Page 34 of Best Assisted Living in Washington State

Why trust this guide? Our editorial team analyzed 441 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
Reviewed by
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.
441 homes
Other senior care options in Washington:
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: 51/ 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: 81The average licensed bed capacity across facilities in Washington State. Individual facilities can vary widely from this average.
National Average: 90

Royal House Adult Family Home

33330 29Th Pl Sw, Federal Way, WA 98023
Overview of Royal House Adult Family Home

Ideally located in the thriving neighborhood of Federal Way, WA, Royal House Adult Family Home is an astounding community that offers assisted living. A kind and highly trained team provides top-notch care around the clock for residents to enjoy a worry-free lifestyle. The community also helps with housekeeping and laundry, providing residents more time to do the things they love.

Residents elevate their retirement experience with a variety of fun recreational activities and enriching programs. Delicious and well-balanced home-cooked meals are also served to satisfy residents’ dietary needs and preferences. Prioritizing residents’ welfare, the community strives to provide the highest quality of care and specially designed amenities for better comfort and safety.

Contact Royal House Adult Family Home

Overview of Cristwood Nursing and Rehabilitation

Cristwood Nursing and Rehabilitation is located in the Hillwood neighborhood of Shoreline, Washington, just north of Seattle. The mid-rise building offers independent living, assisted living, and memory care, with studio, one-bedroom, and two-bedroom apartment options.

The campus includes specialized care for individuals living with Alzheimer’s and other forms of dementia, alongside scheduled transit services to help residents get to medical appointments and local errands. The neighborhood has a walk score of 42, so while a few nearby spots are reachable on foot, most trips call for a car or the community’s shuttle service.

The facility is also located near Swedish Edmonds Campus for hospital access. Pets are not permitted on campus. Payment options include private pay as well as Washington state assistance programs.

Individuals and family members can contact the administrative office directly to check available apartment layouts, discuss state assistance coverage, or schedule a tour.

Contact Cristwood Nursing and Rehabilitation

Newcastle Adult Family home

6583 125Th Ave Se, Bellevue, WA 98006
Overview of Newcastle Adult Family Home

Live a blissful retirement with New Castle Adult Family Home, a trusted community in Bellevue, WA,  that offers assisted living. Residents here receive the highest quality of care according to their unique needs from a kind and highly skilled team available around the clock. The community also promotes a welcoming and vibrant environment for residents to feel at ease.

To encourage residents to live actively and happily, a variety of fun recreational activities and enriching programs are conducted. Mealtimes satisfy residents’ dietary needs with delicious and healthy meals, ensuring the finest retirement experience. The community is great for those seeking extra hands to spend their golden years without worries.

Contact Newcastle Adult Family home

Koi Castle Adult Family Home

3214 Sw 344Th St, Federal Way, WA 98023
Overview of Koi Castle Adult Family Home

Spend your golden years with Koi Castle Adult Family Home, a unique community situated in the quiet setting of Federal Way, WA, that offers assisted living, memory care, and respite care. The community is committed to improving residents’ quality of life, providing exceptional care according to their unique needs around the clock. Residents have a maintenance-free lifestyle with a kind and highly trained team helping with their daily living activities and household chores.

Fun recreational activities and engaging programs are also conducted, encouraging residents to live actively and interact with their surroundings. Mealtimes are also something to look forward to, with delicious and healthy meals that cater to their dietary needs and preferences. The community is an enticing option for those seeking extra hands to live comfortably in their golden years.

Contact Koi Castle Adult Family Home

Overview of Alpine Residences of Washington

Experience a better quality of life with Alpine Residences of Washington, a dynamic nurse-owned and operated community in Kirkland, WA, that offers assisted living. Residents can keep their peace of mind with a compassionate and highly qualified team providing top-notch care 24/7. With its intimate and specially designed spaces, the community strives to accommodate up to eight residents, ensuring their comfort and safety.

Residents will not run out of things to do, with plenty of fun activities and engaging programs aimed at keeping them active and well-connected. Medical support is also provided, ensuring residents’ healthcare needs are well cared for. The community is ideal for those seeking assistance to live comfortably in their golden years, especially with its dedicated services and state-of-the-art amenities.

Contact Alpine Residences of Washington

Overview of Heaven’s Hands Adult Family Home

Heaven’s Hands Adult Family Home, located in Spokane Valley, WA, is committed to providing compassionate, personalized care for individuals with a range of needs, including those with Parkinson’s disease, stroke recovery, dementia, and other memory care needs. Our highly trained team provides 24/7 care, ensuring that each resident receives the support they require in a comfortable, homelike environment. We offer assistance with daily living activities including: medication management, incontinence care, dressing, bathing, transfer assistance, a fall prevention program, and specialized meal options to meet individual dietary needs.

Our primary focus is on delivering exceptional care that is tailored to meet the unique needs of every resident we serve. We are nurse owned and operated and collaborate closely with hospice, home health, and primary care providers to ensure a comprehensive and seamless care plan. We have onsite primary care visits, lab work, urgent care, and all medications can be delivered to the facility. This coordination allows us to support both the medical and personal needs of our residents. At Heaven’s Hands Adult Family Home, we are devoted to providing a safe, caring and supportive environment where residents can receive exceptional care while maintaining their dignity and well-being.

Contact Heaven’s Hands Adult Family Home

A Heart and Soul AFH LLC

11628 62Nd Ave E, Puyallup, WA 98373
Overview of A Heart and Soul Afh

Experience the best of your golden years with A Heart and Soul Afh, a dedicated community in Puyallup, WA, offering assisted living and skilled nursing. Residents here can keep peace of mind with a kind and highly trained team attending to their needs and household responsibilities 24/7. This community is operated by a nurse practitioner with a comprehensive experience in geriatric mental health and developmentally disabled individuals, ensuring residents’ healthcare needs are well cared for.

A full calendar of fun recreational activities and enriching programs is also conducted, encouraging older adults to live happily and meet new friends. Healthy meals are important for residents’ well-being, so delicious and well-balanced meals are served to satisfy their dietary needs and preferences. Here, residents enjoy a worry-free lifestyle with therapies and transportation services, accompanied by visiting doctors who address their medical concerns. With its wide range of care options and state-of-the-art amenities, residents are guaranteed to recover quickly and live up to their potential.

Contact A Heart and Soul AFH LLC

Overview of Delightful Living Afh of Edmonds

Delightful Living Adult Family Home of Edmonds is a trusted community situated in the thriving neighborhood of Edmonds, WA, offering personal care and nursing care. With a respectful and specially trained team available around the clock, residents can keep their peace of mind and experience top-notch care tailored to their unique needs. The community strives to maintain residents’ independence without the busy work, helping with their daily living activities and household chores.

Here, residents will not run out of things to do with a jam-packed calendar of enriching activities and stimulating programs for their leisure and wellness. Delicious and healthy meals are served to cater to residents’ dietary needs and preferences. Residents live a blissful retirement with the community’s exceptional services and stress-free setting.

Contact Delightful Living AFH of Edmonds

Overview of The Finest Care Adult Family Home

The Finest Care Adult Family Home is a reliable senior living community located in the harmonious neighborhood of North East 113th Street, Vancouver, WA, providing assisted living. As a privately- -owned community, The Finest Care Adult Family Home fosters a cozy and intimate environment that can accommodate up to six residents for better comfort and convenience. The community goes above and beyond to deliver top-tier care and assistance to ensure seniors thrive and make the most out of their best years.

From breakfast to dinner, the community serves healthy and delicious meals that cater to dietary needs and preferences for the finest dining experience. Sit back and relax on the outdoor patio and take in the warmth and serenity. The Finest Care Adult Family Home is ideal for seniors who want to optimize their independence while receiving the utmost attention they deserve.

Contact The Finest Care Adult Family Home

Overview of Eastside Estates Adult Family Home

Ideally set in the tree-lined neighborhood of Kent, WA, Eastside Estates Adult Family Home is a blissful retreat that offers assisted living. Here, residents enjoy the highest quality of life with a compassionate and well-trained team attending to their needs around the clock. The community also promotes a cozy and nurturing environment for residents to feel at ease during their stay.

A thoughtfully curated calendar of engaging activities and enriching programs is also conducted, encouraging residents to live actively and happily. Mealtimes foster comfort and satisfy dietary needs with delicious and well-balanced dining options. Residents spend their golden years without worries amidst the community’s intimate and friendly setting.

Contact Eastside Estates Adult Family Home

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
Submit a correction
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

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 441 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.