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Other Senior care options in Washington:

Best Memory Care in Washington

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 617 homes in Washington

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

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Video Tour: Top-rated Memory Care facilities in Washington.

Watch this Video to see Washington's Top-rated Senior Communities

Compare Memory Care around Washington

The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.

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Merrill Gardens at Tukwila
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.

Tukwila (Southcenter)
80
Facility 80
WA AVG 102
Rank #172 / 372
Yes
63
Facility 63
WA AVG 53
Rank #211 / 628
Studio / 1 Bed / 2 Bed--2-136.5
Aegis Living Bellevue
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.

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.

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.

Bellevue (West Bellevue)
77
Facility 77
WA AVG 102
Rank #187 / 372
No
91
Facility 91
WA AVG 53
Rank #37 / 628
- 100.0% -6-6110.2
The Hampton and Ashley Inn Memory Care Community
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).

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.

Vancouver (Riveridge)
85
Facility 85
WA AVG 102
Rank #148 / 372
Yes
32
Facility 32
WA AVG 53
Rank #458 / 628
Studio / Shared Suite 53.4% -----
Brookdale Stanwood
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.

Stanwood
80
Facility 80
WA AVG 102
Rank #172 / 372
Yes
51
Facility 51
WA AVG 53
Rank #320 / 628
Studio / Suite / 1 Bed / 2 Bed 77.5% -4-307.5
Bonaventure of Salmon Creek
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.

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 (Pleasant Valley)
89
Facility 89
WA AVG 102
Rank #142 / 372
Yes
22
Facility 22
WA AVG 53
Rank #516 / 628
Studio / 1 Bed / 2 Bed 70.8% A+33-591.8
Brookdale Vancouver Stonebridge
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 (Vancouver Mall)
80
Facility 80
WA AVG 102
Rank #172 / 372
Yes
70
Facility 70
WA AVG 53
Rank #154 / 628
Studio / Suite 85.0% -12-272.3
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 102
Rank #188 / 372
Yes
73
Facility 73
WA AVG 53
Rank #128 / 628
Studio / 1 Bed / 2 Bed 88.2% -3-155.0
Cogir of Vancouver
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.

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.

Vancouver (Orchards)
90
Facility 90
WA AVG 102
Rank #134 / 372
Yes
44
Facility 44
WA AVG 53
Rank #377 / 628
Studio / Cottage / 1 Bed 75.6% -103464.6
Jefferson House Memory Care Community
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.

Kirkland (Totem Lake)
80
Facility 80
WA AVG 102
Rank #172 / 372
No
69
Facility 69
WA AVG 53
Rank #164 / 628
Private / Shared Suite 93.8% -61538.8
Where The Heart Is
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.

Burlington
84
Facility 84
WA AVG 102
Rank #160 / 372
No
57
Facility 57
WA AVG 53
Rank #278 / 628
Studio / 1 Bed 84.5% -84415.1
The Gardens at Marysville
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.

Marysville
85
Facility 85
WA AVG 102
Rank #148 / 372
Yes
53
Facility 53
WA AVG 53
Rank #308 / 628
Studio / 1 Bed / 2 Bed 82.4% -83516.4
The Cottages of Snohomish
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.

Snohomish (Northwest Snohomish)
84
Facility 84
WA AVG 102
Rank #160 / 372
No
39
Facility 39
WA AVG 53
Rank #412 / 628
- 60.7% C+5-91.8
Canterbury Gardens Memory Care Community
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.

Longview (Third Avenue)
72
Facility 72
WA AVG 102
Rank #203 / 372
No
55
Facility 55
WA AVG 53
Rank #297 / 628
Suite 88.9% -62172.8
Aegis Living Ravenna
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.

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 (Maple Leaf)
79
Facility 79
WA AVG 102
Rank #186 / 372
Yes
63
Facility 63
WA AVG 53
Rank #211 / 628
Studio / 1 Bed / 2 Bed 100.0% C+72375.3
Sunrise of Issaquah
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.

Issaquah
100
Facility 100
WA AVG 102
Rank #93 / 372
Yes
38
Facility 38
WA AVG 53
Rank #420 / 628
Studio / 1 Bed / 2 Bed------
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Overview of Mirabella Seattle

A mix of urban and rural, Mirabella Seattle is situated in the city’s prime location where it provides a harmonious community. The culturally rich community promotes an energetic lifestyle with all-inclusive amenities. Everything you need is found at Mirabella, where they provide the best and astonishing service that you’ve ever seen in Seattle. The community offers different styled apartments– traditional or modern. Independence is also promoted for every resident to live a free lifestyle balanced with assistance, should they need help. Because they try to promote an engaging lifestyle, there will be activities and programs scheduled for residents to sign up for; Mirabelle Seattle is an independent living community that has provided beautiful and modern features that are designed to have seniors enjoy their retirement years.  Mirabella Seattle is so much more, and living in the community is choosing to engage in a rich cultural community.

Mirabelle proudly offers all-inclusive amenities that include a beauty salon, art studio, library, woodworking shop, indoor pool, whirlpool, and a resident business center– as convenience is at the top of their list. Helpful services that help residents do as they please are the housekeeping and flat-linen service, general maintenance, room, and concierge service are a few of the services offered to let residents live a worry-free life. 

What does this home offer?

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Room Sizes: 762 / 1169 / 1202 sq. ft.

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Housing Options: 1 Bed / 2 Bed

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Building Type: High-rise

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Fitness and Recreation

Contact Mirabella Seattle

Overview of Brookdale Puyallup South

Brookdale Puyallup South is a memory care community that specializes in caring for residents impacted by the symptoms of early through late stages of Alzheimer’s or dementia. As a leading provider of dementia care for over 25 years, the community uses its extensive experience to help each resident thrive. Brookdale Puyallup South offers technology to improve engagement for seniors with hearing loss, and the trained dementia care team assists with daily living activities, with staff available 24/7.

The memory care program at Brookdale Puyallup South focuses on providing a personalized experience, as techniques that work for one resident may not work for another. The community tailors care to the individual and aims to provide consistent care assignments whenever possible. Residents benefit from a range of dementia-friendly activities, from outdoor pursuits like nature walks and gardening to indoor fitness classes, coffee socials, and bingo. Mealtimes are also kept routine, with home-style meals served daily and care associates trained to address dining challenges.

 

What does this home offer?

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Room Sizes: 315 - 625 sq. ft.

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Housing Options: Private Suite / Semi-Private Suit

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Building Type: Single-story

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Fitness and Recreation

Contact Brookdale Puyallup South

Overview of Brookdale Park Place

At Brookdale Park Place in Spokane, Washington, residents can enjoy independent living, assisted living, and memory care in a warm, home-like setting. The community is designed to provide a feeling of home, with added security tailored to the needs of memory care residents. Residents can choose from cozy, pet-friendly apartments with plenty of natural light, and the continuum of care allows them to stay in the same place if their needs change over time.

Independent living at Brookdale Park Place offers maintenance-free living in a stylish home within a vibrant social community, with exciting activities, fun neighbors, and kind staff. Assisted living provides personalized care in a warm and welcoming environment, helping residents stay engaged and connected, while memory care residents live in secure apartment-like homes with support from associates trained in caring for seniors with cognitive challenges. The community offers a wide range of activities based on each resident’s needs, from Margarita Mondays and Bible studies to art classes and technology courses. Dining is also a highlight, with delicious restaurant-style meals in the elegant dining room and a focus on creating a sense of belonging for memory care residents.

What does this home offer?

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact Brookdale Park Place

Overview of Sunrise of Redmond

Sunrise of Redmond, nestled in Bellevue, Washington, stands as a distinguished senior living community offering a range of services encompassing assisted living and memory care. Beyond its comprehensive care offerings, this community shines with its vibrant atmosphere, modern amenities, and the timeless charm of its wooded property, creating an inviting haven for seniors.

With well-lit and spacious interiors, residents have ample opportunities for relaxation, dining, and socializing with fellow seniors. Sunrise of Redmond takes pride in offering high-quality meals and beautifully landscaped outdoor spaces that enhance the overall experience. The community boasts a diverse array of activities and specialized memory care corridors designed to cater to the needs of aging eyes. Situated in a peaceful residential neighborhood yet conveniently close to local amenities, residents also enjoy access to the nearby Overlake Medical Center and Kaiser Permanente, ensuring their healthcare needs are well-attended.

What does this home offer?

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Pets Allowed

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Two-story

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Transportation Services

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Fitness and Recreation

Contact Sunrise of Redmond

Overview of Harbour Pointe Senior Living

Harbour Pointe Senior Living is an outstanding retirement community in Mukilteo, WA, that offers assisted living, memory care, and respite care. Promoting a home-like environment, the community has thoughtfully designed studio to two-bedroom residences that aim to provide older adults with a comfortable lifestyle. A planned lifestyle calendar, chef-prepared meals, and weekly housekeeping are also offered to enrich residents’ life experiences. With personalized care options, residents receive top-notch care tailored to their unique needs.

Exciting trips, fun social events, and exercise classes are part of the lifestyle calendar prepared for residents to remain socially connected and active. Serene walking paths, a cozy gazebo, and beautiful outdoor spaces, alongside scenic mountain views, are also available, providing residents with places to relax and spend their free time. Surrounded by lush trees and local transportation, residents have a laid-back retirement, while families can easily visit. This retirement community is a great option for assisted living and memory care in Washington, especially with its wide range of services and well-thought-out amenities.

What does this home offer?

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Dining Services

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Beauty Services

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Transportation Services

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Housekeeping Services

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Social and Recreational Activities

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Exercise Programs

Contact Harbour Pointe Senior Living

Ida Culver House Broadview

12505 Greenwood Ave N, Seattle, WA 98133
Overview of Ida Culver House Broadview

Set in King County, Seattle, WA, Ida Culver House Broadview is a premiere senior living community that offers a variety of senior living options, including independent living, assisted living, and memory care. Residents are guaranteed to find their ideal residence from 245 accommodations, ranging from studios and three-bedroom apartments to single family cottages with garages. A RN-licensed Community Health Director and dedicated care team are available to provide compassionate assisted care services.

At Ida Culver House Broadview, residents benefit from innovative wellness and active aging programs and the convenience of on-site Wellness Center that provides access to licensed consultations and visiting healthcare providers. Here, residents enjoy endless opportunities to pursue their passions, connect with friends or just sit back and relax. Weekly housekeeping, linen services, and restaurant-style dining are provided to lessen residents’ chores, so they can focus more on enjoying the things they love.

What does this home offer?

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Room Sizes: 306 / 425 / 517 - 888 / 836 - 1115 / 1120 / 1390 sq. ft

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Housing Options: Studio / Cottage / 1 Bed / 2 Bed / 3 Bed

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Building Type: Mid-rise

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Transportation Services

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Fitness and Recreation

Contact Ida Culver House Broadview

Overview of Cogir of Bothell Memory Care

Specializing in memory care, Cogir of Bothell Memory Care is a trusted senior living community located in Bothell, WA. Live your retirement in comfort and elegance with a variety of studio and companion suites featured in Cogir of Bothell Memory Care. A team of compassionate and experienced professionals strives to provide the highest quality of care for seniors to enjoy their freedom and live as they prefer.

Meet people with the same interests and rekindle passions with engaging activities and enjoyable learning programs. The community goes above and beyond in paving the way for residents to flourish and achieve their full potential while caring for their special needs. Satisfy dietary needs and tastes with healthy and tasty restaurant-style meals. Cogir of Bothell Memory Care strives to provide individuals with dementia a safe place to enjoy their retirement surrounded by stimulating and serene spaces.

What does this home offer?

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Pets Allowed

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Room Sizes: 242 / 350 / 650 sq. ft

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Housing Options: Studio / Suite

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Building Type: 2-story

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Dining Services

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Beauty Services

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Parking Available

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Transportation Services

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Housekeeping Services

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Recreational Activities

Contact Cogir of Bothell Memory Care

Overview of Laurel Cove Community

Conveniently located in King County, Shoreline, WA, Laurel Cove Community is a peaceful senior living community that offers independent living, assisted living, memory care, respite and day stays. Cherish a comfortable retirement in bright and cozy apartments that comes in variations of studios, one-bedroom, and shared apartments. With a 24-hour team available on-site, residents can rest easy knowing that they’ll be provided care and assistance any time of the day.

The community offers a home-like environment that encourages social engagement through its array of activities tailored to meet the unique needs and interests of each resident. From art therapy and gentle exercise sessions, to movie nights and stimulating brain games, there’s always something happening within the community. Their talented chefs go above and beyond in crafting menus that are thoughtfully curated to cater to diverse tastes, preferences, and dietary needs.

What does this home offer?

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Room Sizes: 336 / 456-695 sq. ft

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Housing Options: Studio / 1 Bed

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Building Type: Two-story

Contact Laurel Cove Community

Overview of Bishop Place

Located in a quiet residential area, Bishop Place offers a peaceful retreat while remaining close to amenities. Their core values guide their care philosophy, ensuring residents receive personalized service and a full range of living options, including independent living, assisted living with memory care for assisted senior living. This allows residents to maintain their independence for as long as possible.

Highly trained caregivers provide compassionate care and assistance with daily activities like dressing, bathing, medication management, and meals. Bishop Place also offers memory care services for those with cognitive challenges. The community has a sense of belonging with friendly faces, social settings, and spacious private residences. Bishop Place Senior Living’s personalized care plans, compassionate staff, and can support your well-being or the well-being of your loved one.

What does this home offer?

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Pets Allowed

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Room Sizes: 390 / 515 / 540 / 630 / 700 / 782 / 778 - 1,384 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Two-story

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Transportation Services

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Contact Bishop Place

Overview of Prestige Senior Living Auburn Meadows

Providing living options for assisted living and memory care, Prestige Senior Living boasts extensive amenities and services that ensure an easy and comfortable living experience for the residents. It’s a tightly-knit community that proudly knows how to deliver and maintain a quality holistic approach to senior care. Prestige Senior Living, as its name suggests, offered to mountain the level of respect and kindness.

Prestige lifestyle is aimed at living a comfortable and secure lifestyle — wellness programs, cognitive programs, life enrichment activities, housekeeping, everyone staying silent.

Contact Prestige Senior Living Auburn Meadows

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 Memory Care 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.

Does Washington Medicaid cover memory care?

Washington Medicaid does not directly pay room-and-board for memory care, 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 memory care?

Memory care is a specialized form of assisted living for residents living with Alzheimer's disease or other forms of dementia, with secured environments, dementia-trained staff, and routines built to reduce confusion and wandering.

How many memory care communities are listed on this page?

This page features 8 memory care communities in Washington. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right memory care community 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 memory care communities 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.