Who owns Washington nursing homes
Ownership shapes staffing and cost decisions. Here is how Washington nursing homes compare by ownership type, and which chains operate the most homes.
CMS data as of August 1, 2026. Nursing homes only; assisted living is not covered by Medicare ratings.
By ownership type
| Ownership | Homes | Average Medicare stars | Typical nursing hours | Share fined |
|---|---|---|---|---|
| For profit | 153 | 3.1 | 4.01 hrs | 63% |
| Non profit | 29 | 3.8 | 4.69 hrs | 52% |
| Government | 11 | 3.8 | 4.71 hrs | 45% |
Largest chains in Washington
73% of Washington nursing homes belong to a chain. Counts are homes we list in Washington.
- The ensIgn group17 homes · average 4.3 of 5 Medicare stars
- Regency pacific management16 homes · average 4.0 of 5 Medicare stars
- Life care centers of america15 homes · average 3.3 of 5 Medicare stars
- Pacs group11 homes · average 3.4 of 5 Medicare stars
- Evergreen healthcare group11 homes · average 2.7 of 5 Medicare stars
- Avamere11 homes · average 3.1 of 5 Medicare stars
- CasCadia healthcare10 homes · average 2.8 of 5 Medicare stars
- KalesTa healthcare group8 homes · average 1.9 of 5 Medicare stars
- Avalon health care8 homes · average 2.9 of 5 Medicare stars
- Hill valley healthcare8 homes · average 2.0 of 5 Medicare stars
- GenesIs healthcare7 homes · average 1.8 of 5 Medicare stars
- Caldera care6 homes · average 2.8 of 5 Medicare stars
- Vertical health sErvices3 homes · average 2.7 of 5 Medicare stars
- Humangood2 homes · average 5.0 of 5 Medicare stars
- Life care sErvices1 home · average 5.0 of 5 Medicare stars
Source: CMS Nursing Home Provider Information (ownership type, chain affiliation). Averages are simple averages of Medicare overall star ratings; they describe groups, not any single home. A ranking is a starting point for questions, not a verdict. Always check the current Medicare record and visit in person.