Spokane has 294 state-licensed assisted living communities: 31 larger communities and 263 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. 1 has phone-verified resident and family reviews on Lilisity.
Most communities don't publish prices. Tell us who you're looking for and a local advisor will send current rates and availability for the assisted living options that fit.
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” (259), “Assisted Living Facility” (35).
From recorded phone interviews Senior Living Alliance conducts with residents and families. Nothing is scraped or anonymous. How reviews are verified.
“I would definitely recommend it. My parents used to be here as well and I've been here about a year now and it couldn't be better! I think that the management are very well organized, the food is good and they have a…”
Every assisted living community Washington licenses in Spokane, from state records. Being listed is not a rating: Lilisity scores only communities with verified interviews (the Top Communities). Communities with verified reviews are listed first, then by size.
294 shown
| Community | Size | Price |
|---|---|---|
| Touchmark on South Hill20+ verified reviewsmemory careS 2999 Waterford Dr | Large155 residents | Get pricing |
| Maplewood Gardens Assisted Living1100 North Superior Street | Large208 residents | Get pricing |
| South Hill Village, Assisted Living & Memory Care3117 E Chaser Lane | Large170 residents | Get pricing |
| The Grand at Spokanememory care5401 S Regal St | Large150 residents | Get pricing |
| Vineyard Park at South Hillmemory care3319 E 57th Ave | Large128 residents | Get pricing |
| North Point Village, Assisted Living & Memory Carememory care1110 E Westview Ct | Large126 residents | Get pricing |
| Riverview Terrace1801 E Upriver Dr | Large120 residents | Get pricing |
| Fairwood Northridge LLCmemory care312 W Hastings Rd | Large100 residents | Get pricing |
| Wedgewood Park Senior Living302 E Wedgewood Ave | Large100 residents | Get pricing |
| Avamere at South Hill3708 E 57th Ave | Large95 residents | Get pricing |
| Rockwood South Hillmemory care2903 E 25th Ave | Large90 residents | Get pricing |
| Fairwinds - Spokane520 East Holland Ave | Large80 residents | Get pricing |
| Rockwood at Whitworthmemory care10331 N Mayberry Drive | Large80 residents | Get pricing |
| The Cottages of Spokanememory care6930 N Nevada St | Large80 residents | Get pricing |
| Bethany Place INC9111 E Upriver Dr | Large70 residents | Get pricing |
| Fairview Assisted Living INCmemory care1617 N Calispel | Large64 residents | Get pricing |
| Brookdale Nine Milememory care5329 West Rifle Club Court | Large60 residents | Get pricing |
| Legacy Court Senior Living34 E 8th Ave | Large60 residents | Get pricing |
| Spokane Memory Care at South Hillmemory care4503 S Freya Street | Large60 residents | Get pricing |
| Mallon Place INC1724 W Mallon Ave | Large55 residents | Get pricing |
| Cherrywood Care100 E Dalke Ave | Large54 residents | Get pricing |
| Avista Senior Living Spokane7310 N Pine Rock St | Mid-size49 residents | Get pricing |
| Magnolia Care1707 E Rowan Ave | Mid-size48 residents | Get pricing |
| Cornerstone Courtmemory care12322 W Ruby Rd | Mid-size40 residents | Get pricing |
| South Hill Village, Assisted Living & Memory Carememory care5925 S Hailee Lane | Mid-size40 residents | Get pricing |
| Allied Residential Care9 East 9th Ave - Level 4 | Mid-size39 residents | Get pricing |
| Riverview Retirement Communitymemory care1952 N Granite St | Mid-size35 residents | Get pricing |
| Whitehouse Inc1534 N Cedar St | Mid-size33 residents | Get pricing |
| Willow Grovememory care1620 E Mead St | Mid-size25 residents | Get pricing |
| Aspen Quality Carememory care9626 N Colfax Rd | Mid-size21 residents | Get pricing |
| Moore's Assisted Living Inc1803 W Pacific Ave | Mid-size18 residents | Get pricing |
| Rompa House LLCmemory care2116 E 1st Ave | Small home16 residents | Get pricing |
| Milford House2208 W Matt Milford Pl | Small home15 residents | Get pricing |
| Grand Manor Care, Inc1718 W 9th Ave | Small home12 residents | Get pricing |
| The Blair HouseW 2718 Sinto Ave | Small home12 residents | Get pricing |
| A Golden Road AFH2004 E South Ridge Dr | Small home8 residents | Get pricing |
| Golden Community Care A AFH, LLC8233 E Upriver Dr | Small home8 residents | Get pricing |
| Johnson Family Homes LLC7814 N Calispel St | Small home8 residents | Get pricing |
| Lamb Family Home8904 N James Dr | Small home8 residents | Get pricing |
| New Hope Outreach1809 E Center Rd | Small home8 residents | Get pricing |
| Pleasant Comfort AFH LLC9106 N Dorset Rd | Small home8 residents | Get pricing |
| Providence Senior Home LLC8920 N Pamela St | Small home8 residents | Get pricing |
| Serenity Rose3614 E 27th Ave | Small home8 residents | Get pricing |
| Stonewall Chattaroy Adult Family Home12406 N Helena Ct | Small home8 residents | Get pricing |
| Stonewall Ruby Inc12608 N Ruby Rd | Small home8 residents | Get pricing |
| # 1 Empowering Adult Family Home 2 LLC6211 W Sundance Dr | Small home6 residents | Get pricing |
| # 1 Empowering Adult Family Home LLC5511 West Brookfield Ave | Small home6 residents | Get pricing |
| # 1 Empowering Adult Family Home LLC9832 N Glenwood Ct | Small home6 residents | Get pricing |
| #1 Angels on Call LLC7114 N Hamilton St | Small home6 residents | Get pricing |
| #1 Cozy Home, LLC3711 W Delbert Ave | Small home6 residents | Get pricing |
| #1 Harmony House LLC4104 N Bessie Rd | Small home6 residents | Get pricing |
| #1 Sunshine Home LLC2020 W Gordon Ave | Small home6 residents | Get pricing |
| *1unified Care LLC1615 W Kiernan Ave | Small home6 residents | Get pricing |
| 1cozyhome2, LLC3635 W Indian Trail Rd | Small home6 residents | Get pricing |
| A Blissful Haven 2 AFH LLC4711 East 36th Court | Small home6 residents | Get pricing |
| A Blissful Haven 2 Afh LLC (martin Home)6021 S Martin St | Small home6 residents | Get pricing |
| A Blissful Haven AFH LLC5709 S Pittsburg St | Small home6 residents | Get pricing |
| A Blissful Haven Afh LLC3515 E Tracey Ct | Small home6 residents | Get pricing |
| A House of Grace AFH, LLC1804 W Kiernan Ave | Small home6 residents | Get pricing |
| A Rosy Place AFH4819 W Rosewood Ave | Small home6 residents | Get pricing |
| A Rosy Place, LLC10806 N Klickitat Ct | Small home6 residents | Get pricing |
| AAA Crystal Rose Adult Family Home, Inc4414 S Helena | Small home6 residents | Get pricing |
| Abcare Adult Family Home LLC1415 W Cherrywood Ct | Small home6 residents | Get pricing |
| Abundant Love Adult Family Home11709 N Lancelot Dr | Small home6 residents | Get pricing |
| Acacia Care AFH LLC218 E Empire Ave | Small home6 residents | Get pricing |
| Adore Home at Horizons Afh LLC3404 W Mallard Ave | Small home6 residents | Get pricing |
| Affectionate Care Adult Family Home LLC4227 W Arrowhead Rd | Small home6 residents | Get pricing |
| Affinity Adult Family Home1617 E 17th Ave | Small home6 residents | Get pricing |
| Affinity Afh LLC5810 N Drumheller St | Small home6 residents | Get pricing |
| Agape Haven Adult Family Home4630 E Sumac Dr | Small home6 residents | Get pricing |
| Ahadi Adult Family Home10409 N Woodridge Dr | Small home6 residents | Get pricing |
| Alert AFH LLC9002 N James Dr | Small home6 residents | Get pricing |
| Alesa Home LLP2120 E 45th Ave | Small home6 residents | Get pricing |
| Align Care Adult Family Home, LLC5310 W Broken Arrow Ct | Small home6 residents | Get pricing |
| All Grace Adult Family Home LLC4212 W. Weile Ave | Small home6 residents | Get pricing |
| Ally's caring Adult Family Home ll LLC10005 N Huntington Rd | Small home6 residents | Get pricing |
| Allys Caring Adult Family Home LLC11920 N Stevens Ct | Small home6 residents | Get pricing |
| Alpha Adult Family Home LLC3410 E 9th Ave | Small home6 residents | Get pricing |
| Alpine Care Adult Family Home LLC621 S Sheridan St | Small home6 residents | Get pricing |
| Amalaika Adult Family Home LLC5324 W Bentwood Ct | Small home6 residents | Get pricing |
| Amara Adult Family Home LLC5720 N Maple St | Small home6 residents | Get pricing |
| Amazing Grace1 AFH LLC2304 E 60th Ave | Small home6 residents | Get pricing |
| Ambassador Adult Family Home, LLC5220 S Smith Ct | Small home6 residents | Get pricing |
| Ambience Living Adult Family Home9208 E Buckeye Ave | Small home6 residents | Get pricing |
| Ample Care AFH LLC2511 W Longfellow Ave | Small home6 residents | Get pricing |
| Ample Care AFH, LLC2503 W Longfellow Ave | Small home6 residents | Get pricing |
| Ananda by Mireya3321 E 15th Ave | Small home6 residents | Get pricing |
| Anar Adult Family Home LLC2809 W Holyoke Ave | Small home6 residents | Get pricing |
| Angel Gabriel Afh LLC2923 E 12th Ave | Small home6 residents | Get pricing |
| Angels Landing 14217 N Maringo Dr | Small home6 residents | Get pricing |
| Anudo Afh LLC4022 W Kathleen Ave | Small home6 residents | Get pricing |
| Arbor Rose Adult Family Home, Inc.2214 E 36th Ave | Small home6 residents | Get pricing |
| Arcadia46 LLC4626 E 22nd Ct | Small home6 residents | Get pricing |
| Ark 2 Afh5903 W Yorktown Ln | Small home6 residents | Get pricing |
| Ark Agency3121 N Woodruff Rd | Small home6 residents | Get pricing |
| Ark Home Care2415 W Wedgewood Ave | Small home6 residents | Get pricing |
| Ark of Hope Adult Family Home LLC5617 S Madelia St | Small home6 residents | Get pricing |
| Ark of Lila Afh5909 W Hopi Ct | Small home6 residents | Get pricing |
| Arthur Arms Afh652 South Arthur St | Small home6 residents | Get pricing |
| Aruga by Mireya8421 N Country Homes Blvd | Small home6 residents | Get pricing |
| At Brookhouse Adult Family Home LLC3122 W Weile Ave | Small home6 residents | Get pricing |
| At Brookhouse Two Adult Family Home LLC16110 N Gleneden Dr | Small home6 residents | Get pricing |
| At Skyline Adult Family Home LLC10615 N Skyline Dr | Small home6 residents | Get pricing |
| Autumns Caring Home13706 E Longfellow Ave | Small home6 residents | Get pricing |
| Awex AFH LLC4034 N Belt St | Small home6 residents | Get pricing |
| Azalea Caring Home, LLC4233 E 21st Ave | Small home6 residents | Get pricing |
| Bethel House LLC11812 N Highwood Ct | Small home6 residents | Get pricing |
| Bethel House LLC 211618 N Fairwood Dr | Small home6 residents | Get pricing |
| Bienvenu AFH LLC7612 N Martin St | Small home6 residents | Get pricing |
| Blessed Alexis AFH LLC11911 N Stevens Ct | Small home6 residents | Get pricing |
| Blessed Home Too Adult Family Home LLC3519 E 16th Ave | Small home6 residents | Get pricing |
| Blessed House AFH LLC6814 N Westgate Pl | Small home6 residents | Get pricing |
| Blessed Peace AFH LLC2219 E 58th Ct | Small home6 residents | Get pricing |
| Blessedhouse-howard Afh5408 N Howard St | Small home6 residents | Get pricing |
| Blue Bird Cottage AFH LLC119 E High Dr | Small home6 residents | Get pricing |
| Bridge Care Homes4796 W Derek Ave | Small home6 residents | Get pricing |
| Bright Sky Adult Family Home LLC7320 N Valerie St | Small home6 residents | Get pricing |
| Brightstar Care Adult Family Home LLC3810 E Princeton Ave | Small home6 residents | Get pricing |
| Camp Kim 2 Adult Family Home LLC9909 N Quanah Ct | Small home6 residents | Get pricing |
| Canaan Homecare LLC11726 N Kathy Ln | Small home6 residents | Get pricing |
| Candlelight HomesS 2021 Rebecca | Small home6 residents | Get pricing |
| Care4you, LLC1020 S Hazelwood Rd | Small home6 residents | Get pricing |
| Cedar Ark Adult Family Home10931 N Iroquois Dr | Small home6 residents | Get pricing |
| Chara AFH, LLC314 E Eaton Ave | Small home6 residents | Get pricing |
| Choice Adult Family Home LLC3609 E 22nd Ave | Small home6 residents | Get pricing |
| Citadream Adult Family Home2131 W Wedgewood Ave | Small home6 residents | Get pricing |
| Classy Retreat Adult Family Homes INC4505 S Helena St | Small home6 residents | Get pricing |
| Coffman Quality Care524 W Gary Ln | Small home6 residents | Get pricing |
| Comfort Afh920 N Helena St | Small home6 residents | Get pricing |
| Country Cottage Adult Family Home9220 S Williams Ln | Small home6 residents | Get pricing |
| Cozy Villa Adult Family Home LLC4040 S Helena St | Small home6 residents | Get pricing |
| Dakota AFH LLC6925 N Dakota St | Small home6 residents | Get pricing |
| Debbie's Adult Family Home11315 N Astor Rd | Small home6 residents | Get pricing |
| Delightful Care Afh LLC3125 E 43rd Ave | Small home6 residents | Get pricing |
| Devoted Care Adult Family Home LLC7115 N Greenwood Pl | Small home6 residents | Get pricing |
| Divine Care Adult Family Home LLC5327 N Oak St | Small home6 residents | Get pricing |
| Divine Care Adult Family Home, LLC1339 W Joseph Ave | Small home6 residents | Get pricing |
| Eden Care 2 AFH1816 E 36th Ave | Small home6 residents | Get pricing |
| Eden Care AFH5916 S Moran Dr | Small home6 residents | Get pricing |
| Edencrest Living AFH5316 W Baywood Ct | Small home6 residents | Get pricing |
| Emerald Green Adult Family Home LLC2304 E 5th Ave | Small home6 residents | Get pricing |
| Emmanuel Place Adult Family Home LLC8414 N Weipert Dr | Small home6 residents | Get pricing |
| Emmanuel's Haven Adult Family Home LLC8921 N Country Homes Blvd | Small home6 residents | Get pricing |
| Enlightened HomeCare LLC5101 W Shawnee Ave | Small home6 residents | Get pricing |
| Etracare Afh A LLC508 E Regina Ave | Small home6 residents | Get pricing |
| Evergreen Comfort Haven LLC5615 N Drumheller St | Small home6 residents | Get pricing |
| Evergreen Senior AFH, LLC3623 W Indian Trail Rd | Small home6 residents | Get pricing |
| Fairwood Family Care Adult Family Home LLC119 E Salmon Ave | Small home6 residents | Get pricing |
| Faith Adult Family Home2635 W Westover Rd | Small home6 residents | Get pricing |
| From Our Heart Afh4414 W Shawnee Ave | Small home6 residents | Get pricing |
| Gentle Care Adult Family Home9602 N Ridgecrest Dr | Small home6 residents | Get pricing |
| Geonate Afh LLC6303 N Sutherlin Rd | Small home6 residents | Get pricing |
| Geowam Adult Family Home10011 N Larchwood St | Small home6 residents | Get pricing |
| Golden Community Care I Adult Family Home LLC5111 N Washington ST | Small home6 residents | Get pricing |
| Golden Days AFH4224 E Prairie Lane Ct | Small home6 residents | Get pricing |
| Golden Grace LLC7519 N Wall St | Small home6 residents | Get pricing |
| Golden Horizon AFH9606 N Ridgecrest Dr | Small home6 residents | Get pricing |
| Golden View AFH LLC5704 N Birch Pl | Small home6 residents | Get pricing |
| Good Comfort Afh10205 E 15th Ave | Small home6 residents | Get pricing |
| Grace Homecare LLC AFH10109 N Seminole Dr | Small home6 residents | Get pricing |
| Graceful Care Adult Family Home LLC4213 E 21st Ave | Small home6 residents | Get pricing |
| Graceful Homes AFH3015 S Rebecca St | Small home6 residents | Get pricing |
| Graceful Homes North AFH LLC7318 N Mahr Ct | Small home6 residents | Get pricing |
| Hakuna Matata Adult Family Home LLC9117 N Dorset Rd | Small home6 residents | Get pricing |
| Hakuna Matata Adult Family Home LLC 22409 W Stratton Ave | Small home6 residents | Get pricing |
| Harvest House703 E Nora Ave | Small home6 residents | Get pricing |
| Hawthorne AFH2712 W Hawthorne Rd | Small home6 residents | Get pricing |
| High Drive Adult Family Home 26011 W Chippewa Ct | Small home6 residents | Get pricing |
| High Drive Adult Family Home LLC10518 N Russett Drive | Small home6 residents | Get pricing |
| Hill Crest Care AFH, LLC1219 E 57th Ave | Small home6 residents | Get pricing |
| Hill's Adult Family Home LLC4117 S Lee St | Small home6 residents | Get pricing |
| Hope Adult Family Home6120 S Crestline St | Small home6 residents | Get pricing |
| Hope Zone LLC3927 E 21st Ave | Small home6 residents | Get pricing |
| Hope Zone LLC 28017 N Hughes Dr | Small home6 residents | Get pricing |
| House of Hope Adult Family Home10423 N Iroquois Dr | Small home6 residents | Get pricing |
| House of Hope AFH 210509 N Woodridge Ct | Small home6 residents | Get pricing |
| Imari Care LLC5910 W Red Cloud Ct | Small home6 residents | Get pricing |
| James N Jones AFH9203 N James Ct | Small home6 residents | Get pricing |
| Janeluv AFH LLC5608 N Drumheller St | Small home6 residents | Get pricing |
| Janice Adult Family Home LLC4324 W Janice Ave | Small home6 residents | Get pricing |
| Janice AFH4104 W Janice Ave | Small home6 residents | Get pricing |
| Jay Adult Family Home LLC11007 N Acoma St | Small home6 residents | Get pricing |
| Jefferson Afh3031 S Jefferson St | Small home6 residents | Get pricing |
| Joecare AFH LLC3307 E Cleveland Ave | Small home6 residents | Get pricing |
| Jomani II AFH LLC6201 N Washington St | Small home6 residents | Get pricing |
| Joyous Hope Adult Family Home4798 W Lex Ave | Small home6 residents | Get pricing |
| Just Us Adult Family Home LLC3217 E 26th Ave | Small home6 residents | Get pricing |
| Kimberlys Cottage LLC5208 W Baywood Ct | Small home6 residents | Get pricing |
| Kings and Queens Adult Family Home3825 W Broad Ave | Small home6 residents | Get pricing |
| Kings and Queens Adult Family Home 27525 N F St | Small home6 residents | Get pricing |
| KMJ Adult Family Home LLC712 W Westmont Way | Small home6 residents | Get pricing |
| L&R Adult Family Home1729 E Crown Ave | Small home6 residents | Get pricing |
| Lavender Lane Adult Family Home LLC9616 N Sylvia Ct | Small home6 residents | Get pricing |
| Leadville Senior Care LLC3732 W Olympic Ave | Small home6 residents | Get pricing |
| Lena's Gentle Care Inc9706 E Morgan Rd | Small home6 residents | Get pricing |
| Love and Laughter Adult Family Home9906 N Excell Drive | Small home6 residents | Get pricing |
| Love, Peace and Joy AFH LLC6704 N Winston Dr | Small home6 residents | Get pricing |
| Lucken Care Adult Family Home5615 W Comanche Dr | Small home6 residents | Get pricing |
| M&g3315 W Beacon Ave | Small home6 residents | Get pricing |
| Mama Adult Family Home LLC10212 N Sundance Dr | Small home6 residents | Get pricing |
| Manito Comfort Adult Family5505 S Perry St | Small home6 residents | Get pricing |
| Manu's Adult Family Home 25517 S Glenrose Rd | Small home6 residents | Get pricing |
| Manu's Family Home1208 E 55th Ave | Small home6 residents | Get pricing |
| Maple Leaf Homes3207 E Marie Ct | Small home6 residents | Get pricing |
| Martinez Afh9711 E Empire Ave | Small home6 residents | Get pricing |
| Mercy Divine Adult Family Home Care3502 W Decatur Ave | Small home6 residents | Get pricing |
| Merit Care Afh3905 E 18th Ave | Small home6 residents | Get pricing |
| Millwood Heritage Adult Family Home9204 E Grace Ave | Small home6 residents | Get pricing |
| Moran AFH LLC5118 S Freya St | Small home6 residents | Get pricing |
| Morning Grace Adult Family Home LLC8707 N Pamela St | Small home6 residents | Get pricing |
| Namunyak Adult Family Home LLC210 W Saint Thomas More Way | Small home6 residents | Get pricing |
| Nanci St Joseph Adult Family Home10710 N Klamath Ct | Small home6 residents | Get pricing |
| NEEMS Adult Family Home LLC5924 W Lonewolf Ave | Small home6 residents | Get pricing |
| Nene Adult Family Home LLC4024 S Greystone Ln | Small home6 residents | Get pricing |
| New Sundance Adult Family Home LLC9915 N Sundance Dr. | Small home6 residents | Get pricing |
| Noble Care and Cherish Adult Family Home LLC4510 S Glenrose Rd | Small home6 residents | Get pricing |
| Nurture Cottages AFH LLC10105 N Larchwood St | Small home6 residents | Get pricing |
| Olivia Adult Family Home, LLC12005 N Normandie St | Small home6 residents | Get pricing |
| Osprey at Carnahan AFH2921 N Carnahan St | Small home6 residents | Get pricing |
| Painted Hills Adult Family Home5221 S Mohawk Dr | Small home6 residents | Get pricing |
| Passionate Care Adult Home LLC10711 N Klamath Ct | Small home6 residents | Get pricing |
| Passionate Care AFH, LLC924 E Illinois Ave | Small home6 residents | Get pricing |
| Peaceful Living Adult Family Home5907 W Shawnee Ave | Small home6 residents | Get pricing |
| Perry Adult Family Home1217 E30th Ave | Small home6 residents | Get pricing |
| Pinebrook AFH LLC5407 S Pinebrook Ct | Small home6 residents | Get pricing |
| Pines Cottage AFH5928 N Fleming St | Small home6 residents | Get pricing |
| Ponderosa Hills AFH4722 S Tipaway | Small home6 residents | Get pricing |
| Precious Love, AFH, LLC6109 S Napa St | Small home6 residents | Get pricing |
| Precious People Adult Family Home LLC3408 E Liberty Ave | Small home6 residents | Get pricing |
| Prestige Adult Family Home11405 N Madison St | Small home6 residents | Get pricing |
| Providence Adult Family Home LLC2719 W Strong Rd | Small home6 residents | Get pricing |
| Pureza Lugar Afh LLC4714 N Bolivar Ct | Small home6 residents | Get pricing |
| Purity's Calico Cottage 3 AFH LLC1920 W Weile Ave | Small home6 residents | Get pricing |
| Purity's Calico Cottage 4 AFH LLC10518 N Alberta Rd | Small home6 residents | Get pricing |
| Reliant Adult Family Home LLC8112 N Kimberly Ct | Small home6 residents | Get pricing |
| Renah Afh1633 E Kelton Ln | Small home6 residents | Get pricing |
| Ridgeview Adult Family Home10717 N Skyline Dr | Small home6 residents | Get pricing |
| Riverton AFH2322 W Dean Ave | Small home6 residents | Get pricing |
| Riverway Adult Family Home8924 E South Riverway Ave | Small home6 residents | Get pricing |
| Rock Garden AFH LLC10810 N Klickitat Ct | Small home6 residents | Get pricing |
| Rock of Ages Adult Family Home LLC7224 N Drumheller St | Small home6 residents | Get pricing |
| Rosam Adult Family Homes LLC2818 W Houston Ave | Small home6 residents | Get pricing |
| Rowan Haven Adult Family Home LLC2214 W Rowan Ave | Small home6 residents | Get pricing |
| Royal Crown Adult Family Home3426 W Elmhurst Ave | Small home6 residents | Get pricing |
| Rubys Family Care Services8315 N Maple Ln | Small home6 residents | Get pricing |
| Sbm Care LLC8709 N Pamela St | Small home6 residents | Get pricing |
| Serene Extended Adult Family Home LLC4411 S Mamer Rd | Small home6 residents | Get pricing |
| Serenity Gardens Adult Family Home LLC8712 N Benton Dr | Small home6 residents | Get pricing |
| Serenity Home Adult Care LLC6417 N Greenwood Blvd | Small home6 residents | Get pricing |
| Seriani Adult Family Home LLC2224 West Rowan Ave | Small home6 residents | Get pricing |
| Shades of Joy Adult Family Home LLC3707 S Lamonte St | Small home6 residents | Get pricing |
| Shamila's Gentle Care Adult Family Home9007 N Whitehouse St | Small home6 residents | Get pricing |
| Shamila's Gentle Care Adult Family Home 34221 E 21st Ave | Small home6 residents | Get pricing |
| Shawnee Afh LLC5217 W Shawnee Ave | Small home6 residents | Get pricing |
| Shine on Humanity Adult Family Home LLC3324 E Grace Ave | Small home6 residents | Get pricing |
| Shining Star AFH LLC6815 N Winston Dr | Small home6 residents | Get pricing |
| Sinitei AFH9704 N Arrowhead Rd | Small home6 residents | Get pricing |
| Sophie's Care 2 Adult Family Home LLC9621 N Seminole Dr | Small home6 residents | Get pricing |
| Sophie's Care Adult Family Home LLC3011 W Beacon Ave | Small home6 residents | Get pricing |
| South Hill Adult Family Home LLC3116 S Lamonte St | Small home6 residents | Get pricing |
| Splendid Adult Family Home LLC6406 W Sundance Dr | Small home6 residents | Get pricing |
| Spokane Adult Family Home LLC8211 N Standard St | Small home6 residents | Get pricing |
| Spokane Blessed AFH LLC2320 W Woodside Ave | Small home6 residents | Get pricing |
| Spokane Living Water Adult Family Home LLC1728 N Stone St | Small home6 residents | Get pricing |
| St. Fredricks Compassionate Care Home10605 Windham Ct | Small home6 residents | Get pricing |
| St. Fredricks Compassionate Care Home 25311 W Brookfield Ave | Small home6 residents | Get pricing |
| Stonewall Denver, Inc.12104 N Denver Dr | Small home6 residents | Get pricing |
| Sundance Adult Family Home10216 N Sundance Dr | Small home6 residents | Get pricing |
| Sunshine Place648 S Arthur St | Small home6 residents | Get pricing |
| Susan Adult Family Home11819 N Monroe Ct | Small home6 residents | Get pricing |
| Tall Tree Terrace13224 E Tall Tree | Small home6 residents | Get pricing |
| Tasha Haven Adult Family Home LLC7011 N Normandie St | Small home6 residents | Get pricing |
| The Beacon House AFH3415 W Beacon Ave | Small home6 residents | Get pricing |
| The Grove AFH North Spokane LLC6609 E Sanzy Lane | Small home6 residents | Get pricing |
| The Haven on South Hill LLC1604 E 39th Ave | Small home6 residents | Get pricing |
| The Promise Adult Family Home4707 N Bolivar Ct | Small home6 residents | Get pricing |
| The Williams Divine Care Adult Family Home LLC3826 E Pratt Ave | Small home6 residents | Get pricing |
| Thrive Care Afh LLC333 W Hoerner Ave | Small home6 residents | Get pricing |
| Towers Adult Family Home LLC4002 W Broad Ave | Small home6 residents | Get pricing |
| Trinity House525 E Sinto | Small home6 residents | Get pricing |
| TRose Adult Family Home9715 N Wieber Dr | Small home6 residents | Get pricing |
| Tsavic Cottage AFH, LLC304 W Cascade Way | Small home6 residents | Get pricing |
| Unicorn Care AFH LLC1608 E Joseph Ave | Small home6 residents | Get pricing |
| Valerie Adult family home llc8511 N Valerie St | Small home6 residents | Get pricing |
| Viccom Afh1712 E 37th Ave | Small home6 residents | Get pricing |
| Wams Serene AFH LLC502 E Tieton Ave | Small home6 residents | Get pricing |
| Wellen Lane AFH10102 N Wellen Ln | Small home6 residents | Get pricing |
| Wells of Love Adult Family Home LLC6512 W Kitsap Dr | Small home6 residents | Get pricing |
| White Oak Adult Family Home LLC8321 E Bull Pine Ln | Small home6 residents | Get pricing |
| Whitworth Afh LLC11503 N Madison St | Small home6 residents | Get pricing |
| Wija Adult Family Home LLC8626 W Campus Dr | Small home6 residents | Get pricing |
| Wincare Adult Family Home LLC4522 S Ponderosa Ln | Small home6 residents | Get pricing |
| Yol's Oasis Adult Family Home2330 West 16th Avenue | Small home6 residents | Get pricing |
| Zelyne Adult Family Home LLC10103 N Seminole Dr | Small home6 residents | Get pricing |
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. 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
From 22,911 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.
All 8 tour questions, with a free printable tour card (PDF).
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.
Washington licenses 294 assisted living communities in Spokane as of September 2026: 31 larger communities and 263 small residential homes of 16 or fewer residents, with about 4,082 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, or ask a Lilisity advisor for current prices.
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.
Touchmark on South Hill. Their reviews come from recorded phone interviews with residents and family members, verified by Senior Living Alliance.
One call covers which communities have openings, what they cost and which fit your parent's needs and budget.
