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Elder Care Record

Nursing homes in Washington

Washington has 193 certified nursing homes in 29 counties. Select a county or a city to see its homes in one table.

Counties

Counties of Washington with a certified nursing home, in order of name
CountyHomesCertified bedsMedian overall ratingCitations for each 100 bedsFines
Adams139387.2$19,182
Asotin190358.9$32,711
Benton4364545.9$247,964
Chelan3250442.8$25,698
Clallam3291273.2$208,492
Clark8744536.0$243,046
Cowlitz4343421.6$57,143
Franklin1108184.3$0
Grant4239376.6$363,984
Grays Harbor3271514.8$0
Island1112264.3$131,131
Jefferson194523.4$34,808
King475,097351.4$1,855,915
Kitsap91,036451.2$381,229
Kittitas174297.3$241,528
Lewis3253434.4$8,278
Mason2211265.9$186,701
Okanogan4196537.2$8,173
Pacific160450.0$0
Pierce212,333251.0$1,484,288
Skagit4376368.1$275,377
Snohomish171,607452.0$1,357,740
Spokane161,600357.6$709,322
Stevens2132454.5$81,455
Thurston7772451.3$491,756
Walla Walla4338536.1$254,918
Whatcom8674549.7$536,021
Whitman21031101.9$132,714
Yakima11974347.4$1,099,020

Citations are the health citations of the last three survey cycles. Fines are the fines in the CMS penalties file, about three years.

Cities

Cities with two or more certified nursing homes. The number is the count of homes.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed the data on .

Washington in figures

The nursing homes in Washington have 18,781 certified beds. They have about 14,660 residents on an average day. 36% of the homes have a CMS overall rating of 1 or 2 stars. In the nation, the share is 41%. 47 homes have an overall rating of 5 stars.

The homes have 50.9 health citations for each 100 certified beds in the last three survey cycles. The figure for the nation is 26.8. CMS lists 233 fines with a total of $10,468,594 for these homes in its penalties file. CMS also lists 31 payment denials. 17 homes have the CMS abuse icon.

Nursing homes in Washington by CMS overall rating
Overall ratingHomesShareUS share
5 of 54724%20%
4 of 54121%19%
3 of 53418%19%
2 of 54423%20%
1 of 52513%21%

F-tags in the state

The requirements that the citations in this state name most often.

F-tags with the most citations in Washington, three survey cycles
F-tagRequirement (CMS text)Citations
F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.471
F0880Provide and implement an infection prevention and control program.430
F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.385
F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.299
F0677Provide care and assistance to perform activities of daily living for any resident who is unable.280
F0761Ensure 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.279
F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.263
F0610Respond appropriately to all alleged violations.245
F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.231
F0658Ensure services provided by the nursing facility meet professional standards of quality.222
F0645PASARR screening for Mental disorders or Intellectual Disabilities220
F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.219

Chains in the state

Chains with nursing homes in Washington, in order of name
ChainHomes in Washington
Avalon Health Care8
Avamere11
Caldera Care6
Cascades Healthcare1
Cascadia Healthcare10
Commonspirit Health1
Covenant Living1
Evergreen Healthcare Group11
Genesis Healthcare7
Hill Valley Healthcare8
Humangood2
Kalesta Healthcare Group8
Life Care Centers of America15
Life Care Services1
PACS Group11
Providence Health & Services1
Regency Pacific Management16
Sante1
The Ensign Group17
Vertical Health Services3

Fines by year

The CMS penalties file holds about three years. The first year and the last year are not complete.

Fines for nursing homes in Washington by year, from the CMS penalties file
YearPenaltiesFines
202355$2,718,937
202489$4,023,276
202591$2,807,615
202629$918,766

Record by month

One page for each month: the surveys with citations, the penalties, and the changes in the CMS update of that month.

Monthly record of nursing homes in Washington, the latest month first
MonthSurveys with citationsCitationsPenaltiesFinesRecorded changes
August 2026000$00
July 2026550$00
June 2026461211$20,4150
May 2026602305$246,1050
April 2026542536$99,9650
March 2026593389$311,8980
February 2026391774$119,9950
January 2026432804$120,3880
December 2025441915$209,8500
November 2025412039$374,2820
October 20255103$77,0770
September 2025401964$40,0480
August 20254524111$103,5750
July 2025402236$186,2350
June 20254028010$278,6630
May 20255833212$219,1050
April 2025472926$236,6560
March 20256533810$275,0070
February 2025412784$194,5940
January 20254527811$612,5230
December 2024392417$258,2730
November 2024392682$106,7590
October 2024564055$117,4270
September 2024482469$500,2450

The site has no recorded change for Washington. It records changes at each CMS update.

Questions

How many nursing homes in Washington are Special Focus Facilities?
CMS lists 1 home in Washington as a Special Focus Facility and 5 as candidates. The table of homes on each county page and city page marks these homes.
Which F-tags have the most citations in Washington?
F-tag 684 has 471 citations in the last three survey cycles. F-tag 880 has 430. F-tag 689 has 385.
What changed in Washington in the last CMS update?
The site has no recorded change for Washington. At each CMS update, the site compares the tracked values of each home.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The CSV file on this page has one row for each home in Washington.