Risk-Based Surveys in Washington

Nursing homes that carry CMS's new High Performing icon, and the inspections CMS has recorded as risk-based surveys: shorter visits CMS says are “only given to higher performing facilities.”

Data: CMS September 2026 · PBJ Q1 2026CMS dataMethodologyCMS policy

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37 of 193 Washington nursing homes (19.2%) carry CMS's High Performing icon in the September 2026 Provider Information release. None has a standard inspection CMS recorded as a risk-based survey (footnote 29). Historical inspection records can predate the September 8, 2026 nationwide rollout.

Nursing homes with CMS High Performing icon status, CMS star ratings and recorded risk-based surveys
CMS star ratings
Alderwood Park Health and Rehab of CascadiaCCN 505092Bellingham, WA★★★★★★★★★☆★★★★☆3.98Jan 16, 2026none in CMS Inspection Dates
Avalon Healthcare BellinghamCCN 505296Bellingham, WA★★★★★★★★★☆★★★★☆4.50Dec 5, 2025none in CMS Inspection Dates
Avamere Rehabilitation of Cascade ParkCCN 505389Vancouver, WA★★★★★★★★★★★★★★☆4.76Nov 21, 2025none in CMS Inspection Dates
Bainbridge Island Health & Rehab CenterCCN 505325Bainbridge Island, WA★★★★★★★★★★★★★★★3.91Nov 17, 2025none in CMS Inspection Dates
Beacon Hill RehabilitationCCN 505294Longview, WA★★★★★★★★★☆★★★★★4.10May 21, 2026none in CMS Inspection Dates
Bethany at Silver LakeCCN 505403Everett, WA★★★★★★★★★☆★★★★★4.53Mar 20, 2026none in CMS Inspection Dates
Briarwood at Timber RidgeCCN 505518Issaquah, WA★★★★★★★★★★★★★★☆4.64Dec 16, 2025none in CMS Inspection Dates
Covenant Shores Health CenterCCN 505504Mercer Island, WA★★★★★★★★★★★★★★☆4.41Feb 11, 2026none in CMS Inspection Dates
Garden Terrace Healthcare Center of Federal WayCCN 505512Federal Way, WA★★★★★★★★★★★★★☆☆5.45Jun 16, 2025none in CMS Inspection Dates
Good Samaritan Health Care CtrCCN 505348Yakima, WA★★★★★★★★★☆★★★★★4.46Nov 18, 2025none in CMS Inspection Dates
Heron's KeyCCN 505531Gig Harbor, WA★★★★★★★★★★★★★★★5.75Feb 13, 2026none in CMS Inspection Dates
Hudson Bay Health and RehabilitationCCN 505260Vancouver, WA★★★★★★★★☆☆★★★★★3.94Mar 19, 2026none in CMS Inspection Dates
Josephine Caring CommunityCCN 505465Stanwood, WA★★★★★★★★☆☆★★★★☆4.69Sep 15, 2025none in CMS Inspection Dates
Lacamas Creek Post AcuteCCN 505273Camas, WA★★★★★★★★★☆★★★★★4.63Jul 25, 2025none in CMS Inspection Dates
Life Care Center of Port OrchardCCN 505210Port Orchard, WA★★★★★★★★★☆★★★★☆3.84Apr 10, 2026none in CMS Inspection Dates
Life Care Center of Port TownsendCCN 505306Port Townsend, WA★★★★★★★★★☆★★★★☆3.96Mar 13, 2026none in CMS Inspection Dates
Life Care Center of South HillCCN 505526Puyallup, WA★★★★★★★★★☆★★★★☆4.80Nov 21, 2025none in CMS Inspection Dates
Mt Baker Care CenterCCN 505376Bellingham, WA★★★★★★★★★★★★★★★5.00Jul 2, 2025none in CMS Inspection Dates
North Valley HospitalCCN 505454Tonasket, WA★★★★★★★★★★★★★★★4.67Feb 28, 2026none in CMS Inspection Dates
Northwoods LodgeCCN 505484Silverdale, WA★★★★★★★★★★★★★★☆5.48Mar 16, 2026none in CMS Inspection Dates
Pacific Care and RehabilitationCCN 505081Hoquiam, WA★★★★★★★★★☆★★★★★4.01Jul 9, 2026none in CMS Inspection Dates
Park Manor Rehabilitation CtrCCN 505074Walla Walla, WA★★★★★★★★★★★★★★★4.33May 15, 2026none in CMS Inspection Dates
Rainier RehabilitationCCN 505304Puyallup, WA★★★★★★★★☆☆★★★★★5.30Aug 12, 2025none in CMS Inspection Dates
Redmond Care and Rehabilitation CenterCCN 505181Redmond, WA★★★★★★★★★☆★★★★☆3.66Jun 13, 2025none in CMS Inspection Dates
Regency at NorthpointeCCN 505369Spokane, WA★★★★★★★★★☆★★★★★4.72Dec 12, 2025none in CMS Inspection Dates
Regency at the ParkCCN 505075College Place, WA★★★★★★★★★★★★★★☆4.17Jan 9, 2026none in CMS Inspection Dates
Regency Canyon Lakes Rehab and Nursing CenterCCN 505372Kennewick, WA★★★★★★★★★★★★★★★4.85Apr 10, 2025none in CMS Inspection Dates
Regency Harmony House Rehab & NursingCCN 505430Brewster, WA★★★★★★★★★☆★★★★★3.70Nov 23, 2025none in CMS Inspection Dates
Regency Olympia Rehabilitation and Nursing CenterCCN 505515Olympia, WA★★★★★★★★☆☆★★★★☆4.56Apr 10, 2026none in CMS Inspection Dates
Regency Wenatchee Rehabiliation & Nursing CenterCCN 505382Wenatchee, WA★★★★★★★★★☆★★★★★4.46Mar 13, 2026none in CMS Inspection Dates
Shoreline Health and RehabilitationCCN 505262Seattle, WA★★★★★★★★★☆★★★★☆3.96Mar 24, 2026none in CMS Inspection Dates
South Hill Rehabilitation and Care CenterCCN 505414Spokane, WA★★★★★★★★☆☆★★★★☆4.63Jun 18, 2025none in CMS Inspection Dates
Spokane Veterans HomeCCN 505509Spokane, WA★★★★★★★★★★★★★★☆4.02Mar 25, 2025none in CMS Inspection Dates
Tacoma Nursing and Rehabilitation CenterCCN 505154Tacoma, WA★★★★★★★★☆☆★★★★☆4.89Jun 22, 2026none in CMS Inspection Dates
The Oaks at LakewoodCCN 505347Tacoma, WA★★★★★★★★★☆★★★★★4.08Jan 29, 2026none in CMS Inspection Dates
The Oaks at TimberlineCCN 505206Vancouver, WA★★★★★★★★☆☆★★★★★4.07Mar 5, 2026none in CMS Inspection Dates
Wesley Homes Des Moines Health CenterCCN 505475Des Moines, WA★★★★★★★★★☆★★★★☆4.79Feb 12, 2026none in CMS Inspection Dates

Star ratings are CMS's (1–5, September 2026 Provider Information): OVR overall, STF staffing, INS health inspection. “Not rated” means CMS published no rating; “fn” is a CMS rating footnote. Risk-based survey: the most recent standard inspection CMS marks with footnote 29. A dash means CMS Inspection Dates has none on record for the facility, not that no inspection took place.

1–25 of 37 facilities

Washington in context

37High Performing icon
193Nursing homes
19.2%Share (11.6% nationally)
0RBS survey recorded

Related: Washington staffing overview Washington Special Focus Facilities All states

Methodology & sources

What the High Performing icon is

CMS added a High Performing Icon field (Y/N) to Provider Information in the September 2026 release. CMS's data dictionary describes it as marking homes that exceed the traditional five-star rating, with fewer citations, higher staffing levels and other quality indicators. CMS memo QSO-26-14-NH sets out the criteria for risk-based surveys. CMS's data dictionary does not say the icon is the same thing as eligibility for a risk-based survey, so this page shows the icon and recorded risk-based surveys side by side and does not treat one as proof of the other. The icon is reported exactly as CMS publishes it.

Star ratings and footnotes

Overall, Staffing and Health Inspection ratings are CMS's five-star ratings from the same Provider Information file. Where CMS gives no rating it publishes a footnote code instead, shown here as “fn”. In this release every facility with footnote 18 on its overall rating is a CMS Special Focus Facility, so the table labels those “Not rated: Special Focus Facility”. Other codes are shown as CMS publishes them; see CMS's Provider Information data dictionary for their definitions. In this release every staffing rating that carries footnote 23, 24 or 25 is a 1.

What "risk-based survey" means

CMS marks a standard health inspection with footnote 29 when it was a risk-based survey: “shorter visit with a smaller inspection team.” The column shows the most recent such survey in CMS Inspection Dates. 119 facilities have one on record; 46 of them do not carry the icon in this release. Eligibility and completed inspections are reported separately for that reason.

CMS-recorded risk-based survey dates run from Apr 11, 2024 to Jul 15, 2026; 108 are in 2026. These are historical inspection records, not a count of surveys conducted after nationwide rollout.

CMS revised QSO-26-14-NH (September 29, 2026) confirms that testing began in 2023 in 22 states and more than 100 facilities; nationwide implementation began September 8, 2026. The source fields do not identify pilot participation for individual inspections. PBJ320 preserves CMS footnote 29 and survey dates as published; it does not independently reclassify surveys or label all earlier records as pilot inspections.

What this page does not say

  • A missing icon is not a finding about care. CMS applies criteria that are not all public, and the icon can change month to month.
  • The icon is CMS's designation, not a PBJ320 prediction or rating.
  • A dash in the risk-based survey column means CMS Inspection Dates has no footnote-29 inspection for the facility. It is not evidence that no survey took place.
  • Star ratings and HPRD are context from different sources and periods, listed below.

Dates on this page

CMS processing dateSep 1, 2026The as-of date CMS assigns to the Provider Information file.
CMS last modifiedSep 30, 2026The last-modified date CMS records for the dataset on data.cms.gov.
CMS public releaseOct 8, 2026When CMS released the file publicly on data.cms.gov. CMS announced a delay for this release.
PBJ320 admittedOct 8, 2026When PBJ320 validated and adopted the file.
Survey datesPer facilityActual inspection dates from CMS. A recorded risk-based survey can predate the current icon.
PBJ staffing quarterQ1 2026Total nurse HPRD comes from PBJ payroll data for this quarter, a different period from the CMS ratings.

History

The September 2026 release is the first in which CMS published the High Performing icon and footnote 29. PBJ320 stores each release's designations separately; from the next release on, this page will show which facilities gained or lost the icon and when each risk-based survey first appeared.

Releases on file: September 2026 (1,699 designated)

Sources

Inspection reports

Survey dates and types come from CMS Inspection Dates. PBJ320 does not link individual CMS-2567 inspection reports: it has no source that resolves a specific survey date to its official report, and it will not attach a different inspection's report to a risk-based survey. Each facility's PBJ320 page links to its Care Compare listing.

Questions or corrections: corrections.