Page 35 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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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:
Overview of Johnston Residence Adult Family Home

Johnston Residence Adult Family Home provides assisted living, home care, and residential care in Auburn, WA. Personal care assistance is available at varying levels, so support can change as a resident’s needs develop and allow them to remain in the same home while aging in place. Around-the-clock staffing and close health monitoring support residents who need ongoing help in a residential setting. The home may be a good fit for someone seeking personal care with the possibility of staying in one community as needs change.

Residents have one of six large private bedrooms, along with access to a garden, walking path, and seating area for bird watching. Daily activities include walking, gardening, cooking, music, and exercises shaped around each resident’s era and memory, giving the routine a personal connection rather than relying on one standard program. Meals are home-cooked, with smoothies and special dietary services for food allergies and other specialty diets. Personal care services include access to a licensed nutritional therapist, and Gwen Johnston owns and directs the owner-operated home.

Contact Johnston Residence 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 Best Quality Home Care

Best Quality Home Care is a trusted community in Renton, WA that offers excellent assisted living services. The community fosters an intimate and cozy environment with their well-designed accommodations near numerous parks and recreational amenities. A doctor and nurse are always available to cater to residents’ needs, making sure they are well taken care of throughout their aging journey.

They foster physical and mental enrichment through an array of fun and engaging activities and outdoor excursions. Residents maintain proper nutrition with healthy and tasty meals served daily. The community also offers the convenience of transportation services to medical appointments and errands for a truly comfortable retirement experience.

Contact Best Quality Home Care

All Saints Adult Family Home

2704 Sw 314Th St, Federal Way, WA 98023
Overview of All Saints Adult Family Home

All Saints Adult Family Home in Federal Way, Washington, ensures the physical, emotional, and social well-being of its residents. Trusted by numerous families in the area, this Christian-affiliated home goes above and beyond in providing extraordinary care. Their commitment extends beyond the ordinary, reaching into the hearts of families and seniors they serve. With a wide acceptance of various insurance plans, the home offers a comprehensive range of services.

With a 24-hour registered nurse overseeing operations and staff assistance, residents are in capable hands. The services offered are comprehensive, including housekeeping and laundry services, disease management, ambulation and transfer assistance, respite care, and specialized restorative care programs. This dedicated approach creates a truly comfortable and nurturing community, making All Saints Adult Family Home a trusted choice for families seeking exceptional care for their loved ones.

Contact All Saints Adult Family Home

Overview of Cardinals Cottage

Settled in the quiet neighborhood of Puyallup, WA, Cardinals Cottage is a trusted senior living community that provides assisted living services. Here, residents can choose from well-appointed private and shared accommodations based on their preferences. This community is dedicated to offering the highest quality of care for its residents in a safe, secure, and caring environment. With a highly trained and passionate team, residents can receive individualized care and support catering to their physical, psychological, and social needs.

The golden years are made even more exciting and fulfilling in this exceptional community. Explore its amazing views and common spaces while meeting new companions throughout. Build lasting connections and create unforgettable moments. Here, seniors can truly kick back, relax, and enjoy the slow pace of life.

Contact Cardinals Cottage

Overview of Alpine Way Continuing Care Community

In Shelton, Washington, Alpine Way is a dedicated continuing care community for senior residents. With a specialization in Retirement, Senior Living, and Assisted Living services, ranging from light assistance to end-of-life care, Alpine Way firmly believes in the freedom to choose one’s path in aging.

The Alpine Way senior living community is committed to fostering a wellness-focused way of life that nourishes its cherished residents’ mind, body, and spirit. Just outside Olympia, senior residents here relish the advantages of Independent living within a resort-style environment. This independence comes without the burdens of home ownership, allowing them to savor a carefree lifestyle.

Contact Alpine Way Continuing Care Community

Overview of Coffee Creek Adult Family Home

Coffee Creek Adult Family Home is a tight-knit residential senior care center emphasizing its assisted living lifestyle in a warm and welcoming atmosphere. The family-like environment boasts a home-like ambiance that makes a beautiful experience for those seeking to live independently while receiving added support. Families can rest easy knowing their loved ones are well taken care of.

Residential living at Coffee Creek is created by customized care plans tailored to each unique individual. To name a few of its accommodations include delicious home-cooked meals, ADLs, housekeeping, companionship services, medication management, and personal care– all delivered by its caregivers.

Contact Coffee Creek Adult Family Home

Overview of Royal Home Care

Royal Home Care is a compassionate assisted living community in Lake Stevens, WA, that offers comprehensive care services for older adults’ welfare. The community’s home-like setting provides older adults with a comfortable and safe retirement. Hospice care, support for developmental disabilities, and dementia care are among the exceptional services offered to meet residents’ healthcare needs. Through personalized care plans, residents can rest assured of receiving the utmost attention and care to live comfortably in their later years.

Engaging activities and exciting social events provide residents with more opportunities for leisure and wellness. Thoughtfully designed rooms and beautiful outdoor spaces ensure residents can rest and interact with their surroundings with ease. The community’s ideal location in a serene residential area of Lake Stevents also provides residents with easy access to bus stops and a variety of local amenities. As one of the best options for senior living in Washington, this assisted living community continuously provides the highest quality of care.

Contact Royal Home Care

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.