Page 35 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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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:
Overview of West Seattle Adult Family Home

West Seattle Adult Family Home provides assisted living and Residential Care in Seattle, WA. Assisted living includes help with daily tasks such as dressing, bathing, and medication while a resident keeps a private room, making the home a potential fit for someone who needs day-to-day support without sharing their living space.

The home is in the South Park neighborhood and has a Walk Score of 71 out of 100. Most errands can be completed on foot, so a resident who no longer drives can still get out independently. Sofia Kirova serves as the director.

Contact West Seattle 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

Koi Castle Adult Family Home

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

Koi Castle Adult Family Home offers assisted living and residential care in Federal Way, WA. Assisted living includes help with daily tasks such as dressing, bathing, and medication, while residential care provides ongoing support in a residential setting. Opened in 2022, the home has private rooms, giving each resident an individual room rather than a shared sleeping space.

Short and long term care are tailored to individual health needs and lifestyle preferences, so residents can choose either a temporary or ongoing stay. Respite care provides a short stay, which may suit a family whose usual caregiver needs to travel or recover. A Walk Score of 32 out of 100 places the area in a car dependent setting, where most errands require a car or a ride.

Contact Koi Castle 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.

Starting Price $4,000/Month

Contact Eastside Estates Adult Family Home

Overview of Ideal Senior Care

Ideal Senior Care provides assisted living, memory care, and residential care in Edmonds, WA. Assisted living supports residents with daily activities, while memory care provides supervision for people living with Alzheimer’s disease or another form of dementia. Residential care is also available for residents who need support in a home setting, and the community may be a good fit for someone with dementia who needs memory care and staff support around the clock.

Private rooms give each resident a personal room within the home. Care can include medication management and assistance, insulin administration, wound management and care, along with range of motion and exercise routines. These services cover medication support, injections, wound care, and guided movement, with staff available 24 hours a day.

Meals are prepared in house and tailored to individual dietary needs and preferences, allowing food service to reflect a resident’s established requirements. The area has a Walk Score of 31 and is car dependent. Residents who no longer drive need a car or a ride for most errands.

Contact Ideal Senior Care

Overview of Alpine Residences of Washington

Alpine Residences of Washington offers assisted living and residential care in Kirkland, Washington. Assisted living includes help with daily tasks while a resident lives in a private or semi-private room, and residential care keeps ongoing support within a residential setting.

Located in the Bridle Trails neighborhood, the community has staff available around the clock, so residents can receive support at any hour. A doctor is on staff, providing an on-site medical resource, and the home may suit someone who needs daily assistance and prefers either a private room or a shared living arrangement.

Contact Alpine Residences of Washington

Overview of Silver Creek Adult Family Home

Silver Creek Adult Family Home provides assisted living, hospice care, and residential care in Puyallup, WA. Assisted living includes help with daily tasks such as bathing, dressing, and medication while a resident maintains a personal living space; Hospice care supports residents receiving end-of-life services, and residential care provides a home setting for day-to-day support.

Housing options include studios and semi-private rooms. A studio provides a single private space, while a semi-private room accommodates shared living, making Silver Creek Adult Family Home a possible fit for a resident who needs daily assistance or hospice support in a residential setting.

Contact Silver Creek Adult Family Home

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

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

A Heart and Soul Afh provides nursing home, assisted living, residential care, and skilled nursing in Puyallup, WA. Nursing home and skilled nursing care include licensed nursing care on site around the clock, while assisted living supports daily tasks such as bathing, dressing, and medication management.

Private rooms make A Heart and Soul Afh a potential fit for someone who wants a room of their own while receiving one of these forms of care. The community opened in 2023. Programs include INR monitoring, specialized staff training, and specialized nutritious diets. INR monitoring supports residents whose treatment requires regular blood clotting checks, while specialized nutritious diets address dietary needs.

Contact A Heart and Soul AFH LLC

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.