Page 43 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 Soundview Elder Care in Federal Way

Providing nursing home and assisted living services, Soundview Elder Care is a senior living community in the Adelaide neighborhood of Federal Way, Washington. The community is a short drive from St. Francis Hospital, giving residents and families convenient access to hospital care when needed. It is also about 2.5 miles from downtown Federal Way.

Daily life centers on home-cooked meals, while housekeeping and laundry are provided so residents do not have to manage everyday chores themselves. Staff provides medication assistance as part of routine care. Wheelchair-accessible showers support residents with mobility needs. The community also has indoor and outdoor common areas. Residents can choose where they relax or spend time with family and friends.

Activities are a regular part of daily life and include arts and crafts, games, and exercise sessions. These programs can help residents stay active and socially engaged throughout the week. Together with home-cooked meals and housekeeping services, they create a daily routine focused on comfort and familiarity.

The neighborhood has a Walk Score of 6, which is car-dependent. Most errands and outings require driving. Families considering Soundview Elder Care should keep that in mind if nearby walkable services are important to them. This is common for many senior care communities in this part of Federal Way.

Contact Soundview Elder Care in Federal Way

Overview of Rosam Adult Family Homes

The Balboa neighborhood of Spokane, Washington, is home to Rosam Adult Family Homes, situated at 2818 W Houston Ave. The property operates as a single-story senior community providing skilled nursing, assisted living, and short-term respite care. The ground-floor setup enables residents to move freely between their private quarters and the shared living spaces without using stairs.

Daily care operations involve 24-hour staffing to handle meals, personal grooming, medication oversight, laundry, and local transportation. The calendar coordinates on-site exercise sessions, health checks, arts, and group outings. The local neighborhood carries a walkability score of 40 out of 100, indicating that while a few services are nearby, a vehicle is necessary for most medical visits and shopping trips.

Interested individuals can reach out to the administrative office to discuss current room openings and personalized care plans. Visiting the facility during their designated tour hours, weekdays from 9 AM to 7 PM or weekends from 10 AM to 2 PM, is a practical way to examine the layout, meet the 24-hour care team, and discuss monthly pricing structures.

Contact Rosam Adult Family Homes

Overview of Garden of Eden Care Adult Family Home

Age with dignity in Garden of Eden Care Adult Family Home, an idyllic haven located in the harmonious neighborhood of Lynnwood, WA, that offers adult family home and memory care. Residents can ease their worries with a kind and highly skilled team providing top-tier care tailored to their needs 24/7. The community strives to accommodate up to six residents with its beautifully furnished and cozy accommodations in a nurturing and welcoming environment.

Residents are encouraged to interact with their surroundings and create meaningful moments through a robust calendar of fun recreational activities and enriching programs. Delightful and nutritious meals, alongside delicious snacks, are served for residents to enjoy a satisfactory dining experience that caters to their dietary needs and preferences. With its exceptional services and specially designed amenities, residents can spend their golden years comfortably and happily.

Contact Garden of Eden Care Adult Family Home

Overview of Angels of Comfort Afh

Angels of Comfort Afh is a retirement community in Marysville, WA, offering a wide range of care options, including assisted living, memory care, disability care, post-stroke care, respite care, and hospice care. With a home-like environment, the community is dedicated to keeping older adults comfortable and safe. Medication management, personal care, and recreational activities are among the services provided for residents’ welfare. The community also strives to meet residents’ needs and preferences through personalized care plans.

Residents are also encouraged to live actively with a variety of activities, such as gardening, conversations, and games. With shared spaces and cozy living areas, the community ensures residents’ relaxation and socialization. The community is also ideally situated in the quiet neighborhood of Marysville, ensuring residents have a laid-back lifestyle. Providing multiple levels of care to meet older adults’ needs, this retirement community is a good option for senior living in Washington.

Contact Angels of Comfort AFH

Overview of North Orchard Home Care

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.

Contact North Orchard Home Care

Overview of Ideal Care Homes

Offering assisted living, hospice care, memory care, and nursing care, Ideal Care Homes is a senior living community in Bellevue’s West Lake Sammamish neighborhood. The community provides several levels of care in one community. Residents can stay here as their care needs change over time. The community is led by President Dorina Ilsan and has served the Bellevue area for 26 years.

Each resident receives a personalized care plan based on their individual needs instead of a standard approach. The community features a dining hall, a movie room, walking paths, and outdoor spaces where residents can relax and spend time outside. Kaiser Permanente Bellevue Medical Center is about 4 miles away. Residents and families have convenient access to nearby hospital care.

The neighborhood has a Walk Score of 10, making it a car-dependent area. Most errands and outings require a vehicle. Families planning regular visits may want to keep this in mind when traveling to and from the community

Contact Ideal Care Homes

Overview of Adult Family Center of Moses Lake

Nestled in the vibrant community of Moses Lake, WA, the Adult Family Center of Moses Lake is an exceptional senior living community that offers housing, health care, and personal care services. Here, residents are provided with dynamic services and support for elderly care based on immediate needs. The community provides a farm-like facility with barnyard animal therapy, gardening, feeding, and watching game birds. With a highly skilled team, certified professionals are always there in times of need.

For example, the best professional team for dementia support respite care, and companionship are always on the go and are keen on details and attention to provide the utmost services needed. Proven by its primary goal, senior care services are available 24 hours a day, 7 days a week. The community is also dedicated to helping its residents live their lives in a fuller and happier way. Thus, experience home cooking, organic fruits, and vegetables from their garden. Equipped with the right tools and people, seniors can never go wrong with the Adult Family Center of Moses Lake.

Contact Adult Family Center of Moses Lake

Snoqualmie Valley Health

9801 Frontier Ave Se, Snoqualmie, WA 98065
Overview of Snoqualmie Valley Health

Snoqualmie Valley Health is an independent, non-profit public hospital district committed to delivering high-quality, personalized healthcare close to home. From primary care and pediatrics to a growing range of subspecialties — including neurology, allergy, rheumatology, cardiology, podiatry, gastroenterology, orthopedic hand surgery, general surgery, wound care, and comprehensive rehabilitation therapies — the organization provides exceptional, patient-centered care for every stage of life.

The hospital’s 24/7 Emergency Department and convenient Urgent Care services ensure that patients have access to timely, high-quality care whenever it’s needed most. Snoqualmie Valley Health also offers a swing bed unit for short-term stays, helping patients recover and regain independence with the support of skilled nursing and therapy services.

Proudly serving Snoqualmie, North Bend, Carnation, Preston, Fall City, and surrounding communities, Snoqualmie Valley Health ensures exceptional care remains local and accessible to all. By accepting Medicare, Medicaid, and most major insurances, the district helps reduce financial barriers and expand access to care.

The mission of Snoqualmie Valley Health is to empower individuals to live boldly, offering innovative, accessible healthcare that prioritizes wellness, fosters community, and fuels adventure.

Contact Snoqualmie Valley Health

Overview of Garden Haven Care Adult Family Home

Garden Haven Care Adult Family Home in Marysville, WA, is an adult family home that offers personal care, memory care, and hospice care. Dedicated to older adults’ comfort, the community promotes a caring and supportive environment. The community also provides exceptional services that include 24-hour care, nutritious meals, and activities to improve residents’ daily living. Residents also receive the utmost attention and care tailored to their unique needs and preferences through personalized care plans.

Board games, wellness programs, and various recreational activities are conducted to help residents maintain their holistic well-being. Residents can also interact with friends and rest comfortably, with various communal spaces and cozy living areas. Situated in a peaceful residential area of Marysville, the community guarantees a laid-back retirement. This adult family home has multiple levels of care, making it an ideal choice for senior living in Washington.

Contact Garden Haven Care Adult Family Home

Overview of The Village at Broadview

Long-term residential support and skilled nursing care form the core focus at The Village at Broadview, a 60-bed Seattle facility run by the voluntary nonprofit organization Foss Home & Village. Located in the Parkwood neighborhood about nine miles outside the city center, this community features a Walk Score of 80, meaning most day-to-day errands do not require a car. Private-pay individuals account for 76% of new admissions, while Medicaid covers 14% and Medicare represents just 9%, resulting in an average resident stay of 76 days and a 62.1% occupancy rate.

Oversight logs from the Centers for Medicare & Medicaid Services (CMS) point to structural and compliance hurdles, noting 10 separate reviews since 2024 that resulted in 85 total citations. This volume runs 74% higher than the Washington state baseline and includes one critical violation alongside 83 moderate infractions tied to care quality, resident rights, pharmacy routines, and infection control.

These issues led to $28,000 in federal fines, though regulators never issued any payment denials. Daily nursing coverage averages 3 hours and 34 minutes per resident, tracking 18% below the state average. On the clinical side, high-risk events, major injuries from falls, and pressure ulcers perform well against state benchmarks, but documented depression symptoms among residents affect 32.8% of the population—doubling the state average of 16.2%.

Prospective residents searching for a nonprofit long-term care setting can look through these public health department archives to balance the facility’s localized walkability against its regulatory metrics. Since the data shows a high citation frequency and elevated depression rates alongside stable physical health markers and a low historical fine total, discussing current clinical programs with the administrative team is a sensible precaution. Scheduling an in-person walkthrough provides an opportunity to evaluate the residential wings, observe the daily care routines, and speak directly with the directors about their quality improvement plans.

Contact The Village at Broadview

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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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.