Page 20 of Best Assisted Living in Washington State

Why trust this guide? Our editorial team analyzed 447 assisted living communities in WA using WA Dept. of Social & Health Services (DSHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in WA
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Last updated
We analyzed These are the facilities in Washington State our team has analyzed — not a count of every assisted living provider in Washington State.
447 homes
Other senior care options in Washington:

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Info below is compiled from the WA Dept. of Social & Health Services (DSHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Inspection events categorized as complaint-related by the state regulator.
Total count of deficiencies (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
The average number of deficiencies this facility receives each time it's inspected, calculated as total deficiencies ÷ total inspections. A lower number suggests more consistent compliance with safety and care standards.
Cascades of Chesterley
AL
IL
MC
RC
Yakima (Fruitvale)
96
Facility 96
WA AVG 79
Rank #81 / 285
Yes
50
Facility 50
WA AVG 50
Rank #228 / 439
Studio / 1 Bed
57.3%
Facility 57.3%
WA AVG 75.8%
Rank #191 / 215
2
0
Facility 0
WA AVG 8
Rank #1 / 265
25
Facility 25
WA AVG 31
Rank #152 / 262
12.5
Facility 12.5
WA AVG 3.4
Rank #261 / 262
Aegis Living Redmond
AL
HOS
MC
RC
Redmond
43
Facility 43
WA AVG 79
Rank #247 / 285
Yes
77
Facility 77
WA AVG 50
Rank #78 / 439
-
93.0%
Facility 93.0%
WA AVG 75.8%
Rank #32 / 215
4
0
Facility 0
WA AVG 8
Rank #1 / 265
15
Facility 15
WA AVG 31
Rank #93 / 262
3.8
Facility 3.8
WA AVG 3.4
Rank #189 / 262
The Legacy of Bothell
AL
RESC
Sw Bothell
30
Facility 30
WA AVG 79
Rank #272 / 285
No
36
Facility 36
WA AVG 50
Rank #297 / 439
-
100.0%
Facility 100.0%
WA AVG 75.8%
Rank #1 / 215
4
0
Facility 0
WA AVG 8
Rank #1 / 265
11
Facility 11
WA AVG 31
Rank #69 / 262
2.8
Facility 2.8
WA AVG 3.4
Rank #137 / 262
Fairview Assisted Living & Memory Care
AL
MC
Spokane (Emerson Garfield)
64
Facility 64
WA AVG 79
Rank #178 / 285
No
83
Facility 83
WA AVG 50
Rank #53 / 439
--5
1
Facility 1
WA AVG 8
Rank #110 / 265
6
Facility 6
WA AVG 31
Rank #37 / 262
1.2
Facility 1.2
WA AVG 3.4
Rank #50 / 262
Mountain Glen Retirement Community
AL
IL
MC
NH
RC
SNF
Mount Vernon
83
Facility 83
WA AVG 79
Rank #118 / 285
Yes
89
Facility 89
WA AVG 50
Rank #31 / 439
-
71.1%
Facility 71.1%
WA AVG 75.8%
Rank #145 / 215
12
1
Facility 1
WA AVG 8
Rank #110 / 265
75
Facility 75
WA AVG 31
Rank #250 / 262
6.3
Facility 6.3
WA AVG 3.4
Rank #240 / 262
Cogir of Vancouver
AL
IL
MC
Vancouver (Orchards)
90
Facility 90
WA AVG 79
Rank #91 / 285
Yes
44
Facility 44
WA AVG 50
Rank #261 / 439
Studio / Cottage / 1 Bed
62.2%
Facility 62.2%
WA AVG 75.8%
Rank #180 / 215
15
6
Facility 6
WA AVG 8
Rank #248 / 265
44
Facility 44
WA AVG 31
Rank #212 / 262
2.9
Facility 2.9
WA AVG 3.4
Rank #145 / 262
Avista Senior Living Spokane
AL
MC
Spokane (Northwest Spokane)
49
Facility 49
WA AVG 79
Rank #233 / 285
Yes
13
Facility 13
WA AVG 50
Rank #398 / 439
Studio / 1 Bed
71.4%
Facility 71.4%
WA AVG 75.8%
Rank #142 / 215
5
2
Facility 2
WA AVG 8
Rank #155 / 265
21
Facility 21
WA AVG 31
Rank #131 / 262
4.2
Facility 4.2
WA AVG 3.4
Rank #203 / 262
Apple Springs Retirement and Assisted Living Residence
AL
RC
Omak
60
Facility 60
WA AVG 79
Rank #188 / 285
Yes
70
Facility 70
WA AVG 50
Rank #110 / 439
-
83.3%
Facility 83.3%
WA AVG 75.8%
Rank #73 / 215
10
6
Facility 6
WA AVG 8
Rank #248 / 265
19
Facility 19
WA AVG 31
Rank #119 / 262
1.9
Facility 1.9
WA AVG 3.4
Rank #76 / 262
Hearthstone Senior Living
AL
IL
Ellensburg
69
Facility 69
WA AVG 79
Rank #163 / 285
Yes
92
Facility 92
WA AVG 50
Rank #24 / 439
-
71.0%
Facility 71.0%
WA AVG 75.8%
Rank #146 / 215
5
3
Facility 3
WA AVG 8
Rank #197 / 265
16
Facility 16
WA AVG 31
Rank #102 / 262
3.2
Facility 3.2
WA AVG 3.4
Rank #158 / 262
Heritage Heights at Lake Chelan
AL
MC
PC
RC
Chelan
32
Facility 32
WA AVG 79
Rank #269 / 285
Yes
78
Facility 78
WA AVG 50
Rank #71 / 439
-
100.0%
Facility 100.0%
WA AVG 75.8%
Rank #1 / 215
10
3
Facility 3
WA AVG 8
Rank #197 / 265
40
Facility 40
WA AVG 31
Rank #202 / 262
4.0
Facility 4.0
WA AVG 3.4
Rank #196 / 262

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other WA assisted living community we track that reports that metric, not just the 447 on this page. See how we rank facilities

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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.

Contact Avista Senior Living Spokane

Overview of Apple Springs Retirement and Assisted Living Residence

Apple Springs Retirement and Assisted Living Residence provides assisted living and respite care in Omak, WA. Assisted living offers help with daily tasks such as bathing, dressing and medication while allowing a resident to maintain a private living space. Respite care provides a short-term stay for someone who needs care while a usual caregiver travels or recovers, so the community may be a good fit for families seeking temporary support.

The community has 60 beds. Pets are allowed, enabling a resident to bring a pet when moving in. Private bathrooms and kitchenettes are available, while restaurant-style dining provides meals in a setting designed for shared dining rather than in-room preparation.

Residents can use the on-site beauty salon, landscaped outdoor spaces and library, and take part in programs focused on wellness, physical activity, social connections, spirituality, brain power and culinary activities. Rehabilitation services and transportation are also available. A Walk Score of 70 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently.

Contact Apple Springs Retirement and Assisted Living Residence

Hearthstone Senior Living

802 East Mountain View Ave, Ellensburg, WA 98926
Overview of Hearthstone Senior Living

Hearthstone Senior Living offers assisted living and independent living in Ellensburg, WA. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident maintains a private living space. Independent living provides private living with community services and no daily care, and the two care levels can suit a resident whose needs may grow over time.

The community has 69 beds. Pets are allowed, so a resident can keep a pet in the community. A Walk Score of 92 out of 100 places the area in a walker’s paradise band, meaning daily errands do not require a car and a resident who no longer drives can still get out independently.

Contact Hearthstone Senior Living

Overview of Heritage Heights at Lake Chelan

Heritage Heights at Lake Chelan provides assisted living, memory care, palliative care, and respite care in Chelan, WA. Assisted living provides help with daily tasks while allowing a resident to maintain a private living space. Memory care offers a secured setting with supervision for someone at risk of wandering, while palliative care provides support focused on the end of life. Respite care is a short-term stay, which can suit a family caregiver who needs time to travel, recover, or manage other responsibilities.

The community has 32 beds, making it a smaller setting where staff and residents can get to know each other. Communal dining gives residents the opportunity to eat with others, with fresh fruits, vegetables, and special dietary choices included among the meal options. Pets are allowed, so residents may keep a pet while living in the community. A Walk Score of 78 means the area is very walkable, with most errands possible on foot, allowing a resident who no longer drives to get out independently.

Contact Heritage Heights at Lake Chelan

Overview of Brookdale West Seattle

Nestled in the tranquil neighborhood of Seattle, WA, Brookdale West Seattle is an idyllic senior living community offering a spectrum of care options including assisted living, independent living, and memory care. Featuring cozy and pet-friendly floor plans including various studio, one-bedroom, and two-bedroom apartments, residents enjoy comfort and safety at its finest. Wholly experience independence and let go of your worries about mundane activities in the daily with extra hands from a kind, compassionate, and well-trained team.

The community fosters a warm and inviting environment, orchestrating carefully chosen activities for its residents’ enjoyment and wellness. The community’s signature Clare Bridge Training aims to meet the special needs of memory care residents and provide them with the proper care and assistance necessary. With its convenient location near local attractions, residents enjoy a different level of amusement and gain easy access to necessities. Brookdale West Seattle sits on beautifully landscaped grounds and provides mesmerizing amenities including a beauty and barbershop, a porch, a courtyard and garden, a fireside living room, a game room, a library, a fitness center, transportation, and concierge services.

Contact Brookdale West Seattle

Overview of Merrill Gardens at Kirkland

Situated near the bustling but cozy downtown area of Kirkland, WA, Merrill Gardens at Kirkland is an excellent senior living community offering independent living and assisted living. Featuring 115 studio, one, and two bedroom apartments, the community offers a secure and comfortable residence with access to concierge services, weekly housekeeping, and on-site maintenance. Residents are also guaranteed peace of mind with 24-assistance from a dedicated team.

Fostering an active and vibrant lifestyle, the community conducts an array of enriching activities overseen by their passionate Active Living Program Director. Their diverse wellness programs and convenient services, including scheduled transportation, and restaurant-style dining, ensures residents’ overall well-being. Amenities include a well-curated library, movie theater, wine bar, salon, cozy living areas, courtyard, and piano for musical enjoyment.

Contact Merrill Gardens at Kirkland

Overview of Highgate Senior Living

Highgate Senior Living offers assisted living, independent living, and memory care in Wenatchee, WA. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident keeps a private living space; independent living provides private living with community services and no daily care; memory care provides a secured setting with supervision. The range of care levels may suit a resident whose needs grow over time, since a move to another level can happen within the community.

Highgate Senior Living has 75 beds. Made-from-scratch meals are brought to each resident’s table, allowing residents to dine without arranging meal preparation. Couples Care can support couples receiving care within the community, while Respite Stays provide short-term care for a family whose usual caregiver needs to travel or recover. Pets are allowed, so residents may keep a pet with them.

An 89 / 100 Walk Score places the area in the very walkable band, meaning most errands can be done on foot and a resident who no longer drives may still reach shops, a pharmacy, or cafes independently.

Contact Highgate Senior Living

Overview of Aegis Living Bellevue

Aegis Living Bellevue allows seniors to savor the finest aspects of Northwest contemporary-style senior living. With a range of services encompassing assisted senior living and memory care services, residents can relish the comfort and convenience of this vibrant community. Nestled amidst cozy cafés, dining options, and boutiques and just two blocks from downtown park, the location adds to the allure. Aegis Living Bellevue also extends the option of respite care, providing a central and bustling environment for seniors.

Distinguished by the presence of 24/7 nursing staff, fine dining facilities, and top-notch security, this residence is particularly well-suited for seniors with memory impairments. Residents are encouraged to personalize their apartments, creating a sense of familiarity and warmth for themselves and their families. The welcoming atmosphere of the home, combined with a wealth of life-enrichment activities and a variety of elegant floor plans, including small studios, large studios, and one-bedroom units, contributes to an upscale living experience that residents can truly appreciate.

Contact Aegis Living Bellevue

Overview of King’s Manor Senior Living Community

Situated in the charming city of Tacoma, Washington, is the elite retirement community of Kings Manor, which offers assisted living with a focus on providing high levels of care and support. Various services are available to residents at Kings Manor, such as scheduled transportation for doctor’s visits, weekly housekeeping and linen laundry, maintenance and gardening, and access to a pharmacy partner. To guarantee that residents receive the best care possible, the community also has a wellness program run by a nurse and 24-hour on-site wellness personnel.

Dedicated to enhancing the quality of life for its residents and giving their families peace of mind, Kings Manor provides supportive services and resort-style amenities, including a private dining room, social rooms, walking pathways, a library, a barbershop, and a courtyard. A lively and interesting lifestyle is further enhanced with planned social events, fitness classes, life enrichment activities, and excursions. Every element of Kings Manor is intended to help every resident lead an active, meaningful, and healthful life.

Contact King’s Manor Senior Living Community

Timber Ridge

100 Timber Ridge Way Nw, Issaquah, WA 98027
Overview of Timber Ridge

Timber Ridge provides nursing home and skilled nursing care, assisted living, independent living, and memory care in the Talus neighborhood of Issaquah, WA. Nursing home and skilled nursing care include licensed nursing care on site around the clock, while assisted living provides help with daily tasks such as dressing, bathing, and medication while the resident keeps a private apartment. Independent living offers private living with community services and no daily care, and memory care provides a secured setting with supervision for someone at risk of wandering.

The range of care levels may suit a resident whose needs grow over time. Timber Ridge has 26 beds, creating a smaller community where staff and residents can get to know each other. Occupancy is 89%, so the home is not at full capacity.

Total nurse staffing is 5h 52m per resident per day, representing that amount of nursing time allocated to each resident over a day. Payment options include Medicaid, which can help cover a long stay when personal savings do not, Medicare for short term skilled care after a hospital stay rather than long term residence, and private pay. Pets are allowed, so a resident may keep a pet while living at Timber Ridge.

Contact Timber Ridge

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
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Assisted Living in Washington State at a glance

Avg Monthly Cost: $7,395The average monthly cost across facilities in Washington State. 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: 50/ 100The average Walk Score across facilities in Washington State. 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: 79The average licensed bed capacity across facilities in Washington State. Individual facilities can vary widely from this average.
National Average: 90
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Frequently Asked Questions about Assisted Living in Washington

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 447 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.