Other senior care options in Washington:

Best Home Care in Washington State

Why trust this guide? Our editorial team analyzed 46 home care communities in WA using WA Dept. of Social & Health Services (DSHS) data, inspection records, complaints, amenities, and facility-level details. How we rank home care in WA
Reviewed by
Last updated
Jul 2026
We analyzed
46 homes
Other senior care options in Washington:
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 Riverview Retirement Community

Surrounded by thriving local amenities in Spokane, WA, offering independent living, assisted living, memory care, outpatient therapy, and respite care. With a kind and highly trained team available around the clock, residents can keep their peace of mind and receive the highest quality of care tailored to their needs. Residents also enjoy a hassle-free lifestyle with housekeeping and laundry services.

Here, residents are encouraged to live actively and make new friends with a thoughtfully curated calendar of engaging events and enriching programs. Three delicious and healthy meals are also served daily, catering to residents’ dietary needs and preferences. With additional costs, residents can opt for medication assistance and incontinence care. The community’s many amenities and comprehensive services create the ideal setting for a blissful retirement.

Type of Care Available

Assisted Living Continuing Care Retirement Communities (CCRC) Home Care Hospice Care Independent Living Memory Care

Contact Riverview Retirement Community

Overview of Sunshine Health and Rehabilitation

Owned by Carol Dikes, Sunshine Health and Rehabilitation is a single-story nursing home in the Dishman neighborhood of Spokane Valley, Washington. It offers a full range of care: nursing home, assisted living, memory care, and home care, giving families multiple paths for support as needs change over time. The 37-bed facility is nearly full, with 90.7 percent occupancy. The average stay duration is 25 days, pointing to a community built around short-term recovery instead of long-term residence. The surrounding area scores 28 for walkability, so most errands and outings demand a car.

Central to daily life here is rehabilitation. A physical therapist is on staff, a physician is available on-site, and nursing staff work 24/7. Total nursing care is about 4 hours 54 minutes per resident day, with registered nurses contributing roughly 1 hour 31 minutes and nurse aides covering about 2 hours 47 minutes of that time. Care transcends short-term rehab. Behavioral health services exist through a mental health service worker on staff, memory care and assisted living support occupants with longer-term needs, and dental services are provided on-site. Individualized care plans guide daily support, including three meals a day, housekeeping, laundry, and a regular activity program. Medicare and private pay are accepted to give families two established routes to afford care.

Families assessing a short-term rehab stay may want to interrogate how the clinical team coordinates between physical therapy, nursing, and physician care to bolster a smooth return home.

Types of Care Available

Assisted Living Home Care Memory Care Skilled Nursing

Contact Sunshine Health and Rehabilitation

Overview of Kline Galland Home

Conveniently located in a serene area in Seattle, WA, Kline Galland Home is a peaceful retreat for those needing short-term rehabilitation, long-term care, and memory care. With a high caregiver-to-resident ratio, the community guarantees personalized and truly one-on-one attention. Those affected by Alzheimer’s and memory loss are cared for by a specially trained care team in an environment tailored to their unique needs.

Residents’ daily lives are filled with an array of fun and enriching activities like exercise classes, games, and holiday celebrations. Meals are carefully prepared and served daily with accommodations for unique dietary needs and preferences. At Kline Galland Home, residents achieve their maximum potential in a safe and healing environment.

Type of Care Available

Assisted Living Home Care Hospice Care Memory Care Nursing Care Palliative Care Skilled Nursing

Contact Kline Galland Home

Overview of Touchmark at Fairway Village

Offering assisted living, home care, independent living, and memory care, Touchmark at Fairway Village is a senior living community in the Fairway 164th neighborhood of Vancouver, Washington, in Clark County. The 125-bed community has an occupancy rate of 89%. The multiple levels of care in one community give residents the option to move between services without changing communities.

Residents can choose from cottages, as well as studio, one-bedroom, and two-bedroom apartments. Many residences include a full kitchen, walk-in closets, air conditioning, central heating, and an in-unit washer and dryer. Included services cover scheduled transportation, housekeeping, religious services, and a full-service salon. The community also has a private dining room, guest suites, activity rooms, and courtyards. Residents can bring their pets.

Touchmark at Fairway Village accepts Medicaid, giving eligible families a payment option for the cost of care. The area has a Walk Score of 62 out of 100. Some errands can be handled on foot, along with a mix of nearby amenities.

State inspections in Washington have periodically identified fire safety and equipment maintenance items, including the proper storage of compressed gas cylinders and up-to-date fire door and alarm documentation. Follow-up inspections confirmed these issues had been addressed and resolved.

Families touring Touchmark at Fairway Village may want to ask how fire safety equipment and documentation are maintained as part of the community’s daily operations.

The community also has a dedicated memory care program for residents who need a higher level of cognitive support. Residents can access memory care alongside the community’s assisted living, home care, and independent living services.

Contact Touchmark at Fairway Village

Overview of Promise Home Care

Promise Home Care is a private-duty home care agency working out of a downtown Seattle office at 2211 Elliott Avenue, and its actual workplace is wherever its clients live. That office sits in one of the more walkable corners of the city. A Walk Score of 96 out of 100 puts it in “walker’s paradise” territory, meaning errands, groceries, and appointments are realistically doable on foot.

Licensed nurses and certified nursing assistants make up the field teams, and 24-hour staffing is available for clients who need it. Beyond hourly visits, the agency offers live-in companion care, homemaking support, concierge services, and short-term respite, which gives family caregivers an actual break instead of just a promise of one.

Every care plan starts with an individual assessment, and from there the agency builds out routines for specific situations: recovery after surgery, support for physical disabilities, dementia care, and general care across age groups. That range suggests a client base that isn’t uniform. Some people need a few weeks of post-surgical help. Others need something closer to ongoing dementia support.

One thing worth flagging early: this is a private-pay agency. No Medicare or Medicaid certification here, so the cost comes out of pocket or through private insurance.

What Promise Home Care is set up for is fairly clear: home-based nursing and personal care for clients who can pay privately, in a part of Seattle where getting around doesn’t require a car.

Type of Care Available

Home Care

Contact Promise Home Care

With a Little Help

2021 Minor Ave E Suite A, Seattle, WA 98102
Overview of With a Little Help

With a Little Help has been doing this since 1995, which is a long stretch for a home care agency to stay in business. Paul Sivesind owns and administers it now, running things out of an office at 2021 Minor Ave E, Suite A, in Seattle’s Eastlake neighborhood. The agency covers the wider Puget Sound region, not just the immediate area around that office.

Eastlake itself is very walkable; a Walk Score of 80 means most errands nearby don’t require a car, which matters more for the office than for clients receiving care at home. Billing here runs entirely private-pay, so families get a consistent structure to plan around rather than navigating multiple coverage types.

The actual care starts with an in-home assessment, and from there caregivers build something personalized. Bathing, dressing, medication management, meal prep, that’s the daily-living baseline. Transportation and companionship round it out, aimed at keeping someone connected rather than isolated.

Where this agency stands out is specialization: memory loss care and Parkinson’s disease care are both named specifically, not folded into generic “personal care” language, and hospice support is available for end-of-life needs too. Scheduling flexes between hourly visits and full 24-hour live-in care, and respite care exists for family members who need a real break, not just a promise of one.

With a Little Help is an agency built around specialization and continuity: three decades of operating history, a private-pay model that keeps billing simple, and care tracks specific enough to match conditions like Parkinson’s or advancing memory loss rather than treating every client the same way.

Type of Care Available

Home Care Memory Care Respite Care

Contact With a Little Help

Overview of Love in Home Senior Care

Love in Home Senior Care is an exceptional home care provider located in Spokane, WA, offering respite care, 24-hour in-home care, home care assistance, Alzheimer’s and Dementia Care, and supplemental in-home care for hospice care services. Their home care aides (HCAs) and certified nursing assistants (CNAs/NACs) are meticulously chosen based on their experience, empathy, and compassion, guaranteeing top-notch care for patients of all ages, including those recuperating from illness or surgery. Love in Home Senior Care understands the importance of preserving dignity and quality of life, providing comprehensive care options tailored to individual needs.

Driven by the mission to empower seniors to live fulfilling lives in the comfort of their own homes, Love in Home Senior Care offers affordable elder care companionship alongside hands-on personal care services. Love in Home Senior Care focuses on expertise and compassion to be a reliable substitute for assisted living, ensuring seniors receive the attention and assistance they require while remaining in the familiar surroundings of home.

Type of Care Available

Home Care Hospice Care Memory Care Respite Care

Contact Love In Home Senior Care

Overview of Generations Home Care Spokane

Located in Spokane, Washington, Generations Home Care Spokane is an exceptional home care provider offering compassionate senior living solutions, including personal care, respite care, and companion care. Their services commonly include meal preparation, pet care, bathing assistance, light housekeeping, and medicine reminders, among other things. With a commitment to improving the lives of Spokane’s seniors, Generations Home Care ensures reliable assistance, easing the burdens and enhancing the quality of life for residents and their families.

Generations Home Care Spokane’s goal is to provide honest and caring service to seniors by attending to their real needs. They are committed to providing dependable and considerate support, acknowledging the difficulties involved in asking for assistance, and extending an honest and respectful helping hand. With Generations Home Care Spokane, seniors enjoy a supportive environment where their well-being is prioritized, along with amenities designed to promote comfort, independence, and peace of mind.

Type of Care Available

Home Care Respite Care

Contact Generations Home Care Spokane

Overview of Alleva Home Care

Alleva Home Care runs out of a downtown Seattle office at 2201 3rd Ave, but the actual work happens somewhere else entirely: inside clients’ own homes. The company’s been doing this for 21 years. The office itself sits in a walkable stretch of downtown, Walk Score of 99, but that number describes where the staff clocks in, not where care actually happens, since caregivers travel directly to each client.

Alleva offers six named programs that anchor the clinical side: One-on-One Home Care, Care Management, Post-Operative Care, End-of-Life Care and Family Support, Dementia & Alzheimer’s Care, and Nurse-Delegated Care. Licensed nurses and certified nursing assistants run these programs, handling everything from recovery after surgery to the kind of clinical tasks that usually require a nurse’s sign-off.

The day-to-day work is simpler to describe: personal care assistance, care management, and short-term respite for family caregivers who need a break. Everything runs one-on-one, built around a single client rather than a shared schedule, and there’s no long-term contract locking anyone in. That flexibility matters more than people expect when a family’s needs shift month to month.

Two decades in business, six named clinical programs, and a structure that skips the long-term commitment: Alleva Home Care is a home care agency built to flex around whatever a family actually needs, not the other way around.

Type of Care Available

Home Care Hospice Care Memory Care Respite Care

Contact Alleva Home Care

Overview of Family Resource Home Care

Dedicated to improving senior’s aging experience, Family Resource Home Care is a one-of-a-kind home care provider in Tacoma, WA, offering personal care, meal preparation, errands & transportation, companionship, light housekeeping, dementia / Alzheimer’s care, transitional care, respite care, and live-in care. The agency boasts a team of thoroughly screened caregivers who are carefully matched to be a good fit for seniors and 24-hour supervision to ensure that services run smoothly.

With a long history of providing high-quality home care services to seniors and families, Family Resource Home Care takes pride in its extensive experience in providing care for those with Alzheimer’s, dementia, stroke, cancer, and a wide range of other chronic conditions. The agency puts compassionate care on top of their priority, driving them to go above and beyond to ensure seniors are comfortably, safely, and happily aging in the comforts of their homes. 

Types of Care Available

Home Care Respite Care

Contact Family Resource Home Care

Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Memory care specialists
  • Finding and ranking the best independent living communities

Frequently Asked Questions about Home Care in Washington

What is home care?

Home care brings non-medical caregivers into a senior's own home to assist with daily tasks, companionship, and supervision — without requiring a move to a community.

How many home care providers are listed on this page?

This page features 46 home care providers in Washington. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right home care provider 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 home care providers 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.