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Washington

Nursing Home Staffing Profile — 2025Q3

187 facilities13,811 residents4.28 avg HPRD

vs National Average

+0.39 HPRD

National avg: 3.90 · Washington: 4.28

📋

Washington ranks among the higher-performing states for nursing home staffing, with an average of 4.28 HPRD — 0.39 hours above the national average. Only 98.4% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.88 HPRD, with 64.7% of facilities meeting the 0.75 research recommendation.

4.28

Average Total HPRD

All nursing staff combined

▲ 0.39 vs national

0.88

Average RN HPRD

Recommended: 0.75

▲ 0.20 vs national

98.4%

Meet CMS Benchmark

184 of 187 facilities

18.0%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

4.7%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

4.13

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How Washington's 187 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

4.20

avg HPRD

154 facilities (82%)

Non-Profit

4.73

avg HPRD

25 facilities (13%)

Government

4.56

avg HPRD

8 facilities (4%)

💡 Non-profit facilities in Washington average 0.53 more HPRD than for-profit ones — about 13% higher staffing.

▲ Best Staffed in Washington

Top 5 by total nurse HPRD

A+

Transitional Care Of Seattle

CAROLINE KLINE GALLAND HOME

WASHINGTON STATE WALLA WALLA VETERANS HOME

THE TERRACES AT SKYLINE

SEATTLE

5.99 HPRD

RN: 1.02

AVAMERE AT PACIFIC RIDGE

TACOMA

5.94 HPRD

RN: 0.65

▼ Most Understaffed in Washington

Bottom 5 by total nurse HPRD

187

Puyallup Nursing and Rehabilitation Center

Crystal Cove Post Acute

SPOKANE HEALTH & REHABILITATION

LIFE CARE CENTER OF PORT ORCHARD

PORT ORCHARD

3.56 HPRD

RN: 0.88

⚖️

Compare Two Facilities Side by Side

Pick any two Washington nursing homes and see how they stack up across every metric

Open Comparison Tool →

County Breakdown

Staffing metrics by county in Washington — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸King	44	4.45	0.92	100.0%	Mixed A/B
▸Pierce	21	4.40	0.82	95.2%	Mixed A/B
▸Snohomish	17	4.40	0.98	100.0%	Mixed A/B
▸Spokane	15	4.15	0.83	93.3%	Mostly B
▸Yakima	10	4.10	0.73	100.0%	Mostly B
▸Kitsap	9	4.21	0.87	100.0%	Mixed B/A
▸Whatcom	8	4.18	1.15	100.0%	Mostly B
▸Clark	8	4.15	0.75	100.0%	Mixed B/A
▸Thurston	7	4.24	0.66	85.7%	Mixed B/A
▸Grant	4	4.13	0.80	100.0%	Mixed A/B
▸Walla Walla	4	4.76	1.17	100.0%	Mostly A
▸Okanogan	4	4.22	0.92	100.0%	Mostly A
▸Cowlitz	4	3.97	0.66	100.0%	Mostly B
▸Skagit	4	4.13	0.82	100.0%	Mostly B
▸Benton	4	4.40	1.09	100.0%	Mostly A
▸Clallam	3	4.42	0.83	100.0%	Mostly B
▸Chelan	3	3.77	1.21	100.0%	Mostly B
▸Lewis	3	4.73	0.89	100.0%	Mixed A+/A
▸Stevens	2	3.94	0.70	100.0%	Mostly B
▸Grays Harbor	2	4.12	0.57	100.0%	Mixed B/C
▸Mason	2	4.01	0.56	100.0%	Mixed B/C
▸Whitman	2	3.88	1.06	100.0%	Mostly B
▸Kittitas	1	3.58	0.66	100.0%	Mostly B
▸Asotin	1	3.73	1.25	100.0%	Mostly B
▸Franklin	1	4.31	1.03	100.0%	Mostly A
▸Island	1	4.10	0.59	100.0%	Mostly B
▸Jefferson	1	3.76	0.85	100.0%	Mostly B
▸Adams	1	3.85	0.94	100.0%	Mostly B
▸Pacific	1	3.97	0.76	100.0%	Mostly B

HPRD Range in Washington

The spread between best and worst staffed facilities

3.89

25th pctile

4.13

Median

4.55

75th pctile

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.