Lilisity

Assisted Living in Mercer Island, WA

Mercer Island has 8 state-licensed assisted living communities: 5 larger communities and 3 small residential homes (16 or fewer residents). The median cost of assisted living in Washington is $7,600 a month (CareScout 2025), against $6,200 nationally.

8licensed communities5 larger, 3 small homes
$7,600a month, typicalWashington median, CareScout 2025
1publishes a pricethe rest show our estimate
LargerMid-sizeSmall home
Cover of the Lilisity guide Choosing Assisted Living

Free guide · 14 pages

Choosing Assisted Living

A practical guide for families, with checklists to take on your tours.

  • What assisted living costs and the ways to pay
  • Signs it may be time
  • Tour checklists to print and take with you
  • What residents and families told us matters most
Get the free guide
Cover of the Lilisity guide Choosing Assisted Living

Free guide · 14 pages

Choosing Assisted Living

Add your name and email, and the download link appears right here.

Free for families. No community pays Lilisity per inquiry, per referral or per move-in. How we are paid.

Two kinds of assisted living in Mercer Island

5larger communities (17+ residents): apartments, a dining room, activities staff, often memory care on site; 4 have 50 or more residents.
3small residential homes (16 or fewer): a house in a neighborhood, a few caregivers, home-style meals, often a lower monthly price and a higher staff-to-resident ratio.

Both are licensed by Washington as assisted living. Larger communities suit people who want social life and on-site services; small homes suit people who do better with quiet, familiar routines, including many people with dementia. Washington words these licenses as “Assisted Living Facility” (5), “Adult Family Home” (3).

All 8 licensed assisted living communities in Mercer Island

Every assisted living community Washington licenses in Mercer Island, from state records. Being listed is not a rating: Lilisity scores only communities with verified interviews (the Top Communities). Communities with verified testimonials are listed first, then by size.

8 shown

CommunitySizeState inspectionsPrice
Aegis of Mercer Islandmemory care7445 SE 24th StreetLarge89 residents1 investigation report, 0 enforcement lettersState inspection recordfrom $4,712/mo
Island House7810 SE 30th StLarge79 residents2 investigation reports, 4 enforcement lettersState inspection record$4,750 to $7,650/moLilisity estimate
Vineyard Park of Mercer Islandmemory care2959 76th Avenue SeLarge64 residents0 investigation reports, 0 enforcement lettersState inspection record$4,750 to $7,650/moLilisity estimate
Covenant Living Westmemory care9115 Fortuna DriveLarge50 residents1 investigation report, 1 enforcement letterState inspection record$4,750 to $7,650/moLilisity estimate
Aljoya Mercer Island2430 76th Avenue SeMid-size40 residents0 investigation reports, 1 enforcement letterState inspection record$4,750 to $7,650/moLilisity estimate
Nov Adult Family Homes, Island Crest Way4224 Island Crest WaySmall home8 residents1 investigation report, 0 enforcement lettersLatest inspection report Oct 2026$5,200 to $8,400/moLilisity estimate
Nov Adult Family Homes, Se 42nd Street9204 Se 42nd StreetSmall home8 residents0 investigation reports, 0 enforcement lettersState inspection record$5,200 to $8,400/moLilisity estimate
Island Crest Adult Family Home3321 72nd Avenue SeSmall home6 residents0 investigation reports, 0 enforcement lettersState inspection record$5,200 to $8,400/moLilisity estimate

How much does assisted living cost in Mercer Island?

The median cost of assisted living in Washington is $7,600 a month ($91,200 a year), above the national median of $6,200. That’s CareScout’s 2025 survey, collected July to November 2025. If more care is needed: nursing home costs in Washington, with CareScout medians and the private-pay rates nursing homes publish. Small residential homes often cost less than larger communities, though care needs, room type and services move the price more than the building does.

Medicare does not pay for assisted living. People pay from savings and income, long-term care insurance, or VA Aid and Attendance (up to $29,093 a year for a veteran in 2026), and some qualify for Medicaid help with care costs at communities that accept it. Who actually pays for long-term care.

Free tools: how long will the money last? · home care or assisted living? · VA Aid and Attendance estimator

Three questions to ask on every Mercer Island tour

From about 23,000 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.

  1. Can I come back and eat a meal here, unannounced?Dining was 23% of all concerns: quality that changes day to day.
  2. How is laundry labeled and tracked, and what happens when something goes missing?Housekeeping was 17%.
  3. Who is my main contact, and how often will I hear from them?Communication with management was 15%.

All 8 tour questions, with a free printable tour card (PDF).

Check a Mercer Island community’s license

Washington publishes licensing records, and in most cases inspection or complaint reports, for every community on this page. Look up any community on the state’s site: fortress.wa.gov. Ask the community for its most recent inspection report too; they have to keep it.

Mercer Island assisted living questions

Washington licenses 8 assisted living communities in Mercer Island as of November 2026: 5 larger communities and 3 small residential homes of 16 or fewer residents, with about 344 licensed spots in all.

The median cost of assisted living in Washington is $7,600 a month (CareScout 2025), compared with $6,200 nationally. Prices vary with the room, the level of care and the community, so ask each one for its current rate sheet. The table on this page shows each community's published price or a Lilisity estimate where we have one, and our free guide lists the questions to ask about cost.

Medicaid doesn't pay rent or meals in assisted living. Most states offer a Medicaid waiver or program that can pay for care services at participating communities for people who qualify; not every community takes it, so ask each one. Washington's Medicaid agency or your local Area Agency on Aging can tell you what's available.

Washington publishes its licensing records at fortress.wa.gov. You can also ask any community for its most recent state inspection report.

Assisted Living near Mercer Island