Page 41 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
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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
Overview of Narrows Glen

Cogir at the Narrows sits in Tacoma’s West End neighborhood and covers three levels of care under one roof: assisted living, independent living, and memory care. The building is three stories with 115 beds, and every single one is filled. That kind of occupancy usually tells you something about local demand.

You can pick from a studio, a one-bedroom, or a two-bedroom apartment, with floor plans running from 350 up to 560 square feet. The neighborhood itself scores a 7 out of 100 on walkability, which lands it firmly in car-dependent territory. If you’re picturing strolls to a corner store, that’s probably not this spot; a car will handle most errands.

Angela Levingston runs the place as Executive Director, and she’s been in senior living for more than three decades. She started as a CNA and nurse, later owned an Adult Family Home herself, and worked as a Health and Wellness Director before landing here. That’s the kind of background that means she’s seen this industry from nearly every angle.

Care-wise, residents get access to rehabilitation services and respite care, plus licensed nurses and CNAs on staff around the clock. That combination works for people managing ongoing health needs and for anyone using the community as a short-term stopover to heal. Pets are welcome too, which matters more than people expect when someone’s leaving a home they’ve lived in for decades.

There’s a fitness center, a salon, a barber, spa services, and a chapel for residents who want it. A wellness program sits at the center of the activities calendar, backed by several branded programs touching music, movement, pets, and virtual experiences. Pricing starts at $3,395 a month, and the community takes both Medicaid and Medicare.

Washington’s state inspectors check in on communities like this one periodically, and recent reviews here have touched on medication management, infection control, and staff credentials. Those three areas show up in oversight across senior living broadly, not just here. Between the full occupancy, the tenured leadership, and a care lineup built for both long-term and short-term residents, Cogir at the Narrows reads as an established, steadily-run community in a quiet corner of Tacoma.

Contact Narrows Glen

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

AFH Senior Care

405 Sw 41St Street, Suite 407, Renton, WA 98057
Overview of Afh Senior Care

With a two-decade history serving Renton, Washington State, Afh Senior Care is a community that’s dedicated to enhancing the quality of senior care, particularly for those dealing with Parkinson’s disease. This community has been a dependable source of relief for seniors and their families looking for qualified caregivers who can deliver in-home care, allowing loved ones to age gracefully in the comfort of their homes.
Afh Senior Care’s rigorous caregiver screening process ensures precise matches based on every senior’s needs and preferences. As proud members of the Struther’s Parkinson’s Care Network, Afh Senior Care continuously invests in staff education and resources, utilizing Struther’s Parkinson’s Center’s nationally acclaimed TULIPS program.

Contact AFH Senior Care

Overview of Sunshine Adult Family Home

Serving Lynnwood, Washington, Sunshine Adult Family Home is a residential care community that has been in operation since 1999. Its location also offers views of nearby nature while still keeping older adults close to shopping areas, parks, churches, and restaurants. For medical access, the Swedish Edmonds Campus is approximately 2.84 miles away.

24-hour staffing is also available to provide continuous support for older adults. In addition to assisted living, this community also provides memory care services designed for residents living with dementia or other memory-related conditions, as well as those who need daily living assistance.

With a Walk Score of 46, the surrounding area is considered somewhat walkable, allowing for a few nearby errands on foot while most trips are easier by car. Sunshine Adult Family Home may appeal to families seeking a quieter residential setting, though it is best to confirm room availability and details of its memory care services directly, as offerings can vary in smaller communities.

Contact Sunshine Adult Family Home

Overview of Loving Garden Adult Family Home

Loving Garden Adult Family Home is a dedicated senior living community in Pierce County, Tacoma, WA, offering comprehensive assisted living and memory care services for seniors who have Alzheimer’s, dementia and other chronic conditions. The community ensures residents are well-cared for and live comfortably with access to an array of care services, including personal care assistance, medication management, and hospice care. Residents never have to worry about the hassles of homeownership with housekeeping, laundry, gardening, and other home maintenance services offered by the community.

Everyday is a chance to live fully with a wide array of planned activities, trips, and life enrichment based on residents’ life-long interests, passions, and skills. Residents never have to worry about grocery shopping, cooking, and cleaning, with delicious and healthy meals provided three times a day. The community is a secure and controlled property, ensuring residents a safe and secure living environment.

Contact Loving Garden Adult Family Home

Overview of Shangri-La Care Home

Shangri-La Care Home is a nurse-owned and operated assisted living community in Sumner, WA, offering assistance with daily living activities. Dedicated to older adults’ comfort, the community continuously promotes a compassionate, home-like environment. With meal preparation, walking assistance, and recreational opportunities, residents experience a worry-free lifestyle. Through personalized care plans, residents receive holistic care to live comfortably.

Holiday celebrations, group activities, and outings foster interactions and encourage residents to stay active. Spacious gathering areas, accessible outdoors, and a lively dining room are among the first-class amenities dedicated to residents’ relaxation and wellness. Set in the quiet residential area of Sumner, the community guarantees accessibility and convenience. This assisted living community is committed to helping older adults thrive in retirement, making it a great choice for senior living in Washington.

Overview of Crystal Falls Adult Family Home

Crystal Falls Adult Family Home is a state-licensed adult family residence in Edmonds, Washington, offering a compassionate and nurturing atmosphere for up to six residents. The primary objective is to uphold each resident’s cognitive and physical independence, fostering a vibrant, social, and engaging environment to cater to their unique care requirements. The home is set in a park-like environment, harmonizing with nature to provide residents ample opportunities to embrace the wonders of the local surroundings. The home’s commitment is to create a supportive, family-like environment where residents can flourish in their golden years.

Situated in the picturesque locale of Edmonds, Crystal Falls Adult Family Home boasts six large private rooms and three handicap-accessible washrooms. These accommodations are thoughtfully designed with easy access to washrooms and handicapped-accessible showers, ensuring comfort and convenience. Here, senior residents receive personalized 24-hour care within a warm home setting. The comprehensive services include professional charting and record-keeping, adept medication management, health monitoring, and dedicated assistance with all activities of daily living. Delightful home-cooked meals enhance the communal dining experience, providing both nourishment and a sense of shared warmth. The home also offers engaging activities, housekeeping, and laundry services, creating a holistic care approach.

Contact Crystal Falls Adult Family Home

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.

Contact Amani Place AFH III

Overview of Kmj Adult Family Home

Located at 712 W Westmont Way in Spokane’s Town and Country neighborhood, Kmj Adult Family Home is one of three KMJ communities operating in the city. The walk score is 36, so transportation is a practical necessity for most outings. Providence Holy Family Hospital is about 1.55 miles away.

The care range here is broad for a residential-model community. Assisted living, independent living, memory care, residential care, and respite care are all offered at this location. Licensed nurses and CNAs staff the home around the clock. Medication management, help with activities of daily living, personal care, social services, and transportation are all part of what the facility provides. Individualized care plans are developed for each resident, and rehabilitation services are available on-site. Room and board and laundry are included.

The adult family home format means a smaller, more residential setting than a traditional assisted living building. That structure shapes the experience considerably: fewer residents, a home-style environment, and direct care from licensed nurses and CNAs rather than a larger institutional staff model.

Kmj Adult Family Home suits people who need memory care, respite, or ongoing residential support in a home-scale setting in northern Spokane, with 24-hour licensed nursing coverage and a care model that spans from independent living through dedicated memory care.

Contact KMJ Adult Family Home

Overview of Enchanted Adult Family Home

Enchanted Adult Family Home is a residential care community located in the Twin Lakes area of Federal Way, Washington, that provides nursing and assisted living services. Franciscan Hospital is also located nearby, providing convenient access to medical care.

Memory care is a primary focus, with services tailored to older adults living with dementia and Alzheimer’s disease. Physical, occupational, and speech therapy are also provided, as well as care from visiting physicians and podiatrists. Support also includes medication management, transportation services, fall prevention programs, and accommodations for special dietary requirements.

On-site hair care services add convenience to daily life. Along with shopping and pharmacy options accessible within a short drive, the neighborhood has a Walk Score of 25, which generally requires transportation to access most errands. It is also monitored by HOA security, providing an added layer of oversight for the area.

Contact Enchanted Adult Family Home 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.
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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 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.