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Care homes in Lacey, WA

149 small licensed residential care homes (board and care, adult family and personal care homes).

Care homes
149
in Lacey
Licensed capacity
858
across all 149
Adults 65+
11,337
Census estimate for Lacey
Licensed spaces per 1,000 adults 65+
75.7
city total vs. Census 65+ estimate
Within 25 miles
1,214
of the center of Lacey
Care HomesAssisted Living 5Memory Care 152Independent Living 1Home Care 1Nursing Homes 3Senior Apartments 2
Showing 1–20 of 149 care homes
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Source: Washington DSHS, Long Term Care - Residential Care (Adult Family Homes), as of Oct 17, 2026. Distance is measured from the center of Lacey (U.S. Census Bureau).

Nearby

Care homes near Lacey

Counting neighboring towns, there are 1,214 care homes within 25 miles of the center of Lacey, 1,065 more than in Lacey itself. Distances are straight-line miles.

Closest outside Lacey

See all 1,214 within 25 miles

Nearby cities

Within 25 miles, closest first

Local overview

Care homes in Lacey at a glance

There are 149 care homes in Lacey, WA, according to Washington DSHS records. ZIP code 98503 has the most, 114 of the 149, and 3 ZIP codes have at least one. 135 of the 149 that report their size have 5 or 6 residents.1

By ZIP code

  • 98503114
  • 9851323
  • 9851612
Care homes in Lacey by the ZIP code on their license or certification record.1

By licensed capacity

  • 4 residents or fewer12
  • 5 or 6 residents135
  • 7 residents or more2
Size is the licensed capacity on the public record.1

Licensing and oversight

How care homes are regulated in Washington

In Washington, Washington DSHS, Aging and Long-Term Support Administration (ALTSA), Residential Care Services licenses and inspects residential care settings such as care homes.2

Key rules
  • 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.23
Inspections
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.4
Report a problem
Call 1-800-562-6078.5

Paying for care

Ways to pay for care homes in Washington

Programs that can help, by name. Eligibility rules are set by each program, so confirm with the agency before you plan around one.

Medicaid
Washington Apple Health (Medicaid) long-term services and supports, administered by DSHS Aging and Long-Term Support Administration (ALTSA).78 Waiver programs for care at home or in a residential setting: Community Options Program Entry System (COPES)89; Community First Choice (CFC)8; Specialized Dementia Care Program (SDCP)10. Medicaid waivers pay for care services, not room and board.11 Washington Medicaid agency12
Medicare
Medicare does not pay for long-term custodial care or for room and board. It still covers medically necessary care, such as doctor visits, hospital care, home health, hospice and prescriptions.13
Veterans benefits
Wartime veterans and surviving spouses who need help with daily activities may qualify for the VA pension with Aid and Attendance.14 The Washington Department of Veterans Affairs helps with claims (800-562-2308).15
Medicare counseling
Washington’s State Health Insurance Assistance Program (SHIP) gives unbiased one-on-one help with Medicare and related coverage questions: 1-800-562-6900.16

Local resources

Local help for families in Lacey

Official agencies and nonprofit helplines, with phone numbers and links taken from their own directories.

  • Area Agency on Aging

    Aging services for Thurston County17

    1-800-677-1116

    The Eldercare Locator connects you with the Area Agency on Aging that serves Thurston County.

    Website

  • Long-term care ombudsman

    Washington Long-Term Care Ombudsman Program18

    (800) 562-6028

    Free, independent advocate for residents of care facilities.

    Website

  • Medicare counseling (SHIP)

    Statewide Health Insurance Benefits Advisors (SHIBA)16

    1-800-562-6900

    Website

  • Veterans benefits

    Washington Department of Veterans Affairs15

    800-562-2308

    Website

  • Medicaid

    Washington Medicaid agency12

    Website

Questions families ask

Frequently asked questions about care homes in Lacey

How many care homes are in Lacey, WA?

WeFoundCare lists 149 care homes in Lacey, WA, from public licensing and certification records. Within 25 miles of the center of Lacey there are 1,214.

How many residents can care homes in Lacey serve?

149 of the 149 care homes report licensed capacity, for a combined 858 residents. The Census Bureau estimates 11,337 adults age 65 and older live in Lacey.

Which Lacey ZIP codes have the most care homes?

98503 (114), 98513 (23), 98516 (12). In all, 3 ZIP codes in Lacey have at least one.

Who licenses care homes in Washington?

Washington DSHS, Aging and Long-Term Support Administration (ALTSA), Residential Care Services licenses care homes in Washington. You can check a community’s license in the agency’s public records.

Who can help if there is a problem with care in Lacey?

The long-term care ombudsman is a free, independent advocate for residents. In Thurston County, call (800) 562-6028.

Are there care homes near Lacey?

Nearby cities with listings include Olympia (151, 4.6 mi), Tumwater (28, 6.7 mi), Yelm (5, 10.1 mi).

Guides

Guides for families choosing care homes

Other types of care

Other senior care in Lacey

Methodology

About this data

How the figures on this page are built. Each number links to its source below.

  • Listings come from Washington DSHS (Long Term Care - Residential Care (Adult Family Homes)), Oct 17, 2026.1 A listing appears under the city on its license or certification address.
  • Adults 65+ is the Census Bureau’s 2020–2024 American Community Survey 5-year estimate for Lacey (Census place). Census boundaries can differ from the mailing-address city used for listings, so per-1,000 figures are a guide, not a precise rate.19
  • Licensed capacity is the figure on the public record; 149 of 149 care homes report it.
  • Distances are straight-line miles from the center of Lacey (U.S. Census Bureau place center). “Nearby” means within 25 miles and can include other states.
  • Agency contacts come from each program’s own directory and are checked when we rebuild the data. WeFoundCare does not rate or rank communities.

Sources and references

  1. Washington State Department of Social and Health Services, ALTSA: Long Term Care - Residential Care (Adult Family Homes). services2.arcgis.com/WW3T8U6q5EkZ9U3n/arcgis/rest/services/Long_Term_Care_Residential_Care_view/FeatureServer/1 Accessed Oct 17, 2026.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. Washington DSHS ALTSA: Assisted living / AFH facility locator (inspection & enforcement reports). fortress.wa.gov/dshs/adsaapps/lookup/BHAdvLookup.aspx Accessed Oct 17, 2026.
  7. 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.
  8. 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.
  9. 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.
  10. Washington DSHS: What is the Specialized Dementia Care Program. dshs.wa.gov/what-specialized-dementia-care-program Accessed Oct 17, 2026.
  11. 42 CFR §441.310 via LII: Limits on FFP (room and board excluded from HCBS waiver). law.cornell.edu/cfr/text/42/441.310 Accessed Oct 17, 2026.
  12. National Association of Medicaid Directors: Medicaid Directors. medicaiddirectors.org/about/medicaid-directors Accessed Oct 18, 2026.
  13. CMS / Medicare.gov: Long-term care coverage. medicare.gov/coverage/long-term-care Accessed Oct 17, 2026.
  14. U.S. Department of Veterans Affairs: Aid and Attendance benefits and Housebound allowance. va.gov/pension/aid-attendance-housebound Accessed Oct 18, 2026.
  15. U.S. Department of Veterans Affairs: State Veterans Affairs Offices. discover.va.gov/external-resources Accessed Oct 18, 2026.
  16. SHIP National Technical Assistance Center (funded by the U.S. Administration for Community Living): Find your local SHIP. shiphelp.org/ships Accessed Oct 18, 2026.
  17. U.S. Administration for Community Living: Eldercare Locator. eldercare.acl.gov Accessed Oct 18, 2026.
  18. National Long-Term Care Ombudsman Resource Center / National Consumer Voice for Quality Long-Term Care: Find your Long-Term Care Ombudsman. theconsumervoice.org/get-help Accessed Oct 18, 2026.
  19. U.S. Census Bureau, American Community Survey 2020–2024 5-year estimates, table B01001. data.census.gov/table/ACSDT5Y2024.B01001 Accessed Oct 18, 2026.