Page 20 of Best Assisted Living in Washington State

Why trust this guide? Our editorial team analyzed 455 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.
455 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.
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
Yes
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
Aljoya Mercer Island
AL
IL
MC
Mercer Island
40
Facility 40
WA AVG 79
Rank #252 / 285
Yes
81
Facility 81
WA AVG 50
Rank #62 / 439
Studio / 1 Bed / 2 Bed
65.0%
Facility 65.0%
WA AVG 75.8%
Rank #172 / 215
7
0
Facility 0
WA AVG 8
Rank #1 / 265
38
Facility 38
WA AVG 31
Rank #191 / 262
5.4
Facility 5.4
WA AVG 3.4
Rank #229 / 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 455 on this page. See how we rank facilities

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Aegis Living Redmond

7480 West Lake Sammamish Pkwy Ne, Redmond, WA 98052
Overview of Aegis Living Redmond

Aegis Living Redmond is an assisted living and memory care community that anticipates a family-like community. The assisted living home for seniors provides the quality care many have been looking for; the community’s professional staff welcomes you, regardless of your background, with compassion and respect. Families can trust that Aegis Living Redmond is the perfect home for their loved ones.

Aegis Living is resident-centered, ensuring that seniors can prioritize while balanced with the freedom to do as they please. Assisted living residents receive the feasibility still to do their own personal interests and social engagement while being cared for by their care staff, who are available 24/7. The memory care center offers a separate care program for seniors with Alzheimer’s and Dementia, and residents of both programs receive the necessary and additional care they need.

Starting Price $3,952/Month

Contact Aegis Living Redmond

Overview of The Legacy of Bothell

The Legacy of Bothell offers assisted living and residential care in Bothell, WA. Assisted living includes help with daily tasks such as dressing, bathing, and medication management, while residential care provides a residential setting with care support. The community opened in 2017 and is directed by Theresa C. Frigillana BSN, RN.

There are 30 beds, and occupancy is currently 100%, so all beds are filled. Its smaller size may suit someone who prefers a setting where staff and residents can get to know each other. Residents can take part in music therapy, dog therapy, daily walks, bingo, card games, and circuit training strengthening exercises.

A Walk Score of 36 / 100 places the area in a car dependent setting, so most errands require a car or a ride. A resident who no longer drives would need transportation for those trips.

Contact The Legacy of Bothell

Overview of Fairview Assisted Living & Memory Care

Fairview Assisted Living & Memory Care, situated in the heart of Spokane, Washington, boasts a storied past dating back to 1997. It was a modest establishment in its early days—a single floor housing eight cozy rooms and staffed by just two dedicated employees. However, like the changing seasons, Fairview flourished over time. Today, it is a three-story building, providing a home for over 64 residents and supported by a compassionate team of nearly 50 staff members.

Fairview Assisted Living & Memory Care invites exploration of its inviting spaces, where residents find comfort, companionship, and a true sense of belonging. Whether one seeks a cozy studio, a one-bedroom haven, or a spacious two-bedroom retreat, Fairview offers a range of living options tailored to individual preferences. Fairview prioritizes thoughtful engagement programs that promote longer, healthier, and happier lives while preserving independence and daily routines. Their commitment to personalized care and attention remains steadfast.

Contact Fairview Assisted Living & Memory Care

Overview of Mountain Glen Retirement Community

Mountain Glen Retirement Community offers nursing home, assisted living, independent living, memory care, respite care, and skilled nursing in Mount Vernon, WA. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment, while independent living provides private living with community services and no daily care. Memory care offers a secured setting with supervision for someone at risk of wandering, and skilled nursing provides licensed nursing care on site around the clock.

Respite care provides short stays, which can suit a family whose usual caregiver needs to travel or recover. With several care levels in one community, Mountain Glen Retirement Community may be a good fit for a resident whose needs grow over time and who may be able to move between care settings without leaving the community. The community has 83 beds.

Restaurant-style dining is available in an array of dining venues, and salon and barber services give residents access to personal grooming within the community. Rehabilitation services are available, while scheduled transportation supports local appointments and trips. Pets are allowed, so a resident can bring a pet when moving into the community.

A Walk Score of 89 places the area in the very walkable band, meaning most errands can be done on foot. Shops, a pharmacy, or cafes may be within a short walk, allowing a resident who no longer drives to get out independently.

Contact Mountain Glen Retirement Community

Overview of Cogir of Vancouver

Cogir of Vancouver offers assisted living, independent living, and memory care in Vancouver, WA. Assisted living includes help with daily tasks, while independent living provides private living with community services and no daily care. Memory care offers a secured setting with supervision for someone at risk of wandering. With several care levels on one campus, the community may be a good fit for a resident whose needs could grow over time.

The community has 90 beds, with studios, cottages, and one bedroom residences. Respite care provides a short stay when a family caregiver needs to travel or recover, and rehabilitation services and short term rehab support temporary recovery needs. Medicaid is accepted, giving families a payment option when a resident qualifies and personal savings may not cover the full stay.

Pets are allowed, so a resident may keep a pet while living there. A salon and barbershop, wellness programs, fitness classes, restaurant style dining, a courtyard, and walking paths provide options for personal care, exercise, meals, and time outdoors. Scheduled transportation is available for rides arranged through the community, and Debbie Woolery is the director. The area has a Walk Score of 44 and is dependent on cars, so most errands require a car or a ride rather than a short walk.

Contact Cogir of Vancouver

Overview of Avista Senior Living Spokane

Avista Senior Living Spokane offers assisted living and memory care in Spokane, WA. Assisted living provides help with daily tasks while a resident lives in an apartment. Memory care provides a secured setting with supervision for someone at risk of wandering. Having both care levels on one campus can suit a resident whose needs grow over time without requiring a move to another community.

The community has 49 beds, creating a smaller setting where residents and staff can get to know one another. Studio and one bedroom apartments offer a choice between a single private space and a separate bedroom with a living area. Respite care is available for short stays, which can give a family caregiver time to travel or recover. Short term rehabilitation supports a time limited recovery.

Medicaid is accepted, giving families an option for paying for eligible care when personal savings may not cover a longer stay. Activities include bingo, happy hour, arts and crafts, and local outings, with transportation available for those outings. A courtyard with covered patios provides outdoor space. The on site hair salon and barbershop provide grooming services, pets are allowed, and special diets are available.

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.

Starting Price $4,150/Month

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.

Starting Price $3,600/Month

Contact Heritage Heights at Lake Chelan

Overview of Aljoya Mercer Island

Aljoya Mercer Island offers assisted living, independent living, and memory care in Mercer Island, WA. Assisted living includes help with dressing, bathing, and medication while the resident keeps an apartment; Independent living provides private living with community services and no daily care. Memory care provides a secured setting with supervision for someone at risk of wandering.

Having all three care levels on one campus can suit a resident whose needs grow over time. The resident can move between care levels without leaving the community or starting over socially.

The community has 40 beds, creating a smaller setting where staff and residents can get to know each other. Housing includes studios, one-bedroom apartments, and two-bedroom apartments, with the two-bedroom layout also suiting a couple moving together or someone who wants a companion.

A Walk Score of 81 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently. Pets are allowed, so a resident can bring a pet when moving in.

 

Starting Price $5,495/Month

Contact Aljoya Mercer Island

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 455 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.