These are the lowest-rated nursing homes in Washington based on CMS data (2026). All facilities listed have an overall rating of 1 star(s) or lower. Combined, these 20 facilities have been fined a total of $2,143,322. 2 have abuse flags. This ranking is based solely on official CMS data and does not represent editorial opinion.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Avamere Rehabilitation of Shoreline | Seattle | $0 | |
| 2 | Spokane Falls Care | Spokane | $184,090 | |
| 3 | Landmark Care and Rehabilitation | Yakima | $132,702 | |
| 4 | Orchard Park Health Care & Rehab Center | Tacoma | $101,384 | |
| 5 | Shuksan Rehabilitation and Health Care | Bellingham | $73,622 | |
| 6 | Aurora Valley Care | Spokane | $94,747 | |
| 7 | Bremerton Trails Post Acute | Bremerton | $65,908 | |
| 8 | Providence Mount St Vincent | Seattle | $87,454 | |
| 9 | Avalon Healthcare - Tacoma | Tacoma | $0 | |
| 10 | Olympic View Post Acute | Port Angeles | $35,997 | |
| 11 | Fir Lane Care | Shelton | $138,648 | |
| 12 | Edmonds Post Acute | Edmonds | $26,520 | |
| 13 | Port Washington Post Acute | Bremerton | $35,178 | |
| 14 | Colfax Health and Rehabilitation of Cascadia | Colfax | $67,484 | |
| 15 | Crystal Cove Post Acute | Lacey | $202,635 | |
| 16 | Avamere at Pacific Ridge | Tacoma | $57,783 | |
| 17 | Colville Health and Rehabilitation of Cascadia | Colville | $100,323 | |
| 18 | Spokane Health & Rehabilitation | Spokane | $217,475 | |
| 19 | Heartwood Extended Healthcare | Tacoma | $293,221 | |
| 20 | North Bend Post Acute | North Bend | $228,151 |
Rankings are based on the CMS 5-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing, and quality measures. Ratings range from 1 star (much below average) to 5 stars (much above average). Data is updated monthly by CMS.