MyLivingChoice

Bailey-Boushay House

2720 East Madison

4.4(36 ratings)· Seattle average: 4.2

Bailey-Boushay House, photo 11 / 5

Quick Facts

Medicare rating
3 of 5

CMS Care Compare

Ownership
Non profit, Corporation
Certified beds
35
Population served
Specializes in HIV/AIDS and ALS end-of-life care
Day program hours
Day program runs 6:30am to 4pm, 2pm Wednesdays
Outpatient services offered
Outpatient access to meals, showers, laundry, and nurses

What Families Think

Bailey-Boushay House is a Seattle skilled nursing and long-term care community known for specializing in HIV/AIDS and end-of-life care, including for ALS patients that many other facilities won't accept. Reviews are largely positive, with many people praising the compassionate staff and the support given to those in crisis or homeless, though a handful of reviews raise serious concerns about staffing cuts, communication breakdowns, and care lapses.

The Good

  • Compassionate, caring staff praised by many reviewers
  • Accepts complex cases like ALS and COVID patients others turned away
  • Helped many clients out of homelessness
  • Case managers described as exceptionally helpful
  • Day program offers meals, showers, laundry, and nurse access
  • Staff remember clients by name even after months away

The Bad

  • One detailed report of understaffing, neglect, and mismanagement under recent leadership
  • One report of a patient left in waste and unfed due to staff being stretched thin
  • One report of medication mailing being stopped with poor communication
  • One report of theft among clients on-site

AI-generated from reviews and community data.

Bailey-Boushay House is a senior living community in Seattle, Washington offering Skilled Nursing / Long Term Care. Amenities include Gathering / Activity Spaces, Social Activities and Housekeeping. Families rate it 4.4 out of 5 across 36 reviews.

About Bailey-Boushay House

Bailey-Boushay House is a skilled nursing and long-term care facility in Seattle, Washington, serving patients with serious illnesses including ALS, cancer, and HIV/AIDS. The community operates both residential and day program services.

Families consistently praise the staff's personal warmth and clinical attentiveness. Multiple reviewers noted that staff members know residents by name and greet them warmly, and that case managers and nurses are accessible and responsive, one family appreciated being able to see a nurse on a Sunday afternoon when their partner felt unwell. The facility is described as particularly strong in end-of-life care, with families expressing deep gratitude for the dignity and compassion shown during final days. One family wrote, "I've never experienced such caring and compassionate people." Visitors also noted the cleanliness of living spaces and the quality of nutrition programs.

Reviews are mixed on operational consistency. While most highlight genuine care and a welcoming environment, some families have reported communication gaps and difficulties with medication management and scheduling coordination. A few recent reviews suggest challenges in maintaining the level of service historically associated with the facility.

Bailey-Boushay House holds a 4.4/5 rating across 36 Google reviews, with the majority expressing gratitude for care during vulnerable periods, though some note variability in staff reliability and administrative processes.

Types of Care at Bailey-Boushay House

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Emergency Call System
  • Private Bathroom
  • Private Rooms
  • Wheelchair Accessible

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)

Community Amenities

  • 24-Hour Staff
  • Chapel / Religious Services
  • Gathering / Activity Spaces
  • Housekeeping
  • Medication Management
  • On-Site Nurse (RN)

Activities

  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Help Me Choose

Reviews of Bailey-Boushay House

4.4overall · 36 ratings combined

4.4★ on Google (36)

Valerie Merritt-Slezinger

Apr 2026

via Google

This shelter cares about their people. Hope they'll accept me back after leaving to what i hoped would be more convient to my life.

Summer Nites

Jan 2026

via Google

All I got to say is if it was not for Bailey-Boushay House I would still be homeless. Thank you guys

Michael Locke

Oct 2025

via Google

Bailey-Boushay House was once a true refuge — a place where people marginalized by society could find safety, dignity, and a path toward stability. It offered housing support, compassion, and the promise of a second chance. Sadly, that promise has been lost. Today, Bailey-Boushay has devolved into a deeply dysfunctional and neglectful environment. What was once a model of care has become a stagnant, mismanaged facility where clients are warehoused rather than helped. Clients are fed extremely poor-quality food and encouraged to remain sedentary, watching violent television rather than engaging in meaningful activities or self-improvement. The environment fosters dependency, not recovery. Staffing practices are equally concerning. Social workers double as cafeteria attendants and laundry staff, blurring professional boundaries in ways that are both inappropriate and unethical. Reports of open drug use, dealing, and sexual activity within shared facilities are routinely ignored. Instead of enforcing safety and dignity, the staff appear indifferent — or, worse, complicit. The administrative failures are equally alarming. Simple requests for essential paperwork or housing support can drag on for months with no resolution. Clients are often misled into believing they are on housing waitlists that, in reality, they were never enrolled in. Many are left languishing in homelessness while being told that progress is “just around the corner.” The leadership under Katie, the current program director, has shown little interest in addressing these systemic issues. Rather than working to restore accountability or improve conditions, Katie seems more focused on maintaining appearances and personal popularity. Complaints go unanswered, policies meant to ensure transparency are ignored, and staff misconduct is swept under the rug. The result is a toxic environment where favoritism determines opportunity, where vulnerable individuals are treated as billing numbers rather than human beings, and where genuine rehabilitation has been replaced by neglect and complacency. Bailey-Boushay House was once a symbol of hope. Today, it stands as a cautionary tale of what happens when oversight disappears, leadership prioritizes comfort over conscience, and an institution built to uplift instead contributes to despair. Until there is a complete and transparent overhaul of management and practices — starting with accountability from Katie and her leadership team — Bailey-Boushay House will continue to fail the very people it was created to protect. Should any media outlets, watchdog organizations, or individuals wish to investigate these claims or the current state of Bailey-Boushay House, I am more than willing to assist in any way I can. Please reach out.

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Government Inspection History

5 inspection visits in the last three years, 84 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Jul 16, 2025Health Complaint1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 29, 2025

May 5, 2025Fire Safety StandardHealth Standard22 citations
  • Inspect, test, and maintain automatic sprinkler systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 10, 2025

  • Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 4, 2025

  • Have generator or other power source capable of supplying service within 10 seconds.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 4, 2025

  • Ensure proper usage of power strips and extension cords.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 4, 2025

  • Ensure that testing and maintenance of electrical equipment is performed.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 4, 2025

  • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 18, 2025

  • PASARR screening for Mental disorders or Intellectual Disabilities

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 18, 2025

  • Post nurse staffing information every day.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 18, 2025

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 18, 2025

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 18, 2025

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 18, 2025

  • Ensure each resident receives an accurate assessment.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 18, 2025

  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 18, 2025

  • Provide activities to meet all resident's needs.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 18, 2025

  • Provide care or services that was trauma informed and/or culturally competent.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 18, 2025

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 18, 2025

  • Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 18, 2025

  • Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 18, 2025

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 18, 2025

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 18, 2025

  • Assess the resident when there is a significant change in condition

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 18, 2025

  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 18, 2025

Feb 26, 2025Health Complaint1 citation
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 1, 2025

May 20, 2024Fire Safety StandardHealth Standard30 citations
  • Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 11, 2024

  • Have approved installation, maintenance and testing program for fire alarm systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 11, 2024

  • Conduct testing and exercise requirements.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 11, 2024

  • Provide a means of sharing information on occupancy/needs.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 11, 2024

  • Provide emergency officials' contact information.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 11, 2024

  • Establish policies and procedures including evacuation.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 11, 2024

  • Address subsistence needs for staff and patients.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 11, 2024

  • Address patient/client population and determine types of services needed.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 11, 2024

  • Develop and maintain an Emergency Preparedness Program (EP).

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 11, 2024

  • Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 11, 2024

  • Have simulated fire drills held at unexpected times.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 11, 2024

  • Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 11, 2024

  • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 24, 2024

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 24, 2024

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 24, 2024

  • Assure that each resident’s assessment is updated at least once every 3 months.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 24, 2024

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

  • Respond appropriately to all alleged violations.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

  • Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

  • Ensure each resident receives an accurate assessment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

  • PASARR screening for Mental disorders or Intellectual Disabilities

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

  • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

  • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 24, 2024

Mar 1, 2023Fire Safety StandardHealth Standard30 citations
  • Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 16, 2023

  • Ensure that testing and maintenance of electrical equipment is performed.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 16, 2023

  • Have proper medical gas storage and administration areas.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 28, 2023

  • Meet the requirements of an integrated health system.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 28, 2023

  • Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 28, 2023

  • Have approved installation, maintenance and testing program for fire alarm systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 28, 2023

  • Inspect, test, and maintain automatic sprinkler systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 16, 2023

  • Have elevators that firefighters can control in the event of a fire.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 16, 2023

  • Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 28, 2023

  • To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 16, 2023

  • Have generator or other power source capable of supplying service within 10 seconds.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 16, 2023

  • Develop and maintain an Emergency Preparedness Program (EP).

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 25, 2023

  • Conduct risk assessment and an All-Hazards approach.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 25, 2023

  • Address patient/client population and determine types of services needed.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 28, 2023

  • Include a process for Emergency Preparedness collaboration.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 28, 2023

  • Develop Emergency Preparedness policies and procedures.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 16, 2023

  • Develop a communication plan.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 25, 2023

  • Conduct testing and exercise requirements.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 28, 2023

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 14, 2023

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 14, 2023

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 14, 2023

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 14, 2023

  • Ensure each resident receives an accurate assessment.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 14, 2023

  • Assure that each resident’s assessment is updated at least once every 3 months.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 14, 2023

  • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 14, 2023

  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 14, 2023

  • Properly select, install, inspect, or maintain portable fire extinguishes.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2023

  • Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 14, 2023

  • Provide safe and appropriate respiratory care for a resident when needed.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 14, 2023

  • Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 14, 2023

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Bailey-Boushay House offer?

Bailey-Boushay House offers Skilled Nursing / Long Term Care.

Where is Bailey-Boushay House located?

Bailey-Boushay House is located at 2720 East Madison in Seattle, Washington.

What do families say about Bailey-Boushay House?

Bailey-Boushay House is a Seattle skilled nursing and long-term care community known for specializing in HIV/AIDS and end-of-life care, including for ALS patients that many other facilities won't accept. Reviews are largely positive, with many people praising the compassionate staff and the support given to those in crisis or homeless, though a handful of reviews raise serious concerns about staffing cuts, communication breakdowns, and care lapses.

How did Bailey-Boushay House do on recent health and safety inspections?

Bailey-Boushay House had 5 government inspection visits in the last three years, with 84 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Bailey-Boushay House?

Submit the Request Information form on this page to connect with Bailey-Boushay House and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

Work at Bailey-Boushay House? Claim this listing to update photos, pricing, and details. It's free.

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