State data · CMS September 2026
Nursing homes in Washington
Washington has 193 nursing homes certified for Medicare or Medicaid, with 18,781 certified beds and a median occupancy of 81.8% (US median 85.7%). 79% are for-profit, 15% nonprofit and 6% government-owned, and 73% belong to a chain or affiliated group. HUD has endorsed 111 FHA-insured Section 232 nursing home loans in Washington since fiscal 2001, totaling $0.7 billion in original principal, 12 of them since fiscal 2021.
- Facilities
- 193
- Certified beds
- 18,781
- Median occupancy
- 81.8%
- Median nurse hours / resident day
- 4.10
- HUD 232 loans since FY2001
- 111
Star ratings
CMS overall ratings for the 192 rated Washington facilities. 1 are Special Focus Facilities and 5 are candidates, the CMS list for homes with a history of serious quality problems.
Ownership
| Measure | Washington | Share |
|---|---|---|
| For-profit | 153 | 79% |
| Nonprofit | 29 | 15% |
| Government | 11 | 6% |
| Changed ownership in the last 12 months | 0 | 0% |
| Private equity owner self-reported to CMS | 0 | 0% |
| REIT owner self-reported to CMS | 5 | 3% |
Largest chains and affiliated groups in Washington
- The Ensign Group: 17 facilities
- Regency Pacific Management: 16 facilities
- Life Care Centers of America: 15 facilities
- Evergreen Healthcare Group: 11 facilities
- Avamere: 11 facilities
- Pacs Group: 11 facilities
- Cascadia Healthcare: 10 facilities
- Avalon Health Care: 8 facilities
- Kalesta Healthcare Group: 8 facilities
- Hill Valley Healthcare: 8 facilities
Facilities with HUD Section 232 history
35 Washington facilities match at least one FHA-insured loan in HUD's healthcare database, most recent endorsement first.
| Facility | City | Beds | Latest endorsement | Amount |
|---|---|---|---|---|
| Regency Omak | Omak | 56 | Apr 14, 2026 | $5,600,000 |
| Cottesmore of Life Care | Gig Harbor | 108 | Nov 18, 2025 | $13,585,100 |
| Bothell Health Care | Bothell | 99 | Apr 10, 2025 | $15,031,600 |
| Good Samaritan Health Care Ctr | Yakima | 105 | Jul 3, 2024 | $9,715,300 |
| Puget Sound Care | Olympia | 108 | Jun 5, 2024 | $21,576,000 |
| Olympic View Post Acute | Port Angeles | 101 | Jun 5, 2024 | $10,640,000 |
| Regency Wenatchee Rehabiliation & Nursing Center | Wenatchee | 55 | Nov 19, 2020 | $8,683,600 |
| Regency Care Center at Monroe | Monroe | 92 | Jul 30, 2020 | $9,846,400 |
| Regency Harmony House Rehab & Nursing | Brewster | 54 | Dec 18, 2019 | $2,960,000 |
| Regency Canyon Lakes Rehab and Nursing Center | Kennewick | 53 | Dec 18, 2019 | $6,640,000 |
| Life Care Center of South Hill | Puyallup | 100 | Dec 18, 2019 | $15,339,200 |
| Regency at Northpointe | Spokane | 120 | Dec 18, 2019 | $16,606,200 |
| Life Care Center Of Federal Way | Federal Way | 157 | Sep 6, 2018 | $8,924,600 |
| Marysville Care Center | Marysville | 97 | Jun 13, 2018 | $1,981,500 |
| Emerald Care | Wapato | 82 | Dec 28, 2017 | $3,320,500 |
| Life Care Center of Kirkland | Kirkland | 190 | Apr 20, 2017 | $9,961,000 |
| Life Care Center of Port Orchard | Port Orchard | 125 | Apr 20, 2017 | $5,755,700 |
| Cascades of St Anne | Seattle | 47 | May 15, 2014 | $3,628,000 |
| Belmont Terrace | Bremerton | 102 | Mar 28, 2014 | $4,134,600 |
| Grays Harbor Health & Rehabilitation Center | Aberdeen | 105 | Aug 29, 2013 | $4,421,700 |
| Avalon Care Center Federal Way, L.L.C. | Federal Way | 120 | Aug 29, 2013 | $9,348,700 |
| Avalon Health & Rehabilitation Center - Pasco | Pasco | 108 | Aug 29, 2013 | $5,408,000 |
| Life Care Center of Puyallup | Puyallup | 102 | May 30, 2013 | $6,176,600 |
| Sharon Care Center | Centralia | 42 | Apr 30, 2013 | $7,308,700 |
| Willapa Harbor Care | Raymond | 60 | Mar 21, 2013 | $2,232,000 |
| Mt Baker Care Center | Bellingham | 70 | Jan 31, 2013 | $7,495,900 |
| Landmark Care And Rehabilitation | Yakima | 93 | Jul 30, 2012 | $8,202,000 |
| Regency at the Park | College Place | 106 | Jun 28, 2012 | $7,177,700 |
| Avalon Care Center at Northpointe | Spokane | 119 | Dec 21, 2011 | $9,191,900 |
| Washington Care Center | Seattle | 165 | Sep 29, 2011 | $14,810,400 |
| Alderwood Manor | Spokane | 85 | Mar 29, 2011 | $5,681,300 |
| Willow Springs Care and Rehabilitation | Yakima | 75 | Mar 17, 2009 | $4,165,100 |
| Hallmark Manor | Federal Way | 147 | Mar 14, 2002 | $8,031,600 |
| Life Care Center of Skagit Valley | Sedro Woolley | 150 | Mar 14, 2002 | $6,630,000 |
| Parkside Care | Union Gap | 88 | Apr 18, 2001 | $2,256,300 |
Largest by certified beds
- Washington Veteran Home-Retsil, Pt Orchard: 240 beds
- Providence Mount St Vincent, Seattle: 215 beds
- The Broadview Center, Seattle: 211 beds
- Caroline Kline Galland Home, Seattle: 205 beds
- Life Care Center of Kirkland, Kirkland: 190 beds
- Eliseo, Tacoma: 187 beds
- Puget Sound Transitional Care, Des Moines: 165 beds
- Transitional Care Of Seattle, Seattle: 165 beds
- Washington Care Center, Seattle: 165 beds
- Royal Park Health and Rehabilitation, Spokane: 164 beds
Every Washington facility
The full list is sorted by city, on one page.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.