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 Crystal Cove Post Acute LACEY, WA F 3 0.65 43
2 Bridges To Home SHORELINE, WA F 4 N/A 15
3 Colville Health and Rehabilitation of Cascadia COLVILLE, WA F 11 0.73 32
4 SPOKANE VALLEY HEALTH AND REHABILITATION OF CASCAD SPOKANE VALLEY, WA F 11 N/A 12
5 BAILEY-BOUSHAY HOUSE SEATTLE, WA F 15 N/A 17
6 NORTH BEND POST ACUTE NORTH BEND, WA F 15 0.38 22
7 Bremerton Trails Post Acute BREMERTON, WA F 18 0.51 42
8 Puyallup Post Acute PUYALLUP, WA F 21 N/A 16
9 LINDEN GROVE HEALTH CARE CENTER PUYALLUP, WA F 24 0.67 39
10 AGILITY HEALTH AND REHABILITATION UNIVERSITY PLACE, WA F 24 0.54 15
11 Parkside Care UNION GAP, WA F 24 0.72 17
12 Port Washington Post Acute BREMERTON, WA F 26 0.42 44
13 Olympic View Post Acute PORT ANGELES, WA F 26 0.75 40
14 Alaska Gardens Health and Rehabilitation TACOMA, WA F 27 0.56 17
15 Bridge Crest Post Acute VANCOUVER, WA F 29 0.75 22
16 SPOKANE HEALTH & REHABILITATION SPOKANE, WA F 29 0.60 39
17 SHARON CARE CENTER CENTRALIA, WA F 30 N/A 10
18 Woodard Creek Health & Rehabilitation OLYMPIA, WA F 31 0.67 43
19 AUBURN POST ACUTE AUBURN, WA F 31 0.93 31
20 LIFE CARE CENTER OF MOUNT VERNON MOUNT VERNON, WA F 33 0.95 36
21 Shelton Health and Rehabilitation SHELTON, WA D 36 0.66 17
22 Birch Creek Post Acute & Rehabilitation TACOMA, WA D 36 0.65 28
23 Rock Hill Health & Rehabilitation BELLINGHAM, WA D 36 0.91 26
24 SPOKANE FALLS CARE SPOKANE, WA D 36 0.51 22
25 AVAMERE AT PACIFIC RIDGE TACOMA, WA D 38 0.75 23
26 ORCHARD PARK HEALTH CARE & REHAB CENTER TACOMA, WA D 39 0.70 37
27 Enumclaw Health and Rehabilitation ENUMCLAW, WA D 40 0.64 24
28 SEATTLE MEDICAL POST ACUTE CARE SEATTLE, WA D 40 1.05 23
29 GIG HARBOR HEALTH AND REHABILITATION GIG HARBOR, WA D 41 0.64 40
30 North Cascades Health and Rehabilitation BELLINGHAM, WA D 41 1.05 40
31 SULLIVAN PARK CARE CENTER SPOKANE, WA D 41 0.52 33
32 FIR LANE CARE SHELTON, WA D 41 0.80 32
33 CRESCENT HEALTH CARE YAKIMA, WA D 41 0.69 11
34 LIFE CARE CENTER OF RICHLAND RICHLAND, WA D 41 0.68 26
35 GARDEN VILLAGE YAKIMA, WA D 41 0.63 15
36 COLUMBIA CREST CENTER MOSES LAKE, WA D 42 0.68 21
37 HEARTWOOD EXTENDED HEALTHCARE TACOMA, WA D 43 0.78 26
38 Snohomish Health and Rehabilitation of Cascadia SNOHOMISH, WA D 44 0.95 24
39 Colfax Health and Rehabilitation of Cascadia COLFAX, WA D 44 1.01 27
40 Landmark Care And Rehabilitation YAKIMA, WA D 44 0.77 16
41 AVAMERE REHABILITATION OF ISSAQUAH ISSAQUAH, WA D 44 0.59 13
42 PARK ROSE CARE CENTER TACOMA, WA D 45 0.96 18
43 SUNNYSIDE HEALTHCARE CENTER SUNNYSIDE, WA D 45 0.51 15
44 Life Care Center Of Federal Way FEDERAL WAY, WA D 45 0.67 30
45 Mountain View Post Acute ELLENSBURG, WA D 46 0.92 22
46 Avalon Healthcare - Tacoma TACOMA, WA D 46 0.96 26
47 North Auburn Care AUBURN, WA D 47 0.70 31
48 AVAMERE REHABILITATION AT PARK WEST SEATTLE, WA D 48 0.63 21
49 Three Creeks Post Acute PULLMAN, WA D 48 0.86 20
50 Edmonds Post Acute EDMONDS, WA D 48 0.94 36
51 TACOMA NURSING AND REHABILITATION CENTER TACOMA, WA D 48 0.60 6
52 PUGET SOUND TRANSITIONAL CARE DES MOINES, WA C 50 0.76 24
53 HALLMARK MANOR FEDERAL WAY, WA C 50 0.76 20
54 SALMON CREEK POST ACUTE & REHABILITATION VANCOUVER, WA C 51 0.78 21
55 AVALON CARE CENTER AT NORTHPOINTE SPOKANE, WA C 51 0.68 14
56 CASCADES OF ST ANNE SEATTLE, WA C 51 1.36 22
57 LAKE RIDGE CENTER MOSES LAKE, WA C 51 0.68 7
58 SOUNDVIEW REHABILITATION AND HEALTH CARE INC ANACORTES, WA C 51 0.85 29
59 LIFE CARE CENTER OF KENNEWICK KENNEWICK, WA C 51 0.88 17
60 LIFE CARE CENTER OF KIRKLAND KIRKLAND, WA C 52 1.05 19
61 THE BROADVIEW CENTER SEATTLE, WA C 53 0.78 47
62 REGENCY COUPEVILLE REHAB AND NURSING CENTER COUPEVILLE, WA C 53 0.99 16
63 Frontier Rehabilitation and Extended Care LONGVIEW, WA C 53 0.44 8
64 AVALON HEALTH & REHABILITATION CENTER - PASCO PASCO, WA C 53 0.96 32
65 AURORA VALLEY CARE SPOKANE, WA C 53 0.62 34
66 GRAYS HARBOR HEALTH & REHABILITATION CENTER ABERDEEN, WA C 53 0.42 14
67 ELISEO TACOMA, WA C 54 0.67 20
68 CHENEY CARE CENTER CHENEY, WA C 54 0.64 14
69 PROVIDENCE MOUNT ST VINCENT SEATTLE, WA C 54 1.23 18
70 Washington Soldiers Home ORTING, WA C 55 0.65 14
71 LIFE CARE CENTER OF PUYALLUP PUYALLUP, WA C 55 0.95 17
72 Alderwood Post Acute & Rehabilitation LYNNWOOD, WA C 55 0.92 37
73 WOODLAND CONVALESCENT CENTER WOODLAND, WA C 55 0.91 9
74 HIGHLAND HEALTH AND REHABILITATION OF CASCADIA BELLINGHAM, WA C 55 1.22 13
75 LACEY POST ACUTE & REHABILITATION LACEY, WA C 56 0.69 20
76 BOTHELL HEALTH CARE BOTHELL, WA C 56 1.18 26
77 Canterbury House AUBURN, WA C 56 0.70 14
78 BALLARD CENTER SEATTLE, WA C 56 1.04 30
79 Royal Park Health and Rehabilitation SPOKANE, WA C 57 0.62 7
80 South Creek Post Acute CENTRALIA, WA C 57 0.59 14
81 BROOKFIELD HEALTH AND REHAB OF CASCADIA BATTLE GROUND, WA C 57 1.03 14
82 AVAMERE OLYMPIC REHABILITATION OF SEQUIM SEQUIM, WA C 57 1.18 28
83 Avamere Rehabilitation of Burien BURIEN, WA C 58 0.76 13
84 OLYMPIA TRANSITIONAL CARE AND REHABILITATION OLYMPIA, WA C 58 0.61 15
85 THREE RIVERS CARE CENTRALIA, WA C 59 0.47 9
86 Bellevue Post Acute BELLEVUE, WA C 59 0.84 26
87 AVAMERE REHABILITATION OF SHORELINE SEATTLE, WA C 59 0.90 42
88 YAKIMA VALLEY SCHOOL SELAH, WA C 61 2.13 10
89 PUGET SOUND CARE OLYMPIA, WA C 61 0.55 9
90 SEQUIM BAY POST ACUTE SEQUIM, WA C 61 0.70 13
91 WASHINGTON CARE CENTER SEATTLE, WA C 61 0.84 14
92 MADISON POST ACUTE EVERETT, WA C 62 0.81 16
93 COLUMBIA BASIN HOSPITAL EPHRATA, WA C 63 0.94 8
94 Corwin Center At Emerald Heights REDMOND, WA C 63 1.13 12
95 THE TERRACES AT SKYLINE SEATTLE, WA C 63 1.04 19
96 WASHINGTON ODD FELLOWS HOME WALLA WALLA, WA C 63 0.99 15
97 COLVILLE TRIBAL CONVALESCENT C NESPELEM, WA C 63 0.93 7
98 WILLAPA HARBOR CARE RAYMOND, WA C 63 0.64 11
99 LIFE CARE CENTER OF SKAGIT VALLEY SEDRO WOOLLEY, WA C 63 0.87 16
100 Othello Post Acute OTHELLO, WA C 63 0.77 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 →