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Compare Assisted Living around Washington
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
| Bonaventure of Salmon Creek |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Vancouver (Pleasant Valley) | 89
Facility
89
WA AVG
82
Rank
#142 / 366 | Yes |
22
Facility
22
WA AVG
51
Rank
#516 / 628 | Studio / 1 Bed / 2 Bed |
70.8%
Facility
70.8%
WA AVG
74.4%
Rank
#184 / 285 | A+ | 33 | 0
Facility
0
WA AVG
8
Rank
#1 / 285 | 59
Facility
59
WA AVG
31
Rank
#249 / 285 | 1.8
Facility
1.8
WA AVG
3.4
Rank
#35 / 285 |
| Aegis Living West Seattle |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Seattle (North Admiral) | 84
Facility
84
WA AVG
82
Rank
#160 / 366 | Yes |
76
Facility
76
WA AVG
51
Rank
#107 / 628 | Studio / 1 Bed / 2 Bed |
81.0%
Facility
81.0%
WA AVG
74.4%
Rank
#111 / 285 | C+ | 10 | 3
Facility
3
WA AVG
8
Rank
#205 / 285 | 41
Facility
41
WA AVG
31
Rank
#203 / 285 | 4.1
Facility
4.1
WA AVG
3.4
Rank
#141 / 285 |
| Village Concepts of Issaquah-Spiritwood at Pine Lake |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Issaquah (Providence Point) | 80
Facility
80
WA AVG
82
Rank
#172 / 366 | No |
43
Facility
43
WA AVG
51
Rank
#387 / 628 | Studio / Alcove / 1 Bed / 2 Bed |
90.0%
Facility
90.0%
WA AVG
74.4%
Rank
#47 / 285 | A+ | 6 | 1
Facility
1
WA AVG
8
Rank
#119 / 285 | 35
Facility
35
WA AVG
31
Rank
#185 / 285 | 5.8
Facility
5.8
WA AVG
3.4
Rank
#217 / 285 |
| Sunrise of Edmonds |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Edmonds (Westgate) | 76
Facility
76
WA AVG
82
Rank
#187 / 366 | Yes |
73
Facility
73
WA AVG
51
Rank
#128 / 628 | Studio / 1 Bed / 2 Bed |
88.2%
Facility
88.2%
WA AVG
74.4%
Rank
#58 / 285 | - | 3 | 0
Facility
0
WA AVG
8
Rank
#1 / 285 | 15
Facility
15
WA AVG
31
Rank
#83 / 285 | 5.0
Facility
5.0
WA AVG
3.4
Rank
#180 / 285 |
| Van Mall Retirement |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Vancouver (Vancouver Mall) | 110
Facility
110
WA AVG
82
Rank
#123 / 366 | No |
52
Facility
52
WA AVG
51
Rank
#312 / 628 | Studio / 1 Bed / 2 Bed |
74.5%
Facility
74.5%
WA AVG
74.4%
Rank
#67 / 285 | A+ | 4 | 1
Facility
1
WA AVG
8
Rank
#119 / 285 | 24
Facility
24
WA AVG
31
Rank
#134 / 285 | 6.0
Facility
6.0
WA AVG
3.4
Rank
#221 / 285 |
| Garden Courte Memory Care |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Olympia | 93
Facility
93
WA AVG
82
Rank
#130 / 366 | Yes |
35
Facility
35
WA AVG
51
Rank
#444 / 628 | Studio / Suite |
96.8%
Facility
96.8%
WA AVG
74.4%
Rank
#19 / 285 | - | 19 | 10
Facility
10
WA AVG
8
Rank
#277 / 285 | 80
Facility
80
WA AVG
31
Rank
#275 / 285 | 4.2
Facility
4.2
WA AVG
3.4
Rank
#146 / 285 |
| Aegis Living Ravenna |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Seattle (Maple Leaf) | 79
Facility
79
WA AVG
82
Rank
#185 / 366 | Yes |
63
Facility
63
WA AVG
51
Rank
#211 / 628 | Studio / 1 Bed / 2 Bed |
100.0%
Facility
100.0%
WA AVG
74.4%
Rank
#1 / 285 | C+ | 7 | 2
Facility
2
WA AVG
8
Rank
#166 / 285 | 37
Facility
37
WA AVG
31
Rank
#189 / 285 | 5.3
Facility
5.3
WA AVG
3.4
Rank
#203 / 285 |
| Queen Anne Manor |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Seattle (East Queen Anne) | 103
Facility
103
WA AVG
82
Rank
#87 / 366 | Yes |
94
Facility
94
WA AVG
51
Rank
#21 / 628 | Studio / 1 Bed / Penthouse |
77.7%
Facility
77.7%
WA AVG
74.4%
Rank
#131 / 285 | - | 2 | 1
Facility
1
WA AVG
8
Rank
#119 / 285 | 18
Facility
18
WA AVG
31
Rank
#105 / 285 | 9.0
Facility
9.0
WA AVG
3.4
Rank
#268 / 285 |
| Village Concepts of Milton |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Milton (Milton Plaza) | 85
Facility
85
WA AVG
82
Rank
#148 / 366 | No |
63
Facility
63
WA AVG
51
Rank
#211 / 628 | Studio / 1 Bed / 2 Bed | - | A+ | 6 | 2
Facility
2
WA AVG
8
Rank
#166 / 285 | 11
Facility
11
WA AVG
31
Rank
#57 / 285 | 1.8
Facility
1.8
WA AVG
3.4
Rank
#35 / 285 |
| Village Green Federal Way |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Federal Way | 136
Facility
136
WA AVG
82
Rank
#29 / 366 | Yes |
30
Facility
30
WA AVG
51
Rank
#478 / 628 | Studio / 1 Bed / 2 Bed / 3 Bed |
29.4%
Facility
29.4%
WA AVG
74.4%
Rank
#282 / 285 | - | 3 | 0
Facility
0
WA AVG
8
Rank
#1 / 285 | 23
Facility
23
WA AVG
31
Rank
#131 / 285 | 7.7
Facility
7.7
WA AVG
3.4
Rank
#256 / 285 |
| Aegis Living Madison |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Seattle (Miller Park) | 96
Facility
96
WA AVG
82
Rank
#117 / 366 | Yes |
90
Facility
90
WA AVG
51
Rank
#40 / 628 | Studio / 1 Bed / 2 Bed |
87.5%
Facility
87.5%
WA AVG
74.4%
Rank
#60 / 285 | C+ | 13 | 5
Facility
5
WA AVG
8
Rank
#245 / 285 | 48
Facility
48
WA AVG
31
Rank
#227 / 285 | 3.7
Facility
3.7
WA AVG
3.4
Rank
#125 / 285 |
| Sunrise of Bellevue |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Bellevue (Crossroads) | 90
Facility
90
WA AVG
82
Rank
#134 / 366 | Yes |
85
Facility
85
WA AVG
51
Rank
#59 / 628 | Studio / Suite / 1 Bed / 2 Bed |
68.9%
Facility
68.9%
WA AVG
74.4%
Rank
#194 / 285 | - | 4 | 0
Facility
0
WA AVG
8
Rank
#1 / 285 | 25
Facility
25
WA AVG
31
Rank
#138 / 285 | 6.3
Facility
6.3
WA AVG
3.4
Rank
#231 / 285 |
| Brookdale Yakima |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Yakima | 82
Facility
82
WA AVG
82
Rank
#168 / 366 | No |
48
Facility
48
WA AVG
51
Rank
#345 / 628 | Studio / 1 Bed / 2 Bed |
82.9%
Facility
82.9%
WA AVG
74.4%
Rank
#94 / 285 | A+ | 18 | 11
Facility
11
WA AVG
8
Rank
#280 / 285 | 113
Facility
113
WA AVG
31
Rank
#283 / 285 | 6.3
Facility
6.3
WA AVG
3.4
Rank
#231 / 285 |
| Mirabella Seattle |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Seattle (South Lake Union) | 63
Facility
63
WA AVG
82
Rank
#237 / 366 | No |
99
Facility
99
WA AVG
51
Rank
#1 / 628 | 1 Bed / 2 Bed |
46.0%
Facility
46.0%
WA AVG
74.4%
Rank
#266 / 285 | A+ | 6 | 2
Facility
2
WA AVG
8
Rank
#166 / 285 | 43
Facility
43
WA AVG
31
Rank
#212 / 285 | 7.2
Facility
7.2
WA AVG
3.4
Rank
#251 / 285 |
| The Bellettini |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Bellevue (Northwest Bellevue) | 60
Facility
60
WA AVG
82
Rank
#246 / 366 | Yes |
87
Facility
87
WA AVG
51
Rank
#54 / 628 | 1 Bed / 2 Bed |
68.3%
Facility
68.3%
WA AVG
74.4%
Rank
#197 / 285 | - | 4 | 0
Facility
0
WA AVG
8
Rank
#1 / 285 | 28
Facility
28
WA AVG
31
Rank
#160 / 285 | 7.0
Facility
7.0
WA AVG
3.4
Rank
#245 / 285 |
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Operating as Amazing Angels LLC I, an assisted living community in Lakewood, Pierce County, Washington, this residential care home is situated at 7905 Jade Drive Southwest. Licensed by Washington’s Department of Social and Health Services under Residential Care Services regulations, the facility does not hold Medicare or Medicaid certification, positioning it as a private-pay residential community.
The single-story building provides private room accommodations and maintains 24/7 staff presence. Housekeeping support is provided. Each resident receives a personalized care plan tailored to individual needs and preferences.
Assisted living forms the core service model, with direct support for activities of daily living including medication management, bathing, dressing, and meal assistance. The facility provides rehabilitation services available to residents. Respite care options extend support for families seeking temporary placement or care respite.
Two specialized programs, personal care and companion care, structure the individualized service delivery. Licensed nurses and certified nursing assistants comprise the clinical and direct-care staffing.
Daily operations incorporate recreational programming and exercise offerings. A structured calendar of scheduled activities and stimulating programs addresses residents’ interests in leisure and wellness. Dining service prioritizes nutritional balance, with healthy and well-prepared meals accommodating dietary preferences.
The neighborhood context is notably car-dependent. Walk Score registers at 7, the lowest category, indicating that most errands and services require automobile transportation. The location lies 9.9 miles from Lakewood city center, placing the facility in a suburban residential area with limited nearby walkable amenities.
Staffing operates continuously with a compassionate and trained team positioned to support residents’ independence and quality of life through responsive, round-the-clock availability.
Amazing Angels LLC I serves private-pay residents seeking assisted living and rehabilitation support in a small, residential-setting model with 24/7 staffing and personalized care planning in a car-dependent suburban environment.
Overview of Amani Place Afh IV
Conveniently nestled in Spokane Valley, WA, Amani Place Afh IV is a dependable senior living community that aims to provide its residents with services that give them unmatched peace of mind. Offering a wide range of care options, including assisted living, Alzheimer’s care, memory care, skilled nursing, and hospice care, Amani Place Afh IV ensures its residents can successfully age in place. With its snug and stunning accommodations, residents are provided with a safe haven for resting, relaxation, or inviting their families and friends over for bonding moments.
Residents find assurance from having a highly-skilled care team available to cater to their every need day and night. The community also makes sure that every resident is provided with the services they need to thrive by offering them customized care plans that accommodate both their preferences and needs. With Amani Place Afh IV, residents can rest easy knowing that they are loved and cared for by compassionate people.
Overview of Amani Place Afh III
Tucked away in a peaceful area in Spokane Valley, WA, Amani Place Afh III is a compassionate senior living community that aims to help its residents comfortably age in place with its wide array of services. Residents here enjoy the convenience of having assisted living, Alzheimer’s care, memory care, skilled nursing, and hospice care services all under one community. Offering a range of cozy and easy to navigate accommodations, the community guarantees each resident a comfortable living environment that provides them plenty of privacy and excellent safety.
The community features a reliable team of care professionals that offers a strong dedication to making each resident feel well-cared for and comfortable within a safe living environment. Residents are also given individualized care plans to make sure that their wishes and needs are accommodated. With compassionate care and support, residents of Amani Place Afh III enjoy their peace of mind knowing that they are in capable hands.
Overview of Amani Place Afh II
Receive an all-encompassing care in the serene senior living community of Amani Place Afh II that sits peacefully in the quiet neighborhood of Spokane Valley, WA. Focused on helping its residents age in one place, the community offers an all encompassing care services, including assisted living, Alzheimer’s care, memory care, skilled nursing, and hospice care. Residents here are provided with inviting and stunning accommodations where they can enjoy a restful retirement experience.
The community makes sure residents’ unique needs are met by providing each of them with personalized care plans that accommodate their individual needs, preferences, and care goals. Featuring a round the clock team of care experts, Amani Place Afh II ensures residents can live confidently knowing that someone is always there to care for their needs. Here, residents are supported to lead the lifestyle they want within an environment that allows them to thrive.
A trusted senior living community situated in the peaceful residential area of Northeast 79th Way, Vancouver, WA, focusing on assisted living. Promoting a vibrant and intimate atmosphere, the community strives to provide top-tier care and assistance for up to six residents. Moreover, The Finest Care II Adult Family Home ensures residents live comfortably by helping them with their personal needs and household responsibilities.
Do not miss any of your medication with the community’s assistance in managing your prescriptions and schedules. With its dedication to seniors’ welfare, the community also serves healthy and tasty meals based on dietary needs and preferences. The Finest Care II Adult Family Home is great for seniors who require assistance but aspire to keep their independence during their golden years.
North Orchard Home Care is a nurse-led adult family home in Tacoma, WA, offering personal care, memory care, physical therapy support, and end-of-life care. Dedicated to older adults’ comfort and safety, the community is equipped with fall prevention measures and emergency response systems. Housekeeping, laundry, medication management, and round-the-clock care are also offered for residents’ welfare. The community also keeps families updated about their loved ones’ care plans.
Music sessions, outings, and games are conducted for residents’ leisure and wellness. Transportation services are also available for residents’ convenience. Located in the quiet neighborhood of Tacoma, the community ensures a laid-back retirement. This adult family home is an ideal choice for senior living in Washington, especially with its wide range of services.
Park Place operates 156 assisted living beds at 6900 37th Avenue South in Seattle’s South End neighborhood, maintaining 92% occupancy; well above the state average of 72.5%. Located in a very walkable area (Walk Score 70), the facility sits 5.1 miles south of downtown. Monthly housing costs begin at $895 for one-bedroom and $995 for two-bedroom units. The community offers memory care and accepts pets. Residents enjoy swimming, fitness facilities, BBQ and picnic areas, on-site laundry, and high-speed internet access. Operating hours are Monday-Friday, 8:30 AM-5:30 PM.
Regulatory compliance history reveals substantial deficiency patterns. Between May 2023 and September 2025, eight inspections documented 42 citations; 122% worse than Washington’s state average of 6.3 per year. Fire safety dominance marked the record: May 2023 inspections cited 12 violations (missing fire drill documentation across 12 drills, extension cords improperly deployed, missing system maintenance records for sprinklers and fire detection, electrical hazards including exposed wiring, emergency lighting failures, and loose oxygen tanks scattered through resident rooms). One year later, May 2024 fire safety review documented 14 additional violations repeating many themes: missing fire drill documentation (12 planned and unannounced drills), extension cords still in use, missing quarterly sprinkler inspection paperwork, absent carbon monoxide alarm maintenance logs, and missing fire door inspections. Following corrective action, September 2025 State Fire Marshal inspection confirmed zero deficiencies and granted facility approval.
Care planning and documentation gaps affected multiple residents. April 2025 inspections found service plans unupdated for three of 15 sampled residents; medical device safety assessments missing for two residents; TB testing incomplete for one staff member 123 days past hire date; and hand hygiene failures by food service dishwashing staff. January 2023 complaint investigation substantiated resident rights violations and property misappropriation. March 2025 complaint investigation documented improper discharge notice following a resident-to-resident alteration with injury. September 2023 inspection cited incomplete background check for the administrator and TB screening non-compliance for one caregiver. First aid kit accessibility and laundry room ventilation failures rounded out deficiency categories.
Park Place fits urban-based seniors and families seeking assisted living and memory care in a walkable Seattle neighborhood with activity-focused amenities.
Renton Assisted Living is an independent and assisted living community operated by the Solstice at Renton brand in Renton, Washington. With 115 licensed beds in King County, the community provides wheelchair-accessible spaces, as well as 24-hour staffing, rehabilitation services, and respite care. 74 beds are currently occupied, with an occupancy of around 64%, indicating that units are available for interested families.
The most recent inspection on November 6, 2025, identified fire and life safety concerns, including missing documentation for sprinkler and fire alarm testing, blocked emergency exits, and maintenance issues with fire extinguishers. A prior pattern of medication management deficiencies is also cited. This led to a stop placement order on new admissions from July through October 2025, which was lifted after corrective actions were verified.
Earlier complaint investigations substantiated issues such as medication delivery failures, lapses in resident care, improper discharge procedures, and smoking violations, some of which resulted in civil fines and licensing conditions. While recent reports show improved medication management and compliance, fire safety documentation remains an area to monitor. With this inspection history, families are encouraged to review the latest inspection records and discuss directly with management about current protocols and corrective measures.
The community offers a range of amenities, including restaurant-style dining, a fitness center, a library, and outdoor common areas. A full schedule of activities and wellness programs, as well as personal care support, is available to accommodate varying levels of independence.
Renton Assisted Living may be a good fit for older adults in the Renton area who require light to moderate support and are looking for a community with thoughtfully curated amenities and active programming at a relatively competitive price. However, interested families should weigh its recent improvements alongside its regulatory history and ask detailed questions about medication management, staffing, and fire safety practices before deciding on placement.
Aegis Living Ballard is a senior living community in Seattle, Washington, that provides a comprehensive continuum of care within a single urban campus, encompassing assisted living, memory care, transitional care, respite, and hospice services. With a 67-bed capacity, the community has an occupancy rate of approximately 72%, which is consistent with the Washington state average. Operated under the well-regarded Aegis Living brand, the community benefits from the expertise of a major regional provider with a deep footprint across the Pacific Northwest, allowing it to deliver more structured care to older adults in King County.
The community demonstrated a high standard of care during its most recent state inspection in April 2025, which resulted in zero deficiencies. While two significant deficiencies were cited in past complaint investigations, specifically a delay in reporting a resident altercation to law enforcement and a medication management gap, both matters were substantiated, corrected, and closed without any fines or license actions. With only two deficiencies compared to the Washington state average of 31 per inspection cycle, this regulatory record reflects the community’s commitment to compliance and improving its operations.
A wide array of amenities tailored to residents’ health and comfort is offered, including a spa, a hair salon, red light therapy, and on-site therapy services. An AI-assisted anti-fall system and building-wide emergency pendant and motion sensor technology are also provided for safety. The lifestyle is defined by flexibility, highlighting an all-day dining model from 7 AM to 7 PM and a robust calendar of over 200 monthly activities ranging from music therapy to Nordic baking demonstrations. This pet-friendly community also includes housekeeping, linens, utilities, and 24-hour staffing in the monthly rate. Families can also stay connected via the Aegis Live technology platform.
Aegis Living Ballard is an excellent fit for older adults in Seattle seeking light to moderate assisted living or specialized memory care support. Its highly active programming schedule, modern safety features, and a flexible dining environment appeal to families who value both engagement and peace of mind in a residential setting.
Overview of Hearthstone Senior Living
Hearthstone Senior Living is a premier senior living community in Ellensburg, Washington, offering independent and assisted living services to those 55+ in Kittitas County. It is proud to be named the Best Senior Living community of Kittitas County for 2025, a prestigious local honor that highlights its strong reputation. With a 69-bed capacity, the community currently maintains a 71% occupancy rate, which is consistent with the Washington state average, indicating open availability.
Across three visits, the DSHS inspection history shows a positive record of compliance. During the most recent inspection on October 9, 2025, only one deficiency was identified, which is significantly lower than the state average of 31. These specific citations involved fire sprinkler leaks and a failed dry trip test, both of which were repaired while proper fire watches were maintained. A previous inspection in January 2025 also cited a single documentation issue regarding sprinkler testing, and an earlier investigation addressed one substantiated concern regarding assistance with compression stockings. With no history of fines, license actions, or immediate jeopardy findings, this community demonstrates a high standard of management and safety.
The community’s programming includes classes, social events, and restaurant-style dining. With an age requirement of 55+, the community is an ideal bridge for active older adults moving away from homeownership, as well as those who require daily physical support. While specific lists of features are best discussed with the staff, the core services focus on maintaining a vibrant and supportive lifestyle.
Hearthstone Senior Living is an excellent match for older adults in Ellensburg and Kittitas County who value an award-winning community with a proven track record of regulatory excellence. With both independent living and assisted living, combined with its central location, the community is a compelling choice for families in the region.
Ranking Methodology
How we rank these assisted living communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
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 464 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.
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