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SeniorHomeReview Cost Index

Cost of nursing home care in Washington.

The median nursing home in Washington billed $480 per day — about $14,590 per month — in its most recent federal cost report, 26% above the national median. Half of Washington facilities billed between $430 and $595 per day; the median facility collected $427/day across all payers, with Medicaid covering 62% of resident days.

Computed from 184 Washington facilities' own audited CMS cost reports (FY2023) — not a survey. Billed charges are the closest public proxy for private-pay prices; Medicare and Medicaid pay set rates. Methodology & all states.

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Nursing home costs by Washington city

Median billed charges in the cities with the most reporting facilities.

CityMedian billed / day≈ per monthReporting
Seattle$480$14,59017
Spokane$505$15,35013
Tacoma$435$13,22011
Yakima$461$14,0106
Vancouver$580$17,6306
Everett$542$16,4806
Bellingham$455$13,8306
Puyallup$596$18,1205

Before you compare prices

Cost is only half the decision. Washington's nursing homes drew 15,904 inspection citations over the last three years— every facility's citations, fines, ownership, and ratings are free on its page. Browse Washington facilities and open any one for its full record.