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Best Senior Care in Washington State

Reviewed by Dr. Jordan Weiss
Updated May 2026

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

Explore home photos

Video Tour: Top-rated senior care facilities in Washington State.

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

Compare Senior Care around Washington State

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

Click column headers to sort
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)
80Yes 63 Studio / 1 Bed / 2 Bed--2-13
MorningStar Senior Living at Silver 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.

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.

Everett (Twin Creeks)
80No 42 Studio / 1 Bed / 2 Bed-----
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)
77No 91 - 100.0% -6-61
The Hampton and Ashley Inn 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.

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.

Vancouver (Riveridge)
85Yes 32 Studio / Shared Suite-----
Crista Shores
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.

Silverdale (Northwest Crista Shores Lane)
82No 56 Studio / 1 Bed / 2 Bed--4-13
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
80Yes 51 Studio / Suite / 1 Bed / 2 Bed 77.5% -4-30
Aegis Living West Seattle
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 (North Admiral)
84Yes 76 Studio / 1 Bed / 2 Bed 81.0% C+10341
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)
89Yes 22 Studio / 1 Bed / 2 Bed 70.8% A+33-59
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)
80Yes 70 Studio / Suite 85.0% -12-27
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)
76Yes 73 Studio / 1 Bed / 2 Bed 88.2% -3-15
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)
90Yes 44 Studio / Cottage / 1 Bed 75.6% -10346
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)
80No 69 Private / Shared Suite 93.8% -6153
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)
80No 43 Studio / Alcove / 1 Bed / 2 Bed 90.0% A+6135
Prestige Senior Living Bridgewood
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 (Landover - Sharmel)
80No 59 - 88.8% -6117
Edmonds Landing Assisted Living
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.

Edmonds (The Bowl Of Edmonds)
83Yes 86 Studio / 1 Bed 44.6% -9431
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Overview of Mukuhi Care – Bothell

Mukuhi Care stands as an unparalleled adult family home, harnessing years of expertise in senior care that resonates through its outstanding service. The unique strength of their connection with families is driven by open communication and a dedication to delivering nothing short of excellence. Welcoming both Medicaid and private pay, Mukuhi Care extends its reach across two convenient locations in Bothell and Kenmore, Washington.
Their comprehensive offerings span independent living, assisted living, and respite services, accompanied by the invaluable addition of multilingual support in both Spanish and Mandarin. The well-trained staff brings a tranquil ambiance to these homes, creating an intimate environment brimming with charm. While Mukuhi Care evokes simplicity, it is anything but ordinary. Its well-maintained spaces provide a crucial blend of comfort and support, enabling seniors to savor a vibrant life while preserving their cherished independence.

Contact Mukuhi Care – Bothell

Overview of Mission Healthcare at Renton

Welcome to Mission Healthcare at Renton, the premier provider of occupational, physical, and speech therapy in Renton, Washington. With a focus on personalized care and support, this community offers a range of services designed to meet the unique needs of each resident. In addition, residents have access to modern and state-of-the-art amenities such as virtual reality therapy, whirlpool therapy, and an expansive fitness center.

Their dedicated team of professionals is committed to providing exceptional care in a warm and inviting environment. With various amenities and engaging activities, they create a vibrant community where residents can thrive and enjoy a fulfilling lifestyle. Mission Healthcare at Renton is dedicated to making each day a joyful and meaningful experience for its residents.

Contact Mission Healthcare at Renton

Koi Castle Adult Family Home

3214 Sw 344Th St, Federal Way, WA 98023
Overview of Koi Castle Adult Family Home

Spend your golden years with Koi Castle Adult Family Home, a unique community situated in the quiet setting of Federal Way, WA, that offers assisted living, memory care, and respite care. The community is committed to improving residents’ quality of life, providing exceptional care according to their unique needs around the clock. Residents have a maintenance-free lifestyle with a kind and highly trained team helping with their daily living activities and household chores.

Fun recreational activities and engaging programs are also conducted, encouraging residents to live actively and interact with their surroundings. Mealtimes are also something to look forward to, with delicious and healthy meals that cater to their dietary needs and preferences. The community is an enticing option for those seeking extra hands to live comfortably in their golden years.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: Single-story

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Social and Recreational Activities

Contact Koi Castle Adult Family Home

Heaven’s Hands Adult Family Home

18708 E Flat Rock River Ave, Spokane Valley, WA 99016
Overview of Heaven’s Hands Adult Family Home

Heaven’s Hands Adult Family Home, located in Spokane Valley, WA, is committed to providing compassionate, personalized care for individuals with a range of needs, including those with Parkinson’s disease, stroke recovery, dementia, and other memory care needs. Our highly trained team provides 24/7 care, ensuring that each resident receives the support they require in a comfortable, homelike environment. We offer assistance with daily living activities including: medication management, incontinence care, dressing, bathing, transfer assistance, a fall prevention program, and specialized meal options to meet individual dietary needs.

Our primary focus is on delivering exceptional care that is tailored to meet the unique needs of every resident we serve. We are nurse owned and operated and collaborate closely with hospice, home health, and primary care providers to ensure a comprehensive and seamless care plan. We have onsite primary care visits, lab work, urgent care, and all medications can be delivered to the facility. This coordination allows us to support both the medical and personal needs of our residents. At Heaven’s Hands Adult Family Home, we are devoted to providing a safe, caring and supportive environment where residents can receive exceptional care while maintaining their dignity and well-being.

What does this home offer?

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Housing Options: Private / Shared Rooms

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Building Type: Single-story

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Contact Heaven’s Hands Adult Family Home

Overview of Ahadi Adult Family Home

Delivering the best senior caregiving services since 2021, Ahadi Adult Family Home is a caring senior living community in Spokane, WA, offering exceptional assisted living services in a residential environment. With memory care, palliative care, and hospice care available within one community, residents are guaranteed a seamless transition should their care needs change. The community offers secure and comfortable residences with access to services like personal care assistance, medication management, transportation services, and 24/hour support.

At Ahadi Adult Family Home, team members are all equipped with training, education and qualification to deliver utmost care in the highest standards. The community conducts an array of engaging activities and programs based on residents’ interests and current capabilities. A culinary team works closely with a registered dietician in crafting delicious and health-conscious meals, to ensure residents have the energy they need to live an active and fulfilling lifestyle.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: Single-story

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Fitness and Recreation

Contact Ahadi Adult Family Home

Longview Adult Family Home

1919 Branch Creek Dr, Longview, WA 98632
Overview of Longview Adult Family Home

An intimate and cozy residence, Longview Adult Family Home settling in Branch Creek Drive, Longview, WA, provides a wide array of care options including skilled care, mental health, dementia, Parkinson’s, Alzheimer’s, and developmental disabilities. Seniors experience unmatched convenience with carefully designed rooms and around-the-clock support. To provide the highest quality of care, the community works closely with seniors to devise a care plan that best matches their needs and preferences.

Longview Adult Family Home empowers residents to remain actively engaged with the community, conducting diverse fun activities for enjoyment and wellness. Aside from wonderful activities, seniors create meaningful interactions over healthy and tasty meals. The community goes above and beyond to ensure seniors live comfortably and happily surrounded by genuine and caring people. Moreover, Longview Adult Family Home provides accessible amenities all over its grounds for a safe and secure retirement.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: Single-story

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Fitness and Recreation

Contact Longview Adult Family Home

Overview of Detray‘s Colonial Inn Retirement Apartments

DeTray’s Colonial Inn Retirement Apartments is located in Olympia, Washington State, an assisted living community. With a 24-hour staffed front desk, residents can embrace a worry-free and engaging lifestyle at DeTray’s Colonial Inn Retirement Apartments.

Senior residents get access to secure independent apartments, including studios, one-bedroom, and two-bedroom options. They also enjoy various amenities and services, including three daily meals, transportation for doctor’s appointments and shopping, light housekeeping, linen service, and a weekly calendar filled with activities and entertainment.

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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Contact DeTray‘s Colonial Inn Retirement Apartments

Overview of Affinity at Olympia

In Olympia, Washington State, Affinity at Olympia stands out as a unique choice for seniors, offering more than the typical 55+ assisted living community. Their communities are thoughtfully crafted to encourage residents to pursue their passions and interests, fostering resident-driven engagement within a vibrant social scene.

At Affinity at Olympia, residents enjoy various amenities designed for an active lifestyle. With a focus on providing an exceptional living experience, Affinity at Olympia is where active adults can thrive and maximize their retirement years.

What does this home offer?

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Minimum Age: 55 Years Old

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Pets Allowed

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Mid-rise

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Transportation Services

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Fitness and Recreation

Contact Affinity at Olympia

Overview of Evergreen Estates

Nestled on the serene Tri-State Memorial Hospital’s campus in Lewiston, Idaho, Evergreen Estates is a vibrant and engaging assisted living community, providing both exceptional retirement living and compassionate assisted care services. Committed to the well-being of its residents, Evergreen Estates proudly maintains a smoke-free environment, creating a safe and healthy space for seniors to thrive. 
With a focus on fostering a sense of community and promoting active lifestyles, Evergreen Estates offers a wide range of amenities and activities for residents to enjoy. From beautifully landscaped grounds to personalized care plans, residents can experience a fulfilling and enriching lifestyle at Evergreen Estates.

Contact Evergreen Estates

Overview of Ridgeview Place Assisted Living and Memory Care

Ridgeview Place Assisted Living and Memory Care is an elegant and inviting community that is dedicated to making the lives easier for every senior everyday, contributing to a lifestyle of quality living.  Management and staff  are exceedingly accommodating and attentive to the needs a senior may have; they do their best to ensure that each senior gets the best care possible at Ridgeview Place. A proud member of the Enlivant senior living group, expect that Ridgeview Place Assisted Living and Memory Care promotes independence while receiving additional support with joy and satisfaction. The lifestyle pursuit by Ridgeview Place is a lifestyle aimed to enhance quality of life. 
Ridgeview Place amenities were designed to be included to help residents be physically and mentally active; while some amenities are designed to graciously serve the needs of residents. Ridgeview Place has thoughtfully designed each room with wheelchair accessible showers for residents that are handicapped. The community has also well-thought of providing a secured community that allows for pets to be in the premises. A list of their highlights services include: respite stays offered, complimentary transportation, and meals provided that are kosher or vegetarian. 

Contact Ridgeview Place Assisted Living and Memory Care

Ranking Methodology

How we rank these communities

Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.

Public data 6 weighted categories Updated quarterly
Full methodology

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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