Best Senior Care in Washington State

Why trust this guide? Our editorial team analyzed 628 senior care communities in Washington using WA Dept. of Social and Health Services (DSHS) data, inspection records, complaints, amenities, and facility-level details. How we rank senior care in WA
Reviewed by
Last updated
Jun 2026
We analyzed
628 homes
Avg Walk Score: 51/ 100The average Walk Score across facilities in Washington. 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: 82The average licensed bed capacity across facilities in Washington. Individual facilities can vary widely from this average.
National Average: 90

Compare Senior Care around Washington State

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

Merrill Gardens at Tukwila
SC
AL
IL
MC
Tukwila (Southcenter)
80
Facility 80
WA AVG 82
Rank #172 / 366
Yes
63
Facility 63
WA AVG 51
Rank #211 / 628
Studio / 1 Bed / 2 Bed--2
0
Facility 0
WA AVG 8
Rank #1 / 285
13
Facility 13
WA AVG 31
Rank #69 / 285
6.5
Facility 6.5
WA AVG 3.4
Rank #238 / 285
MorningStar Senior Living at Silver Lake
SC
NH
AL
IL
MC
RC
Everett (Twin Creeks)
80
Facility 80
WA AVG 82
Rank #172 / 366
No
42
Facility 42
WA AVG 51
Rank #398 / 628
Studio / 1 Bed / 2 Bed
90.8%
Facility 90.8%
WA AVG 74.4%
Rank #42 / 285
-----
Aegis Living Bellevue
SC
AL
HC
MC
RC
Bellevue (West Bellevue)
77
Facility 77
WA AVG 82
Rank #186 / 366
No
91
Facility 91
WA AVG 51
Rank #37 / 628
-
100.0%
Facility 100.0%
WA AVG 74.4%
Rank #1 / 285
-6
0
Facility 0
WA AVG 8
Rank #1 / 285
61
Facility 61
WA AVG 31
Rank #251 / 285
10.2
Facility 10.2
WA AVG 3.4
Rank #275 / 285
The Hampton and Ashley Inn Memory Care Community
SC
NH
AL
MC
Vancouver (Riveridge)
85
Facility 85
WA AVG 82
Rank #148 / 366
Yes
32
Facility 32
WA AVG 51
Rank #458 / 628
Studio / Shared Suite
53.4%
Facility 53.4%
WA AVG 74.4%
Rank #255 / 285
-----
Crista Shores
SC
AL
IL
MC
RC
Silverdale (Northwest Crista Shores Lane)
82
Facility 82
WA AVG 82
Rank #168 / 366
No
56
Facility 56
WA AVG 51
Rank #281 / 628
Studio / 1 Bed / 2 Bed--4
0
Facility 0
WA AVG 8
Rank #1 / 285
13
Facility 13
WA AVG 31
Rank #69 / 285
3.3
Facility 3.3
WA AVG 3.4
Rank #104 / 285
Brookdale Stanwood
SC
AL
IL
MC
Stanwood
80
Facility 80
WA AVG 82
Rank #172 / 366
Yes
51
Facility 51
WA AVG 51
Rank #320 / 628
Studio / Suite / 1 Bed / 2 Bed
77.5%
Facility 77.5%
WA AVG 74.4%
Rank #134 / 285
-4
0
Facility 0
WA AVG 8
Rank #1 / 285
30
Facility 30
WA AVG 31
Rank #168 / 285
7.5
Facility 7.5
WA AVG 3.4
Rank #255 / 285
Aegis Living West Seattle
SC
AL
HC
MC
RC
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
Bonaventure of Salmon Creek
SC
AL
IL
MC
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
Brookdale Vancouver Stonebridge
SC
MC
Vancouver (Vancouver Mall)
80
Facility 80
WA AVG 82
Rank #172 / 366
Yes
70
Facility 70
WA AVG 51
Rank #154 / 628
Studio / Suite
85.0%
Facility 85.0%
WA AVG 74.4%
Rank #75 / 285
-12
0
Facility 0
WA AVG 8
Rank #1 / 285
27
Facility 27
WA AVG 31
Rank #155 / 285
2.3
Facility 2.3
WA AVG 3.4
Rank #53 / 285
Sunrise of Edmonds
SC
AL
MC
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
Cogir of Vancouver
SC
AL
IL
MC
Vancouver (Orchards)
90
Facility 90
WA AVG 82
Rank #134 / 366
Yes
44
Facility 44
WA AVG 51
Rank #377 / 628
Studio / Cottage / 1 Bed
75.6%
Facility 75.6%
WA AVG 74.4%
Rank #146 / 285
-10
3
Facility 3
WA AVG 8
Rank #205 / 285
46
Facility 46
WA AVG 31
Rank #220 / 285
4.6
Facility 4.6
WA AVG 3.4
Rank #164 / 285
Jefferson House Memory Care Community
SC
MC
Kirkland (Totem Lake)
80
Facility 80
WA AVG 82
Rank #172 / 366
No
69
Facility 69
WA AVG 51
Rank #164 / 628
Private / Shared Suite
93.8%
Facility 93.8%
WA AVG 74.4%
Rank #28 / 285
-6
1
Facility 1
WA AVG 8
Rank #119 / 285
53
Facility 53
WA AVG 31
Rank #239 / 285
8.8
Facility 8.8
WA AVG 3.4
Rank #267 / 285
Village Concepts of Issaquah-Spiritwood at Pine Lake
SC
AL
IL
MC
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
Prestige Senior Living Bridgewood
SC
AL
IL
Vancouver (Landover - Sharmel)
80
Facility 80
WA AVG 82
Rank #172 / 366
No
59
Facility 59
WA AVG 51
Rank #261 / 628
-
88.8%
Facility 88.8%
WA AVG 74.4%
Rank #55 / 285
-6
1
Facility 1
WA AVG 8
Rank #119 / 285
17
Facility 17
WA AVG 31
Rank #97 / 285
2.8
Facility 2.8
WA AVG 3.4
Rank #73 / 285
Edmonds Landing Assisted Living
SC
AL
IL
Edmonds (The Bowl Of Edmonds)
83
Facility 83
WA AVG 82
Rank #166 / 366
Yes
86
Facility 86
WA AVG 51
Rank #57 / 628
Studio / 1 Bed
44.6%
Facility 44.6%
WA AVG 74.4%
Rank #269 / 285
-9
4
Facility 4
WA AVG 8
Rank #231 / 285
31
Facility 31
WA AVG 31
Rank #170 / 285
3.4
Facility 3.4
WA AVG 3.4
Rank #111 / 285
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Overview of Carnelian Adult Family Home

Age gracefully with Carnelian Adult Family Home, a trusted community located in the beautiful setting of Lacey, WA, offering memory care. Residents receive the highest quality of care for their needs and preferences from a kind and highly trained team available around the clock. The community promotes a nurturing and welcoming environment, ensuring residents feel a sense of belonging during their stay.

Stimulating activities and enriching programs are conducted to enhance residents’ cognition and promote a well-connected lifestyle. Mealtimes foster comfort and meet dietary needs with delightful and well-balanced dining options. Medication assistance and diabetes care management are also provided for residents’ comfort. Residents have the finest retirement experience with the community’s dedicated care and specially designed amenities.

Contact Carnelian Adult Family Home

Overview of Eastside Estates Adult Family Home

Ideally set in the tree-lined neighborhood of Kent, WA, Eastside Estates Adult Family Home is a blissful retreat that offers assisted living. Here, residents enjoy the highest quality of life with a compassionate and well-trained team attending to their needs around the clock. The community also promotes a cozy and nurturing environment for residents to feel at ease during their stay.

A thoughtfully curated calendar of engaging activities and enriching programs is also conducted, encouraging residents to live actively and happily. Mealtimes foster comfort and satisfy dietary needs with delicious and well-balanced dining options. Residents spend their golden years without worries amidst the community’s intimate and friendly setting.

Contact Eastside Estates Adult Family Home

Gateway Comfort Care

24930 107Th Ave Se, Kent, WA 98030
Overview of Gateway Comfort Care

Live a blissful retirement with Gateway Comfort Care, LLC, a distinguished community set in the welcoming neighborhood of Kent, WA, that offers assisted living. With top-tier care tailored to their needs, residents can rest their worries and enjoy their golden years to the fullest. Alongside a compassionate and well-trained team attending to their needs around the clock, the community also features beautifully furnished and cozy accommodations to ensure residents feel at ease during their stay.

A full calendar of enriching activities and engaging programs is conducted, encouraging residents to interact with their surroundings and live actively. Mealtimes are also something to look forward to, with delicious and healthy meals that satisfy their dietary needs and preferences. The community is ideal for those seeking extra hands to spend their golden years without worries, especially with its dedicated services and friendly setting.

Contact Gateway Comfort Care

Overview of Madrona Place Senior Care

Live a worry-free retirement at Madrona Place Senior Care, a one-of-a-kind community in Edmonds, WA, offering assisted living and memory care. The community strives to help residents live comfortably, providing exceptional care tailored to their unique needs 24/7. With housekeeping and laundry services, residents can feel at ease during their stay.

To improve residents’ living experiences and cognition, a thoughtfully curated calendar of engaging activities and stimulating programs is conducted. Delicious and healthy meals are also served to meet residents’ dietary needs and preferences. The community is a great option for those needing assistance to live to their potential and make the most of their golden years.

Contact Madrona Place Senior Care

Kin On

4416 S Brandon St, Seattle, WA 98118
Overview of Kin On

A comprehensive provider of senior living solutions and services, Kin On provides assisted living, home health and home care, adult family home services, and skilled rehabilitation and care for Asian seniors across Seattle, WA. Spend a glorious retirement surrounded by cozy and intimate residences, carefully designed to maximize comfort and safety. With a respectful and highly trained team lending extra support around the clock, seniors have more time to explore new interests and relationships.

Kin On strives to provide inclusivity and diversity for Asian older adults, providing them with a knowledgeable team for better communication and understanding. Moreover, residents have a lot of fun things to do with various activities and programs hosted for their leisure and wellness. Delicious and healthy meals are served to meet residents’ dietary needs and tastes. The community is a haven for seniors to live comfortably embraced by welcoming people and serene spaces.

Contact Kin On

Pullman Care

1310 Nw Deane St, Pullman, WA 99163
Overview of Pullman Care

Located on Deane Street, Pullman, WA, Pullman Care is an exceptional senior living community offering 24-hour skilled nursing and long- and short-term rehabilitation. The community focuses on seniors’ well-being and includes occupational, physical, and speech therapy and nutritional support. Residents experience a comfortable and safe residence with warm, spacious private and semi-private rooms. A consistent and compassionate team lends extra hands for seniors to live their lives confidently and reach their full potential.

Pullman Care promotes a bright and welcoming environment, conducting wellness-focused activities. The community employs a resident-centered approach to care to ensure residents receive the utmost care and support they deserve. With fabulous amenities including a state-of-the-art therapy room, a resident lounge area, and a serene backyard with walking paths, residents enjoy a relaxing retirement.

Contact Pullman Care

Overview of Mukuhi Care – Kenmore

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 – Kenmore

Overview of Mission Healthcare at Bellevue

Mission Healthcare at Bellevue, a 69-bed skilled nursing facility operated by the nonprofit MHO, LLC, is located at 2424 156th Avenue NE in Bellevue’s Northeast neighborhood, King County. The community accepts Medicare (60% of new admissions, 26-day average stay) and private-pay residents (40%, approximately 1-month average stay); Medicaid is not accepted.

The current census stands at 51 residents with occupancy at 67.4%, below the Washington state average of 72.5%.

As part of the Careage Community network, Mission Healthcare describes its clinical focus on short-term post-acute rehabilitation, including cardiac rehabilitation, fall prevention, and neurological recovery. Therapy services encompass speech, occupational, and physical therapy.

Nursing care averages 4 hours 33 minutes per resident per day, ranking 17th among 89 Washington facilities and exceeding the state average by 8%. The facility maintains a staff-to-resident ratio of 3.12:1, above the state average, though this metric reflects current below-average occupancy. Contractors comprise 21.6% of total staffing hours.

Despite high absolute nursing hours, the facility’s CMS staffing rating is 1-star, placing it 70.8% below the state average. The overall CMS rating is 2-star (38% below state average), with health inspection rated 2-star (29% below state average) and quality measures rated 3-star (27% above state average).

Zero percent of long-stay residents experience major falls with injury and zero percent develop urinary tract infections. Pressure ulcers affect 1.9% of high-risk residents, substantially better than the state average. Conversely, 16.7% of long-stay residents experience excessive weight loss; 187% worse than the state average. Short-stay influenza vaccination reaches 67.8%, 17% below the state average.

The facility has not faced federal penalties in three years. However, financial performance deteriorated significantly. The facility reported a $2.9 million operating deficit against $10.2 million in revenue, yielding a -28.3% profit margin.

Payroll comprises 62.5% of revenue; a top-tier investment ranking 10th of 93 state facilities.

The facility operated at cumulative losses since 2015, with bed capacity reduced from 129 to 69 beds in 2019. Financial data through 2023 shows persistent operating deficits despite payroll prioritization.

Mission Healthcare is situated in a very walkable location (walk score 83) in suburban Bellevue, 4.3 miles from the city center and 2.72 miles from Kaiser Permanente Bellevue Medical Center.

The facility is structured for Medicare and private-pay short-term post-acute rehabilitation in a specialized care environment, though financial constraints and occupancy challenges suggest operational strain.

Contact Mission Healthcare at Bellevue

La Belle Vie Adult Family Home

6703 50Th Pl Ne, Marysville, WA 98270
Overview of La Belle Vie Adult Family Home

Live a blissful retirement with La Belle Vie Adult Family Home, a distinguished community in Marysville, WA, offering assisted living. Residents can keep their peace of mind with a kind and highly trained team providing top-notch care around the clock. The community strives to provide affordable and well-built accommodations so residents can live comfortably in their golden years.

A jam-packed calendar of engaging programs and enriching activities is conducted to keep residents active and socially connected. Mealtimes promote interactions and satisfy dietary needs through delicious and well-balanced meals. The community provides transportation arrangements and medication assistance for residents’ convenience. Residents enjoy a better quality of life amidst the community’s vibrant and welcoming environment.

Contact La Belle Vie Adult Family Home

Hope Adult Family Home

6120 S Crestline St, Spokane, WA 99223
Overview of Hope Adult Family Home

Live comfortably with Hope Adult Family Home, a dedicated community in Spokane, WA, offering home care. The community strives to provide the highest quality of care 24/7 for those living with memory-related needs, mental health conditions, and chronic illnesses. Older adults can keep peace of mind with a compassionate and highly trained team handling their personal needs and household responsibilities.

With the community’s genuine companionship, older adults will not feel lonely and are encouraged to live actively. Older adults will surely enjoy a worry-free retirement with the community helping with meal preparation and medication management. Maintain independence in your golden years without leaving your comfort zone,  accompanied by the community’s dedicated services and genuine care.

Contact Hope Adult Family Home

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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