NursingHomeGrade

Lowest-Rated Nursing Homes in Washington

Facilities in Washington with the lowest NursingHomeGrade Scores. A low score does not guarantee poor care in all areas — but families should review inspection records, staffing levels, and deficiency details carefully before choosing.

⚠ A low score indicates significant concerns in one or more areas: staffing, inspection violations, or quality measures. Visit each facility page for the full deficiency record and comparison data.

Rankings

# Facility Location Grade Score RN Hours Deficiencies
1 Bridges To Home SHORELINE, WA F 4 N/A 15
2 Crystal Cove Post Acute LACEY, WA F 4 0.65 38
3 Colville Health and Rehabilitation of Cascadia COLVILLE, WA F 11 0.73 32
4 ORCHARD PARK HEALTH CARE & REHAB CENTER TACOMA, WA F 14 0.70 47
5 BAILEY-BOUSHAY HOUSE SEATTLE, WA F 15 N/A 17
6 Shelton Health and Rehabilitation SHELTON, WA F 18 0.66 20
7 Puyallup Post Acute PUYALLUP, WA F 21 N/A 16
8 Olympic View Post Acute PORT ANGELES, WA F 21 0.75 39
9 Parkside Care UNION GAP, WA F 22 0.72 18
10 Bremerton Trails Post Acute BREMERTON, WA F 23 0.51 43
11 Bridge Crest Post Acute VANCOUVER, WA F 24 0.75 23
12 Port Washington Post Acute BREMERTON, WA F 24 0.42 45
13 LINDEN GROVE HEALTH CARE CENTER PUYALLUP, WA F 27 0.67 39
14 Alaska Gardens Health and Rehabilitation TACOMA, WA F 29 0.56 17
15 SHARON CARE CENTER CENTRALIA, WA F 30 N/A 10
16 SPOKANE HEALTH & REHABILITATION SPOKANE, WA F 30 0.60 38
17 North Auburn Care AUBURN, WA F 30 0.70 36
18 Woodard Creek Health & Rehabilitation OLYMPIA, WA F 31 0.67 43
19 AUBURN POST ACUTE AUBURN, WA F 31 0.93 32
20 NORTH BEND POST ACUTE NORTH BEND, WA F 32 0.38 12
21 Landmark Care And Rehabilitation YAKIMA, WA F 32 0.77 18
22 LIFE CARE CENTER OF MOUNT VERNON MOUNT VERNON, WA F 33 0.95 36
23 Birch Creek Post Acute & Rehabilitation TACOMA, WA D 36 0.65 27
24 SPOKANE FALLS CARE SPOKANE, WA D 36 0.51 22
25 LIFE CARE CENTER OF RICHLAND RICHLAND, WA D 37 0.68 27
26 AVAMERE AT PACIFIC RIDGE TACOMA, WA D 38 0.75 23
27 GIG HARBOR HEALTH AND REHABILITATION GIG HARBOR, WA D 40 0.64 39
28 Enumclaw Health and Rehabilitation ENUMCLAW, WA D 40 0.64 24
29 SEATTLE MEDICAL POST ACUTE CARE SEATTLE, WA D 40 1.05 24
30 North Cascades Health and Rehabilitation BELLINGHAM, WA D 41 1.05 40
31 CRESCENT HEALTH CARE YAKIMA, WA D 41 0.69 11
32 GARDEN VILLAGE YAKIMA, WA D 41 0.63 15
33 COLUMBIA CREST CENTER MOSES LAKE, WA D 42 0.68 21
34 HEARTWOOD EXTENDED HEALTHCARE TACOMA, WA D 43 0.78 26
35 Snohomish Health and Rehabilitation of Cascadia SNOHOMISH, WA D 44 0.95 24
36 Alderwood Post Acute & Rehabilitation LYNNWOOD, WA D 44 0.92 42
37 Colfax Health and Rehabilitation of Cascadia COLFAX, WA D 44 1.01 27
38 Rock Hill Health & Rehabilitation BELLINGHAM, WA D 44 0.91 29
39 LIFE CARE CENTER OF KENNEWICK KENNEWICK, WA D 44 0.88 18
40 AVAMERE REHABILITATION OF ISSAQUAH ISSAQUAH, WA D 44 0.59 13
41 Mountain View Post Acute ELLENSBURG, WA D 46 0.92 22
42 Life Care Center Of Federal Way FEDERAL WAY, WA D 46 0.67 20
43 Avalon Healthcare - Tacoma TACOMA, WA D 46 0.96 26
44 SPOKANE VALLEY HEALTH AND REHABILITATION OF CASCAD SPOKANE VALLEY, WA D 46 0.73 12
45 AGILITY HEALTH AND REHABILITATION UNIVERSITY PLACE, WA D 47 0.54 16
46 PARK ROSE CARE CENTER TACOMA, WA D 47 0.96 18
47 FIR LANE CARE SHELTON, WA D 47 0.80 19
48 PUGET SOUND TRANSITIONAL CARE DES MOINES, WA D 48 0.76 25
49 AVAMERE REHABILITATION AT PARK WEST SEATTLE, WA D 48 0.63 21
50 Three Creeks Post Acute PULLMAN, WA D 48 0.86 20
51 SUNNYSIDE HEALTHCARE CENTER SUNNYSIDE, WA D 48 0.51 15
52 HALLMARK MANOR FEDERAL WAY, WA C 50 0.76 20
53 SALMON CREEK POST ACUTE & REHABILITATION VANCOUVER, WA C 51 0.78 21
54 AVALON CARE CENTER AT NORTHPOINTE SPOKANE, WA C 51 0.68 14
55 CASCADES OF ST ANNE SEATTLE, WA C 51 1.36 22
56 LAKE RIDGE CENTER MOSES LAKE, WA C 51 0.68 7
57 SOUNDVIEW REHABILITATION AND HEALTH CARE INC ANACORTES, WA C 51 0.85 29
58 Washington Soldiers Home ORTING, WA C 53 0.65 15
59 THE BROADVIEW CENTER SEATTLE, WA C 53 0.78 47
60 REGENCY COUPEVILLE REHAB AND NURSING CENTER COUPEVILLE, WA C 53 0.99 16
61 Frontier Rehabilitation and Extended Care LONGVIEW, WA C 53 0.44 8
62 AURORA VALLEY CARE SPOKANE, WA C 53 0.62 34
63 ELISEO TACOMA, WA C 54 0.67 20
64 SULLIVAN PARK CARE CENTER SPOKANE, WA C 54 0.52 11
65 CHENEY CARE CENTER CHENEY, WA C 54 0.64 14
66 OLYMPIA TRANSITIONAL CARE AND REHABILITATION OLYMPIA, WA C 54 0.61 16
67 AVALON HEALTH & REHABILITATION CENTER - PASCO PASCO, WA C 54 0.96 21
68 LIFE CARE CENTER OF PUYALLUP PUYALLUP, WA C 55 0.95 17
69 WOODLAND CONVALESCENT CENTER WOODLAND, WA C 55 0.91 9
70 HIGHLAND HEALTH AND REHABILITATION OF CASCADIA BELLINGHAM, WA C 55 1.22 13
71 GRAYS HARBOR HEALTH & REHABILITATION CENTER ABERDEEN, WA C 55 0.42 13
72 LACEY POST ACUTE & REHABILITATION LACEY, WA C 56 0.69 20
73 BOTHELL HEALTH CARE BOTHELL, WA C 56 1.18 26
74 Canterbury House AUBURN, WA C 56 0.70 14
75 PROVIDENCE MOUNT ST VINCENT SEATTLE, WA C 56 1.23 17
76 BALLARD CENTER SEATTLE, WA C 56 1.04 32
77 Montesano Health-Rehab Center MONTESANO, WA C 57 1.43 15
78 South Creek Post Acute CENTRALIA, WA C 57 0.59 14
79 Edmonds Post Acute EDMONDS, WA C 57 0.94 37
80 BROOKFIELD HEALTH AND REHAB OF CASCADIA BATTLE GROUND, WA C 58 1.03 14
81 Avamere Rehabilitation of Burien BURIEN, WA C 58 0.76 13
82 Bellevue Post Acute BELLEVUE, WA C 59 0.84 26
83 Royal Park Health and Rehabilitation SPOKANE, WA C 59 0.62 7
84 LIFE CARE CENTER OF KIRKLAND KIRKLAND, WA C 59 1.05 16
85 THREE RIVERS CARE CENTRALIA, WA C 61 0.47 8
86 AVAMERE OLYMPIC REHABILITATION OF SEQUIM SEQUIM, WA C 61 1.18 27
87 PUGET SOUND CARE OLYMPIA, WA C 61 0.55 9
88 SEQUIM BAY POST ACUTE SEQUIM, WA C 61 0.70 13
89 WASHINGTON ODD FELLOWS HOME WALLA WALLA, WA C 62 0.99 16
90 COLUMBIA BASIN HOSPITAL EPHRATA, WA C 63 0.94 8
91 Corwin Center At Emerald Heights REDMOND, WA C 63 1.13 12
92 THE TERRACES AT SKYLINE SEATTLE, WA C 63 1.04 19
93 LIFE CARE CENTER OF SKAGIT VALLEY SEDRO WOOLLEY, WA C 63 0.87 16
94 Othello Post Acute OTHELLO, WA C 63 0.77 6
95 CASHMERE POST ACUTE CASHMERE, WA C 63 0.94 15
96 AVAMERE REHABILITATION OF SHORELINE SEATTLE, WA C 63 0.90 43
97 CAROLINE KLINE GALLAND HOME SEATTLE, WA C 64 1.30 19
98 VIEW RIDGE CARE CENTER EVERETT, WA C 64 0.80 15
99 RENTON HEALTH & REHABILITATION RENTON, WA C 64 1.11 11
100 AVAMERE REHABILITATION AT RIDGEMONT PORT ORCHARD, WA C 64 0.62 6
See highest-rated → Staffing failures report →

Methodology

Rankings are determined by NursingHomeGrade Score, a 0–100 composite that weights RN staffing compliance (35%), health inspection deficiencies (30%), CMS quality ratings (20%), and staffing consistency (15%). Data is sourced from the CMS Provider Data Catalog and updated regularly.

Learn more about our methodology →