Best memory care in Spokane County
14 licensed facilities, ranked by state inspection records — every citation from primary DSHS data, no referral fees.
Last updated July 2026
Browse Washington facilitiesOf the 14 licensed memory care facilities indexed in Spokane County, 13 (93%) have a Type-A or Type-B deficiency in their state record from the past 24 months.
Source: CA CDSS Community Care Licensing · Refreshed 2026-07-12 · Type-A = immediate health/safety risk; Type-B = lesser violation
Licensed memory care facilities indexed in Spokane County
Facilities with at least one Type-A or Type-B deficiency finding in the indexed inspection record (24 months where dated)
↑ 93% of indexed facilitiesFacilities with full DSHS profile published on StarlynnCare
Spokane County — by the data
Derived from indexed inspections and deficiency records. Only shown when sufficient data exists.
- Citation trend · 3-year window
- ↑ Worsening25 → 38 → 31 (citations per 12-month window)
- Spokane County vs. Washington avg
- 6.71citations/facility here vs.4.88statewide (36 months)
- Median beds per home
- 74beds
- Most improved · yr-over-yr
- North Point Village, Assisted Living & Memory Care-8 citations vs. prior year
- Most citations added · yr-over-yr
- Trustwell Living at Ridgeview Place+5 citations vs. prior year
- Last inspected (region)
- April 2026
Sources: indexed state inspection records. See methodology.
Highest-performing facilities by state inspection record.
FAIRVIEW ASSISTED LIVING INC
SPOKANE
SUNSHINE TERRACE
Spokane Valley
TOUCHMARK ON SOUTH HILL
SPOKANE
The Cottages of Spokane
Spokane
Pine Ridge Alzheimer's Special Care Center
Spokane Valley
South Hill Village, Assisted Living & Memory Care
Spokane
Colonial Court Assisted Living and Memory Care
Spokane Valley
South Hill Village, Assisted Living & Memory Care
Spokane
Spokane County — every licensed facility ranked by inspection record.
Memory care · 50+ beds
(13)Community-style facilities (purpose-built buildings, common in regional chains).
5 seriousBrighton Court Assisted Living
5 serious citations on fileSpokane Valley · 55 beds · ALF · Memory care
5 seriousFields Senior Living at Spokane Valley
5 serious citations on fileSpokane Valley · 124 beds · ALF · Memory care
6 seriousNorth Point Village, Assisted Living & Memory Care
6 serious citations on fileSpokane · 126 beds · ALF · Memory care
1 seriousPine Ridge Alzheimer's Special Care Center
· limited history1 serious citation on fileSpokane Valley · 66 beds · ALF · Memory care
8 seriousRose Pointe Assisted Living
8 serious citations on fileSpokane Valley · 100 beds · ALF · Memory care
3 seriousSouth Hill Village, Assisted Living & Memory Care
3 serious citations on fileSpokane · 170 beds · ALF · Memory care
2 seriousSUNSHINE TERRACE
· limited history2 serious citations on fileSpokane Valley · 137 beds · ALF · Memory care
2 seriousThe Cottages of Spokane
· limited history2 serious citations on fileSpokane · 80 beds · ALF · Memory care
Memory care · 7–49 beds
(1)Small to medium freestanding RCFEs with a memory-care program.
The public record behind every profile.
Paying for memory care in Spokane County.
Washington's COPES waiver pays for personal-care and support services at licensed Specialized Dementia Care ALFs for Medicaid-eligible residents.
Washington State's COPES (Community Options Program Entry System) waiver is the primary Medicaid pathway for residents of licensed Assisted Living Facilities (ALFs) with a Specialized Dementia Care contract. COPES covers personal-care services, medication administration, and certain therapies. Room and board are not Medicaid-funded and are paid by residents from their own income or assets. DSHS (Department of Social Services and Health) manages eligibility assessments and waiver enrollment.
To qualify for COPES, a person must meet nursing-facility level of care standards as determined by a DSHS assessment, and must be financially eligible for Medicaid (SSI-related rules apply). Wait lists exist in some counties. Families should initiate the DSHS assessment as early as possible — contact your local Area Agency on Aging (AAA) or DSHS Home and Community Services office.
Private-pay memory care in Washington typically costs $5,500–$9,500 per month. Long-term care insurance, veteran benefits, and private annuities are common funding sources. Washington also offers a state-run Carer Support Program for family caregivers who are delaying facility placement.
Veterans: The Washington State Department of Veterans Affairs (WDVA) operates a network of veterans homes and can assist eligible veterans with memory care placement and funding.
Source: WA DSHS Home and Community Services · Program rules change — verify eligibility requirements directly with your county agency before making care decisions
About memory care in Spokane County.
How much does memory care cost across Spokane County?
Memory care across Spokane County typically runs $5,000–$10,000/month for an ALF holding a Washington DSHS Specialized Dementia Care contract. Rates vary by region, room type, and level-of-care tier.
What makes a facility "memory care" in Washington?
Washington state licenses memory care communities as Assisted Living Facilities (ALFs) regulated by DSHS Aging and Disability Services Administration (ADSA), Residential Care Services. Facilities here hold a Specialized Dementia Care contract with DSHS — a contract tier requiring specialized staff training in dementia care techniques, behavioral support protocols, and enhanced supervision standards. Contract status appears on every StarlynnCare profile and is sourced from the DSHS public lookup.
What's the difference between an ALF and a nursing home in Washington?
Washington ALFs provide residential care — room, board, personal assistance, and medication management — in a community setting. Nursing homes (Skilled Nursing Facilities) provide licensed medical nursing care 24/7 for residents needing IV therapy, wound care, or complex medication management. Dementia care ALFs are appropriate for residents who need memory-specific programming but not continuous skilled nursing.
How many Spokane County facilities have a serious deficiency on file?
Of the 14 licensed memory care facilities indexed in Spokane County, 13 (93%) carry a documented inspection or investigation finding in the indexed inspection record. Specific findings appear on each profile with inspection date and source link. StarlynnCare sources all deficiency data directly from state regulator records — no facility-side surveys or paid submissions are used. See the methodology for how deficiency classes are mapped across states.
How does StarlynnCare rank memory care facilities in Spokane County?
StarlynnCare does not assign a single letter grade. Instead, each profile shows four independent signals derived from state inspection records: deficiency severity (Type-A vs. Type-B in California, equivalent classes in other states), repeat citation rate, inspection frequency relative to peers, and trajectory over time. Facilities with too few inspections on record show a "limited history" notice rather than a misleading score. All underlying data is sourced from mandatory public records — CDSS for California, HHSC LTCR for Texas, DHS for Oregon, and equivalent agencies for other states. Full methodology is at starlynncare.com/methodology.
What should I look for on a memory care tour in Spokane County?
What predicts safety usually isn't what admissions directors highlight. From clinician and family interviews, the most under-asked items: staff-to-resident ratio at night and on weekends, skin-check and wound-prevention protocol, medication management and error reporting, shower frequency, and how the facility handles behavioral escalation. We publish a free 37-question tour checklist you can print.
Where can I find inspection reports for memory care facilities in Spokane County?
Every facility profile on StarlynnCare links directly to its state inspection records — the same documents regulators use to evaluate compliance. For California facilities, reports come from the CDSS Community Care Licensing portal; for Texas, from HHSC LTCR; for Oregon, DHS Long-Term Care Licensing; for Washington, DSHS. On each facility profile, navigate to the "Inspection record" section to see full verbatim citations with dates and regulatory citations. You can also access the underlying raw data (open dataset).
What are the ratings for memory care facilities in Spokane County?
StarlynnCare uses state inspection data — not self-reported surveys or paid placements — to evaluate facilities. Each profile surfaces four signals: citation severity (e.g. Type-A vs. Type-B in California), citation frequency relative to peers, repeat-finding rate, and inspection recency. Facilities with too few inspections receive a "limited history" label rather than a misleading composite score. You can sort the list of Spokane County facilities by inspection record using the "By record" sort toggle to see the cleanest inspection histories first. No referral commissions influence how facilities appear.
Does Apple Health (Medicaid) cover memory care in Spokane County?
Washington Apple Health (Medicaid) can cover care in contracted ALFs through the Community Options Program Entry System (COPES) and other waiver programs, but not all facilities hold Medicaid contracts and waitlists exist. Eligibility depends on functional and financial criteria. Each StarlynnCare profile notes contract status where documented. Contact DSHS at 1-800-422-3263 for current contract and availability information in Spokane County.