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Page Reviewed / Updated – September 08, 2020
10 Best Assisted Living Facilities in Seattle, Washington
Seattle is named by Kiplinger as one of the top U.S. cities to retire for good health. It has parks for hiking, like the Discovery Park, and the Cascade and Olympic mountain ranges for those who enjoy exploring nature. Snoqualmie Falls also provides a challenging trek up to a 270-foot waterfall for mobile seniors who like staying fit and active. Other popular things to see and do in Seattle include the Museum of Flight, the Washington State ferries and the Sky View Observatory.
The city has a population of just over 753,000 with almost 17% aged 65 and older. Winters are cold with the average winter low of around 37 and summers are mild with average highs around 76 degrees. The city also gets around five inches of snow per year, which is less than the national average of 28.
The average monthly assisted living cost in Seattle is $6,500, which is much higher than the national average of $4,050, according to the 2019 Genworth’s Cost of Care Survey. This is also higher than the state average of $5,500.
Check out our list of the top 10 assisted living residences in Seattle, Washington, to see which one is right for you or your loved one. Additionally, find out more about the cost of assisted living in Seattle and what financial assistance programs are available.
The Cost of Senior Living and Care in Seattle
According to the 2018 Genworth Cost of Long Term Care Study, the average cost of assisted living in Seattle at $5,750 a month is significantly more expensive than the state monthly average, by over $600. Nursing home care is also over $600 more costly a month on average, as well as in-home homemaker services. Adult day health services, however, are nearly $100 less expensive than the state average.
How much does Assisted Living Cost in Seattle?
Assisted living in Seattle costs much more than the national average, at an average of $5,750 a month. It is also the most costly city for average assisted living costs in the state. Nearby cities Bellingham and Olympia are much more affordable, and among the least expensive options in the state, at $4,250 on average. Central areas like Wenatchee are drastically more affordable, at $4,125 a month, and Spokane in the eastern part of the state is the most affordable area, meeting the national average at only $4,000 a month on average.
How much does Home Care Cost in Seattle?
In Seattle, senior home care costs are the most expensive in the state, at $6,092 a month on average. Nearby Bremerton is more affordable, at $5,339. Central Yakima is among the most affordable cities for home care, at $4,767 on average. Longview to the south and Spokane to the far east both come in at around $5,100 a month.
How much does Adult Day Care Cost in Seattle?
Adult day health care costs an average of $1,317 a month in Seattle, $100 less than the state average. The cost can vary widely in the area – in Olympia, costs can reach $2,730 a month or higher, while Bremerton averages at $1,400. Longview, to the south, averages at over $3,400 a month. The least expensive city in the state for adult day health care is Yakima, at only $867 a month on average.
How much does Nursing Home Care Cost in Seattle?
According to our research on Washington state, nursing home care costs $9,243 per month for the average resident. The state average is $8,669, and nearby Bellingham is slightly less at $8,517 a month. Longview, to the south, is the least expensive in the state, averaging only $7,817 a month.
Financial Assistance Programs in Seattle
Medicaid Program in Seattle
Washington’s Medicaid, called Apple Health, provides medical and essential services to qualifying elders and adults with disabilities through the Long-Term Services and Supports program. Services funded by this program include:
- Private duty nursing and help with personal care like bathing and using the restroom, including the option to choose your caregivers
- Access to Durable Medical Equipment (DME) such as canes and hearing aides
- Adult day services including education, transportation, and community meals
- Assistive technology for personal care services
- Supportive housing and transition assistance from a nursing home to independent living
- Caregiver support including benefits to unpaid family caregivers
Assisted living facilities in Seattle provide three service packages based on different levels of care- Adult Residential Care (ARC) for those that only need help with activities of daily living (ADLs) and some medication assistance, Enhanced ARCs (EARCs) for those that need ADL help and are unable to take medication independently, and EARCs with Specialized Dementia Services that include 24-hour monitoring from dementia-trained staff.
The person living in an assisted living facility is responsible for the cost of room and board. There is also long-term care (LTC) partnership insurance available through the state to help elders save up for senior care expenses and protect their estates from being diminished in order to qualify for Medicaid with spend-down rules. To be eligible for this program, elders are subject to income and asset limitations:
- Individuals may earn up to $750 a month, couples can earn up to $1,125
- There are allowances for assets, such as a house valued up to $572,000, burial expenses, and whole-life insurance with a face value up to $1,500
- A spouse may be eligible under federal spousal protection laws to keep a portion of the assets from being included in calculations for eligibility, up to $123,600
Visit the Washington Connection website to find out if you’re eligible for services and to apply, or call the DSHS at 1-877-501-2233.
Other Financial Assistance Programs in Seattle
Medicaid Personal Care (MPC)
The Medicaid Personal Care (MPC) program helps elders that are determined eligible through income and functionality requirements, which are determined at an in-home assessment. People can live at home or in an assisted living facility and receive services from the MPC program. This is an entitlement program, which means there is not a waiting list to receive care.
To be determined categorically needy (CN) to qualify for this program, a person must need help with at least three activities of daily living (ADLs) and have an income of less than $750 a month in 2018. Participants in this program must pay their own room and board fees.
Community First Choice (CFC)
The Community First Choice (CFC) voucher provides payment assistance for personal care services received while living at home, for those that would need nursing home care if not for the CFC voucher, by requiring help with at least three activities of daily living (ADLs).
The CFC program pays for services such as:
- Personal care services like ADL assistance in bathing, eating, or using the restroom
- Caregiver relief and/or a back-up caregiver
- Personal Emergency Response Systems (PERS) and home modifications to enable a person to live in their home securely well into old age
- Personal nursing and skilled services
- Training for the care recipient and their care providers in personal care services
Applicants must be eligible for Medicaid under the Special Income Benefit Limit, which is 300% of the standard. In 2018, this comes out to be $3,122. Participants of this program are responsible to pay for their rent and food, as well as part of their cost-of-care depending on income.
To find and apply for CFC services in Seattle, contact King County Home and Community Services at (206) 341-7600.
Community Options Program Entry System (COPES)
The Community Options Program Entry System (COPES) program helps pays for care received while living at home, in an Adult Residential Care (ARC) facility, or an Enhanced Adult Residential Care (ARC) facility. Some services can be received in any setting, such as skilled nursing, personal care assistance, and case management. Only in-home residents, and not residents of care facilities, are qualified for a home health aide, delivered meals, and environmental modifications. There may be gaps in care coverage between the different assistance programs, and services received through COPE can be received at the same time as Community First Choice (CFC) services.
Eligibility for this program is similar to Medicaid requirements. Reach out to your local Area Agency on Aging to apply for this program. The AAA in Seattle, the King County DHS, can be reached at (206) 341-7600.
Program of All-Inclusive Care for the Elderly (PACE)
The Program of All-Inclusive Care for the Elderly, or PACE, provides elder care for residents of Seattle, although some areas are not covered. Services include medical care, personal care services, and socialization opportunities including meals. Visit the Providence ElderCare website to find out if you are in their service area for the PACE program and to apply for services, or call (206) 320-5325.
Tailored Support for Older Adults (TSOA)
This program provides supportive services to adults over the age of 55 who do not qualify for Medicaid (Apple Health) and are in need of help with activities of daily living (ADLs), as well as the unpaid caregivers of those elders. Tailored Support for Older Adults, or TSOA, provides up to $550 a month per individual for caregiver assistance and help with personal care, supplies, and training.
In order to qualify for this program, elders can earn no more than $2,205 a month, and have resources less than $53,100 for an individual ($108,647 for couples). To apply for this program, call the King County DSHS (206) 341-7750 and request a long-term care consultation.
More Senior Living Resources in Seattle
Seattle Senior Housing Program
The Seattle Senior Housing Program allocates some units in subsidized apartments around Seattle to rent to eligible low-income seniors. Most units available are one bedroom, and there is a lengthy waitlist for all properties. See their website for a searchable list of all properties and their respective contact information.
There are many states, non-profit, and subsidized apartments available in and around Seattle. See our list below of groups that provide housing for seniors. Most properties come with a lengthy waitlist so it is advisable to apply as soon as possible. Please call for eligibility and waitlist details.
|KIng County Housing Authority’s Seola Gardens||(206) 574‑1100||This multi-generational complex features a building for seniors aged 55 and up.|
|Chancery Place Apartments||(206) 343-9415||There are 84 apartments available through Catholic Charities for rent to seniors aged 62 and older and have an income that is 50% of the area median.|
|Western Avenue Senior Housing||(206) 774-5304||40 studio apartments are being rented to low-income persons, 55 years of age or older, with incomes 50% below area median income (called AMI).|
|SEED Seattle’s Columbia Gardens||(206) 462-3088||There are one- and two-bedroom apartments available for low-income seniors in this building.|
|Courtland Place||(206) 923-8164||This SEED sponsored building provides one- and two-bedroom apartments to low-income seniors.|
|Lilac Lodge||(206) 725-3005||This building provides one-bedroom to low-income seniors.|
|Cabrini Senior Housing||(206) 254-0888||There are 50 apartments for low-income adults aged over 62 at this building.|
|Legacy House||(206) 292-5184||This Chinatown neighborhood building has 75 low-income apartments available, many with assisted living services available. Most residents here are first-generation Asian immigrants.|
|Silvercrest Senior Citizens’ Residence||(206) 706-0855||This residence provides low-income subsidized apartments to seniors through the Salvation Army.|
|Meridian Manor||(206) 623-0506||This is a low-income property for adults over the age of 62 who have an income that is 80% or less than the area median. Lower income elders are prioritized on the waitlist.|
|Gideon-Mathews Gardens||(206) 320-7745||This SHA-subsidized building provides 45 one- and two-bedroom apartments for low-income seniors.|
|Schwabacher House||(206) 782-5954||In this four-story building, there are 44 apartments for low-income seniors.|
For additional information and planning, please read our comprehensive guide to paying for senior care in Washington.