Nursing Homes in Washington: Staffing, Turnover, and Penalties
Washington has 193 Medicare- or Medicaid-certified nursing homes in 88 cities. On CMS's August 2026 figures, nurse aides there log 2.66 hours per resident per day, 15% above the US average of 2.32, and 45.1% of nursing staff leave in a year (US 45.8%).
Washington averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Seattle (19), Spokane (13), Tacoma (11). Each city page compares every home on staffing, turnover, CMS stars, and fines.
- Aberdeen (1)
- Anacortes (1)
- Arlington (1)
- Auburn (4)
- Bainbridge Island (1)
- Battle Ground (1)
- Bellevue (1)
- Bellingham (6)
- Blaine (1)
- Bothell (1)
- Bremerton (3)
- Brewster (1)
- Burien (1)
- Camas (1)
- Cashmere (1)
- Centralia (3)
- Cheney (1)
- Clarkston (1)
- Colfax (1)
- College Place (1)
- Colville (2)
- Coupeville (1)
- Des Moines (3)
- Edmonds (2)
- Ellensburg (1)
- Enumclaw (1)
- Ephrata (1)
- Everett (6)
- Federal Way (4)
- Gig Harbor (3)
- Hoquiam (1)
- Issaquah (3)
- Kennewick (2)
- Kent (1)
- Kirkland (1)
- Lacey (3)
- Longview (3)
- Lynden (1)
- Lynnwood (2)
- Marysville (2)
- Medical Lake (1)
- Mercer Island (1)
- Monroe (1)
- Montesano (1)
- Moses Lake (2)
- Mount Vernon (2)
- Nespelem (1)
- North Bend (1)
- Olympia (4)
- Omak (1)
- Orting (1)
- Othello (1)
- Pasco (1)
- Port Angeles (1)
- Port Orchard (2)
- Port Townsend (1)
- Poulsbo (1)
- PT Orchard (1)
- Pullman (1)
- Puyallup (5)
- Raymond (1)
- Redmond (2)
- Renton (3)
- Richland (2)
- Seattle (19)
- Sedro Woolley (1)
- Selah (1)
- Sequim (2)
- Shelton (2)
- Shoreline (2)
- Silverdale (1)
- Snohomish (1)
- Soap Lake (1)
- Spokane (13)
- Spokane Valley (1)
- Stanwood (1)
- Sunnyside (1)
- Tacoma (11)
- Tonasket (1)
- Toppenish (1)
- Union Gap (1)
- University Place (1)
- Vancouver (6)
- Walla Walla (3)
- Wapato (1)
- Wenatchee (2)
- Woodland (1)
- Yakima (6)
Largest nursing home chains in Washington
CMS links 134 of Washington's homes to these 15 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in WA | Homes nationwide |
|---|---|---|
| The Ensign Group | 17 | 342 |
| Regency Pacific Management | 16 | 27 |
| Life Care Centers of America | 15 | 194 |
| Avamere | 11 | 27 |
| Evergreen Healthcare Group | 11 | 44 |
| Pacs Group | 11 | 274 |
| Cascadia Healthcare | 10 | 46 |
| Avalon Health Care | 8 | 16 |
| Hill Valley Healthcare | 8 | 43 |
| Kalesta Healthcare Group | 8 | 19 |
| Genesis Healthcare | 7 | 184 |
| Caldera Care | 6 | 6 |
| Vertical Health Services | 3 | 15 |
| Humangood | 2 | 17 |
| Cascades Healthcare | 1 | 19 |
Chain as recorded in the CMS Provider Information file, August 2026 release