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Other Senior care options in Spokane:

Best Assisted Living in Spokane, WA

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 29 homes in Spokane, WA

Sources: CMS Centers for Medicare and Medicaid Services, and Washington Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Spokane, Washington.

Watch this Video to see Spokane's Top-rated Senior Communities
Avg. Monthly cost: $5,300
National average: $5,600
Monthly cost range: $4,800–$7,400
National average: $3,400 – $8,200
Avg. Staff-to-Resident ratio: 1:6 to 1:12
National average: 1:6

Compare Assisted Living around Spokane (Metro Area)

The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.

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Fairwinds – Spokane
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Spokane (Shiloh Hills)
80No 77 - 11.3% -424
Brookdale Park Place
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Spokane (Spokane Valley)
110No 32 Studio / 1 Bed / 2 Bed----
Bishop Place
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Pullman (Pioneer Hill)
121Yes 42 Studio / 1 Bed / 2 Bed 72.7% -413
Avamere at South Hill
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Spokane (Moran Prairie)
95No 28 - 69.5% -631
Fairwood Retirement Village & Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Spokane (Fairwood)
100No 46 1 Bed / 2 Bed / 3 Bed 73.0% A+313
Legacy Court Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Spokane (East Central)
60No 71 Private Rooms--13
Evergreen Fountains
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Spokane Valley (Veradale)
124No 31 - 39.5% -626
Brighton Court Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Spokane Valley (Opportunity)
55No 44 - 78.2% A+939
The Gallery at Spokane Assisted & Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Spokane (Moran Prairie)
150No 64 Studio / 1 Bed / 2 Bed----
Cherrywood Care
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Spokane (Nevada Heights)
54No 78 Studio / 1 Bed----
Monroe House
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Moses Lake
41No 52 Studio / 1 Bed----
South Hill Village
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Spokane (Moran Prairie)
170No 56 - 59.4% -1358
L&R Adult Family Home
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Spokane (Whitman)
-No 45 Private Rooms----
Amani Place AFH I
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Spokane Valley (Veradale)
-No 63 Private Rooms----
Ridgeview Place Assisted Living and Memory Care
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Spokane Valley (East Mission Avenue)
-No 39 -----
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Overview of Monroe House

Monroe House prioritizes assisted senior living with personalized care. Their team of compassionate professionals works closely with residents to develop individualized care plans that meet their unique needs. This may include assistance with daily living activities like bathing and dressing, medication management, and support for memory challenges.

Residents enjoy a comfortable and secure atmosphere in studio or one-bedroom apartments. Monroe House provides delicious, home-made meals, daily activities, and a variety of amenities like a beautiful courtyard, on-site laundry, and complimentary Wi-Fi. Their dedicated staff, from recreation specialists to caregivers, are invested in resident happiness. This commitment to creating a positive and enriching environment has earned Monroe House recognition as the top Assisted Living Facilities for three consecutive years.

What does this home offer?

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Housing Options: Studio / 1 Bed

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Building Type: Single-story

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Contact Monroe House

Overview of South Hill Village

South Hill Village strives as a senior living community that has unparalleled service and an unmatched level of hospitality. The community has ensured that every need of residents are met and exceeded; through their approach to senior living, residents don’t have to worry about doing household chores as their staff are more than willing to do so. Management and staff ensure that residents live the best life they possibly can during their stay at South Hill.  
Life at South Hill Village is all about receiving five-star hotel-like service. The community offers convenient services and amenities to help residents; their essential services include housekeeping and laundry, transportation, medication management and other health services, and a concierge. Community amenities include dining, walk-in showers with grab bars, and private outdoor spaces.

Contact South Hill Village

Overview of L&r Adult Family Home

L&R Adult Family Home is a trusted assisted living community in Spokane, WA, that offers personal care. Promoting a welcoming atmosphere, the community ensures older adults are treated like family. 24/7 care, well-balanced meals, and medication management are offered to maintain residents’ independence without hassles. Through personalized care plans, the community doubles its efforts to improve residents’ living experiences.

Here, residents explore new interests and interact with peers through a variety of leisure activities. Naturally-lit gathering spaces, cozy living areas, and quiet outdoors also provide older adults with places to relax. Situated in the serene residential area of Spokane, residents are guaranteed a laid-back lifestyle. This assisted living community is one of the best choices for retirement in Washington, especially with its home-like environment.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: Single-story

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Social and Recreational Activities

Contact L&R Adult Family Home

Overview of Amani Place Afh I

Enjoy a well-rounded lifestyle with Amani Place Afh I, an excellent senior living community, nestled in the vibrant neighborhood of Spokane Valley, WA. The community offers its residents an array of care options, including assisted living, Alzheimer’s care, memory care, skilled nursing, and hospice care, to ensure they receive the care they need even as their needs change. Dedicated to helping its residents age in place comfortably, the community designed their accommodations to cater to residents’ unique safety and care needs, giving them unmatched comfort and convenience.

Residents here thrive from having various assistance for their every need, including daily living support, medication management, and more. A dependable care team is always available to provide immediate attention during emergencies or whenever residents need them, giving them peace of mind. Here, residents are sure to enjoy a comfortable retirement life with access to all the services they may need even as they near their end of life.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: Single-story

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Engaging Activities

Contact Amani Place AFH I

Heaven’s Hands Adult Family Home

18708 E Flat Rock River Ave, Spokane Valley, WA 99016
Overview of Heaven’s Hands Adult Family Home

Heaven’s Hands Adult Family Home, located in Spokane Valley, WA, is committed to providing compassionate, personalized care for individuals with a range of needs, including those with Parkinson’s disease, stroke recovery, dementia, and other memory care needs. Our highly trained team provides 24/7 care, ensuring that each resident receives the support they require in a comfortable, homelike environment. We offer assistance with daily living activities including: medication management, incontinence care, dressing, bathing, transfer assistance, a fall prevention program, and specialized meal options to meet individual dietary needs.

Our primary focus is on delivering exceptional care that is tailored to meet the unique needs of every resident we serve. We are nurse owned and operated and collaborate closely with hospice, home health, and primary care providers to ensure a comprehensive and seamless care plan. We have onsite primary care visits, lab work, urgent care, and all medications can be delivered to the facility. This coordination allows us to support both the medical and personal needs of our residents. At Heaven’s Hands Adult Family Home, we are devoted to providing a safe, caring and supportive environment where residents can receive exceptional care while maintaining their dignity and well-being.

What does this home offer?

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Housing Options: Private / Shared Rooms

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Building Type: Single-story

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Health Programs

Contact Heaven’s Hands Adult Family Home

Overview of Ahadi Adult Family Home

Delivering the best senior caregiving services since 2021, Ahadi Adult Family Home is a caring senior living community in Spokane, WA, offering exceptional assisted living services in a residential environment. With memory care, palliative care, and hospice care available within one community, residents are guaranteed a seamless transition should their care needs change. The community offers secure and comfortable residences with access to services like personal care assistance, medication management, transportation services, and 24/hour support.

At Ahadi Adult Family Home, team members are all equipped with training, education and qualification to deliver utmost care in the highest standards. The community conducts an array of engaging activities and programs based on residents’ interests and current capabilities. A culinary team works closely with a registered dietician in crafting delicious and health-conscious meals, to ensure residents have the energy they need to live an active and fulfilling lifestyle.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: Single-story

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Fitness and Recreation

Contact Ahadi Adult Family Home

Overview of Ridgeview Place Assisted Living and Memory Care

Ridgeview Place Assisted Living and Memory Care is an elegant and inviting community that is dedicated to making the lives easier for every senior everyday, contributing to a lifestyle of quality living.  Management and staff  are exceedingly accommodating and attentive to the needs a senior may have; they do their best to ensure that each senior gets the best care possible at Ridgeview Place. A proud member of the Enlivant senior living group, expect that Ridgeview Place Assisted Living and Memory Care promotes independence while receiving additional support with joy and satisfaction. The lifestyle pursuit by Ridgeview Place is a lifestyle aimed to enhance quality of life. 
Ridgeview Place amenities were designed to be included to help residents be physically and mentally active; while some amenities are designed to graciously serve the needs of residents. Ridgeview Place has thoughtfully designed each room with wheelchair accessible showers for residents that are handicapped. The community has also well-thought of providing a secured community that allows for pets to be in the premises. A list of their highlights services include: respite stays offered, complimentary transportation, and meals provided that are kosher or vegetarian. 

Contact Ridgeview Place Assisted Living and Memory Care

Overview of The Grove Afh North Spokane

Spend a worry-free retirement at The Grove Afh North Spokane, an idyllic retreat in Spokane, WA, offering assisted living. The community strives to meet residents’ unique needs with a kind and highly skilled team providing top-notch care 24/7. Residents have a convenient lifestyle with household services and top-tier apartment features.

Here, residents have fun and meet new friends with a well-thought-out calendar of exciting events and engaging programs. Mealtimes promote social interactions and satisfy dietary needs with delicious and healthy dining options. The community also utilizes technology and innovative services, providing wearable fall detection and a cloud-based charting system. Residents are guaranteed to thrive in retirement with the community’s comprehensive services and state-of-the-art amenities.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: 2-story

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Contact The Grove AFH North Spokane

Overview of Mama Adult Family Home

Mama Adult Family Home is a peaceful assisted living community in Spokane, WA, that offers personalized care. With its home-like setting, the community ensures older adults are well-cared for. Medication management, home-made meals, and respite care are also offered, striving to meet residents’ unique needs and lifestyle preferences. Here, residents are well-cared for, especially with a compassionate team that works closely with each of them to create individualized care plans.

Enriching games and fun gathering events also provide residents with more opportunities to interact with their peers. Spacious living areas and a quiet setting also provide residents with places to relax. With its serene residential setting, residents are guaranteed a stress-free retirement. This assisted living community is a good choice for retirement in Washington, accompanied by its cozy amenities.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: Single-story

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Contact Mama Adult Family Home

Overview of Kmj Adult Family Home

Kmj Adult Family Home is a group of 3 senior living communities in Spokane, Washington, that provide a home-like setting for seniors who require long-term residential care, nursing services, short and long-term stays, and memory care. Each location is staffed with highly trained professionals who take pride in providing high-quality, hands-on care to seniors. They also offer a wide range of services, including medication management, assistance with activities of daily living, and transportation services.
Kmj Adult Family Home staff is dedicated to providing seniors with a safe and comfortable environment 24/7. They work closely with residents and their families to develop individualized care plans that meet each resident’s unique needs. This Adult Family Home is committed to providing comprehensive and compassionate care to its residents. Their communities are located near a Hospital, a public park, and close to Shadle Center.

Contact KMJ Adult Family Home

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
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Frequently Asked Questions about Assisted Living in Spokane, WA

What is the average cost of assisted living in Spokane, WA?

The average monthly cost of assisted living in Spokane, WA is approximately $5,300. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in Spokane, WA?

Assisted living in Spokane, WA typically ranges from $4,800–$7,400 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in Spokane, WA?

Assisted living facilities in Spokane, WA typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12.

How many licensed assisted living facilities are there in Spokane, WA?

According to state licensing records, there are approximately ~30–40 licensed assisted living facilities in Spokane, 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.