The Evergreen State · Assisted Living
Assisted Living in Washington
560 assisted living communities across Washington, 558 of them licensed by ALTSA. Compare license types, Medicaid options and inspection lookups in one place.
Overview
Overview of assisted living in Washington
Assisted living is for adults who want their own apartment or room but need daily help with bathing, dressing, meals or medications. Across Washington, the Evergreen State, our directory holds 560 assisted living communities, and 558 of them hold a state assisted living license from Washington DSHS, Aging and Long-Term Support Administration (ALTSA), Residential Care Services.1
Most are in the big metros. Seattle, Spokane, Vancouver, Tacoma and Spokane Valley have the most communities, and every city in Washington is listed further down the page.1
Washington licenses assisted living under WAC 388-78A (and WAC 388-112A training) in 3 categories (Assisted living facility, Memory care certification (new), Adult family home (separate licence, WAC 388-76)). The category depends mostly on how much help residents need at night and in an emergency.3
Together these communities are licensed for about 38,702 residents.1
Every listing comes from public licensing and federal records, and no community can pay for placement. We don’t publish star ratings or reviews.
Communities
Assisted living communities in Washington
A sample of active, state-licensed communities, largest licensed capacity first. This isn’t a ranking or an endorsement: no community can pay for placement, and we don’t rate assisted living.
Across Washington
Outside the four largest cities
The Meridian at Stone Creek
1111 S 376th St, Milton, WA 98354
- License
- Assisted living facility
- Capacity
- 188
- Also
- Memory care
Fieldstone on Clear Creek
11353 Clear Creek Rd NW, Silverdale, WA 98383
- License
- Assisted living facility
- Capacity
- 169
Brookdale Richland
1629 George Washington Way, Richland, WA 99354
- License
- Assisted living facility
- Capacity
- 159
Park Place
6900 37th Ave S, Seattle, WA 98118
- License
- Assisted living facility
- Capacity
- 156
Murano Senior Living
620 Terry Ave, Seattle, WA 98104
- License
- Assisted living facility
- Capacity
- 130
- Also
- Memory care
Cogir Queen Anne
805 4th Ave N, Seattle, WA 98109
- License
- Assisted living facility
- Capacity
- 130
Maplewood Gardens Assisted Living
1100 N Superior St, Spokane, WA 99202
- License
- Assisted living facility
- Capacity
- 208
South Hill Village, Assisted Living & Memory Care
3117 E Chaser Ln, Spokane, WA 99223
- License
- Assisted living facility
- Capacity
- 170
Touchmark on South Hill
S 2999 Waterford Dr, Spokane, WA 99203
- License
- Assisted living facility
- Capacity
- 155
- Also
- Memory care
Cogir of Glenwood Place
5500 NE 82nd Ave, Vancouver, WA 98662
- License
- Assisted living facility
- Capacity
- 253
- Also
- Memory care
Cogir at the Quarry
415 SE 177th Ave, Vancouver, WA 98683
- License
- Assisted living facility
- Capacity
- 220
- Also
- Memory care
Touchmark at Fairway Village
2911 SE Village Loop, Vancouver, WA 98683
- License
- Assisted living facility
- Capacity
- 125
- Also
- Memory care
Peoples Senior Living LLC
1720 E 67th St, Tacoma, WA 98404
- License
- Assisted living facility
- Capacity
- 145
- Also
- Memory care
Weatherly Inn
6016 N Highlands Pkwy, Tacoma, WA 98406
- License
- Assisted living facility
- Capacity
- 130
- Also
- Memory care
Grand Park, LLC
242 St Helens Ave, Tacoma, WA 98402
- License
- Assisted living facility
- Capacity
- 117
Not sure yet?
Is assisted living the right level of care?
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Paying for care
Paying for assisted living in Washington
Medicare does not cover long-term assisted living. In Washington, Medicaid can pay for assisted-living care services through COPES for people who need a nursing-home level of care and meet the income and asset limits. Room and board stay the resident's responsibility. Veterans and surviving spouses may also qualify for VA Aid & Attendance.2456
Our guide to how families pay for assisted living goes deeper on each option below.
Private pay options
Most families pay privately at first, from income, savings, a home sale or a reverse mortgage. Long-term care insurance can help if the policy covers assisted living, so check the daily benefit, the waiting (elimination) period and what counts as a qualifying need. Care costs for someone who is chronically ill and on a plan of care may be tax-deductible above 7.5% of adjusted gross income.7
VA benefits
Wartime veterans and surviving spouses who need help with daily activities may qualify for the VA pension with Aid and Attendance, which can go toward assisted living. In Washington, the Washington State Department of Veterans Affairs (WDVA) helps with claims at no cost (1-800-562-2308).8
Medicaid
Long-term care Medicaid in Washington runs through Washington Apple Health (Medicaid) long-term services and supports, administered by DSHS Aging and Long-Term Support Administration (ALTSA).29 Assisted living services are covered by the Community Options Program Entry System (COPES) (1915(c)) for people who need a nursing-home level of care.2 Medicaid pays for the care, not the rent and meals: room and board stay the resident’s cost.910
| Limit | Single applicant | Couple |
|---|---|---|
| Monthly income4 | $2,982 | — |
| Countable assets4 | $2,000 | — |
Waiting list. No waiting list was identified. COPES is an entitlement-style waiver for people who meet NFLOC and the financial rules.2
To start, call Community Living Connections (Washington's ADRC network) at 1-855-567-0252.11
Medicare
Medicare does not pay for long-term stays or for room and board in assisted living.5 It still covers medically necessary care while your loved one lives there, such as doctor visits, hospital care, home health, hospice and prescriptions.5
Free benefits counseling
Statewide Health Insurance Benefits Advisors (SHIBA), Office of the Insurance Commissioner gives free, unbiased help with Medicare and long-term care choices at 1-800-562-6900 (TTY 360-586-0241).12
Licensing and inspections
Assisted living requirements and regulations in Washington
Washington DSHS, Aging and Long-Term Support Administration (ALTSA), Residential Care Services licenses and inspects assisted living in Washington under RCW 18.20 (incl. RCW 18.20.540, memory care certification) and WAC 388-78A (and WAC 388-112A training).3 A home needs this license once it serves 7 or more unrelated adults.3 License term: Up to 12 months. Renewed annually with a fee per bed.3
License types in Washington
- Assisted living facility
- Housing plus basic services and assistance with ADLs (domiciliary care) for 7 or more residents.3
- Memory care certification (new)
- Required from July 1, 2026 for any AL that operates a memory care facility or unit, including any AL with restricted egress.3
- Adult family home (separate licence, WAC 388-76)
- A private home licensed for 2–6 residents (up to 8 with approval). Many AFHs hold a dementia specialty designation.3
Listings by license category
Key rules families should know
- At least one caregiver who is 18 or older and holds current CPR and first-aid certification must be on site at all times.
- Long-term care workers need 75 h of basic training (incl. orientation and safety) within 120 days, then 12 h of CE every year.
- Residents get a negotiated service agreement based on a pre-admission assessment.
- From Jan 1, 2026, the State LTC Ombuds must be notified when a Medicaid resident is transferred or discharged.
How to check license status and inspection reports for Washington assisted living facilities
DSHS ALTSA Residential Care Services inspects licensed facilities. Unannounced full inspection at least every 18 months, with a statewide average of 15 months. After three consecutive inspections with no deficiencies it may be extended to 24 months.14
You can look up any facility’s license status and inspection history in the state’s public search.15
Open the Washington facility search
To report a problem in a licensed facility, call 1-800-562-6078.16
Why do licensure and inspection reports matter to families?
A license tells you a community met the state’s minimum rules when it was checked. Inspection and complaint reports show what happened after that: which rules were broken, how serious it was, and whether the problem was fixed. Read the last two or three reports before you tour, then ask the community about anything that worries you.
Questions about a community in Washington?
A local advisor can check openings and walk you through the paperwork. It’s free for families.
Questions families ask
Frequently asked questions about assisted living in Washington
Does Medicaid pay for assisted living in Washington?
Yes, for the care portion. Washington covers assisted-living services through COPES (1915(c)), but residents pay room and board themselves. Financial limits in 2026 are about $2,982/month in income and $2,000 in countable assets for a single applicant.
How many assisted living facilities are in Washington?
WeFoundCare lists 560 assisted living communities and 6,423 memory care providers in Washington, drawn from state licensing and federal public records.
Who licenses and inspects assisted living in Washington?
Washington DSHS, Aging and Long-Term Support Administration (ALTSA), Residential Care Services. Inspection schedule: Unannounced full inspection at least every 18 months, with a statewide average of 15 months. After three consecutive inspections with no deficiencies it may be extended to 24 months.
Do memory care units in Washington need a special license?
Yes, as of July 1, 2026. Washington now requires memory care certification for any assisted living facility that runs a memory care unit or restricts residents' exits.
Where can I report a concern about a facility in Washington?
Call the long-term care ombudsman at 1-800-562-6028 for help with resident rights. To report suspected abuse, neglect or exploitation, call 1-877-734-6277.
Where can I get free help with Medicare and long-term care options in Washington?
Statewide Health Insurance Benefits Advisors (SHIBA), Office of the Insurance Commissioner gives free, unbiased Medicare counseling (1-800-562-6900 (TTY 360-586-0241)), and Community Living Connections (Washington's ADRC network) (1-855-567-0252) can explain local services and Medicaid options.
State resources
Help and contacts for families in Washington
Free, official services. Phone numbers and links come from each agency’s own website.
Licensing and inspections
Washington DSHS, Aging and Long-Term Support Administration (ALTSA), Residential Care Services3
1-800-562-6078 (RCS Complaint Resolution Unit)
WebsiteReport a problem in a facility
Complaint intake for licensed facilities16
WebsiteResident rights and advocacy
Long-Term Care Ombudsman17
WebsiteAbuse, neglect or exploitation
DSHS Adult Protective Services (End Harm line)16
Concerns about licensed facilities go to the Complaint Resolution Unit at 1-800-562-6078.
WebsiteAging services and Medicaid help
Community Living Connections (Washington's ADRC network)11
WebsiteLocal aging services
Area Agencies on Aging11
Washington has 13 Area Agencies on Aging. Community Living Connections routes callers locally.
WebsiteMedicare counseling (SHIP)
Statewide Health Insurance Benefits Advisors (SHIBA), Office of the Insurance Commissioner12
1-800-562-6900 (TTY 360-586-0241)
WebsiteVeterans benefits
Washington State Department of Veterans Affairs (WDVA)8
Website
Sources
Sources and references
Each number on this page links to its source below. Figures update when we rebuild the directory from state licensing records.
- WeFoundCare: analysis of state licensing and federal public records (directory build). /caregiver-resources/articles/our-data-sources Accessed Oct 17, 2026.
- Washington DSHS ALTSA: LTC Manual Chapter 8: Residential Services (program availability by setting, rev. 5/2026). dshs.wa.gov/sites/default/files/2026-09/Chapter%208.pdf Accessed Oct 17, 2026.
- Washington State Legislature: Chapter 388-78A WAC Assisted living facility licensing rules (incl. WSR 26-15-066, eff. 8/15/26). app.leg.wa.gov/WAC/default.aspx?cite=388-78A&full=true Accessed Oct 17, 2026.
- Northwest Justice Project (WashingtonLawHelp): COPES Program (2026 SIL $2,982, resources $2,000, PNA $108.74). washingtonlawhelp.org/en/copes-program Accessed Oct 17, 2026.
- CMS / Medicare.gov: Long-term care coverage. medicare.gov/coverage/long-term-care Accessed Oct 17, 2026.
- U.S. Department of Veterans Affairs: Veterans Pension rates (COLA Dec 1, 2025, 2.8%). va.gov/pension/veterans-pension-rates Accessed Oct 17, 2026.
- Internal Revenue Service: Publication 502 (2025), Medical and Dental Expenses. irs.gov/publications/p502 Accessed Oct 17, 2026.
- Washington State Department of Veterans Affairs: WDVA home (1-800-562-2308). dva.wa.gov Accessed Oct 17, 2026.
- Washington Health Care Authority: HCB waivers, room and board, ETRs, and bed holds. hca.wa.gov/free-or-low-cost-health-care/i-help-others-apply-and-access-apple-health/hcb-waivers-room-and-board-etrs-and-bed-holds Accessed Oct 17, 2026.
- Washington State Legislature: WAC 388-106-0325 How do I pay for COPES services?. app.leg.wa.gov/wac/default.aspx?cite=388-106-0325 Accessed Oct 17, 2026.
- Washington DSHS: Who to contact to find local services (Community Living Connections 1-855-567-0252). dshs.wa.gov/who-contact-find-local-services Accessed Oct 17, 2026.
- SHIP National Technical Assistance Center: Washington SHIP: SHIBA. shiphelp.org/ships/washington Accessed Oct 17, 2026.
- Washington State Legislature: Chapter 388-112A WAC Residential long-term care services training. app.leg.wa.gov/WAC/default.aspx?cite=388-112A&full=true Accessed Oct 17, 2026.
- Washington State Legislature: RCW 18.20.110 Inspection of assisted living facilities. app.leg.wa.gov/RCW/default.aspx?cite=18.20.110 Accessed Oct 17, 2026.
- Washington DSHS ALTSA: Assisted living / AFH facility locator (inspection & enforcement reports). fortress.wa.gov/dshs/adsaapps/lookup/BHAdvLookup.aspx Accessed Oct 17, 2026.
- Washington DSHS: Adult Protective Services (1-877-734-6277; Complaint Resolution Unit 1-800-562-6078). dshs.wa.gov/adult-and-aging-services/report-abuse-and-neglect/adult-protective-services Accessed Oct 17, 2026.
- Washington State Long-Term Care Ombudsman Program: WA LTC Ombuds Program (1-800-562-6028). waombudsman.org Accessed Oct 17, 2026.
Browse by city
Top cities in Washington for assisted living
Ranked by the number of assisted living communities in our directory, not by quality.
Other states
Find assisted living in other states
States in grey have no assisted living listings yet.
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All cities
Find assisted living in Washington cities
138 cities with at least one assisted living community, A to Z. The number beside each city is how many we list.
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Other types of care
Other senior living options in Washington
- Memory Care in Washington6,423 listings
- Independent Living in Washington18 listings
- Nursing Homes in Washington193 listings
- Home Care in Washington74 listings
- Care Homes in Washington6,139 listings
- Senior Apartments in Washington440 listings
- Senior Living in Washington7,307 listings
Listing counts from state licensing, CMS and HUD records.1
Find assisted living near you
This page is general information, not legal, medical or financial advice. Rules and programs change, so confirm details with the agency listed before you decide. Listings come from public state licensing and federal records. WeFoundCare does not rate or rank communities. Data last updated Oct 17, 2026. How we get our data.