Nursing Homes in Seattle, WA.

AVAMERE REHABILITATION OF SHORELINE

1250 NORTHEAST 145TH STREET, SEATTLE, WA 98155

Decent. Avamere Rehabilitation of Shoreline is a classic head-scratcher, boasting top-tier medical outcomes while simultaneously sporting a bottom-of-the-barrel health inspection rating. On the bright side, the staff actually sticks around here—their low turnover means you’re seeing the same familiar faces month after month, and with solid daily RN coverage, there's real clinical horsepower on the floor. They also snagged our LOW_ANTIPSYCHOTIC positive flag, meaning they manage dementia and anxiety with actual human connection and personalized routines instead of just chemically sedating residents with heavy prescriptions. But then we hit a massive snag with the HIGH_WEIGHT_LOSS flag, which usually points to a quiet crisis at dinnertime where residents who need help eating are left staring at a plate because staff is too stretched to assist. There are zero federal fines on record, though we can't tell if that clean financial sheet is fresh from last month or just a lucky streak from five years ago. When you tour the building, skip the lobby flowers, head straight to the dining room, and ask the administrator exactly how many aides are on the floor during the dinner rush to keep those weight loss numbers down.

WASHINGTON CARE CENTER

2821 SOUTH WALDEN STREET, SEATTLE, WA 98144

Conflicted. Washington Care Center is a classic case of corporate whiplash, boasting a flawless five-star quality rating alongside a health inspection record that’s currently dragging them down to two stars. The good news is their staffing is genuinely solid, meaning when your mom needs help getting to the restroom at three in the morning, there is actually a qualified human being awake and walking down the hallway to assist her. Plus, those high clinical marks suggest they are doing a stellar job of keeping residents mobile and managing pain effectively. However, the data throws up a couple of caution flags, starting with a 46% NURSING_TURNOVER rate, which is basically the staffing equivalent of a revolving door and means you'll constantly be introducing yourself to new faces. Then there's the LOW_INSPECTION_SCORE, a glaring sign that state surveyors found some dusty corners or broken protocols during their last walkthroughs. We also have two federal fines on the books—though we can't tell if those penalties are from a minor hiccup five years ago or a major headache last month. When you tour the place, skip the pleasantries and ask the administrator exactly what they are doing to keep their nurses from quitting after six months.

BALLARD CENTER

820 NORTHWEST 95TH STREET, SEATTLE, WA 98117

Decent. Ballard Center is pulling off a pretty fascinating trick in Seattle, boasting some seriously robust daily staffing numbers while somehow still carrying a underwhelming two-star federal quality rating. The good news is they have plenty of boots on the ground, meaning when your loved one needs help getting to the restroom or wants a warm meal, there is actually a human being available to make it happen without a three-hour wait. That solid 4.0-star staffing presence includes nearly an hour of daily RN attention per resident, which translates to real clinical eyes watching out for sudden changes in health. On the flip side, their high fifty-three percent nursing turnover rate means the staff is basically a rotating carousel, so don't expect the same familiar face to be greeting you every single morning. There are zero federal fines on record—and while we can’t tell if that clean slate is a brand-new streak or a five-year run of good behavior, it’s still a massive win. When you tour the place, skip the pleasantries and ask the director straight up how they plan to keep their best nurses from walking out the door next month.

PROVIDENCE MOUNT ST VINCENT

4831 35TH AVENUE SOUTHWEST, SEATTLE, WA 98126

Messy. Providence Mount St Vincent is a classic case of whiplash, presenting a massive, unsettling contradiction between their impressive clinical staffing and a deeply troubling care record. On the bright side, they earned a HIGH_RN_COVERAGE flag because their registered nurses clock 1.10 hours per resident daily, meaning there is actually a highly qualified professional on hand to catch complex medical changes before they spiral into a midnight ER run. This robust staffing usually translates to shorter wait times when a resident presses the call button, which makes their other data points even harder to swallow. The headline here is the ABUSE_FINDING flag, a serious red alert from regulators indicating a substantiated incident of abuse, neglect, or exploitation right there on the property. We also have to factor in two federal fines on the books; we cannot tell if those penalties are from a recent slip-up or buried five years in the past, but they certainly add to the smoke. When you tour the facility, look past the beautiful campus and ask the director point-blank: "What specific, concrete changes did you make to the staff training program after the state substantiated the recent abuse finding?"

QUEEN ANNE HEALTHCARE

2717 DEXTER AVENUE NORTH, SEATTLE, WA 98109

Decent. Queen Anne Healthcare is pulling off a fascinating high-wire act where the glowing paperwork doesn't quite match the vibe on the ground. On the sunny side, they have earned a LOW_TURNOVER flag because only 34% of their nursing staff leaves each year, meaning your mom gets to see the same familiar, friendly faces instead of a revolving door of strangers. They also boast a HIGH_RN_COVERAGE flag with a stellar 1.33 hours of registered nurse time per resident daily, which translates to having highly trained eyes on-site to catch medical hiccups before they turn into midnight ambulance rides. But then we hit a bump called STAFFING_CLAIM_MISMATCH, because despite bragging about those top-tier staffing numbers, their actual resident clinical outcomes are surprisingly mediocre—suggesting all those hands on deck might not be translates into top-tier daily care. We also have to talk about the HIGH_DEPRESSIVE_SYMPTOMS flag, which shows over 20% of long-stay residents struggling with depression, a red flag that often means folks are left isolated in their rooms with zero social spark. On the financial discipline front, there are zero federal fines on record, though we can never quite tell if that clean sheet is from last month or five years ago. When you tour the place, skip the sales pitch and ask the director point-blank: with so many nurses on the clock, why are one in five residents showing clinical signs of depression?

SHORELINE HEALTH AND REHABILITATION

2818 NORTHEAST 145TH STREET, SEATTLE, WA 98155

Earned. Shoreline Health and Rehabilitation is pulling off a pretty impressive magic trick by putting up a near-perfect track record despite having a fairly average three-star staffing rating on paper. The secret sauce here is clearly about who is staying, as their LOW_TURNOVER flag highlights a twenty-nine percent nursing turnover rate that means your mom actually gets to see the same familiar, friendly faces next week who already know exactly how she takes her tea. That continuity pays off in real, physical ways, earning them a LOW_PRESSURE_ULCERS flag because a tiny two point five percent skin breakdown rate proves the staff is actually on the floor, doing the heavy lifting of repositioning people before issues start. They also have zero federal fines on record—and while the government database won't tell us if that spotless record is from last month or five years ago, it is still a massive feather in their cap. When you walk through the front doors for a tour, skip the generic pleasantries and ask the administrator how they plan to maintain this incredibly low staff turnover if their overall daily nursing hours ever start to feel the pinch.

AVAMERE REHABILITATION AT PARK WEST

1703 CALIFORNIA AVENUE SOUTHWEST, SEATTLE, WA 98116

Uneven. Avamere Rehabilitation at Park West is a classic Seattle paradox where the therapy team is apparently knocking it out of the park, but the revolving door at the staff entrance is spinning fast enough to power a small city. First, the good stuff: they pulled a four-star rating on quality measures, meaning the actual physical recovery side of things—like wound care and getting people back on their feet—is genuinely solid. You also get a decent 0.61 hours of RN attention per resident daily, so there is real, high-level medical eyes on the floor. But we have to talk about that eye-watering 52% nursing turnover rate, which in the real world means your mom is constantly re-explaining how she likes her tea to a rotating cast of strangers who might not stick around past next month. There is also one federal fine on the books—we can't tell if that’s a ancient history or a fresh headache—which is exactly the kind of financial penalty that makes you squint at a two-star overall rating. When you tour the place, skip the glossy brochure and ask the administrator point-blank what they are doing to stop their best nurses from quitting, because continuity is everything here.

SEATTLE MEDICAL POST ACUTE CARE

555 16TH AVENUE, SEATTLE, WA 98122

Messy. Seattle Medical Post Acute Care is a total head-scratcher, presenting a Jekyll-and-Hyde act where stellar clinical care somehow coexists with the darkest red flag in the business. On the sunny side of the street, they earned the HIGH_RN_COVERAGE flag, meaning you get over an hour of registered nurse attention daily to catch medical issues before they spiral into emergency room visits. That heavy staffing translates directly to their LOW_FALLS_MAJOR_INJURY flag, an impressive stat showing they actually have enough boots on the ground to keep residents steady on their feet. But we have to talk about the elephant in the room: they carry an active ABUSE_FINDING flag, which is the government’s scarlet letter indicating a documented, substantiated incident of abuse or neglect on site. To add to the confusion, there are four federal fines on their record—though without dates, we can't tell if those are ancient history or last week's news. When you tour, look the administrator dead in the eye and ask exactly what went wrong to trigger that abuse icon, and what heads rolled to make sure it never happens again.

THE BROADVIEW CENTER

13023 GREENWOOD AVENUE NORTH, SEATTLE, WA 98133

Uneven. The Broadview Center is a massive 211-bed King County facility where the clinical care on paper looks stellar, but the actual day-to-day vibe feels incredibly lonely. Let's start with the good stuff: the floor staff are putting in the physical work to keep people safe, which shows up in their LOW_PRESSURE_ULCERS positive flag. That means actual, hands-on turning and repositioning to prevent painful skin breakdown, backed up by decent daily face-time with a Registered Nurse. But then you look at the human element, and the HIGH_DEPRESSIVE_SYMPTOMS warning flag hits you like a cold Seattle rain. When over a third of long-term residents are showing active signs of depression, it usually means people are just languishing in their rooms with zero social spark or mental stimulation. There is also one federal fine on the ledger—we don’t know if that’s a ancient history or a fresh headache, but it’s there. When you tour, don't just look at the clean floors; ask the director how they plan to get your loved one out of bed and into the community so they don't become another sad statistic.

CASCADES OF ST ANNE

3540 NORTHEAST 110TH STREET, SEATTLE, WA 98125

Decent. Cascades of St Anne is running a fascinatingly lopsided operation in Seattle, where stellar clinical oversight somehow coexists with some pretty lonely hallways. On the bright side, they have secured a HIGH_RN_COVERAGE rating with an impressive 1.26 hours of registered nurse attention per resident daily, meaning highly trained eyes are actually watching for medical hiccups before they turn into emergencies. That high-level vigilance shows up in their LOW_PRESSURE_ULCERS flag, a genuinely great indicator that staff are actively turning residents and keeping them comfortable enough to prevent painful bedsores. However, the data gets dark when you look at their HIGH_DEPRESSIVE_SYMPTOMS flag, which shows a staggering number of residents dealing with untreated blues—the kind of isolation that happens when people are left sitting in empty rooms with zero social spark. That lack of physical, hands-on connection likely feeds directly into their HIGH_FALLS_MAJOR_INJURY flag, a warning that residents are trying to get up and transfer on their own because they're tired of waiting for help. There are zero federal fines on record, though we can't tell if that's a permanent clean slate or just a lag in the federal database. When you tour, don't ask about their clinical awards—ask the director how many group activities a resident actually attends each week, and then watch the hallways to see if people are actually out of their rooms.

CAROLINE KLINE GALLAND HOME

7500 SEWARD PARK AVENUE SOUTH, SEATTLE, WA 98118

Conflicted. Caroline Kline Galland Home is a baffling paradox where gold-star clinical outcomes are colliding head-on with some deeply lonely-looking spreadsheets. On the bright side, they have an incredibly low pressure ulcer rate, which means the floor staff are actually doing the heavy lifting to reposition people and prevent painful bedsores before they start. That hands-on care is likely why they have zero federal fines on record—though we honestly can’t tell if that clean sheet is from last month or five years ago. But then we hit the HIGH_MOBILITY_DECLINE flag, which shows nearly a quarter of long-stay residents are losing their physical independence, a classic sign that people are being left in bed instead of getting active physical therapy. Worse, the HIGH_DEPRESSIVE_SYMPTOMS flag is off the charts at ninety-four percent, paint-by-numbers data for a facility where residents are feeling isolated in their rooms without enough social spark to keep them going. When you tour the place, don't just look at the shiny four-star lobby; ask the director of rehab to show you exactly how they plan to keep your loved one moving and smiling instead of fading into the wallpaper.

KIN ON HEALTH CARE CENTER

4416 SOUTH BRANDON STREET, SEATTLE, WA 98118

Conflicted. Kin On Health Care Center presents a head-scratching puzzle where high-end medical care is colliding with a pretty rough one-star federal inspection rating. On the bright side, their HIGH_RN_COVERAGE means you have registered nurses on the floor for over an hour and a quarter per resident every day, which translates to professional eyes catching medical hiccups before they turn into midnight ambulance rides. That consistent hands-on attention also shows up in their LOW_PRESSURE_ULCERS flag, a genuinely impressive stat proving the staff actually does the hard, physical work of repositioning people so their skin stays healthy. But then we hit a massive snag with the HIGH_WEIGHT_LOSS flag, a warning that over eleven percent of residents are dropping weight unexpectedly—which usually means the dining room is short-handed and residents who need help actually getting food into their mouths are being left to struggle. There is also one federal fine on the books, though we can’t tell if that’s a dusty relic from years ago or a fresh headache from last month. When you tour the facility, bypass the lobby flowers, head straight to the dining room at dinner time, and ask the administrator exactly how many aides are on duty to help residents eat when the daytime shift goes home.

THE TERRACES AT SKYLINE

715 9TH AVENUE, SEATTLE, WA 98104

Conflicted. The Terraces at Skyline presents a baffling riddle where excellent clinical outcomes on paper clash violently with a skeleton crew of hands-on staff. On the bright side, they hold a strong four-star quality rating, which means they actually have the medical protocols to keep people stable once they get the attention they need. Plus, they boast zero federal fines on record, though we can't tell if that flawless slate is from last month or five years ago. But that skeleton crew leaves a mark, starting with the HIGH_PRESSURE_ULCERS flag, which reveals a shocking fifteen percent bedsore rate—a clear sign there simply aren't enough hands to help residents turn and reposition in bed every two hours. Then there is the HIGH_WEIGHT_LOSS flag, showing nearly a quarter of residents are dropping weight because nobody is available to sit and help them finish their dinner when evening staffing thins out. Finally, the HIGH_CATHETER flag fires because too many residents are left with indwelling catheters, which is often what happens when a rushed staff uses them as a labor-saving shortcut instead of helping people walk to the bathroom. When you tour, skip the lobby flowers and ask the director exactly how many aides are on duty at 7 PM to make sure dinner actually gets eaten and people get moved.

COLUMBIA LUTHERAN HOME

4700 PHINNEY AVENUE NORTH, SEATTLE, WA 98103

Solid. Columbia Lutheran Home in Seattle is pulling off some impressive medical acrobatics, but they seem to be dropping the ball on the basic, human side of daily life. First, the good stuff: they’ve earned a HIGH_RN_COVERAGE flag with over an hour of registered nurse time per resident daily, meaning trained clinical eyes are actually watching for medical hiccups before they turn into emergencies. On top of that, their LOW_FALLS_MAJOR_INJURY flag proves that call lights are getting answered and aides are actually there to help people transfer safely, which is incredibly hard to pull off. However, we have to talk about the HIGH_WEIGHT_LOSS flag, where a double-digit rate usually means overworked staff are rushing through dinner and residents who need help eating just aren't getting it. Even more worrying is the HIGH_DEPRESSIVE_SYMPTOMS flag affecting nearly half the residents, a clear sign that people are likely marooned in their rooms without real social engagement or activities to keep them connected. Thankfully, they have zero federal fines on record—though we can't tell if that clean slate is from last month or five years ago. When you tour, skip the sales pitch and ask the director exactly how they plan to get residents out of their rooms and how many aides are actually in the dining room during the dinner rush.

BAILEY-BOUSHAY HOUSE

2720 EAST MADISON, SEATTLE, WA 98112

Conflicted. Bailey-Boushay House is sitting on a middling score that hides a massive tug-of-war between physical safety and chemical management. On the bright side, they have earned a stellar LOW_FALLS_MAJOR_INJURY flag, which means they maintain a spectacular zero-percent major injury rate from falls—a level of vigilance that suggests staff are actually there to help when someone tries to get out of bed. However, things get hazy when you look at how they keep everyone so calm, starting with a HIGH_SEDATION_PRESCRIBER flag because nearly a third of long-stay residents are on antipsychotics. That chemical-blanket approach is paired with a HIGH_SEDATION_BENZO flag, showing that over a quarter of residents are on anxiety or sleep meds, a double-whammy that can leave people feeling incredibly groggy and disconnected. There are zero federal fines on record, though we can't tell if that clean slate is from last month or five years ago since the data lacks dates. When you tour, skip the sales pitch and ask the director to show you their specific plan for reducing both antipsychotics and sedatives for new residents.

PARK SHORE

1630 43RD AVENUE EAST, SEATTLE, WA 98112

Decent. Park Shore presents a classic Seattle paradox where the overall numbers look great on paper, but a few quiet details require you to play detective. The good news is they nailed the HIGH_RN_COVERAGE positive flag with an impressive 1.19 hours of daily RN attention per resident, meaning highly trained eyes are actually on-site to catch medical issues before they turn into emergency room chaos. They also secured the LOW_FALLS_MAJOR_INJURY positive flag, which translates to a flawless zero-percent major injury rate from falls—a clear sign that staff are actively helping residents out of bed instead of letting them struggle alone. However, the data throws us a major curveball with the HIGH_CATHETER flag, showing an unusually high long-stay catheter rate of nearly fifteen percent, which often hints at a shortcut to avoid manual bathroom assistance. We also have to talk about the PENALTY_RATING_CONFLICT flag, because they managed to keep a high four-star rating despite having one federal fine on their record. We don’t have dates for that fine—it could be a dusty relic from years ago or a fresh warning—but it definitely clashes with their polished image. When you visit, skip the standard tour and ask the director point-blank to explain their catheter-reduction protocol and why so many residents are currently using them.

MIRABELLA SEATTLE

116 FAIRVIEW AVENUE N, SEATTLE, WA 98109

Decent. Mirabella Seattle presents a fascinating puzzle, boasting top-tier staffing numbers that somehow coexist with some highly visible safety stumbles. On the bright side, they have achieved HIGH_RN_COVERAGE at nearly double the national average, meaning highly trained eyes are actually watching for medical changes before they turn into emergencies. You also see the payoff of that hands-on care in their LOW_PRESSURE_ULCERS flag, proving the floor staff is actively repositioning residents to prevent painful bedsores. Even better, their LOW_ANTIPSYCHOTIC flag sits at a flawless zero percent, which tells us they manage dementia with actual human interaction rather than just sedating people. However, we have to talk about the HIGH_FALLS_MAJOR_INJURY flag, because a nine-percent major injury rate from falls suggests that residents are trying to get up alone instead of getting timely help. There is also a PENALTY_RATING_CONFLICT to unpack, as the government handed them a federal fine—which could be from yesterday or five years ago—yet they still carry a lofty four-star overall rating. When you tour, look past the shiny common areas and ask the director how a place with such superb RN hours still managed to trigger that HIGH_FALLS_MAJOR_INJURY flag.

Transitional Care Of Seattle

2611 S DEARBORN STREET, SEATTLE, WA 98144

Steady. Transitional Care Of Seattle sits in a weirdly comfortable spot, boasting a five-star staffing setup that somehow shares a roof with a federal penalty. On the bright side, they've earned the HIGH_RN_COVERAGE flag because their registered nurses stick around for 1.65 hours per resident daily, meaning actual clinical eyes are on your loved one instead of just a warm body in scrubs. That generous staffing is likely why they also secured the LOW_FALLS_MAJOR_INJURY flag, keeping serious accidents way below the national average because there is actually someone there to help grandma out of bed. But we have to talk about the PENALTY_RATING_CONFLICT flag, which highlights the bizarre reality of a high overall rating coexisting with a federal fine. We don't have the exact dates on that single fine, so it could be an ancient administrative hiccup or a fresh warning sign. When you tour the facility, bypass the shiny lobby and ask the administrator point-blank what that federal penalty was actually for and what they did to fix it.

FIRCREST NURSING FACILITY

15230-15TH NORTHEAST, SEATTLE, WA 98155

Decent. Fircrest Nursing Facility presents a classic head-scratcher, boasting a top-tier five-star rating while simultaneously leaning on some old-school resident management practices. On the sunny side, their incredibly low rates of skin breakdown, flagged as LOW_PRESSURE_ULCERS, mean the floor staff is actually turning people and keeping them dry. You also won't have to worry about the middle-of-the-night emergency room runs here because their LOW_FALLS_MAJOR_INJURY status proves that call lights are answered fast enough to keep folks from wandering off on their own. Now for the decaf-ruining news: they triggered PHYSICAL_RESTRAINT_HIGH, which usually means bed rails or chair ties are doing the job that human hands should be doing. They also flagged for HIGH_SEDATION_PRESCRIBER, suggesting a heavy reliance on antipsychotics to keep the room quiet rather than finding out why a resident is actually agitated. There are zero federal fines on record, though we can never quite tell if that's a spotless multi-year run or just a delayed database update. When you tour, look past the shiny five-star banner and ask the director exactly what they are doing to get residents out of physical restraints and off chemical sedatives.

WHEELCHAIRS PLUS, INC.

4101 W MARGINAL WAY SW STE B4, SEATTLE, WA 98106

820 NW 95TH STREET OPERATIONS LLC

820 NW 95TH ST, SEATTLE, WA 98117

CASCADES AT THORNTON CREEK LLC

3540 NE 110TH ST, SEATTLE, WA 98125

THE CAMELOT SOCIETY

9201 2ND AVE NW, SEATTLE, WA 98117

BAYVIEW MANOR HOMES

11 W ALOHA ST, SEATTLE, WA 98119

CRISTA MINISTRIES

19301 KINGS GARDEN DR N, SEATTLE, WA 98133

UNITED FRIENDS GROUP FRIENDS

6935 FAUNTLEROY WAY SW, SEATTLE, WA 98136

DEPARTMENT OF VETERANS AFFAIRS

1660 S COLUMBIAN WAY, SEATTLE, WA 98108

COLUMBIA LUTHERAN MINISTRIES

4700 PHINNEY AVE N, SEATTLE, WA 98103