Other senior care options in Spokane:

Best Assisted Living in Spokane, WA

Why trust this guide? Our editorial team analyzed 37 assisted living communities in Spokane, WA using WA Dept. of Social and Health Services (DSHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in WA
Reviewed by
Last updated
Jun 2026
We analyzed
37 homes
Other senior care options in Spokane:
Avg Monthly Cost: $6,716The average monthly cost across facilities in Spokane, WA. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 42/ 100The average Walk Score across facilities in Spokane, 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: 90The average licensed bed capacity across facilities in Spokane, WA. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Spokane (Metro Area)

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

Fairwinds – Spokane
AL
IL
Spokane (Shiloh Hills)
80
Facility 80
WA AVG 82
Rank #172 / 366
No
77
Facility 77
WA AVG 51
Rank #97 / 628
---4
0
Facility 0
WA AVG 8
Rank #1 / 285
24
Facility 24
WA AVG 31
Rank #134 / 285
6.0
Facility 6.0
WA AVG 3.4
Rank #221 / 285
Bishop Place
AL
IL
MC
Pullman (Pioneer Hill)
121
Facility 121
WA AVG 82
Rank #45 / 366
Yes
42
Facility 42
WA AVG 51
Rank #398 / 628
Studio / 1 Bed / 2 Bed
72.7%
Facility 72.7%
WA AVG 74.4%
Rank #166 / 285
-4
0
Facility 0
WA AVG 8
Rank #1 / 285
13
Facility 13
WA AVG 31
Rank #69 / 285
3.3
Facility 3.3
WA AVG 3.4
Rank #104 / 285
Brookdale Park Place
AL
IL
MC
NH
Spokane (Spokane Valley)
110
Facility 110
WA AVG 82
Rank #69 / 366
No
32
Facility 32
WA AVG 51
Rank #458 / 628
Studio / 1 Bed / 2 Bed------
Fairwood Retirement Village & Assisted Living
AL
IL
MC
Spokane (Fairwood)
100
Facility 100
WA AVG 82
Rank #93 / 366
No
46
Facility 46
WA AVG 51
Rank #362 / 628
1 Bed / 2 Bed / 3 Bed
73.0%
Facility 73.0%
WA AVG 74.4%
Rank #165 / 285
A+3
2
Facility 2
WA AVG 8
Rank #166 / 285
13
Facility 13
WA AVG 31
Rank #69 / 285
4.3
Facility 4.3
WA AVG 3.4
Rank #150 / 285
Avamere at South Hill
AL
RC
Spokane (Moran Prairie)
95
Facility 95
WA AVG 82
Rank #123 / 366
No
28
Facility 28
WA AVG 51
Rank #488 / 628
-
69.5%
Facility 69.5%
WA AVG 74.4%
Rank #190 / 285
-6
0
Facility 0
WA AVG 8
Rank #1 / 285
31
Facility 31
WA AVG 31
Rank #170 / 285
5.2
Facility 5.2
WA AVG 3.4
Rank #199 / 285
Fields Senior Living at Spokane Valley
AL
IL
MC
Spokane Valley (Greenacres)
124
Facility 124
WA AVG 82
Rank #40 / 366
No
25
Facility 25
WA AVG 51
Rank #502 / 628
Studio / Suite / 1 Bed / 2 Bed
53.2%
Facility 53.2%
WA AVG 74.4%
Rank #257 / 285
-5
3
Facility 3
WA AVG 8
Rank #205 / 285
25
Facility 25
WA AVG 31
Rank #138 / 285
5.0
Facility 5.0
WA AVG 3.4
Rank #180 / 285
Legacy Court Senior Living
AL
RC
Spokane (East Central)
60
Facility 60
WA AVG 82
Rank #246 / 366
No
71
Facility 71
WA AVG 51
Rank #140 / 628
Private Rooms--1
0
Facility 0
WA AVG 8
Rank #1 / 285
3
Facility 3
WA AVG 31
Rank #17 / 285
3.0
Facility 3.0
WA AVG 3.4
Rank #88 / 285
North Point Village
AL
MC
Spokane (Shiloh Hills)
126
Facility 126
WA AVG 82
Rank #35 / 366
Yes
56
Facility 56
WA AVG 51
Rank #281 / 628
Studio / 1 Bed / 2 Bed
60.3%
Facility 60.3%
WA AVG 74.4%
Rank #233 / 285
-32
20
Facility 20
WA AVG 8
Rank #284 / 285
88
Facility 88
WA AVG 31
Rank #280 / 285
2.8
Facility 2.8
WA AVG 3.4
Rank #73 / 285
Royal Park Retirement Center
AL
NH
IL
Spokane (Shiloh Hills)
100
Facility 100
WA AVG 82
Rank #93 / 366
No
66
Facility 66
WA AVG 51
Rank #183 / 628
Studio / 1 Bed / 2 Bed-A+1
0
Facility 0
WA AVG 8
Rank #1 / 285
5
Facility 5
WA AVG 31
Rank #26 / 285
5.0
Facility 5.0
WA AVG 3.4
Rank #180 / 285
Evergreen Fountains
AL
IL
Spokane Valley (Veradale)
124
Facility 124
WA AVG 82
Rank #40 / 366
No
31
Facility 31
WA AVG 51
Rank #469 / 628
-
39.5%
Facility 39.5%
WA AVG 74.4%
Rank #273 / 285
-6
0
Facility 0
WA AVG 8
Rank #1 / 285
26
Facility 26
WA AVG 31
Rank #145 / 285
4.3
Facility 4.3
WA AVG 3.4
Rank #150 / 285
Brighton Court Assisted Living
AL
MC
Spokane Valley (Opportunity)
55
Facility 55
WA AVG 82
Rank #274 / 366
No
44
Facility 44
WA AVG 51
Rank #377 / 628
-
78.2%
Facility 78.2%
WA AVG 74.4%
Rank #128 / 285
A+9
0
Facility 0
WA AVG 8
Rank #1 / 285
39
Facility 39
WA AVG 31
Rank #197 / 285
4.3
Facility 4.3
WA AVG 3.4
Rank #150 / 285
Riverview Retirement Community
AL
HC
IL
MC
Spokane (Logan)
110
Facility 110
WA AVG 82
Rank #69 / 366
Yes
31
Facility 31
WA AVG 51
Rank #469 / 628
Studio / 1 Bed / 2 Bed
98.2%
Facility 98.2%
WA AVG 74.4%
Rank #17 / 285
-5
2
Facility 2
WA AVG 8
Rank #166 / 285
6
Facility 6
WA AVG 31
Rank #33 / 285
1.2
Facility 1.2
WA AVG 3.4
Rank #24 / 285
Cherrywood Care
AL
HC
PC
RC
Spokane (Nevada Heights)
54
Facility 54
WA AVG 82
Rank #279 / 366
No
78
Facility 78
WA AVG 51
Rank #90 / 628
Studio / 1 Bed------
Rose Pointe Assisted Living and Memory Care
AL
MC
Spokane Valley
51
Facility 51
WA AVG 82
Rank #291 / 366
No
36
Facility 36
WA AVG 51
Rank #433 / 628
-
52.9%
Facility 52.9%
WA AVG 74.4%
Rank #259 / 285
A+3
2
Facility 2
WA AVG 8
Rank #166 / 285
12
Facility 12
WA AVG 31
Rank #62 / 285
4.0
Facility 4.0
WA AVG 3.4
Rank #131 / 285
Avista Senior Living Spokane
AL
MC
Spokane (Northwest Spokane)
49
Facility 49
WA AVG 82
Rank #302 / 366
Yes
13
Facility 13
WA AVG 51
Rank #570 / 628
Studio / 1 Bed
71.4%
Facility 71.4%
WA AVG 74.4%
Rank #181 / 285
-4
2
Facility 2
WA AVG 8
Rank #166 / 285
19
Facility 19
WA AVG 31
Rank #112 / 285
4.8
Facility 4.8
WA AVG 3.4
Rank #171 / 285
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Overview of Lena‘s Gentle Care

Lena’s Gentle Care’s peaceful and intimate homes are designed to offer comfort and tranquility, creating the perfect environment for one’s golden years. Their homes boast expansive and lush gardens, offering residents a peaceful and serene atmosphere. At Lena’s Gentle Care, the staff dedicates itself to providing 24-hour care to residents with a wide range of needs, including diabetes, hospice, dementia, Alzheimer’s, Parkinson’s, stroke, respite care, wound care, and more.
At the heart of their approach is the belief that building amazing connections with their residents is essential to providing the best care possible. Their staff strives to nurture relationships with their residents, fostering a strong sense of community and belonging that sets them apart. At Lena’s Gentle Care, they offer a warm and welcoming sanctuary where seniors can be assured of receiving the most genuine care and idyllic retreat that they need.

Contact Lena‘s Gentle Care

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.

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.

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.

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.

Contact Amani Place AFH II

Overview of Rockwood South Hill

Rockwood South Hill is a 90-bed skilled nursing and assisted living community in Spokane, Washington, part of a non-profit continuing care retirement campus. Medicare and private pay are accepted. Operated by Chris Bafus and serving since 2003, the facility offers skilled nursing, assisted living, memory support, and independent living for residents across Spokane County.
Inspection records cover since early 2025, comprising two inspections and 10 total deficiencies, compared to a Washington state average of 6.3 deficiencies per year. The Life Safety inspection on August 8, 2025, conducted by the Office of the State Fire Marshal, produced 8 deficiencies, all related to fire safety maintenance: storage near sprinkler heads, exposed wiring, power tap misuse across multiple rooms, ceiling and door penetrations, and an obstructed fire extinguisher. All 8 were corrected during the inspection. A similar fire inspection on July 8, 2025, had flagged related issues. The February 14, 2025, annual inspection found 2 administrative deficiencies: missing dementia training documentation for two staff members and an incomplete resident service agreement regarding electronic monitoring access. Both were resolved the same day. No fines, enforcement actions, or substantiated complaints reported. Meanwhile, staffing is a standout. Rockwood South Hill logs 5 hours and 46 minutes of total nursing care per resident per day, ranking 4th out of 89 Washington skilled nursing facilities and running 32 percent above the state average. Registered nurse hours reach 1 hour and 36 minutes per resident per day, 81 percent above the Washington average of 53 minutes, which translates to stronger clinical oversight throughout the day. The facility holds a CMS Health Inspection rating above the state average, though its overall 3-star CMS rating reflects a Quality Measures score trailing the state benchmark.
Amenities include a fitness center, multiple dining venues, outdoor spaces, and salon and spa services.
Rockwood South Hill suits residents seeking post-acute short-term rehabilitation or long-term skilled nursing care in a larger non-profit campus. Short-stay residents return home at a rate of 57.8 percent, 14 percent better than the Washington average. The community also serves those with memory support needs. Families prioritizing RN presence and rehabilitation services will find meaningful data here.

Contact Rockwood South Hill

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.

Contact Spokane Veterans 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.