
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 |
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.
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.
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.
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.
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.
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.
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.
Ranking Methodology
How we rank these assisted living communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
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.















