Assisted Living in Spanaway, WA
Spanaway has 40 state-licensed assisted living communities: 1 larger community and 39 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.
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
Two kinds of assisted living in Spanaway
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 “Adult Family Home” (38), “Assisted Living Facility” (2).
All 40 licensed assisted living communities in Spanaway
Every assisted living community Washington licenses in Spanaway, 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.
40 shown
| Community | Size | Price |
|---|---|---|
| McGee Guest Home21520 82nd Ave E | Large64 residents | $4,750 to $7,650/moLilisity estimate |
| Emerald Care Center23809 46th Ave E | Small home14 residents | $4,750 to $7,650/moLilisity estimate |
| Oasis of Tender Care AFH2004 172nd St E | Small home8 residents | $5,200 to $8,400/moLilisity estimate |
| Wato Mountain View AFH21026 52nd Ave E | Small home8 residents | $5,200 to $8,400/moLilisity estimate |
| Access Care Adult Family Home8023 207th St E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Adalena Adult Family Home1525 186th Street Ct E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Amazing Haven AFH1101 180th St E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Angel Home Care Services16617 10th Avenue Ct E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Angelic Hands Adult Family Home20407 78th Ave East | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Arc Health Services1102 186th Street Ct E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Aspire Care Adult Family Home1917 184th Street Ct E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Avalon 2 AFH19221 86th Ave E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Avalon Spring Adult Family Home7901 201st Street Ct E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Besrat Adult Family Home19418 74th Ave E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Bethesda Adult Home Care16220 Spanaway Loop Rd S | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Better Alternative Adult Family Home205 191st Ct E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Circle of Friends Assisted Living Spanaway1202 206th St E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Country Living Adult Family Home21514 47th Ave E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Cozy Haven Adult Family Home1614 201st Street Ct E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Crown of Valor AFH6026 Knoble Rd E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Faraja AFH19209 74th Ave E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Fountain Of Peace Adult Family Home21818 42nd Ave E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Heart to Heart AFH7811 203rd Street Ct E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Hidden Gardens Adult Family Home1206 199th Street Ct E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Hopewell Gardens AFH16616 17th Ave E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Ida's AFH4716 215th Street Ct E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Izzie Best Adult Family Home1802 150th St S | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Joy Bringers Care Services1903 192nd Street Ct E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Magnolia Springs AFH22516 45th Ave E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Moxie AFH18227 1st Avenue Ct S | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Rahab Adult Family Home1712 165th Street Ct E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Shekinah Adult Family Home8219 203rd Street Ct E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| St Nino Adult Family Home19620 8th Ave E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| St Nino Adult Family Home II19724 8th Ave E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| St. Stevens AFH20307 42nd Ave E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| The Fosters Care Homes19809 16th Avenue Ct E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| The Young House16611 10th Avenue Ct E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Undercover Angels Adult Family Home II319 Field Rd E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| Warm Touch AFH21816 43rd Avenue Ct E | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
| West Bliss Adult Family Home14907 13th Ave S | Small home6 residents | $5,200 to $8,400/moLilisity estimate |
How much does assisted living cost in Spanaway?
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 Spanaway 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.
- Can I come back and eat a meal here, unannounced?Dining was 23% of all concerns: quality that changes day to day.
- How is laundry labeled and tracked, and what happens when something goes missing?Housekeeping was 17%.
- 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 Spanaway 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.
Spanaway assisted living questions
Washington licenses 40 assisted living communities in Spanaway as of November 2026: 1 larger communities and 39 small residential homes of 16 or fewer residents, with about 310 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.