# Nursing homes in Washington

Carefield indexes 193 Medicare/Medicaid-certified nursing homes in Washington with 18,763 certified beds, 2,381 inspections and 15,913 citations in the CMS window (395 at actual harm or worse), and $9,330,575 in fines. State-licensed assisted living is not yet included for this state.

## Counties
- [King County](https://carefield.site/county/53033) — 47 homes, 5,097 beds
- [Pierce County](https://carefield.site/county/53053) — 21 homes, 2,333 beds
- [Snohomish County](https://carefield.site/county/53061) — 17 homes, 1,607 beds
- [Spokane County](https://carefield.site/county/53063) — 16 homes, 1,600 beds
- [Yakima County](https://carefield.site/county/53077) — 11 homes, 956 beds
- [Kitsap County](https://carefield.site/county/53035) — 9 homes, 1,036 beds
- [Whatcom County](https://carefield.site/county/53073) — 8 homes, 674 beds
- [Clark County](https://carefield.site/county/53011) — 8 homes, 744 beds
- [Thurston County](https://carefield.site/county/53067) — 7 homes, 772 beds
- [Benton County](https://carefield.site/county/53005) — 4 homes, 364 beds
- [Walla Walla County](https://carefield.site/county/53071) — 4 homes, 338 beds
- [Skagit County](https://carefield.site/county/53057) — 4 homes, 376 beds
- [Cowlitz County](https://carefield.site/county/53015) — 4 homes, 343 beds
- [Grant County](https://carefield.site/county/53025) — 4 homes, 239 beds
- [Okanogan County](https://carefield.site/county/53047) — 4 homes, 196 beds
- [Grays Harbor County](https://carefield.site/county/53027) — 3 homes, 271 beds
- [Clallam County](https://carefield.site/county/53009) — 3 homes, 291 beds
- [Chelan County](https://carefield.site/county/53007) — 3 homes, 250 beds
- [Lewis County](https://carefield.site/county/53041) — 3 homes, 253 beds
- [Mason County](https://carefield.site/county/53045) — 2 homes, 211 beds
- [Whitman County](https://carefield.site/county/53075) — 2 homes, 103 beds
- [Stevens County](https://carefield.site/county/53065) — 2 homes, 132 beds
- [Franklin County](https://carefield.site/county/53021) — 1 homes, 108 beds
- [Adams County](https://carefield.site/county/53001) — 1 homes, 39 beds
- [Kittitas County](https://carefield.site/county/53037) — 1 homes, 74 beds
- [Asotin County](https://carefield.site/county/53003) — 1 homes, 90 beds
- [Jefferson County](https://carefield.site/county/53031) — 1 homes, 94 beds
- [Island County](https://carefield.site/county/53029) — 1 homes, 112 beds
- [Pacific County](https://carefield.site/county/53049) — 1 homes, 60 beds

## Largest chains
- [The Ensign Group](https://carefield.site/chain/cms-chain-507) — 17 homes
- [Regency Pacific Management](https://carefield.site/chain/cms-chain-442) — 16 homes
- [Life Care Centers of America](https://carefield.site/chain/cms-chain-311) — 15 homes
- [Avamere](https://carefield.site/chain/cms-chain-58) — 11 homes
- [Pacs Group](https://carefield.site/chain/cms-chain-690) — 11 homes
- [Evergreen Healthcare Group](https://carefield.site/chain/cms-chain-846) — 11 homes
- [Cascadia Healthcare](https://carefield.site/chain/cms-chain-118) — 10 homes
- [Avalon Health Care](https://carefield.site/chain/cms-chain-57) — 8 homes
- [Kalesta Healthcare Group](https://carefield.site/chain/cms-chain-297) — 8 homes
- [Hill Valley Healthcare](https://carefield.site/chain/cms-chain-270) — 8 homes

## Most common citations
- [K-0353 Inspect, test, and maintain automatic sprinkler systems.](https://carefield.site/deficiency/cms-k0353) (Environment & life safety) — 185 homes
- [F-0880 Provide and implement an infection prevention and control program.](https://carefield.site/deficiency/cms-f0880) (Infection prevention) — 177 homes
- [F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.](https://carefield.site/deficiency/cms-f0684) (Clinical care) — 176 homes
- [K-0920 Ensure proper usage of power strips and extension cords.](https://carefield.site/deficiency/cms-k0920) (Environment & life safety) — 171 homes
- [K-0345 Have approved installation, maintenance and testing program for fire alarm systems.](https://carefield.site/deficiency/cms-k0345) (Environment & life safety) — 163 homes
- [K-0921 Ensure that testing and maintenance of electrical equipment is performed.](https://carefield.site/deficiency/cms-k0921) (Environment & life safety) — 157 homes
- [F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.](https://carefield.site/deficiency/cms-f0812) (Food, nutrition & hydration) — 155 homes
- [K-0511 Have properly installed electrical wiring and gas equipment.](https://carefield.site/deficiency/cms-k0511) (Environment & life safety) — 153 homes
- [F-0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.](https://carefield.site/deficiency/cms-f0761) (Medication management) — 153 homes
- [F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.](https://carefield.site/deficiency/cms-f0689) (Clinical care) — 151 homes
- [F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.](https://carefield.site/deficiency/cms-f0656) (Clinical care) — 150 homes
- [K-0918 Have generator or other power source capable of supplying service within 10 seconds.](https://carefield.site/deficiency/cms-k0918) (Environment & life safety) — 148 homes

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Source page: https://carefield.site/state/WA · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.
