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Best Senior Care in Washington State

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.

Explore home photos

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

Watch this Video to see Washington'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)
80
Facility 80
WA AVG 81
Rank #171 / 366
Yes
63
Facility 63
WA AVG 51
Rank #211 / 628
Studio / 1 Bed / 2 Bed--2
-
Facility -
WA AVG 2
Rank #1 / 284
13
Facility 13
WA AVG 30.3
Rank #69 / 284
6.5
Facility 6.5
WA AVG 4.4
Rank #238 / 284
MorningStar Senior Living at Silver Lake
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.

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)
80
Facility 80
WA AVG 81
Rank #171 / 366
No
42
Facility 42
WA AVG 51
Rank #398 / 628
Studio / 1 Bed / 2 Bed
90.8%
Facility 90.8%
WA AVG 73.3%
Rank #42 / 290
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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 81
Rank #186 / 366
No
91
Facility 91
WA AVG 51
Rank #37 / 628
-
100.0%
Facility 100.0%
WA AVG 73.3%
Rank #1 / 290
-6
-
Facility -
WA AVG 2
Rank #1 / 284
61
Facility 61
WA AVG 30.3
Rank #252 / 284
10.2
Facility 10.2
WA AVG 4.4
Rank #275 / 284
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 81
Rank #147 / 366
Yes
32
Facility 32
WA AVG 51
Rank #458 / 628
Studio / Shared Suite
53.4%
Facility 53.4%
WA AVG 73.3%
Rank #255 / 290
-----
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)
82
Facility 82
WA AVG 81
Rank #167 / 366
No
56
Facility 56
WA AVG 51
Rank #281 / 628
Studio / 1 Bed / 2 Bed--4
-
Facility -
WA AVG 2
Rank #1 / 284
13
Facility 13
WA AVG 30.3
Rank #69 / 284
3.3
Facility 3.3
WA AVG 4.4
Rank #105 / 284
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 81
Rank #171 / 366
Yes
51
Facility 51
WA AVG 51
Rank #320 / 628
Studio / Suite / 1 Bed / 2 Bed
77.5%
Facility 77.5%
WA AVG 73.3%
Rank #134 / 290
-4
-
Facility -
WA AVG 2
Rank #1 / 284
30
Facility 30
WA AVG 30.3
Rank #168 / 284
7.5
Facility 7.5
WA AVG 4.4
Rank #255 / 284
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)
84
Facility 84
WA AVG 81
Rank #159 / 366
Yes
76
Facility 76
WA AVG 51
Rank #107 / 628
Studio / 1 Bed / 2 Bed
81.0%
Facility 81.0%
WA AVG 73.3%
Rank #111 / 290
C+10
3
Facility 3
WA AVG 2
Rank #205 / 284
41
Facility 41
WA AVG 30.3
Rank #204 / 284
4.1
Facility 4.1
WA AVG 4.4
Rank #141 / 284
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 81
Rank #141 / 366
Yes
22
Facility 22
WA AVG 51
Rank #516 / 628
Studio / 1 Bed / 2 Bed
70.8%
Facility 70.8%
WA AVG 73.3%
Rank #184 / 290
A+33
-
Facility -
WA AVG 2
Rank #1 / 284
59
Facility 59
WA AVG 30.3
Rank #250 / 284
1.8
Facility 1.8
WA AVG 4.4
Rank #35 / 284
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 81
Rank #171 / 366
Yes
70
Facility 70
WA AVG 51
Rank #154 / 628
Studio / Suite
85.0%
Facility 85.0%
WA AVG 73.3%
Rank #75 / 290
-12
-
Facility -
WA AVG 2
Rank #1 / 284
27
Facility 27
WA AVG 30.3
Rank #155 / 284
2.3
Facility 2.3
WA AVG 4.4
Rank #53 / 284
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 81
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 73.3%
Rank #58 / 290
-3
-
Facility -
WA AVG 2
Rank #1 / 284
15
Facility 15
WA AVG 30.3
Rank #83 / 284
5.0
Facility 5.0
WA AVG 4.4
Rank #180 / 284
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 81
Rank #133 / 366
Yes
44
Facility 44
WA AVG 51
Rank #377 / 628
Studio / Cottage / 1 Bed
75.6%
Facility 75.6%
WA AVG 73.3%
Rank #146 / 290
-10
3
Facility 3
WA AVG 2
Rank #205 / 284
46
Facility 46
WA AVG 30.3
Rank #221 / 284
4.6
Facility 4.6
WA AVG 4.4
Rank #164 / 284
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 81
Rank #171 / 366
No
69
Facility 69
WA AVG 51
Rank #164 / 628
Private / Shared Suite
93.8%
Facility 93.8%
WA AVG 73.3%
Rank #28 / 290
-6
1
Facility 1
WA AVG 2
Rank #119 / 284
53
Facility 53
WA AVG 30.3
Rank #240 / 284
8.8
Facility 8.8
WA AVG 4.4
Rank #267 / 284
Village Concepts of Issaquah-Spiritwood at Pine Lake
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Issaquah (Providence Point)
80
Facility 80
WA AVG 81
Rank #171 / 366
No
43
Facility 43
WA AVG 51
Rank #387 / 628
Studio / Alcove / 1 Bed / 2 Bed
90.0%
Facility 90.0%
WA AVG 73.3%
Rank #47 / 290
A+6
1
Facility 1
WA AVG 2
Rank #119 / 284
35
Facility 35
WA AVG 30.3
Rank #185 / 284
5.8
Facility 5.8
WA AVG 4.4
Rank #217 / 284
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)
80
Facility 80
WA AVG 81
Rank #171 / 366
No
59
Facility 59
WA AVG 51
Rank #261 / 628
-
88.8%
Facility 88.8%
WA AVG 73.3%
Rank #55 / 290
-6
1
Facility 1
WA AVG 2
Rank #119 / 284
17
Facility 17
WA AVG 30.3
Rank #97 / 284
2.8
Facility 2.8
WA AVG 4.4
Rank #74 / 284
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)
83
Facility 83
WA AVG 81
Rank #165 / 366
Yes
86
Facility 86
WA AVG 51
Rank #57 / 628
Studio / 1 Bed
44.6%
Facility 44.6%
WA AVG 73.3%
Rank #269 / 290
-9
4
Facility 4
WA AVG 2
Rank #231 / 284
31
Facility 31
WA AVG 30.3
Rank #170 / 284
3.4
Facility 3.4
WA AVG 4.4
Rank #112 / 284
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Reliance HomeCare

1455 Leary Wy Nw Suite 400, Seattle, WA 98107
Overview of Reliance Homecare

Reliance Homecare is a private home care agency located at 1455 Leary Way NW, Suite 400 in Seattle’s West Woodland neighborhood, serving the Seattle area on a private-pay basis. Not CMS-certified and not accepting Medicare or Medicaid, the agency operates independently and requires direct payment from clients or private insurance.

The agency provides hourly and 24-hour live-in in-home care for seniors requiring assistance with activities of daily living including personal care, light housekeeping, meal preparation, and companionship. Specialization in dementia and Alzheimer’s care is stated, though specific training protocols and caregiver certifications are not disclosed. The agency describes caregivers as undergoing background checks and training to handle varied caregiving situations; specific details about background check scope, frequency, or depth are not publicly detailed. Operating hours, emergency contact protocols, and after-hours availability are not specified on the agency’s public profile.

The agency’s stated focus is client safety and dignity alongside support for family caregivers. Caregiver-to-client ratios, supervisory oversight, bonding and liability insurance, and operational protocols are not disclosed. Walk score for the West Woodland location is 95 (walker’s paradise). The agency is 5.0 miles from downtown Seattle and 0.33 miles from Swedish Cancer Institute Medical Oncology-Ballard.

Regulatory oversight of home care agencies in Washington is conducted by the Washington Department of Health, Division of Quality Assurance, Home and Community Care Services. Reliance Homecare’s licensing status and compliance history are not publicly disclosed.

Families should verify Washington Department of Health licensing, caregiver training for dementia care, scope of background checks, liability insurance coverage, and emergency and after-hours availability.

Contact Reliance HomeCare

Overview of Vancouver Home Health Care Agency, LLC

The Vancouver Home Health Care Agency earns the unwavering trust of families through its unmatched professionalism, compassion, and dedication. Their exceptional service is a testament to their commitment to ensuring residents experience unparalleled comfort and respect. Whether it’s nursing services, daily support, or live-in care, residents can rest assured of a supportive environment tailored to their needs.

Their services extend beyond the basics, encompassing specialized areas such as pain management, post-operative care, acute and chronic condition management, and more. Lifestyle support, including 24-hour care services, expert advice, and positive social connection, forms the cornerstone of their approach. With a focus on preserving independence while providing essential support, the Vancouver Home Health Care Agency is a reliable partner, enhancing the lives of those under their care.

Contact Vancouver Home Health Care Agency, LLC

Overview of Seventh Generation Eldercare

Seventh Generation Eldercare in Vancouver, Washington, offers unparalleled in-home caregiving services. Their approach places immense value on preserving independence and dignity, and they take pride in tailoring their services to achieve this delicate balance while providing the necessary support. Their team of professional caregivers is not only highly qualified but also specially trained in managing medications and preparing meals that go beyond satisfying – they bring a sense of comfort and fulfillment to those they serve.
They carefully match their caregivers with clients, ensuring not only the right skillset but also the perfect personality, compassion, and communication style. This thoughtful approach creates a nurturing environment where clients feel not just supported, but truly understood. Families can rest assured that their loved ones are in capable and caring hands with Seventh Generation Eldercare.

Contact Seventh Generation Eldercare

Overview of Pnw Aging Specialty Services, LLC

Pnw Aging Specialty Services, LLC offers an array of specialized services to cater to the unique needs of their clients. Their expertise lies in comprehensive case management, home care, and healthcare power of attorney services, making them a vital resource for the local community. With a dedicated focus on everyday living, they provide assistance in various aspects of life, ensuring independence, personal care, companionship, transportation, and even light housekeeping.
What sets them apart is their meticulous case management approach, where they conduct thorough assessments to understand each client’s needs and desires. From wellness checks and crisis intervention to mediation and more, they offer holistic care solutions. Families find peace of mind in knowing that Pnw Aging Specialty Services, LLC operates with utmost professionalism and dedication, making them a reliable choice. With this team by their side, families can confidently entrust the well-being of their loved ones.

Contact PNW Aging Specialty Services, LLC

Overview of Vancouver Home Health Care Agency, LLC

The Vancouver Home Health Care Agency earns the unwavering trust of families through their unmatched professionalism, compassion, and dedication. Their exceptional service is a testament to their commitment, ensuring residents experience unparalleled comfort and respect. Whether it’s nursing services, daily support, or live-in care, residents can rest assured of a supportive environment tailored to their needs.
Their services extend beyond the basics, encompassing specialized areas such as pain management, post-operative care, acute and chronic condition management, and more. Lifestyle support, including 24-hour care services, expert advice, and the positive social connection, forms the cornerstone of their approach. With a focus on preserving independence while providing essential support, the Vancouver Home Health Care Agency stands as a reliable partner, enhancing the lives of those under their care.

Contact Vancouver Home Health Care Agency, LLC

Overview of Synergy Homecare – Vancouver

With a renowned reputation, SYNERGY HomeCare is dedicated to a life-affirming approach, catering to individuals dealing with disabilities, illnesses, injuries, and various challenges in Vancouver, Washington. They prioritize the overall well-being of families, ensuring a supportive and nurturing environment.
What sets SYNERGY HomeCare apart is their deep expertise in geriatric and disease-related topics, making them exceptionally reliable caregivers. Their proficiency encompasses a wide spectrum, from assisting individuals with Parkinson’s, Alzheimer’s, and multiple sclerosis to providing specialized memory care. Families in Vancouver, Washington can rest assured that SYNERGY HomeCare stands as a trusted ally, ready to provide compassionate support and enhance the lives of those they serve. With a focus on empathy and professionalism, they bring peace of mind to families in need, making a significant difference in the lives of their clients.

Contact SYNERGY HomeCare – Vancouver

Overview of Comfort Keepers Home Care – Vancouver

Comfort Keepers Home Care operates in Vancouver, Washington, and Southwest Washington, providing top-notch in-home assisted living services. Their dedicated team of expert caregivers excels not only in personal home care but also in offering companionship. They understand the importance of independence and are specially trained to empower residents, ensuring they remain self-sufficient and engaged while receiving the necessary support. The team offers specialized services such as dementia and Alzheimer’s care, end-of-life support, and assistance during transitional periods. Additionally, they leverage advanced technology for home monitoring, medical alert systems, and fall risk prevention, ensuring the safety and well-being of their clients.
Residents and their families can trust Comfort Keepers Home Care for compassionate and professional assistance. With a focus on enhancing the quality of life, their caregivers go above and beyond to create a supportive and active environment, allowing seniors to maintain their independence while receiving the care they require. Comfort Keepers Home Care stands as a reliable partner, dedicated to promoting the overall well-being of their clients through personalized and attentive assistance.

Contact Comfort Keepers Home Care – Vancouver

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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