Page 62 of Best Senior Care in Washington State

Why trust this guide? Our editorial team analyzed 627 senior care communities in WA using WA Dept. of Social & Health Services (DSHS) data, inspection records, complaints, amenities, and facility-level details. How we rank senior care in WA
Reviewed by
Last updated
We analyzed These are the facilities in Washington State our team has analyzed — not a count of every senior care provider in Washington State.
627 homes
Avg Walk Score: 52/ 100The average Walk Score across facilities in Washington State. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 78The average licensed bed capacity across facilities in Washington State. Individual facilities can vary widely from this average.
National Average: 90

Compare Senior Care around Washington State

Info below is compiled from the WA Dept. of Social & Health Services (DSHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. SC (Senior Care):
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Alleva Home Care
SC
HC
HOS
MC
RC
Seattle
-No
99
Facility 99
WA AVG 52
Rank #1 / 583
-A+
St Gabriel’s Hospice
SC
HOS
PC
Fort Worth
-No
35
Facility 35
WA AVG 52
Rank #420 / 583
--
EvergreenHealth Hospice Services
SC
HOS
Kirkland (Totem Lake)
-No
68
Facility 68
WA AVG 52
Rank #162 / 583
-A+
Emerald Bay Care
SC
AL
IL
MC
Bremerton
-Yes
48
Facility 48
WA AVG 52
Rank #328 / 583
Private Rooms / Semi-Private Rooms-
Rainshadow Home Services
SC
HC
NH
RC
Sequim
-No
36
Facility 36
WA AVG 52
Rank #409 / 583
-A+
Northwest Guided Home Care
SC
HC
Renton
-No
23
Facility 23
WA AVG 52
Rank #482 / 583
-A+
Silver Lake Senior Care
SC
AL
HOS
MC
RESC
Se Everett (Silver Lake)
-No
18
Facility 18
WA AVG 52
Rank #509 / 583
Studio-
Carena Adult Family Home, LLC
SC
AL
MC
Se Everett (Silver Lake)
6 ResidentsNo
22
Facility 22
WA AVG 52
Rank #487 / 583
Private Rooms-
Compassionate 1st Care AFH LLC
SC
AL
Ne Marysville
4 ResidentsNo
15
Facility 15
WA AVG 52
Rank #529 / 583
Private Rooms-
Exeter House
SC
AL
Seattle
-No
99
Facility 99
WA AVG 52
Rank #1 / 583
--

Rank badges are statewide: each community is ranked against every WA community we track that reports that metric, not just the 627 on this page. See how we rank facilities

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Overview of Compassionate 1st Care Afh

Compassionate 1st Care Afh is a compassionate assisted living community in Marysville, WA, that offers personal care. Promoting a home-like environment, the community strives to keep residents comfortable during their stay. With 24-hour assistance with daily living activities, nutritious meals, and recreational activities, residents experience a hassle-free lifestyle. The community is also dedicated to improving residents’ quality of life through a holistic approach to care.

Arts and crafts, themed events, and group exercises also provide residents with various opportunities to explore new interests and gain meaningful experiences. Spacious rooms and accessible communal spaces also ensure residents’ relaxation and safety. Surrounded by serene parks and local amenities in Marysville, the community ensures residents have easy access to their needs and leisure. With its high-quality services, this assisted living community is one of the finest options for senior living in Washington.

Contact Compassionate 1st Care AFH LLC

Overview of Exeter House

Exeter House is located in the heart of Seattle, Washington. They offer a variety of living options, including assisted living, independent living, and nursing homes. The skilled staff at Exeter House provides specialized care services like diabetic care, high acuity care, incontinence care, non-ambulatory care, and staffing and ancillary services. 
The community is designed to be inclusive, with facilities like wheelchair accessible showers, bathtubs, and other amenities. Exeter House also allows cats to ensure that their residents can enjoy the company of their furry friends. The community boasts both indoor and outdoor common areas for residents to relax and socialize in. Additionally, there are activities both on and off site, such as devotional services, to keep residents engaged and active. Indeed, Exeter House is committed to providing a warm and welcoming environment for all their residents.

Contact Exeter House

Overview of Promise Home Care

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

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

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

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

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

Contact Promise Home Care

Overview of Comfort Keepers Home Care

Offering various in-home care services, Comfort Keepers Home Care is an exceptional home care provider located in Tacoma, Washington. These services include companion care, personal care, respite care, and veterans care designed for the unique needs of local veterans. Apart from its excellent in-home care services, Comfort Keepers provides specialized services, including 24-hour care, dementia care, end-of-life care, in-facility care, and post-hospital care.

Comfort Keepers’ goal is to elevate senior spirits by assisting them in preserving their independence and well-being. They provide all-encompassing care that promotes seniors’ social, emotional, and physical health, enabling them to live happy, meaningful lives in the comfort of their own homes. Comfort Keepers achieves its goals through the help of its compassionate caregivers, who undergo a thorough screening and have years of experience in helping seniors maintain their independence, family connections, and overall well-being.

Contact Comfort Keepers Home Care

The Home Care Company

500 108Th Ave Ne Unit 1100, Bellevue, WA 98004
Overview of The Home Care Company

The Home Care Company is a one-of-a-kind community set in Bellevue, WA, that offers home care solutions. Receive top-tier care and assistance around the clock with the community’s dedicated services tailored to your special needs. With over 15 years of experience in delivering care for older adults, the community ensures the highest quality of life with a compassionate and highly trained team available 24/7.

There’s no need to worry about your day-to-day activities with the community helping with housekeeping, meal preparation, errands, and other personal needs. Fall prevention, continence care, medication reminders, and transportation services are also provided for residents’ convenience. The community is ideal for those who need assistance in living their daily lives comfortably with top-tier care delivered at the comforts of their homes.

Contact The Home Care Company

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

Generations Home Care

4009 Bridgeport Way W Suite A, University Place, WA 98466
Overview of Generations Home Care

A remarkable home care provider, Generations Home Care, located in Tacoma, Washington, offers various care services, including home care, respite care, and companion care. Their services include personal care, bathing assistance, light housekeeping, meal preparation, medication reminders, and other types of assistance, ensuring a comfortable and safe aging. Additionally, Generations Home Care boasts Nursing Assistant-Certified or Home Care Air Certified caregivers and a team of highly skilled and compassionate professionals to provide for the needs of the seniors.

Under the guiding principle of “Treat every person with the love and respect they deserve,” Generations Home Care is committed to providing top-notch care. Their goal is to guarantee that seniors and their families have a happy life beyond providing support. With a dedication to quality, they provide a nurturing environment that promotes well-being and independence.

Contact Generations Home Care

Overview of Heart’n Soul Hospice

Experience genuine care with Heart’n Soul Hospice, a compassionate community in Renton, WA designed for hospice care. The community strives to offer compassionate caregiving in a safe residential-like setting that fosters peace of mind. Their team of physicians, nurses, and social workers work together to create personalized care plans that respect both residents’ needs and wishes.


Committed to making residents’ lives as comfortable as possible, the community also offers spiritual and emotional support to residents and their families. Going above and beyond, the community provides 13 months of bereavement services to guide residents’ families in the process of grief. With a strong dedication to compassionate care, Heart’n Soul Hospice ensures residents live out their final days in comfort and peace.

Contact Heart’n Soul Hospice

Overview of Vancouver Home Health Care Agency

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

SYNERGY HomeCare – Vancouver is a home care provider serving individuals throughout the Vancouver, Washington area. Unlike a residential community, the agency delivers personalized caregiving services in older adults’ own homes, allowing them to receive support while maintaining their independence.

Care is available for individuals living with conditions such as Parkinson’s disease, Alzheimer’s disease, multiple sclerosis, and other memory-related or chronic health challenges.

Contact SYNERGY HomeCare – 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
No paid rankings Communities cannot pay to influence placement.
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