MyLivingChoice

Best Senior Living in Spokane, Washington

62 communities found

Spokane offers 71 senior living options, including 62 residential communities and 9 agencies, with an average rating of 4.1 across 58 rated communities. Community sizes vary, with 8 small, 14 mid-sized, and 15 large communities among the 37 with known sizes. Only one published price point was available, at a median of $8,000.

  • 71options listed
  • 4.1average rating, 59 rated
  • 2,659family reviews read
  • 2operator-verified
  • 8small homes, 10 or fewer

Best-rated senior living in Spokane

Ranked by family rating, weighted by how many families have reviewed each one. No community pays to appear here.

  1. 1

    Spokane Memory Care at South Hill

    4.9 (44 reviews)· Memory Care, Respite / Short-Term Care

    Spokane Memory Care at South Hill is a secure, purpose-built memory care community in South Hill, holding a 4.9 rating from 44 reviews.

  2. 2

    A Piece of Paradise Adult Family Home

    5 (21 reviews)· Assisted Living

    A Piece of Paradise Adult Family Home is a small Spokane assisted living community with a perfect 5 out of 5 rating from 13 Google reviews.

  3. 3

    Providence Senior Home, LLCVerified

    5 (14 reviews)· Assisted Living, Memory Care, Skilled Nursing / Long Term Care· 8 units

    Providence Senior Home is a very small assisted living community licensed for up to 8 residents, rated 5 out of 5 on Google.

  4. 4

    Spokane Veterans Home

    5 (12 reviews)· Skilled Nursing / Long Term Care· 100 units

    Spokane Veterans Home serves veterans with skilled nursing and long-term care, holding a 5 out of 5 rating from 12 Google reviews.

  5. 5

    The Grand at Spokane Assisted & Senior Living

    4.7 (40 reviews)· Assisted Living, Independent Living, Skilled Nursing / Long Term Care

    The Grand at Spokane Assisted & Senior Living holds a 4.7 out of 5 average from 40 Google reviews.

  6. 6

    Affinity at South Hill

    4.6 (69 reviews)· Independent Living

  7. 7

    Affinity at Mill Road

    4.6 (53 reviews)· Independent Living

  8. 8

    Pleasant Comfort AFH

    5 (7 reviews)· Assisted Living· 8 units

    Pleasant Comfort AFH is a small adult family home licensed for up to 8 residents, with a perfect 5 out of 5 rating from 7 reviews.

  9. 9

    Avista Senior Living Spokane

    4.6 (31 reviews)· Assisted Living, Memory Care

    Avista Senior Living Spokane offers assisted and independent living together, earning a 4.6 out of 5 rating from 31 Google reviews.

  10. 10

    Riverview Retirement Community

    4.5 (197 reviews)· Assisted Living, Independent Living, Memory Care

    Riverview Retirement Community offers independent living, assisted living, and memory care, with families praising the therapy program, staff warmth, and cleanliness.

What families say about senior living in Spokane

Counted across the review summaries of 63 Spokane communities: the share whose families mention each theme.

Families most often praise caring, attentive staff, mentioned by 45% of 64 communities, along with medical and nursing care at 30% and building and grounds at 28%. Activities and social life came up in 20% of communities and food and dining in 19%. On the concern side, cost and billing issues were raised by 61% of families and communication with families by 59%, while staff attitude and building upkeep were noted less often, at 17% and 13%.

Praised most

  • Caring, attentive staff 46%
  • Medical and nursing care 30%
  • Building and grounds 29%
  • Activities and social life 21%
  • Food and dining 19%

Concerns raised

  • Cost and billing 62%
  • Communication with families 60%
  • Staff attitude 17%
  • Building and upkeep 13%

“The Touchmark Car Show was fantastic. What a wonderful event. It is very well organized and lots of fun. They raise money for a great cause.<br>Thank You”

“This home provides a positive environment through some of the most difficult seasons. Uplifiting the spirits and morale of those cared for, consistently. The care team embodies the fruits of the spirit, and prioritize that their guests are highly taken care of and safe.”

“This is a wonderful facility! The management and staff are extremely friendly and helpful. They deliver great care to all residents.”

Senior Living in Spokane: the figures

  • •Of the 36 with a known size, 8 have ten residents or fewer, 13 have 11 to 60, and 15 have more than 60.
  • •13 nursing homes carry a Medicare star rating, averaging 3 out of 5: 5 rated four stars or better, 2 rated one star.
  • •Among the 5 that publish a starting price, prices start at $2,550 a month with a median of $3,695.
  • •Most common amenities: 24-hour staff (59), emergency call system (58), medication management (56), housekeeping (54), wheelchair accessible (53), gathering / activity spaces (52).

How families pay for senior living in Washington

Most families in Washington pay for assisted living, memory care and independent living out of pocket at first, often drawing on savings, pensions and the proceeds from selling a home. Long-term care insurance, when a family member holds a policy, can help cover part of the monthly cost, though the terms and waiting periods vary by policy. Veterans and surviving spouses may qualify for VA Aid and Attendance, a benefit that adds a monthly amount on top of a regular VA pension for those who need help with daily activities, and it can be applied toward the cost of assisted living or memory care.

The full picture for the state: Senior Living in Washington.

Senior Living near Spokane

Cities within about 35 miles with senior living inventory, and how families rate it.

CityCommunitiesRating
Spokane Valley7.7 mi404.1 / 5
Post Falls, Idaho21.7 mi94.4 / 5
Coeur d'Alene, Idaho27.8 mi364.3 / 5
Hayden, Idaho28 mi104.5 / 5

All of Washington: Senior Living in Washington. Closer to home? Compare senior living near you, sorted by distance.

About these figures

Computed on October 20, 2026 from the 71 communities listed in Spokane, 2,659 public family reviews on Google, Yelp and MyLivingChoice, state licensing records and, for nursing homes, CMS Care Compare. The best-rated list ranks communities by average family rating weighted by how many families have reviewed each one, so a 4.9 from three reviews does not outrank a 4.7 from two hundred. No community pays to appear in the best-rated list or in these figures; sponsored and partner listings in the directory results are marked as such. Figures refresh as listings and reviews change; the written summary was last revised September 25, 2026.

Reading on this

Guides from MyLivingChoice that families in Spokane ask about.

Not in Spokane? Senior living near me finds communities around wherever you are.

The 10 best-rated communities in SpokaneOur ranking, weighted by how many families have reviewed each one.

Senior Living in Spokane: Common Questions

How many senior living communities are in Spokane, Washington?

MyLivingChoice lists 71 senior living communities in Spokane, Washington, each with photos, care details, and reviews from families.

How much does senior living cost in Spokane?

Among Spokane communities that publish pricing, senior living starts around $2,550/month, with an average published starting rate near $4,665/month. Final costs depend on care needs and apartment choice.

Which senior living communities in Spokane are rated highest?

Based on combined ratings across Google, Yelp, and MyLivingChoice reviews, top-rated options include Manito Home Health (5★, 21 ratings), A Piece of Paradise Adult Family Home (5★, 21 ratings), Providence Senior Home, LLC (5★, 14 ratings).

What types of senior care are available in Spokane?

Beyond senior living, Spokane has assisted living (41 communities), independent living (22 communities), skilled nursing / long term care (19 communities), memory care (17 communities), at-home care (5 communities). Every option is listed with photos, reviews, and contact details.

How do families rate senior living in Spokane?

Families rate Spokane senior living communities 4.1 out of 5 on average, across 2,659 public Google reviews of local communities.

What do families praise, and complain about, in Spokane senior living communities?

Across the review summaries of 63 Spokane communities, the most common praise is caring, attentive staff (mentioned for 46%), medical and nursing care (mentioned for 30%), building and grounds (mentioned for 29%). The most common concerns are cost and billing (62%), communication with families (60%), staff attitude (17%).

Are there small senior living homes in Spokane?

Yes. Of the 36 Spokane communities with a known size, 8 have ten residents or fewer, 13 have 11 to 60, and 15 have more than 60. Small licensed homes are listed here alongside large communities, which most directories skip.

How do Spokane nursing homes score on Medicare's star ratings?

13 Medicare-certified nursing homes in Spokane carry an overall star rating, averaging 3 out of 5. 5 are rated four stars or better and 2 are rated one star. Each listing shows its rating and three years of inspection history from CMS Care Compare.