved construction type or materials. (2026-05-18)
• Avalon Healthcare - Tacoma (174)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2026-04-07)
  • Provide a written emergency evacuation plan. (2025-09-19)
• Birch Creek Post Acute and Rehabilitation (172)
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2026-04-21)
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2026-04-21)
• Heartwood Extended Healthcare (170)
  • 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. (2026-05-05)
  • 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. (2026-05-05)
• Avamere at Pacific Ridge (169)
  • 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. (2026-05-29)
  • 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. (2026-05-29)
• Park Rose Care Center (137)
  • Inspect, test, and maintain automatic sprinkler systems. (2025-09-29)
  • Have approved installation, maintenance and testing program for fire alarm systems. (2025-09-29)
• Eliseo (120)
  • Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (2026-06-05)
  • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (2026-06-05)
• Avamere Transitional Care of Puget Sound (90)
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2026-04-13)
  • Ensure each resident receives an accurate assessment. (2026-04-13)
• The Oaks at Lakewood (25)
  • Establish policies and procedures including evacuation. (2026-02-27)
  • Provide properly protected cooking facilities. (2026-02-27)

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