Downtown Seattle’s Skyline operates as a Life Care continuum community at 725 9th Avenue0.4 miles from the city centeroffering nursing homeindependent livingassisted livingand memory care under Presbyterian Retirement Communities Northwest (nonprofit).
The facility emphasizes resort- amenities: 360-degree Skyline and Puget Sound viewsgourmet diningfitness centersaline lap poolholistic wellness programsand activities spanning intellectual pursuits to wine tastings. Average length of stay is 42 days; occupancy 79.3% (above Washington average of 72.5%). Walk Score 98 (Walker’s Paradise; ranked 7 of 628 statewide).
Skyline employs 107 staff (39 employees68 contractorsQ3 2025). Total nursing care: 5h 15m per resident daily (24% above Washington average; ranked 6 of 89 SNFs). Weekend nursing: 5h 1m per resident daily (31% above state average). Staff-to-resident ratio: 4.12:1 (121% better than Washington average 1.86:1). Registered Nurses: 18; Licensed Practical Nurses: 17; Certified Nursing Assistants: 44; supplemented by physical therapyoccupational therapyrespiratory therapyspeech pathologyand physician support.
Overall CMS rating: 3 stars (7% below Washington average). Health Inspection: 3 stars (29% below state average). Staffing: 4 stars (16.8% above state average). Quality Measures: 4 stars (27.2% above state average). No penalties in 3 years.
Long-stay resident successes: Falls with major injury 1.5% (42% better than state average); urinary tract infections 0.0% (100% better); depressive symptoms 2.0% (88% better); pneumococcal vaccination 100%.
Critical concerns: High-risk residents with pressure ulcers 16.6% versus 4.9% state average (237% worse). Weight loss 23.0% versus 5.8% state average (295% worse). High-risk clinical events score 14.7 versus 10.0 state average (47% worse).
Accepts medicare and private pay. No Medicaid.
No penalties or fines past 3 years.
Skyline serves Medicare and private-pay patients in a staffing-rich urban life care setting with strong nursing ratios and administrative compliance but concerning pressure ulcer and weight loss outcomes despite high staffing levels.