Senior Care in Washington — Independent Report Cards

873 nursing homes, home-health agencies, hospices and assisted-living communities in Washington — 302 graded from public regulatory data. We take $0 from any facility we grade.

How these grades work. Every grade is computed from a fixed public rubric — safety inspections, staffing, clinical outcomes, enforcement actions and financial stability — using government data. No facility can pay to change its grade or placement. Providers with under 30% rubric coverage are shown as "Listed" with no letter grade rather than pretending thin data is comparable. Read the full methodology.

Metro areas: Seattle

What senior care costs in Washington (2025 medians)

Care settingWashington medianNational median
Assisted living, private one-bedroom$7,600/mo$6,200/mo
Nursing home, semi-private room$432/day$315/day
Nursing home, private room$525/day$355/day
In-home care, non-medical (private pay)$45/hr$35/hr

Hospice isn't priced here: the Medicare hospice benefit covers it for eligible patients, typically at no cost for the care itself. Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.

Nursing Homes (193 graded of 194)

FacilityCityGradePriceRubric coverageBeds
Heron'S Key Gig Harbor A $$$$$ 75% 30
Rainier Rehabilitation Puyallup A $$$$$ 75% 117
Bainbridge Island Health & Rehab Center Bainbridge Island A $$ 75% 58
Sunshine Health & Rehab Spokane A $$$$$ 75% 37
Columbia Basin Hospital Ephrata A 75% 12

All Washington nursing homes →

Home Health Agencies (63 graded of 71)

FacilityCityGradeRubric coverageBeds
Signature Healthcare At Home Bellingham A 70%
Alpha Home Health Everett A 70%
Assured Home Health Moses Lake A 70%
Central Washington Health Services Wenatchee A 70%
Elite Home Health Clarkston A 70%

All Washington home health agencies →

Hospice Agencies (46 graded of 50)

FacilityCityGradeRubric coverageBeds
Gentiva Tukwila A 90%
Kittitas Valley Home Health & Hospice Ellensburg A 90%
Horizon Hospice Spokane A- 90%
Bristol Hospice - Snohomish County Everett A- 45%
Whidbeyhealth Hospice And Palliative Care Coupeville A- 90%

All Washington hospice agencies →

Assisted Living Facilities (0 graded of 558)

FacilityCityGradeRubric coverageBeds

All Washington assisted living facilities →

Open the interactive map →