Showing all 58 licensed assisted living facilitys in Spokane County, WA from the official DSHS record — not just those who pay to be listed.

Cost of Assisted Living Facility in Spokane County, WA (2026)

Medicaid rate data for Spokane County is not yet available on this site. Check the WA DSHS HCS rate workbook or contact facilities directly.

Senior Care Cost Comparison — Spokane County, WA

All figures are Medicaid reimbursement rates (daily and estimated monthly). Private-pay rates vary; confirm directly with each facility.

Care Type Medicaid Daily Rate Est. Monthly Source Date
Adult Family Home $130–$311/day ~$3,958–$9,459/mo 2026-06-17
Assisted Living Facility this page —
Nursing Home —

Medicaid rates are government reimbursement floors set by DSHS. Private-pay rates are higher and vary by facility — always confirm directly.

What's Typically Included

Assisted living facilities (also called boarding homes) in Washington typically offer apartment-style units, communal dining, housekeeping, transportation, personal care assistance, and activity programming. The base Medicaid rate covers room and personal care; additional services such as specialized dementia care or skilled nursing visits may carry separate fees.

Assisted living facilities vary widely in size, amenities, and staffing models. Larger facilities may offer more amenities; smaller ones may offer more personal attention. Always review the disclosure statement and ask what is included in the quoted rate before signing a contract.

How Families Pay for Assisted Living Facility

  • Medicaid (ALTSA/HCS): Washington's Medicaid program covers contracted assisted living facilitys for eligible residents. Eligibility requires both financial and functional assessments through DSHS.
  • Private pay: Most families pay out-of-pocket initially. Private rates are set by each facility and vary — this site does not have private-pay rate data, so confirm directly with the facility.
  • Long-term care insurance: Policies vary; check your policy terms before assuming coverage.
  • Veterans benefits: VA Aid & Attendance and other VA programs may supplement care costs for eligible veterans and spouses.

Paying for senior care in WA → Sell, keep, or leverage the home? → How we make money / no paid placement →

Every Licensed Assisted Living Facility in Spokane County 58 facilities

All facilities listed are licensed by WA DSHS. This is a complete list — not a curated or sponsored selection. Browse with ratings, Medicaid filter & map →

Frequently Asked Questions

How much does assisted living facility cost in Spokane County?

Rate data for Spokane County is not yet available on this site. Contact facilities directly or check the WA DSHS HCS rate workbook.

Does Medicaid pay for assisted living facility in Spokane County?

Yes, Medicaid (through WA DSHS ALTSA HCS) reimburses contracted assisted living facilitys in Washington, including Spokane County. Eligibility requires both a financial means test and a functional assessment. Not all facilities accept Medicaid; confirm current availability directly with each provider.

Is assisted living facility cheaper than other senior care types in Spokane County?

Rate comparison data for Spokane County is not yet available. Contact facilities directly for pricing.

Source: Medicaid rates from WA DSHS ALTSA HCS rate workbook . Facility list from the WA DSHS public locator. Informational only — not affiliated with WA DSHS or CMS. Always verify information directly with facilities and WA DSHS ALTSA before making care decisions. Data reflects the capture dates shown and may not be current.