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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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Hope Adult Family Home

6120 S Crestline St, Spokane, WA 99223
Overview of Hope Adult Family Home

Live comfortably with Hope Adult Family Home, a dedicated community in Spokane, WA, offering home care. The community strives to provide the highest quality of care 24/7 for those living with memory-related needs, mental health conditions, and chronic illnesses. Older adults can keep peace of mind with a compassionate and highly trained team handling their personal needs and household responsibilities.

With the community’s genuine companionship, older adults will not feel lonely and are encouraged to live actively. Older adults will surely enjoy a worry-free retirement with the community helping with meal preparation and medication management. Maintain independence in your golden years without leaving your comfort zone,  accompanied by the community’s dedicated services and genuine care.

What does this home offer?

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Housing Options: Shared Rooms

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Building Type: Single-story

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Contact Hope Adult Family Home

Overview of Avista Senior Living Spokane

Spend your golden years with Avista Senior Living Spokane, a blissful retreat in Spokane, WA, offering assisted living and memory care. Dedicated to residents’ welfare, a kind and well-trained team provides top-tier care tailored to their unique needs 24/7. Beautifully designed and cozy accommodations are available in a nurturing and welcoming environment, ensuring residents can feel a sense of belonging during their stay.

Residents will not feel lonely with a jam-packed calendar of fun recreational activities and enriching programs, highlighting their interests and capabilities. Delightful and well-balanced meals are served to satisfy residents’ dietary needs and preferences. With its comprehensive services and extensive amenities, residents are guaranteed the finest retirement experience.

What does this home offer?

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Pets Allowed

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Housing Options: Studio / 1 Bed

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Building Type: Single-story

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Contact Avista Senior Living Spokane

Overview of Comstock Place Adult Family Living

Set in the neighborhood of Spokane, WA, Comstock Place Adult Family Living is a reliable senior living community, offering excellent assisted living services. Residents dealing with Alzheimer’s, dementia, and Parkinson’s are offered compassionate care and support to ensure they continue living a fulfilling life. Accommodating an intimate number of residents, the community allows residents to enjoy one on one and truly personalized care and attention, ensuring all of their needs are thoroughly met.

Residents live in utmost comfort and convenience with various assistance, including daily living support, medication management, grooming assistance, and escort to doctor’s visits and other appointments. The community provides residents a safe and secure environment with wheelchair accessible spaces and emergency call buttons, combined with internet access for long distance communication with family and friends. At Comstock Place Adult Family Living, residents enjoy a community where everyone feels valued, supported, and respected.

What does this home offer?

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Building Type: Single-story

Contact Comstock Place Adult Family Living

Overview of Rosam Adult Family Homes

Located in the serene neighborhood of Spokane, WA, Rosam Adult Family Homes is an excellent senior living community, offering an array of services, including assisted living, skilled nursing, and respite care. The community ensures residents are provided with the care they need even as their needs change by offering various care and assistance, from personal care assistance to support with chronic conditions. Residents are provided with a compassionate care team that carefully assess their needs and care goals and curates personalized care plans tailored to accommodate their specific needs.

Dedicated to ensuring residents enjoy a fulfilling and enriched lifestyle, the community offers an array of programs designed to nurture their mind, body, spirit, and overall well-being. Making sure residents live a convenient and worry-free lifestyle, the community also offers assistance with daily tasks, such as housekeeping, transportation, pet care and shopping. With almost no chores to worry about, residents can freely focus on living their lives to the fullest.

What does this home offer?

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Building Type: Single-story

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Contact Rosam Adult Family Homes

Overview of Alert Afh LLC

Alert Afh LLC is an assisted living community in Spokane, WA, that offers personal care. Promoting a home-like environment, the community ensures older adults can ease their worries during their stay. Housekeeping, nutritious meals, and recreational activities are also provided to improve residents’ quality of life. Through a holistic approach to care, the community strives to maintain residents’ physical, emotional, and social well-being.

Social gatherings, light exercises, and various games provide residents with more opportunities to have fun and make friends. Cozy communal spaces and spacious rooms ensure residents can rest without worries. MultiCare Rockwood Primary Care, restaurants, and the Spokane Public Library are also located nearby, providing residents with easy access to their necessities. This assisted living community has dedicated services, making it one of the best options for senior living in Washington.

What does this home offer?

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Building Type: Single-story

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Contact Alert AFH LLC

Overview of Caring Companions Home

Caring Companions Adult Family Home is a dedicated adult family home in Spokane, WA, that offers assisted living, memory care, and behavioral care. Promoting a home-like and supportive environment, the community strives to keep older adults comfortable and well-cared for. 24-hour care, medication management, and emotional support are also provided, ensuring residents have a worry-free lifestyle. Through an innovative approach to care, the community strives to meet residents’ needs and improve their quality of life.

Light exercises, social events, and various activities ensure residents remain active and socially connected. Cozy living spaces and secure communal areas also allow residents to rest and interact with their surroundings. Surrounded by grocery stores, parks, and shops, residents have easy access to their necessities and leisure. This adult family home ensures older adults can thrive in retirement, making it an ideal choice for senior living in Washington.

What does this home offer?

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Building Type: Single-story

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Personal Care Assistance

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Social and Recreational Activities

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Exercise Programs

Contact Caring Companions Home

Amani Place AFH IV

311 S Mcdonald Rd, Spokane Valley, WA 99216
Overview of Amani Place Afh Iv

Conveniently nestled in Spokane Valley, WA, Amani Place Afh Iv is a dependable senior living community that aims to provide its residents with services that give them unmatched peace of mind. Offering a wide range of care options, including assisted living, Alzheimer’s care, memory care, skilled nursing, and hospice care, Amani Place Afh Iv ensures its residents can successfully age in place. With its snug and stunning accommodations, residents are provided with a safe haven for resting, relaxation, or inviting their families and friends over for bonding moments.

Residents find assurance from having a highly-skilled care team available to cater to their every need day and night. The community also makes sure that every resident is provided with the services they need to thrive by offering them customized care plans that accommodate both their preferences and needs. With Amani Place Afh Iv, residents can rest easy knowing that they are loved and cared for by compassionate people.

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 Amani Place AFH IV

Amani Place AFH II

313 S Mcdonald Rd, Spokane Valley, WA 99216
Overview of Amani Place Afh Ii

Receive an all-encompassing care in the serene senior living community of Amani Place Afh Ii that sits peacefully in the quiet neighborhood of Spokane Valley, WA. Focused on helping its residents age in one place, the community offers an all encompassing care services, including assisted living, Alzheimer’s care, memory care, skilled nursing, and hospice care. Residents here are provided with inviting and stunning accommodations where they can enjoy a restful retirement experience.

The community makes sure residents’ unique needs are met by providing each of them with personalized care plans that accommodate their individual needs, preferences, and care goals. Featuring a round the clock team of care experts, Amani Place Afh Ii ensures residents can live confidently knowing that someone is always there to care for their needs. Here, residents are supported to lead the lifestyle they want within an environment that allows them to thrive.

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 Amani Place AFH II

Overview of Spokane Veterans Home

Experience a better quality of life at Spokane Veterans Home, a dedicated community in Spokane, WA, offering assisted living. Focusing on Veterans’ welfare, the community provides top-tier care tailored to their unique needs 24/7. Here, residents enjoy a hassle-free lifestyle with housekeeping and laundry services.

Residents enjoy a variety of exciting events and enriching programs that aim to keep them active and socially connected. The community also provides physical and occupational therapy to improve residents’ living experiences. Delicious and well-balanced meals are available for residents’ dietary needs and preferences. The community’s nurturing and welcoming environment creates the ideal setting for residents to thrive in retirement.

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Building Type: 2-story

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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.