Best Assisted Living in Washington

Reviewed by

Last updated

Jun 2026

We analyzed

464 homes in Washington

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

Other senior care options in Washington:

Memory Care Nursing Homes Independent Living

Compare Assisted Living around Washington

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


Bonaventure of Salmon Creek	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.	Vancouver (Pleasant Valley)	89 Facility 89 WA AVG 82 Rank #142 / 366	Yes	22 Facility 22 WA AVG 51 Rank #516 / 628	Studio / 1 Bed / 2 Bed	70.8% Facility 70.8% WA AVG 74.4% Rank #184 / 285	A+	33	0 Facility 0 WA AVG 8 Rank #1 / 285	59 Facility 59 WA AVG 31 Rank #249 / 285	1.8 Facility 1.8 WA AVG 3.4 Rank #35 / 285
Aegis Living West Seattle	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.	Seattle (North Admiral)	84 Facility 84 WA AVG 82 Rank #160 / 366	Yes	76 Facility 76 WA AVG 51 Rank #107 / 628	Studio / 1 Bed / 2 Bed	81.0% Facility 81.0% WA AVG 74.4% Rank #111 / 285	C+	10	3 Facility 3 WA AVG 8 Rank #205 / 285	41 Facility 41 WA AVG 31 Rank #203 / 285	4.1 Facility 4.1 WA AVG 3.4 Rank #141 / 285
Village Concepts of Issaquah-Spiritwood at Pine Lake	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.	Issaquah (Providence Point)	80 Facility 80 WA AVG 82 Rank #172 / 366	No	43 Facility 43 WA AVG 51 Rank #387 / 628	Studio / Alcove / 1 Bed / 2 Bed	90.0% Facility 90.0% WA AVG 74.4% Rank #47 / 285	A+	6	1 Facility 1 WA AVG 8 Rank #119 / 285	35 Facility 35 WA AVG 31 Rank #185 / 285	5.8 Facility 5.8 WA AVG 3.4 Rank #217 / 285
Sunrise of Edmonds	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. 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.	Edmonds (Westgate)	76 Facility 76 WA AVG 82 Rank #187 / 366	Yes	73 Facility 73 WA AVG 51 Rank #128 / 628	Studio / 1 Bed / 2 Bed	88.2% Facility 88.2% WA AVG 74.4% Rank #58 / 285	-	3	0 Facility 0 WA AVG 8 Rank #1 / 285	15 Facility 15 WA AVG 31 Rank #83 / 285	5.0 Facility 5.0 WA AVG 3.4 Rank #180 / 285
Van Mall Retirement	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.	Vancouver (Vancouver Mall)	110 Facility 110 WA AVG 82 Rank #123 / 366	No	52 Facility 52 WA AVG 51 Rank #312 / 628	Studio / 1 Bed / 2 Bed	74.5% Facility 74.5% WA AVG 74.4% Rank #67 / 285	A+	4	1 Facility 1 WA AVG 8 Rank #119 / 285	24 Facility 24 WA AVG 31 Rank #134 / 285	6.0 Facility 6.0 WA AVG 3.4 Rank #221 / 285
Garden Courte 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.	Olympia	93 Facility 93 WA AVG 82 Rank #130 / 366	Yes	35 Facility 35 WA AVG 51 Rank #444 / 628	Studio / Suite	96.8% Facility 96.8% WA AVG 74.4% Rank #19 / 285	-	19	10 Facility 10 WA AVG 8 Rank #277 / 285	80 Facility 80 WA AVG 31 Rank #275 / 285	4.2 Facility 4.2 WA AVG 3.4 Rank #146 / 285
Aegis Living Ravenna	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. 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.	Seattle (Maple Leaf)	79 Facility 79 WA AVG 82 Rank #185 / 366	Yes	63 Facility 63 WA AVG 51 Rank #211 / 628	Studio / 1 Bed / 2 Bed	100.0% Facility 100.0% WA AVG 74.4% Rank #1 / 285	C+	7	2 Facility 2 WA AVG 8 Rank #166 / 285	37 Facility 37 WA AVG 31 Rank #189 / 285	5.3 Facility 5.3 WA AVG 3.4 Rank #203 / 285
Queen Anne Manor	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. 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. 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.	Seattle (East Queen Anne)	103 Facility 103 WA AVG 82 Rank #87 / 366	Yes	94 Facility 94 WA AVG 51 Rank #21 / 628	Studio / 1 Bed / Penthouse	77.7% Facility 77.7% WA AVG 74.4% Rank #131 / 285	-	2	1 Facility 1 WA AVG 8 Rank #119 / 285	18 Facility 18 WA AVG 31 Rank #105 / 285	9.0 Facility 9.0 WA AVG 3.4 Rank #268 / 285
Village Concepts of Milton	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.	Milton (Milton Plaza)	85 Facility 85 WA AVG 82 Rank #148 / 366	No	63 Facility 63 WA AVG 51 Rank #211 / 628	Studio / 1 Bed / 2 Bed	-	A+	6	2 Facility 2 WA AVG 8 Rank #166 / 285	11 Facility 11 WA AVG 31 Rank #57 / 285	1.8 Facility 1.8 WA AVG 3.4 Rank #35 / 285
Village Green Federal Way	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.	Federal Way	136 Facility 136 WA AVG 82 Rank #29 / 366	Yes	30 Facility 30 WA AVG 51 Rank #478 / 628	Studio / 1 Bed / 2 Bed / 3 Bed	29.4% Facility 29.4% WA AVG 74.4% Rank #282 / 285	-	3	0 Facility 0 WA AVG 8 Rank #1 / 285	23 Facility 23 WA AVG 31 Rank #131 / 285	7.7 Facility 7.7 WA AVG 3.4 Rank #256 / 285
Aegis Living Madison	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. NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). 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.	Seattle (Miller Park)	96 Facility 96 WA AVG 82 Rank #117 / 366	Yes	90 Facility 90 WA AVG 51 Rank #40 / 628	Studio / 1 Bed / 2 Bed	87.5% Facility 87.5% WA AVG 74.4% Rank #60 / 285	C+	13	5 Facility 5 WA AVG 8 Rank #245 / 285	48 Facility 48 WA AVG 31 Rank #227 / 285	3.7 Facility 3.7 WA AVG 3.4 Rank #125 / 285
Sunrise of Bellevue	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. 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.	Bellevue (Crossroads)	90 Facility 90 WA AVG 82 Rank #134 / 366	Yes	85 Facility 85 WA AVG 51 Rank #59 / 628	Studio / Suite / 1 Bed / 2 Bed	68.9% Facility 68.9% WA AVG 74.4% Rank #194 / 285	-	4	0 Facility 0 WA AVG 8 Rank #1 / 285	25 Facility 25 WA AVG 31 Rank #138 / 285	6.3 Facility 6.3 WA AVG 3.4 Rank #231 / 285
Brookdale Yakima	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.	Yakima	82 Facility 82 WA AVG 82 Rank #168 / 366	No	48 Facility 48 WA AVG 51 Rank #345 / 628	Studio / 1 Bed / 2 Bed	82.9% Facility 82.9% WA AVG 74.4% Rank #94 / 285	A+	18	11 Facility 11 WA AVG 8 Rank #280 / 285	113 Facility 113 WA AVG 31 Rank #283 / 285	6.3 Facility 6.3 WA AVG 3.4 Rank #231 / 285
Mirabella Seattle	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. NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). 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. 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.	Seattle (South Lake Union)	63 Facility 63 WA AVG 82 Rank #237 / 366	No	99 Facility 99 WA AVG 51 Rank #1 / 628	1 Bed / 2 Bed	46.0% Facility 46.0% WA AVG 74.4% Rank #266 / 285	A+	6	2 Facility 2 WA AVG 8 Rank #166 / 285	43 Facility 43 WA AVG 31 Rank #212 / 285	7.2 Facility 7.2 WA AVG 3.4 Rank #251 / 285
The Bellettini	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.	Bellevue (Northwest Bellevue)	60 Facility 60 WA AVG 82 Rank #246 / 366	Yes	87 Facility 87 WA AVG 51 Rank #54 / 628	1 Bed / 2 Bed	68.3% Facility 68.3% WA AVG 74.4% Rank #197 / 285	-	4	0 Facility 0 WA AVG 8 Rank #1 / 285	28 Facility 28 WA AVG 31 Rank #160 / 285	7.0 Facility 7.0 WA AVG 3.4 Rank #245 / 285

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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.

Public data
6 weighted categories
Updated quarterly

Full methodology

Weighting overview

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

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

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

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

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

Community Stability 10%

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

Includes
Occupancy Rate
Bed Options

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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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 464 assisted living facilities in Washington. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Washington?

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 Washington, 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 Washington?

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.

Best Assisted Living in Washington

Where in Washington are you looking?

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Fairview Assisted Living & Memory Care

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Wesley Lea Hill

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Cascade Village at Smokey Point

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Serenity Care Inc.

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Revel Issaquah

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Sagebrook Senior Living at Bellevue

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Revel Spokane

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Murano Senior Living

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Home Life Care Adult Family Home

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Legacy Adult Family Homes

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