Best Assisted Living in Pierce County, WA

Why trust this guide? Our editorial team analyzed 8 assisted living communities in Pierce County, WA using WA Dept. of Social & Health Services (DSHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in WA
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We analyzed These are the facilities in Pierce County, WA our team has analyzed — not a count of every assisted living provider in Pierce County, WA.
8 homes
Other senior care options in Pierce County:
Overview of Cascade Park Vista

Cascade Park Vista offers a unique living experience that’s comparable to a private community, but at a more affordable cost. They accept Medicaid insurance, making care services accessible and convenient for residents. With independent living, assisted living, and adult day health options available, seniors can choose the lifestyle that best suits their needs.

Residents can enjoy weekly housekeeping and linen services, as well as 6-7 day maintenance services for a comfortable and hassle-free living experience. They also have access to delicious and nutritious meals, overseen by a dietician to ensure a healthy diet. Cascade Park Vista even assists with scheduling doctor appointments and coordinating transportation. Nursing and caregiver services are also available, as well as therapy services for those in need. The community is also dedicated to keeping residents engaged and active with fun activities on the first and second floors at the Vista. Seniors can enjoy a fulfilling and social lifestyle while receiving top-quality care and services at the Vista.

Contact Cascade Park Vista

Overview of Amazing Angels LLC I

Amazing Angels LLC I offers home care and skilled nursing in Lakewood, WA. Home care provides personal assistance and companion support in a person’s residence, while skilled nursing provides licensed nursing care around the clock for someone with more complex medical needs.

Personal Care and Companion Care are specific programs. They support help with daily routines and provide regular companionship.

Rehabilitation services are available for someone who needs therapy as part of recovery, with staff present during both daytime and overnight hours. Private rooms are available for residents who need an individual sleeping space.

Amazing Angels LLC I may be a good fit for someone who needs support that includes personal care, companionship, nursing, and rehabilitation services. Several forms of support are available here.

Contact Amazing Angels LLC I

Overview of Wisteria Lodge Afh

Located in Buckley, WA, Wisteria Lodge Afh offers personal care and memory support. The community promotes a home-like environment to ensure the safety of its residents, including those living with dementia and mental health needs. Medication management, post-stroke assistance, and assistance with daily tasks support residents’ daily living. Caregivers are also available 24/7 to ensure residents receive assistance whenever needed.

Dining accommodates special diets with home-cooked meals prepared for both enjoyment and health. The community also coordinates hospice and home health care for those who require end-of-life care, as well as older adults who prefer to stay in their home. Its location in the Buckley neighborhood is quiet and convenient, providing a serene environment with access to local amenities.

Overview of Orting Valley Adult Family Home

Situated in Orting, WA, Orting Valley Adult Family Home offers personal care and skilled nursing. A variety of private rooms are also provided, allowing residents to live by themselves. Housekeeping, laundry, linen services, and home-cooked meals also support residents’ daily living. Professional caregivers are also available on-site around the clock, ensuring residents can access services whenever needed.

Puzzles, arts and crafts, and movie nights provide leisure options. Moreover, occupational and physical therapy are available to help improve residents’ ability to function. Residents also have spaces to relax and interact with the community, with a paved front yard and outdoor gazebo on-site.

Overview of Belmont Place Adult Family Home

Belmont Place Adult Family Home in Washington offers personal care, memory care, and skilled nursing. The community has two settings in Tacoma and Lakewood, providing private rooms. Along with support with daily activities, transportation and meals are provided to support residents. Licensed professionals are available around the clock, ensuring residents have access to services at all times.

Indoor and outdoor activities provide opportunities for engagement and encourage active living. Long- and short-term care is also provided for those with developmental disabilities, as well as mental health support for those who need it. The community also collaborates with pharmacies to deliver medications to residents’ homes.

Care Direct Haven

7706 45Th St Ct W, University Place, WA 98466
Overview of Care Direct Haven

Located in University Place, WA, Care Direct Haven AFH offers personal care. The community specializes in care for those with dementia and mental illness, promoting a home-like environment. Assistance with daily tasks, including hygiene, supports residents’ daily living. Medication management also ensures residents take the right medication based on their prescription.

Karaoke, card games, and a variety of activities promote social interactions and active living. The community also collaborates with home health care providers, hospice, and nurse delegation to provide higher levels of care for its residents on-site. Care is available 24/7, ensuring residents receive support at all times.

Overview of The New Serenity View

Offering personal care and respite care, The New Serenity View is an adult family home in Bonney Lake, WA. Residents receive assistance with personal hygiene and medication management. Moreover, home-cooked meals and household support ensure residents can live without worries. The community also welcomes short stays to give family caregivers temporary relief.

Residents are encouraged to live actively and socialize through activities and social events. Shared spaces also ensure residents can move around comfortably. Its location also provides access to local amenities and services nearby.

Overview of Classic Adult Family Home

Classic Adult Family Home in Fife, WA, offers personal care. The community is wheelchair-accessible, ensuring residents can move around safely. Along with assistance with daily tasks, like bathing and medication management, residents can also access nutritious meals and household services. The care team is also available around the clock to ensure residents have access to services at all times.

Activities and social events promote interactions and help residents maintain active living. The community’s shared spaces also ensure residents can freely move around. Its location in Fife is also near public transportation and other local amenities, ensuring residents’ convenience.

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Assisted Living in Pierce County at a glance

Avg Walk Score: 50/ 100The average Walk Score across facilities in Pierce County, WA. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 62The average licensed bed capacity across facilities in Pierce County, WA. Individual facilities can vary widely from this average.
National Average: 90
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Frequently Asked Questions about Assisted Living in Pierce County, WA

What's the difference between assisted living and memory care in Washington?

Assisted living in Washington supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Washington?

Assisted living in Washington is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Washington Medicaid cover assisted living?

Washington Medicaid does not directly pay room-and-board for assisted living, but most states (including Washington) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 8 assisted living facilities in Pierce County, WA. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Pierce County, WA?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Pierce County, WA, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Pierce County, WA?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.