These are the lowest-rated nursing homes in Washington based on CMS data (2026). The lowest CMS rating in this list is 1 star(s). Combined, these 20 facilities have been fined a total of $2,712,896. 4 have abuse flags. This ranking is based solely on official CMS data and does not represent editorial opinion.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Spokane Falls Care | Spokane | $125,736 | |
| 2 | Landmark Care and Rehabilitation | Yakima | $277,867 | |
| 3 | Orchard Park Health Care & Rehab Center | Tacoma | $136,055 | |
| 4 | Bremerton Trails Post Acute | Bremerton | $174,068 | |
| 5 | Avalon Health & Rehabilitation Center - Pasco | Pasco | $0 | |
| 6 | Avalon Healthcare - Tacoma | Tacoma | $24,814 | |
| 7 | Olympic View Post Acute | Port Angeles | $144,479 | |
| 8 | Fir Lane Care | Shelton | $121,488 | |
| 9 | Port Washington Post Acute | Bremerton | $131,299 | |
| 10 | Three Creeks Post Acute | Pullman | $50,850 | |
| 11 | Colfax Health and Rehabilitation of Cascadia | Colfax | $81,864 | |
| 12 | Life Care Center of Mount Vernon | Mount Vernon | $206,734 | |
| 13 | Colville Health and Rehabilitation of Cascadia | Colville | $68,351 | |
| 14 | Birch Creek Post Acute & Rehabilitation | Tacoma | $30,240 | |
| 15 | Spokane Health & Rehabilitation | Spokane | $137,457 | |
| 16 | North Bend Post Acute | North Bend | $206,072 | |
| 17 | Auburn Post Acute | Auburn | $380,862 | |
| 18 | Woodard Creek Health & Rehabilitation | Olympia | $12,735 | |
| 19 | Parkside Care | Union Gap | $205,277 | |
| 20 | Alaska Gardens Health and Rehabilitation | Tacoma | $196,648 |
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.