I use the one at American Lake Lakewood Washington. I have used the services paringly but its a really nice campus that has LOTS of large trees, a large golf course Vets can use and a nice view of American Lake. The campus also has a VASH program where homeless vets can stay for up to six months. I rate is a 7-8. The center does not have emergency services. For that I would need to goto to VA hospital in Seattle.