Washington Senior Care Resources
Advisors, attorneys, state agencies, and community resources for seniors and families navigating long-term care in Washington State.
Real-time vacancies: Room and Care
This site shows licensed facility data. For current openings and live vacancy listings across Washington adult family homes and assisted living facilities, visit Room and Care — an independent platform that works directly with providers to list available beds.
View current vacancies on Room and Care ↗External site — not affiliated with Open Senior Care. Room and Care maintains its own listings independently of this site.
State & Government Resources
These are official Washington State and federal resources. They do not require registration or payment.
WA DSHS Aging and Long-Term Support Administration
Licenses adult family homes, assisted living facilities, and enhanced services facilities. Handles complaints and investigations.
DSHS ALTSA Website ↗ ALTSA Find-a-Provider Tool ↗WA State Long-Term Care Ombudsman Program
Independent advocates who work to resolve complaints from residents of nursing homes, assisted living facilities, and adult family homes. Free service for residents and families.
Find Your Local Ombudsman ↗SHIBA (Statewide Health Insurance Benefits Advisors)
WA State's free Medicare counseling program. Trained volunteers help explain Medicare, Medicaid, and Medicare supplement options.
Find a SHIBA Counselor ↗WA State Area Agencies on Aging (AAA)
Regional agencies that connect seniors and people with disabilities to local services, benefits counseling, and care coordination. Contact your local AAA to start the ALTSA eligibility process.
Find Your Local AAA ↗DSHS HCS — Home and Community Services
Start here to determine Medicaid eligibility for in-home or residential care. HCS authorizes care in adult family homes, assisted living, and nursing homes.
HCS Website ↗CMS Care Compare
CMS's official comparison tool for nursing homes. Includes inspection reports, staffing data, quality measures, and penalty history.
CMS Care Compare ↗Legal Aid & Guardianship Resources
Northwest Justice Project
Free civil legal assistance for low-income Washington residents, including matters related to Medicaid, long-term care, and elder rights.
NW Justice Project ↗WA State Bar — Lawyer Referral Service
The WSBA Referral Service can connect you with elder law attorneys for an initial consultation.
WSBA Referral Service ↗