Other senior care options in Washington:

Page 37 of Best Assisted Living in Washington State

Why trust this guide? Our editorial team analyzed 453 assisted living communities in Washington State using WA Dept. of Social and Health Services (DSHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in WA
Reviewed by
Last updated
Jul 2026
We analyzed
453 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

Compare Assisted Living around Washington

The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.

Judson Park
AL
IL
MC
NH
SNF
Des Moines (Marine View Drive South)
52
Facility 52
WA AVG 81
Rank #280 / 357
Yes
19
Facility 19
WA AVG 51
Rank #530 / 626
1 Bed / 2 Bed 73.1% A+6
0
Facility 0
WA AVG 8
Rank #1 / 281
5
Facility 5
WA AVG 31
Rank #22 / 277
0.8
Facility 0.8
WA AVG 3.4
Rank #11 / 277
Timber Ridge
AL
IL
MC
NH
SNF
Issaquah (Talus)
26
Facility 26
WA AVG 81
Rank #343 / 357
No
19
Facility 19
WA AVG 51
Rank #530 / 626
- 88.5% A+4
0
Facility 0
WA AVG 8
Rank #1 / 281
18
Facility 18
WA AVG 31
Rank #101 / 277
4.5
Facility 4.5
WA AVG 3.4
Rank #153 / 277
Mt. Baker Care Center
AL
NH
PC
RC
SNF
Bellingham (South Bellingham)
47
Facility 47
WA AVG 81
Rank #299 / 357
No
44
Facility 44
WA AVG 51
Rank #377 / 626
Private Rooms--7
2
Facility 2
WA AVG 8
Rank #163 / 281
18
Facility 18
WA AVG 31
Rank #101 / 277
2.6
Facility 2.6
WA AVG 3.4
Rank #62 / 277
Penrose Harbor at Heron‘s Key
AL
IL
MC
NH
SNF
Gig Harbor
49
Facility 49
WA AVG 81
Rank #293 / 357
Yes
36
Facility 36
WA AVG 51
Rank #431 / 626
Suite--4
1
Facility 1
WA AVG 8
Rank #118 / 281
31
Facility 31
WA AVG 31
Rank #165 / 277
7.8
Facility 7.8
WA AVG 3.4
Rank #252 / 277
Covenant Living at the Shores
AL
MC
NH
SNF
Mercer Island (Fortuna)
50
Facility 50
WA AVG 81
Rank #285 / 357
No
18
Facility 18
WA AVG 51
Rank #538 / 626
1 Bed 76.0% -4
1
Facility 1
WA AVG 8
Rank #118 / 281
27
Facility 27
WA AVG 31
Rank #150 / 277
6.8
Facility 6.8
WA AVG 3.4
Rank #237 / 277
Avista Senior Living Ellensburg
AL
RC
Ellensburg
36
Facility 36
WA AVG 81
Rank #327 / 357
Yes
30
Facility 30
WA AVG 51
Rank #476 / 626
Studio-A+8
0
Facility 0
WA AVG 8
Rank #1 / 281
--
Garden Terrace Healthcare Center at Federal Way
AL
HOS
NH
PC
RC
SNF
Federal Way (South 338Th Street)
34
Facility 34
WA AVG 81
Rank #334 / 357
No
46
Facility 46
WA AVG 51
Rank #362 / 626
- 35.3% -14
6
Facility 6
WA AVG 8
Rank #250 / 281
80
Facility 80
WA AVG 31
Rank #267 / 277
5.7
Facility 5.7
WA AVG 3.4
Rank #207 / 277
The Park at Belle Harbour Assisted Living Community
AL
NH
IL
Bellevue (Wilburton)
100
Facility 100
WA AVG 81
Rank #91 / 357
Yes
38
Facility 38
WA AVG 51
Rank #419 / 626
Studio / 1 Bed / 2 Bed--2
0
Facility 0
WA AVG 8
Rank #1 / 281
--
Merrill Gardens at Tacoma
AL
IL
MC
Tacoma (West End)
65
Facility 65
WA AVG 81
Rank #216 / 357
Yes
80
Facility 80
WA AVG 51
Rank #79 / 626
Studio / 1 Bed / 2 Bed--3
0
Facility 0
WA AVG 8
Rank #1 / 281
--
The Springs at The Waterfront
AL
IL
MC
Vancouver (Esther Short)
68
Facility 68
WA AVG 81
Rank #210 / 357
No
67
Facility 67
WA AVG 51
Rank #176 / 626
Studio / 1 Bed / 2 Bed / 3 Bed 36.8% -1
0
Facility 0
WA AVG 8
Rank #1 / 281
1
Facility 1
WA AVG 31
Rank #4 / 277
1.0
Facility 1.0
WA AVG 3.4
Rank #14 / 277
Peters Creek Retirement & Assisted Living
AL
IL
MC
RC
Redmond (Grass Lawn)
60
Facility 60
WA AVG 81
Rank #238 / 357
Yes
31
Facility 31
WA AVG 51
Rank #467 / 626
Studio / 1 Bed 76.7% -1
0
Facility 0
WA AVG 8
Rank #1 / 281
1
Facility 1
WA AVG 31
Rank #4 / 277
1.0
Facility 1.0
WA AVG 3.4
Rank #14 / 277
The Watermark at Bellevue
AL
IL
MC
RC
Bellevue (West Bellevue)
140
Facility 140
WA AVG 81
Rank #19 / 357
No
89
Facility 89
WA AVG 51
Rank #41 / 626
Studio / 1 Bed 38.6% -4
0
Facility 0
WA AVG 8
Rank #1 / 281
3
Facility 3
WA AVG 31
Rank #13 / 277
0.8
Facility 0.8
WA AVG 3.4
Rank #11 / 277
Fieldstone Memory Care Olympia
AL
IL
MC
RC
Olympia
62
Facility 62
WA AVG 81
Rank #233 / 357
Yes
19
Facility 19
WA AVG 51
Rank #530 / 626
Studio / Suite / 1 Bed 75.8% -3
0
Facility 0
WA AVG 8
Rank #1 / 281
3
Facility 3
WA AVG 31
Rank #13 / 277
1.0
Facility 1.0
WA AVG 3.4
Rank #14 / 277
Spokane Veterans Home
AL
NH
Spokane (East Central)
100
Facility 100
WA AVG 81
Rank #91 / 357
No
77
Facility 77
WA AVG 51
Rank #97 / 626
- 97.2% -----
GenCare Lifestyle Tacoma at Point Ruston
AL
IL
MC
RC
Tacoma (West End)
85
Facility 85
WA AVG 81
Rank #143 / 357
Yes
65
Facility 65
WA AVG 51
Rank #189 / 626
Studio / 1 Bed / 2 Bed 98.8% -2
0
Facility 0
WA AVG 8
Rank #1 / 281
4
Facility 4
WA AVG 31
Rank #18 / 277
2.0
Facility 2.0
WA AVG 3.4
Rank #40 / 277
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Overview of Browns Point Adult Family Home

Create fun memories with Browns Point Adult Family Home, an astounding community in Tacoma, WA, offering assisted living and memory care. Committed to enhancing the cognition and well-being of those with dementia, a kind and well-trained team provides personalized, 24/7 support tailored to each resident’s unique needs. Residents also enjoy a maintenance-free lifestyle, with help provided for daily living activities and household responsibilities.

Fun activities and stimulating programs empower residents to live beyond their conditions, while support with walking, transferring, and continence ensures comfort and safety. Dining is worry-free with healthy, delicious meals that cater to individual dietary needs and preferences. Surrounded by cozy and welcoming spaces, residents can truly enjoy their golden years in peace.

Established in 2004 by Loy and Amelita Saarenas, Browns Point Adult Family Home has remained dedicated to creating a nurturing environment that embodies a profound sense of “family and home” for both residents and their loved ones. “A home away from home,” the community continues to stand by its core belief that every resident deserves to feel comfort, respect, and love—values it has upheld faithfully for over two decades. In 2024, Jordan Swenddal, the eldest granddaughter of Loy and Amelita, joined the business, contributing her efforts to sustain a secure haven for the loved ones of our communities.

Contact Browns Point Adult Family Home

Hope Adult Family Home

6120 S Crestline St, Spokane, WA 99223
Overview of Hope Adult Family Home

Live comfortably with Hope Adult Family Home, a dedicated community in Spokane, WA, offering home care. The community strives to provide the highest quality of care 24/7 for those living with memory-related needs, mental health conditions, and chronic illnesses. Older adults can keep peace of mind with a compassionate and highly trained team handling their personal needs and household responsibilities.

With the community’s genuine companionship, older adults will not feel lonely and are encouraged to live actively. Older adults will surely enjoy a worry-free retirement with the community helping with meal preparation and medication management. Maintain independence in your golden years without leaving your comfort zone,  accompanied by the community’s dedicated services and genuine care.

Contact Hope Adult Family Home

La Belle Vie Adult Family Home

6703 50Th Pl Ne, Marysville, WA 98270
Overview of La Belle Vie Adult Family Home

Live a blissful retirement with La Belle Vie Adult Family Home, a distinguished community in Marysville, WA, offering assisted living. Residents can keep their peace of mind with a kind and highly trained team providing top-notch care around the clock. The community strives to provide affordable and well-built accommodations so residents can live comfortably in their golden years.

A jam-packed calendar of engaging programs and enriching activities is conducted to keep residents active and socially connected. Mealtimes promote interactions and satisfy dietary needs through delicious and well-balanced meals. The community provides transportation arrangements and medication assistance for residents’ convenience. Residents enjoy a better quality of life amidst the community’s vibrant and welcoming environment.

Contact La Belle Vie Adult Family Home

Keystone

3515 Woodland Park Ave N, Seattle, WA 98103
Overview of Keystone

Keystone is a residential care community in Seattle, Washington, operating 64 beds in King County. It is classified as a behavioral health licensed community with a reported occupancy rate of approximately 95%. This is well above the Washington state average, suggesting strong local demand and limited availability.

Inspection history indicates ongoing fire safety compliance concerns, with the most recent inspection on June 16, 2025, being a follow-up visit that confirmed some previously cited issues had been corrected but still identified concerns such as debris on sprinkler heads, gaps in fire alarm maintenance, and obstructed exit pathways. Earlier inspections also revealed repeated fire safety code issues, along with a substantiated complaint in August 2024 related to failure to provide a required discharge notice after a resident altercation. No fines or license suspensions are listed in the available reports. While the pattern of citations raises concern, it also shows gradual corrective efforts over time, so families are advised to review the most current state inspection records before making a decision.

The community offers amenities such as bicycle storage, a landscaped public plaza, and street-level retail, which are more typical of an urban residential setting than a traditional care-focused environment. Housing-related services are also highlighted, along with pet policies and general tenant support, suggesting a primary focus on residential living rather than intensive clinical care.

Keystone is best suited for more independent older adults in the Seattle area who prefer an urban, community-integrated living environment with access to basic services rather than higher levels of medical or personal care. Its high occupancy also reflects strong interest in this type of housing. However, families considering this community should confirm current licensing details and carefully review recent inspection records to ensure the setting aligns with their loved one’s care needs.

Contact Keystone

Emerald Bay Care

140 S Marion Ave, Bremerton, WA 98312
Overview of Emerald Bay Care

Offering a comfortable and fast healing journey in a warm and welcoming setting, Emerald Bay Care is a leading senior living community in Bremerton, WA that provides short-term rehab, long-term skilled nursing, and various therapy services. Offering private and semi-private rooms, with 24-hour care by a compassionate team of professionals, the community ensures a comfortable residence that promotes healing and rest. With a tailored care plan, residents are ensured to receive the right amount of care and support that matches their recovery needs.

Emerald Bay Care goes above and beyond in providing resident-centered care that caters to each individual’s needs. The community offers various services, including wound care, post-operative care, life enrichment services, and support during transition back home to ensure residents are fully recovered. Emerald Bay Care’s team of nurses, therapists, and physicians are there for residents every step of the way, to ensure they will regain strength and get back to doing the activities they enjoy as soon as possible.

Contact Emerald Bay Care

Overview of Life Manor Independent Living (mountainside)

Experience the best of your golden years at Life Manor Independent Living – Mountainside, a vibrant community in Tacoma, WA, offering independent living. The community features beautifully furnished and cozy accommodations, ensuring residents are comfortable and safe. Residents can also keep their peace of mind with monthly housekeeping and convenient apartment features.

A jam-packed calendar of fun recreational activities and enriching programs is also conducted to encourage residents to live actively and make new friends. Meal services are also available, so residents can enjoy hassle-free dining that caters to their dietary needs and preferences. The community is ideal for those looking to live independently in retirement.

Contact Life Manor Independent Living (Mountainside)

Overview of Brookdale Olympia East

Brookdale Olympia East is a senior living community in Olympia, Washington, offering independent living, assisted living, and skilled nursing care to older adults in Thurston County. With a 75-bed capacity, the community has 66 occupied units and an occupancy rate of 88%, which is slightly above the Washington state average of 72.5%. Operated by Brookdale, one of the largest senior living providers in the United States, the community benefits from established resources and structured programming.

Inspections conducted by the Washington Department of Social and Health Services have identified 62 deficiencies across 17 visits, which exceeds the state average of 31. Additionally, the most recent inspection in July 2025 included a confirmed complaint involving missing funds and financial exploitation of a resident. Earlier findings also addressed concerns related to staff training, medication management, fire safety, and incident investigation procedures. So, families are encouraged to ask directly about the steps taken to resolve these issues and prevent recurrence.

The community provides a well-rounded lifestyle offering, including a beauty and barber shop, courtyard and garden, library, fireside living room, walking paths, Wi-Fi access, piano, pet-friendly accommodations, and a private dining room. Additionally, 24-hour staffing and skilled nursing services support residents with medical needs, while an emergency alert system enhances safety. The dining program, developed in partnership with Brookdale’s Culinary Arts Institute, focuses on balanced and nutritious meals.

Providing multiple levels of care, encompassing independent living to skilled nursing, Brookdale Olympia East is a good match for a wide range of older adults who appreciate the consistency and programming of a national provider. With well-curated activity options, dedicated dining services, and a pet-friendly environment, the community is an appealing option for families in Olympia. Those who value compliance history are encouraged to review updated compliance information and discuss recent improvements with the community before making a decision.

Contact Brookdale Olympia East

Overview of Aspire Adult Family Home

Situated in Lynnwood, Washington, Aspire Adult Family Home is a dedicated senior living community that provides exceptional memory care and services within their residential setting. With a commitment to personalized care, this community offers a variety of floor plan options, including additions like kitchenettes and bathrooms, ensuring tailored living spaces for residents. Safety is a top priority at Aspire Adult Family Home, where residents benefit from essential safety features such as fire and medical alert systems, ensuring prompt assistance during emergencies. Embracing the spirit of independence, the community celebrates and encourages the autonomy of its residents, fostering an environment where individuality thrives.
The culinary team at Aspire Adult Family Home prides itself on crafting nutritious and memorable meals from fresh produce, promoting residents’ optimal health and wellness. Residents enjoy many modern amenities, including outdoor and indoor common areas, chef-prepared meals, an on-site beautician, engaging activities, and devotional services—creating a comfortable and nurturing environment reminiscent of home. The community boasts a fully trained, friendly, and accessible staff dedicated to ensuring residents’ enjoyment and comfort during their stay. With a structured program tailored to focus on memory care, Aspire Adult Family Home endeavors to maintain and enhance the quality of life for its residents, emphasizing specialized care and support for their unique needs. At Aspire Adult Family Home, residents experience a supportive environment where personalized care, modern comforts, and a structured program enrich their lives, ensuring a fulfilling and nurturing senior living experience.

Contact Aspire Adult Family Home

Overview of Serenity Care

Serenity Care Inc. provides residential care services for older adults in Centralia, Washington, with a focus on meeting complex health and wellness needs. The community combines supportive living with a broad range of medical services, offering a structured environment for individuals who benefit from ongoing clinical attention.

Available healthcare services include medication oversight, oxygen therapy support, pharmaceutical services, monthly health reviews, and 24-hour caregiver availability. Residents may also receive rehabilitative therapies such as physical, occupational, and speech therapy, as well as access to radiation therapy when required. This level of care helps address both routine and specialized medical needs.

Residents are encouraged to remain active through wellness programs, recreational activities, exercise opportunities, and organized outings. These programs provide opportunities for social engagement and help create a balanced daily routine.

Situated about one and a half miles from Olympia Orthopaedic Associates’ Centralia clinic, the community offers proximity to additional healthcare resources. The neighborhood provides access to some nearby destinations on foot, while other errands and appointments may require transportation. Families exploring care options may wish to speak with staff about the specific therapies and clinical services available to residents.

Contact Serenity Care Inc.

Overview of Skyline

Downtown Seattle’s Skyline operates as a Life Care continuum community at 725 9th Avenue, 0.4 miles from the city center, offering nursing home, independent living, assisted living, and memory care under Presbyterian Retirement Communities Northwest (nonprofit).

The facility emphasizes resort-style amenities: 360-degree Skyline and Puget Sound views, gourmet dining, fitness center, saline lap pool, holistic wellness programs, and activities spanning intellectual pursuits to wine tastings. Average length of stay is 42 days; occupancy 79.3% (above Washington average of 72.5%). Walk Score 98 (Walker’s Paradise; ranked 7 of 628 statewide).

Skyline employs 107 staff (39 employees, 68 contractors, Q3 2025). Total nursing care: 5h 15m per resident daily (24% above Washington average; ranked 6 of 89 SNFs). Weekend nursing: 5h 1m per resident daily (31% above state average). Staff-to-resident ratio: 4.12:1 (121% better than Washington average 1.86:1). Registered Nurses: 18; Licensed Practical Nurses: 17; Certified Nursing Assistants: 44; supplemented by physical therapy, occupational therapy, respiratory therapy, speech pathology, and physician support.

Overall CMS rating: 3 stars (7% below Washington average). Health Inspection: 3 stars (29% below state average). Staffing: 4 stars (16.8% above state average). Quality Measures: 4 stars (27.2% above state average). No penalties in 3 years.

Long-stay resident successes: Falls with major injury 1.5% (42% better than state average); urinary tract infections 0.0% (100% better); depressive symptoms 2.0% (88% better); pneumococcal vaccination 100%.

Critical concerns: High-risk residents with pressure ulcers 16.6% versus 4.9% state average (237% worse). Weight loss 23.0% versus 5.8% state average (295% worse). High-risk clinical events score 14.7 versus 10.0 state average (47% worse).

Accepts medicare and private pay. No Medicaid.

No penalties or fines past 3 years.

Skyline serves Medicare and private-pay patients in a staffing-rich urban life care setting with strong nursing ratios and administrative compliance but concerning pressure ulcer and weight loss outcomes despite high staffing levels.

Contact Skyline

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
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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 453 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.