Best Skilled Nursing in Federal Way, Washington
7 communities found
Federal Way has 8 skilled nursing communities, all offering residential care, with an average rating of 4.3 across 7 rated communities and 882 reviews read. Amenities such as private rooms, private bathrooms, 24-hour staff and medication management are reported at all 8 communities.
- 7communities
- 4.6average rating, 6 rated
- 861family reviews read

#Twin Lake Adult Family Home LLC
Federal Way, Washington
5(14)
Assisted LivingSkilled Nursing / Long Term Care

Garden Terrace Healthcare Center Of Federal Way
Federal Way, Washington
4.6(400)
Skilled Nursing / Long Term Care

Serene Living LLC
Federal Way, Washington
5(6)
Assisted LivingIndependent LivingSkilled Nursing / Long Term Care

Hallmark Manor
Federal Way, Washington
4.5(148)
Skilled Nursing / Long Term Care

SKILLED Adult family home
Federal Way, Washington
5(2)
Assisted LivingMemory CareSkilled Nursing / Long Term Care

Life Care Center Of Federal Way
Federal Way, Washington
4.3(167)
Skilled Nursing / Long Term Care

Avalon Federal Way Care Center
Federal Way, Washington
3.9(124)
Skilled Nursing / Long Term Care
Best-rated skilled nursing in Federal Way
Ranked by family rating, weighted by how many families have reviewed each one. No community pays to appear here.
- 1
#Twin Lake Adult Family Home LLC
5 (14 reviews)· Assisted Living, Skilled Nursing / Long Term Care
Twin Lake Adult Family Home holds a 5-star Google rating from 14 reviews, though no written reviews detail specific experiences.
- 2
Garden Terrace Healthcare Center Of Federal Way
4.6 (400 reviews)· Skilled Nursing / Long Term Care· 70 units
- 3
5 (6 reviews)· Assisted Living, Independent Living, Skilled Nursing / Long Term Care
Serene Living LLC is a small, owner-operated memory care home offering hands-on, personal attention and medical oversight for residents with dementia and Alzheimer's.
- 4
4.5 (148 reviews)· Skilled Nursing / Long Term Care· 147 units
- 5
Life Care Center Of Federal Way
4.3 (167 reviews)· Skilled Nursing / Long Term Care· 157 units
Life Care Center of Federal Way holds a strong 4.4 Google rating across 156 reviews and focuses on both short-term rehab and long-term skilled nursing care.
- 6
Avalon Federal Way Care Center
3.9 (124 reviews)· Skilled Nursing / Long Term Care· 120 units
What families say about skilled nursing in Federal Way
Counted across the review summaries of 7 Federal Way communities: the share whose families mention each theme.
Families most often mention caring, attentive staff and medical or nursing care, each noted at 75% of the 8 communities. Communication with families and cost and billing are the most common concerns, each raised at 63%, while staff attitude comes up less often, at 13%.
Praised most
- Caring, attentive staff 86%
- Medical and nursing care 86%
- Memory care 43%
- Warm, home-like feel 43%
- Building and grounds 29%
Concerns raised
- Communication with families 71%
- Cost and billing 71%
- Staff attitude 14%
“The staff at Garden Terrace are wonderful! Kind, patient, and friendly. My brother is there for rehab and they are taking excellent care of him. The facility is lovely. They have a great gym for physical therapy also.”
“Staff is very friendly and show they actually care about the residents, easy to talk with...very professional and personal too...I definitely would recommend this facility.”
“I highly recommend Twin Lake AFH. Located right on the golf course, this tastefully decorated AFH, is sure to make your loved one feel at home! Kind and caring staff, that go above and beyond for their clients.”
Skilled Nursing in Federal Way: the figures
- •4 nursing homes carry a Medicare star rating, averaging 3.5 out of 5: 2 rated four stars or better, 0 rated one star.
- •Most common amenities: private rooms (7), wheelchair accessible (7), emergency call system (7), 24-hour staff (7), housekeeping (7), private bathroom (7).
How families pay for skilled nursing in Washington
Most families in Washington pay for assisted living, memory care and independent living out of pocket at first, often drawing on savings, pensions and the proceeds from selling a home. Long-term care insurance, when a family member holds a policy, can help cover part of the monthly cost, though the terms and waiting periods vary by policy. Veterans and surviving spouses may qualify for VA Aid and Attendance, a benefit that adds a monthly amount on top of a regular VA pension for those who need help with daily activities, and it can be applied toward the cost of assisted living or memory care.
The full picture for the state: Skilled Nursing in Washington.
Skilled Nursing near Federal Way
Cities within about 35 miles with senior living inventory, and how families rate it.
| City | Communities | RatingAverage rating | Distance |
|---|---|---|---|
| Des Moines5.5 mi | 29 | 4.7 / 5 | 5.5 mi |
| Auburn5.9 mi | 42 | 4.5 / 5 | 5.9 mi |
| Kent7.8 mi | 30 | 4.6 / 5 | 7.8 mi |
| Tacoma8.6 mi | 53 | 4.2 / 5 | 8.6 mi |
| SeaTac9.3 mi | 9 | 4.5 / 5 | 9.3 mi |
| Puyallup10.9 mi | 49 | 4.5 / 5 | 10.9 mi |
| Burien11.3 mi | 7 | 4.4 / 5 | 11.3 mi |
| University Place11.3 mi | 24 | 4.6 / 5 | 11.3 mi |
All of Washington: Skilled Nursing in Washington. Closer to home? Compare skilled nursing near you, sorted by distance.
About these figures
Computed on October 23, 2026 from the 7 communities listed in Federal Way, 861 public family reviews on Google, Yelp and MyLivingChoice, state licensing records and, for nursing homes, CMS Care Compare. The best-rated list ranks communities by average family rating weighted by how many families have reviewed each one, so a 4.9 from three reviews does not outrank a 4.7 from two hundred. No community pays to appear in the best-rated list or in these figures; sponsored and partner listings in the directory results are marked as such. Figures refresh as listings and reviews change; the written summary was last revised September 25, 2026.
Reading on this
Guides from MyLivingChoice that families in Federal Way ask about.
- Home Care in Washington: Agencies, Medicare Home Health Ratings, and What It Costs
- Nursing Home vs. Assisted Living: Which Level of Care Does Your Loved One Actually Need?
- What to Expect from Daily Life in a Skilled Nursing Home?
Not in Federal Way? Senior living near me finds communities around wherever you are.
Looking at the high end?
Luxury senior living in Seattle, WA
The upscale communities within 25 miles of Seattle, with their published rates compared, on one page. Federal Way is inside that area.
Skilled Nursing in Federal Way: Common Questions
How many skilled nursing long term care communities are in Federal Way, Washington?
MyLivingChoice lists 7 skilled nursing long term care communities in Federal Way, Washington, each with photos, care details, and reviews from families.
Which skilled nursing long term care communities in Federal Way are rated highest?
Based on combined ratings across Google, Yelp, and MyLivingChoice reviews, top-rated options include #Twin Lake Adult Family Home LLC (5★, 14 ratings), Serene Living LLC (5★, 6 ratings), Garden Terrace Healthcare Center Of Federal Way (4.6★, 400 ratings).
What types of senior care are available in Federal Way?
Beyond skilled nursing long term care, Federal Way has assisted living (19 communities), independent living (8 communities), skilled nursing / long term care (7 communities), memory care (4 communities), at-home care (3 communities). Every option is listed with photos, reviews, and contact details.
How do families rate skilled nursing long term care in Federal Way?
Families rate Federal Way skilled nursing long term care communities 4.6 out of 5 on average, across 861 public Google reviews of local communities.
What do families praise, and complain about, in Federal Way skilled nursing long term care communities?
Across the review summaries of 7 Federal Way communities, the most common praise is caring, attentive staff (mentioned for 86%), medical and nursing care (mentioned for 86%), memory care (mentioned for 43%). The most common concerns are communication with families (71%), cost and billing (71%), staff attitude (14%).
How do Federal Way nursing homes score on Medicare's star ratings?
4 Medicare-certified nursing homes in Federal Way carry an overall star rating, averaging 3.5 out of 5. 2 are rated four stars or better and 0 are rated one star. Each listing shows its rating and three years of inspection history from CMS Care Compare.
Prefer to stay home?
Home care agencies serving Federal Way bring help to the house: daily living, companionship, and respite for family caregivers.


