Page 24 of Best Assisted Living in Washington State

Overview of Garden Terrace Healthcare Center at Federal Way

Garden Terrace Healthcare Center at Federal Way is a 70 bed nursing home and assisted living community in Federal Way, Washington, with 65% occupancy. It offers skilled nursing, hospice, palliative, and respite care, giving families several care options in one setting.

That range matters when needs differ. The community can support someone who needs help with daily life, ongoing nursing services, a short respite stay, or care focused on comfort during serious illness.

Residents receive 4 hours and 53 minutes of total nurse staffing per resident each day. Of that time, 2 hours and 31 minutes comes from licensed nurses, an important figure for families comparing the level of clinical support among homes.

Inspection findings addressed medication orders, pain management, and infection control practices. A follow up inspection confirmed corrections involving resident assessments, staff training, and background checks, which helps families understand both the concerns identified and the steps verified afterward.

Overview of Wesley Lea Hill

Live the best of your golden years at Wesley Lea Hill, a blissful retreat situated in the harmonious neighborhood of Auburn, WA, offering assisted living. Residents receive the highest quality of care from a kind and highly trained team attending to their needs around the clock. With purposely designed and spacious accommodations, residents can feel a sense of belonging during their stay.

Residents are encouraged to live actively and maintain social connections with a thoughtfully curated calendar of engaging activities and enriching programs that highlight their interests and capabilities. Mealtimes promote social interactions and satisfy dietary needs with delicious and well-balanced meals. The community’s comprehensive services and extensive amenities make it an enticing retirement option.

Overview of Evergreen Estates

Located at 1215 Evergreen Court in Clarkston, Washington, Evergreen Estates operates as a 45-bed independent and assisted living community in Asotin County. The facility has been in operation for 37 years and is licensed to accept Medicare and Medicaid residents. Twenty-four-hour nursing care and staff are on-site. Rehabilitation services and respite care are available.

Current occupancy stands at 82% with 37 of 45 beds occupied, exceeding Idaho’s state average of 69.1%.

The inspection record traces a clear trajectory. August 2023 brought a serious finding: state surveyors investigated complaints of resident falls with injuries. The investigation substantiated that the facility had failed to maintain updated care plans with documented fall prevention measures for residents with fall history. One fall resulted in a resident death.

Within a year, the facility faced additional regulatory scrutiny: in September 2024, the State Fire Marshal documented six distinct fire safety deficiencies. These included combustible materials stored in boiler and mechanical rooms, electrical hazards from appliances connected to multiplug adapters, automatic fire doors failing to close properly, sprinkler system tamper switches left disconnected after backflow repair, missing annual fire extinguisher certification, and coded exit doors lacking required instructions. Most cited violations were corrected during the inspection itself; the sprinkler switches and door instructions remained outstanding.

The most recent full inspection on July 3, 2025, reported no deficiencies, which is a significant improvement.

Across three years, the facility recorded seven total deficiencies, averaging 2.3 per year compared to Washington’s average of 10.3.

Residents enjoy three daily meals plus snacks, housekeeping, medication management, bathing and dressing support, beauty and barber services, a library, activity lounge, and outdoor courtyards. Programming includes exercise classes, outings, bus tours, holiday celebrations, and games.

Transportation is provided.

The facility maintains a smoke-free policy.

The community fits residents seeking independent or light assisted living with available rehabilitation and respite services in a multi-decade family-operated setting.

Overview of Avista Senior Living Ellensburg

A flourishing community, Avista Senior Living offers senior living facilities and various amenities. Partnered with home health and home therapy agencies, personal care plans are developed for each resident to ensure that all their needs are met. 24/7 staff are also available in case of emergency and urgent situations.

Aside from the care and medical services that are provided for each resident, there are also several engagement and social activities. Board games, happy hour, ice cream socials, zoo and museum visits, and more are available to make sure that all residents can find something enjoyable for themselves. In terms of their private spaces, the residents are provided a spacious apartment that’s carpeted, equipped with heating and air conditioning, individual mailboxes and a lot of closet space to make sure that they are able to rest comfortably.

Overview of Merrill Gardens at Tacoma

Merrill Gardens at Tacoma sits in the West End neighborhood at 7290 Rosemount Cir, a 65-bed, three-story building with studio, one-bedroom, and two-bedroom layouts. It covers three levels of care under one roof: assisted living, independent living, and memory care.

Walkability is a real strength here; the Walk Score hits 80, very walkable, which means most errands don’t require a car at all. Pets are welcome too, so a move here doesn’t mean giving up a dog or cat.

Day to day, staffing runs 24 hours, with respite care available and a resident call system in place for safety. Transportation services and fitness and recreation options handle the logistics and activity side without leaning entirely on family. Robert Brock is the listed contact for the community.

The amenities aim for comfort over flash: a game room, a library, salon services, and garage parking. Pricing starts at $3,700 a month for assisted living, and Medicaid is accepted, which opens up coverage options that not every community offers.

On the inspection side, state reviews here have tended to center on staffing and staff credentials, a theme that shows up across assisted living facilities broadly and isn’t specific to this one.

Put together, this is a walkable, pet-friendly community with three care levels, Medicaid acceptance, and a comfort-focused amenity list, the kind of combination that works well for families who want flexibility without sacrificing convenience.

Overview of Fountain Court Assisted Living

Fountain Court Assisted Living is a senior living community operated by Artegan Inc. in Maple Valley, Washington, offering independent living, assisted living, and respite care with 65 licensed beds in King County.

From a regulatory standpoint, the most recent follow-up inspection on February 10, 2025, reported no deficiencies, confirming that all previously identified issues had been resolved and that licensing requirements were fully met. However, earlier inspections cited fire and life safety concerns, including issues with fire doors, sprinkler heads, and missing inspection documentation, along with administrative matters related to staff training, medication assistance agreements, tuberculosis screening, and pet records. Notably, the most recent clean inspection reflects an improvement in compliance performance.

The community provides fresh, home-cooked meals prepared daily in a comfortable dining setting, with meals included in the care program. A wide range of lifestyle offerings is also offered to promote physical activity, wellness, social engagement, and spiritual connection, along with organized events that encourage community involvement. Respite care is also available, ideal for families seeking flexible short-term support during transitions or when temporary care is needed.

Fountain Court Assisted Living is a strong option for active older adults who require moderate assistance but prefer an intimate, more residential environment in the Maple Valley area. With a combination of independent living cottages and assisted private apartment homes, the community allows older adults to stay even when their needs change. Its recent clean inspection record and ideal location with quick access to the greater Seattle area, but outside the urban core, also appeals to families seeking a more serene yet accessible care setting.

Overview of Bay Pointe Assisted Living & Marine Courte Memory Care

Surrounded by fast food chains and local amenities in Oyster Bay Ct, Bremerton, WA, Bay Pointe Assisted Living & Marine Courte Memory Care is a distinguished community that offers assisted living and memory care. With top-tier care and assistance to their special needs, residents can rest assured of living comfortably and safely in their later years. Keep peace of mind and create unforgettable moments with beautifully designed and cozy studio to two-bedroom floor plans.

Enrich your retirement with stimulating programs and engaging events tailored to your leisure and wellness. Have a delightful dining experience with delicious and healthy meals catering to dietary needs and preferences. Pharmacy services, medication management, therapy services, diabetic management, and respite stay are also available for residents’ convenience. The community is a great option for those who require additional care and support to live their golden years in bliss.

The Park at Belle Harbour undoubtedly provides the highest care for assisted living seniors in Bellevue. Management makes it a point that seniors are given the freedom and choice given to each resident and ensures that they attend to the unique needs of each individual with kindness and compassion. The premier assisted senior living community is enriched by world-class hospitality and service.

As a Koelsch senior living home, expect luxury and comfort at The Park as the driving forces of the community. Its premier all-inclusive features include ALDs, medication management, transfer assistance, housekeeping, and laundry services tailored to their unique needs.

Patit Creek Adult Residential Care is a licensed long-term residential care community in Dayton, Washington. Unlike traditional assisted living options, this community specializes in providing care for those with significant behavioral health challenges and developmental disabilities, filling a relatively rare and important niche within the adult residential care landscape of Washington, particularly in Columbia County. The community is certified for eligible Medicaid Services and accepts Medicaid, making it more accessible for families with various incomes. With a 30-bed capacity, the community is currently fully occupied, indicating strong demand and limited availability.

This community provides 24-hour on-site staffing and comprehensive daily support services, including three nutritious meals per day with prescribed options for low-sodium, diabetic, and mechanical soft diets. Other services also include housekeeping, laundry, transportation, medication management, coordinated health care appointments, and intermittent nursing services. End-of-life care is also available. Group activities and social programming are conducted to support engagement in a structured residential setting.

With a total of five inspections, including the most recent inspection on September 19, 2025, which cited deficiencies related to fire and life safety, specifically uncorrected sprinkler head issues and pending state fire marshal building approval, the community’s inspection visits are below the state average. Earlier inspections also revealed similar fire safety maintenance concerns, as well as substantiated complaint findings related to a failure to report an allegation of sexual abuse and resident property theft. While citations were issued, no fines or license suspensions were reported. Families are encouraged to inquire directly about the status of fire safety remediation efforts with the community.

Patit Creek Adult Residential Care is best suited for older adults with behavioral health or developmental disability needs seeking a structured, supportive residential care environment with Medicaid-accepted funding options. Its specialized focus and small size allow for personalized, consistent care.

Overview of Regency Pullman

Regency Pullman is a senior living community in Pullman, Washington, offering a wide range of care options, including independent living, assisted living, memory care, skilled nursing, rehabilitation therapy, respite care, and long-term care, within its campus in Whitman County. With an 84-bed capacity, the community’s occupancy rate is at 74%, which aligns with the Washington state average.

The community’s compliance record suggests ongoing efforts toward improvement, with eight inspections by the Washington State Department of Social and Health Services. The most recent inspection on October 9, 2025, confirmed that previously identified fire safety issues had been resolved. Earlier inspections noted concerns such as gaps in staff screening, delays in tuberculosis testing, missing fingerprint background checks, incomplete nurse delegation training, and failure to update resident care plans. Additionally, some complaint investigations confirmed issues related to staff documentation and resident protections. However, no fines or license suspensions have been reported, and the most recent findings indicate progress, particularly in addressing fire safety compliance issues cited in prior inspections.

Rehabilitation services and skilled nursing care, along with respite care options for families in need of short-term support, are offered. Its comprehensive range of services makes it especially suitable for those anticipating their needs may change over time, allowing them to receive the care they need under one roof rather than relocating.

Regency Pullman is a strong option for seniors and families in Pullman, Washington, seeking a multi-level care setting in eastern Washington. With its full continuum of care, the community appeals to those connected to Washington State University or the surrounding agricultural communities who prefer to stay close to home as they plan for evolving care needs.