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Other senior care options in Washington:

Best Assisted Living in Washington

Reviewed by
Last updated
Jun 2026
We analyzed
464 homes in Washington

Sources: CMS Centers for Medicare and Medicaid Services, and Washington Department of Health, Office of Aging and Long Term Care.

Other senior care options in Washington:

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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Overview of Pioneer Place Alzheimer Residence of Tacoma

Pioneer Place Alzheimer Residence of Tacoma is a locally owned, Christian memory care community in Tacoma, Washington, that specializes in long-term care for those living with Alzheimer’s disease and other memory-related conditions. This 60-bed community was established in 1995 and recognized as one of the first purpose-built dementia care communities in Pierce County, representing nearly three decades of dedicated experience. The community is one of the most consistently compliant options in the state, along with a secured perimeter and a deficiency-free rating since 2015.

The DSHS inspection record highlights this exceptional standing, with the most recent review on November 4, 2024, finding no deficiencies and confirming full compliance with licensing requirements. While an earlier fire safety inspection in April 2023 noted documentation issues regarding fire hydrant clearance, fire alarm panel access, and drill records, these were all confirmed to be corrected in subsequent follow-ups. Additionally, there were no complaint investigations listed in the current reports. A combination of a clean 2024 result and a decade-long streak of deficiency-free ratings creates one of the strongest compliance profiles in the Washington memory care market.

The community focuses on individualized care and transparent family communication as core priorities, providing a secure environment specifically designed for residents with Alzheimer’s or dementia-related wandering risks. The current occupancy rate is 57%, which is below the state average, suggesting that availability for interested families is more favorable compared to many other local options.

Pioneer Place Alzheimer Residence of Tacoma is best suited for families in Tacoma and Pierce County seeking a long-established, faith-oriented memory care community with an outstanding compliance history. The community’s Christian values foundation and a top-tier regulatory record make it one of the most credible memory care options in the South Sound region.

Contact Pioneer Place Alzheimer Residence of Tacoma

Overview of The Courtyard at Colfax

The Courtyard at Colfax is an assisted living community in Colfax, Washington, offering assisted living care, including standard and enhanced care options. This 55-bed community also provides 24-hour staffing and nursing coordination to older adults in Whitman County. With an occupancy rate of 84 percent and an average daily population of 46 residents, the community operates at a stable capacity for a rural setting, indicating consistent local demand.

The community’s compliance history with the Washington State Department of Social and Health Services includes six inspections and reflects an overall pattern of improvement. The most recent inspection on November 12, 2025, identified no violations and confirmed that earlier fire safety concerns had been fully resolved. Additionally, previous inspections, particularly in December 2024, cited several fire safety issues related to storage clearance, fire drill documentation, electrical safety, door functionality, and maintenance of suppression systems. A confirmed complaint investigation in early 2024 also found shortcomings in staff monitoring and policies regarding bedrail use, which contributed to a resident’s death and resulted in a civil fine. Follow-up reviews verified that both care-related and safety issues were addressed.

Along with a home-like environment, meal service with home-style cooking and accommodations for special dietary needs are provided. Its tiered care structure also allows families to select the level of support that best matches a resident’s current needs, with the flexibility to adjust as those needs change.

The Courtyard at Colfax is well-suited for older adults in Colfax, Washington, and the broader Whitman County area seeking assisted living support in a smaller, locally oriented setting close to family. Those who value personalized care, a community atmosphere, and a recent strong inspection outcome may find it a compelling option.

Contact The Courtyard at Colfax

Overview of Apple Springs Retirement and Assisted Living Residence

Apple Springs Retirement and Assisted Living Residence is a senior living community in Omak, Washington, providing retirement and assisted living services. Serving Okanogan County, this 60-bed community maintains a stable 83% occupancy rate, which compares favorably to the Washington state average of 72.5%.

The DSHS inspection records across six visits present a compliance history that warrants a review, with the latest inspection on July 28, 2025, identifying 2 deficiencies. Although this is significantly lower than the state average of 31, the report cited a substantiated complaint involving a failure to report suspected sexual abuse and missing documentation regarding a resident’s history of inappropriate behaviors. Past inspections also mentioned intermittent concerns with fire alarm and sprinkler system upkeep, resident rights, and service fee records. Notably, previous issues involving food safety and nurse delegation consent were confirmed as corrected by August 2024.

Along with eight confirmed amenities, including private bathrooms, kitchenettes, individual climate control, and restaurant-style dining with three chef-prepared meals served every day, an on-site beauty salon, a library, high-speed internet, and landscaped outdoor grounds are also offered. Life at the community is enriched by a diverse activities program covering physical wellness, social connection, spirituality, and cognitive health. Rehabilitation and respite care are also available, and the environment is pet-friendly with housekeeping included. Walk-in visits are also welcome at any time.

Apple Springs Retirement and Assisted Living Residence remains a practical choice for older adults in Omak and Okanogan County seeking a comfortable, amenity-rich environment. Set in a region with limited senior care resources, this community appeals to families searching for a local community with personalized programming and an open-door atmosphere.

Contact Apple Springs Retirement and Assisted Living Residence

Overview of Bay Vista Commons Assisted Living Community

Bay Vista Commons Assisted Living Community is a senior care community in Bremerton, Washington, that provides specialized assisted living and memory care services. Under the operation of a public agency, the Bremerton Housing Authority, the community established a reputation for a unique, mission-driven senior living option in the West Sound region. With a 76-bed capacity in Kitsap County, the community has 63 residents and an 83% occupancy rate. By accepting Medicaid, the community also offers a practical option for families seeking publicly funded care.

The state compliance history includes four DSHS inspections, which identified a total of 11 deficiencies. The most recent review on January 13, 2025, identified one deficiency, a figure that remains well below the Washington state average of 31. This report includes a substantiated finding of neglect regarding the monitoring of a resident during a behavioral crisis.

Previous inspections in late 2024 also highlighted fire safety concerns, such as blocked exits and sprinkler maintenance, while a January 2024 investigation confirmed concerns about a policy that used EMS for resident lifting rather than on-site staff. While there are no records of fines or license suspensions, interested families are encouraged to ask about improved emergency response and monitoring protocols.

A variety of services, including common areas, transportation, an on-site salon, and an emergency call system featuring wearable bracelets, are also provided in a pet-friendly and wheelchair-accessible setting. Along with housekeeping and linen services, the dining program also features home-style cooking served in an elegant, restaurant-style setting. A flexible open dining concept allows for meal service between 7:30 A.M. and 6:00 P.M. to support individual autonomy, while the kitchen can accommodate special dietary needs.

Bay Vista Commons Assisted Living Community is an ideal fit for older adults in the Bremerton area who require memory care or assisted living, particularly those seeking a Medicaid-friendly community. Its foundation within the public housing authority and its central Kitsap County location make this community a significant resource for families navigating the costs of long-term care in western Washington.

Contact Bay Vista Commons Assisted Living Community

Overview of White River Assisted Living

White River Assisted Living is a senior care community in Enumclaw, Washington, offering assisted living and memory care services. This 65-bed community also features a specialized memory care neighborhood tailored for those with Alzheimer’s disease or other cognitive challenges. It also serves as a primary option for older adults in the foothills of southeastern King County.

The DSHS compliance history shows a total of four inspections that accumulated 15 deficiencies, revealing a consistent pattern of fire safety issues that warrants evaluation. The latest inspection on August 19, 2025, identified 2 deficiencies, which is lower than the Washington state average of 31. However, these deficiencies included a fire alarm panel remaining in trouble status and fire watch intervals that did not meet established policy requirements.

Previous reviews also cited problems with fire door latches, missing maintenance records for sprinklers and alarms, and incomplete fire extinguisher inspections. A substantiated complaint also confirmed issues with fire alarm trouble and inadequate fire watch procedures. While there are no records of fines, license suspensions, or findings of immediate jeopardy, the recurring nature of these fire safety concerns across several cycles should be a point of discussion with the community leadership.

Regarding lifestyle and care, the community provides structured programming that includes dining, educational classes, and social events. The dedicated memory care neighborhood also provides a focused environment for those with dementia, serving as a standout feature in the Enumclaw market. As detailed amenity lists were not available, families are encouraged to request a comprehensive service guide directly from the community.

White River Assisted Living is best suited for older adults in Enumclaw and the surrounding southeastern King County region, including Black Diamond, Auburn, and the White River Valley, seeking assisted living or memory care. It is a practical option for those who value proximity to their homes in a smaller community setting instead of moving to a more urbanized area.

Contact White River Assisted Living

Overview of The Cottages of Renton

The Cottages of Renton is a memory care community managed by Care Partners Living in Renton, Washington, dedicated to individuals living with Alzheimer’s disease, dementia, and other memory-related conditions. The community has 60 licensed beds across three separate cottage-style buildings, each housing up to 20 residents in King County. Current occupancy is approximately 83%, which aligns with the state average, indicating limited availability. Short-term respite care is also available for families seeking temporary stays.

The most recent inspection on September 12, 2025, identified deficiencies related to kitchen staff hand sanitation and incomplete continuing education for care staff. Earlier records also cited fire safety documentation gaps, a substantiated complaint related to failure to communicate a resident’s DNR status to emergency responders, and issues with resident care documentation. The total number of deficiencies throughout its inspection history was 68, which is above the Washington state average of 31, warranting careful consideration from families. However, no fines or license actions are cited.

The community is designed with safety and supervision in mind, including a secured perimeter and 24-hour awake staffing, along with on-site physician visits to support ongoing medical needs. Additionally, a range of amenities and services, including secure outdoor courtyards, individualized care plans, medication management, social programming, outdoor activity spaces, and gardening opportunities, are provided. Daily activities are also tailored to each resident’s abilities and preferences to support engagement and cognitive stimulation in a structured environment.

The Cottages of Renton is well-suited for older adults in the Renton and South King County area who are in moderate to advanced stages of memory loss, seeking a secure, small group setting with specialized care. Its cottage-based layout, with a limited number of residents in each home, also helps create a calmer and more manageable environment. The community’s smaller care setting, secure outdoor access, and on-site medical support appeal to families focusing on memory care services.

Contact The Cottages of Renton

Overview of Red Oak Residence of North Bend

Red Oak Residence of North Bend is a retirement and assisted living community in North Bend, Washington, that offers independent senior living, assisted living, respite care, and short-term stays. It has 38 beds in King County and was recognized as a 2016 Reader’s Choice Awardee for Best Retirement Community, which signifies strong local recognition. The community also supports volunteer involvement and encourages family participation as part of its overall care approach.

From a regulatory standpoint, inspection history shows ongoing concerns, particularly about fire safety. The most recent inspection on October 25, 2024, was conducted following a complaint and identified deficiencies tied to fire safety violations after an unsuccessful Fire Marshal review. Earlier inspections also revealed a pattern of similar issues, including improper storage of combustible materials, concerns with fire suppression systems, and documentation gaps.

Several complaint investigations were substantiated, including findings related to maintaining a safe environment and timely reporting of infectious disease outbreaks. However, no fines or license actions appear in the available records, and corrective steps have been taken to address cited issues. Families are encouraged to review the most current inspection reports and discuss fire safety and infection control procedures directly with the community.

With a 38-bed capacity, the community provides a more intimate and neighborhood-oriented residential experience, along with a lifestyle focused on engagement and connection. Weekly programming also includes shopping outings, crafts, games, and exercise classes, supporting an active and socially integrated environment. Visitor access is also available daily from 9 AM to 5 PM.

Red Oak Residence of North Bend is best suited for relatively independent older adults and those who need moderate assistance but prefer a smaller, locally connected setting in the North Bend area east of Seattle. The community’s emphasis on community involvement and its recognition through local awards also contribute to its appeal.

Contact Red Oak Residence of North Bend

Overview of Parkside Retirement Community

Parkside Retirement Community is a senior living community in Auburn, Washington, offering independent living, assisted living, and rehabilitative services for older adults. The community has 94 licensed beds in King County, providing 24-hour certified staffing, a round-the-clock security system, rehabilitation services, and short-term rehab options in a pet-friendly setting.

From a regulatory standpoint, the most recent follow-up inspection on September 19, 2025, reported no deficiencies, confirming that prior issues had been resolved and that licensing requirements are currently met. However, earlier inspections identified concerns related to fire and life safety codes, staff certification, hand sanitation practices, and pet health documentation. Complaint investigations were not substantiated. A civil fine was issued in July 2025 due to unresolved deficiencies at that time, but the most recent clean inspection indicates that corrective measures have been successfully implemented. Additionally, no license suspensions or revocations were reported.

Current occupancy is approximately 74%, which is close to the Washington state average, suggesting a balanced level of demand and availability. The community also offers a practical range of amenities, including daily lunch service with optional supper plans, cable and phone access, water, trash, and electricity, along with routine maintenance and groundskeeping. Guest accommodations and shared common areas are also available. The inclusion of utilities and meals also helps provide predictable monthly costs to navigate long-term care.

Parkside Retirement Community is well-suited for older adults in the Auburn area seeking an affordable option that combines independent or assisted living with supportive services and continuous staff presence. Its relatively affordable starting cost also makes it a more accessible choice within the South King County market. With meals, utilities, and maintenance included in the monthly rate, families prioritizing predictable costs will find the community a practical option.

Contact Parkside Retirement Community

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.

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Overview of Evergreen Court

Evergreen Court is a licensed senior living community in Bellevue, Washington, providing assisted living, memory care, Alzheimer’s care, palliative care, hospice care, short-term stays, incontinence care, and assistance with activities of daily living. With 48 licensed beds in King County, the community’s current occupancy is approximately 77%, in line with Washington state averages, indicating availability for immediate placements. Both Medicare and Medicaid are also accepted, offering flexible payment options for families of various incomes.

The most recent follow-up inspection on August 11, 2025, reported no deficiencies, confirming that earlier concerns related to resident assessment documentation and service agreements had been fully resolved. However, previous inspections had identified issues involving documentation practices, licensed bed capacity, and maintenance matters such as ventilation, where civil fines totaling $1,500 were issued in April 2025. Fire safety inspections also noted concerns, including missing drill documentation, improper storage, and fire door issues, many of which were later corrected. Overall, the inspection history reflects clear improvement, with the most recent review showing full compliance.

The community provides comprehensive services and amenities, including medication management, memory and dementia care, individualized care planning, on-site access to physicians and physical therapists, nutritious meals and snacks, housekeeping and linen services, grooming and personal care, disability support, and volunteer programs. Activities are also curated to match residents’ interests and abilities, fostering engagement at different levels. Visitor access is also available seven days a week from 8 AM to 5 PM.

Evergreen Court is well-suited for older adults in the greater Eastside Seattle area who require both assisted living support and specialized memory care, especially those who benefit from personalized care plans and on-site medical access. Its acceptance of both Medicare and Medicaid also makes it accessible across a variety of financial situations. Families seeking a mid-sized setting with a strong service offering and a recent clean inspection record will find this community to be a practical choice.

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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.